Misalignment between coronavirus financial aid and public health policies: negative incentives for outpatient clinics in the United States

Kim, Edward; Ko, Kristin

doi:10.1057/s41271-020-00256-9

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Vascular practices were likewise affected, with one study demonstrating reduction in vascular clinic volume by more than 96%, and a reduction in surgical volume by more than 70% 15 . In March, the U.S. Government enacted the Coronavirus Aid, Relief, and Economic Security Act, which expanded telemedicine visit reimbursement, increased Medicare payments to hospitals related to treatment of COVID-19, suspended Medicare sequestration, and provided loans and direct payment to healthcare providers, with over 40 billion dollars distributed 14 , 16 . Our study suggests that despite this governmental economic stimulus, the financial repercussions of COVID-19 continue to plague vascular surgeons, and likely reflect the ongoing financial crisis affecting healthcare systems as a whole.…”

Section: Discussionmentioning

confidence: 99%

Progression of Changes in Vascular Surgery Practices during the Novel Corona Virus SARS-CoV-2 Pandemic

Bath

Aziz

Smeds

2021

Annals of Vascular Surgery

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Introduction The novel coronavirus SARS-CoV-2 (COVID-19) has spread rapidly since it was identified. We sought to understand its effects on vascular surgery practices stratified by VASCON surgical readiness level and determine how these effects have changed during the course of the pandemic. Methods All members of the Vascular and Endovascular Surgery Society were sent electronic surveys questioning the effects of COVID-19 on their practices in the early pandemic in April (EP) and four months later in the pandemic in August (LP) 2020. Results Response rates were 206/731 (28%) in the EP group and 108/731 (15%) in the LP group ( P < 0 .0001). Most EP respondents reported VASCON levels less than 3 (168/206,82%), indicating increased hospital limitations while 6/108 (6%) in the LP group reported this level ( P < 0 .0001). The EP group was more likely to report a lower VASCON level (increased resource limitations), and decreased clinic, hospital and emergency room consults. Despite an increase of average cases/week to pre-COVID-19 levels, 46/108 (43%) of LP report continued decreased compensation, with 57% reporting more than 10% decrease. Respondents in the decreased compensation group were more likely to have reported a VASCON level 3 or lower earlier in the pandemic ( P = 0 .018). 91/108(84%) of LP group have treated COVID-19 patients for thromboembolic events, most commonly acute limb ischemia (76/108) and acute DVT (76/108). While the majority of respondents are no longer delaying the vascular surgery cases, 76/108 (70%) feel that vascular patient care has suffered due to earlier delays, and 36/108 (33%) report a backlog of cases caused by the pandemic. Conclusions COVID-19 had a profound effect on vascular surgery practices earlier in the pandemic, resulting in continued detrimental effects on the provision of vascular care as well as compensation received by vascular surgeons.

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Section: Discussionmentioning

confidence: 99%

Progression of Changes in Vascular Surgery Practices during the Novel Corona Virus SARS-CoV-2 Pandemic

Bath

Aziz

Smeds

2021

Annals of Vascular Surgery

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“…During the onset of the COVID-19 pandemic, the Trump administration and Congress were faced with many constraints as they had to dramatically shift their focus and priorities (Kim & Ko, 2021). The Trump administration was originally focused on immigration reform, economic growth, and national security, while Congress had a steep legislative agenda focused on funding the government, police reform, and health care access.…”

Section: The Covid-19 Pandemic and The Cares Actmentioning

confidence: 99%

Echoes from the past: How America’s major moments shaped mental health policies through a young adult lens.

Lomax,

Magid

2024

American Journal of Orthopsychiatry

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The post-WWII era established today's foundational mental health system, emphasizing military personnel, as reflected in the National Mental Health Act of 1946. During the Civil Rights Movement, the focus shifted toward community equality, leading to the Community Mental Health Act of 1963. The economic challenges of the Great Recession, especially affecting young adults, prompted a deep dive into the Affordable Care Act. The social isolation and economic suffering from the COVID-19 pandemic led to the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The article highlights the need for a more inclusive policy development approach, one that recognizes and integrates the unique perspectives of young adults in shaping mental health policies and discourse. It concludes with recommendations to guide future policy evolution for enhanced mental health and societal well-being.

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“…Os EUA adotaram ainda um programa de empréstimo chamado "Paycheck Protection Program" (PPP) para que as empresas pudessem custear os seus funcionários sem precisar demiti-los, em que o governo perdoará o empréstimo se 75% do valor do financiamento for utilizado para arcar com a folha de pagamento, não houver redução de salários dos funcionários e nem demissão (Kim & Ko, 2021).…”

Section: Os Estados Unidos (Eua) Precisaram Reforçar Programas Nutric...unclassified

Segurança alimentar e nutricional em tempos de COVID-19: uma revisão bibliográfica

Silva

Silveira

Almeida

2022

RSD

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Este trabalho analisou a situação da Insegurança Alimentar e Nutricional durante a pandemia de COVID-19, comparando o Brasil com outros países que adotaram medidas semelhantes de ajuda às populações mais vulneráveis. Analisou ainda o consumo de alimentos ultraprocessados e também as implicações nutricionais que uma má alimentação pode causar à saúde de quem os consome. Ainda, analisou o impacto da falta de diversidade de alimentos na obtenção dos micronutrientes. Tratou-se de uma revisão bibliográfica cuja base de pesquisa foram SCIELO, PUBMED e BVS, além de legislações e estudos pertinentes ao assunto. Os artigos foram analisados a partir dos seguintes critérios: estudos empíricos e observacionais, além de revisões sistemáticas. Apesar de vários países, incluindo o Brasil, terem oferecido ajuda à população vulnerável, tais medidas não foram suficientes para conter o aumento de famílias vivendo em situação de insegurança alimentar, o que agravou ainda mais a situação de países cujo nível de insegurança alimentar já era alto.

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Misalignment between coronavirus financial aid and public health policies: negative incentives for outpatient clinics in the United States

Cited by 4 publications

References 12 publications

Progression of Changes in Vascular Surgery Practices during the Novel Corona Virus SARS-CoV-2 Pandemic

Progression of Changes in Vascular Surgery Practices during the Novel Corona Virus SARS-CoV-2 Pandemic

Echoes from the past: How America’s major moments shaped mental health policies through a young adult lens.

Segurança alimentar e nutricional em tempos de COVID-19: uma revisão bibliográfica

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