The Affordable Care Act

Pinkstaff, Sherry; Arena, Ross; Myers, Jonathan; Kaminsky, Leonard A.; Briggs, Paige; Forman, Daniel E.; Patel, Mahesh J.; Cahalin, Lawrence P.

doi:10.1097/jom.0000000000000222

Cited by 14 publications

(1 citation statement)

References 39 publications

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“…For example, the ACA provides grants to small businesses to implement workplace health programs that may help prevent CVD and rehabilitate those who already have CVD. 44 In addition, the passage of the ACA created the Prevention and Public Health Fund, which aims to provide the opportunity to prevent disease, both inside and outside the access-to-care context. 45 As such, workplace health program and Prevention and Public Health Fund are just 2 examples of funding mechanisms under the ACA that are designed to support prevention efforts outside the medical care setting.…”

Section: Discussionmentioning

confidence: 99%

Access to Care and Cardiovascular Disease Prevention

et al. 2015

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Cardiovascular disease (CVD) is the leading killer of Americans. CVD is understudied among Latinos, who have high levels of CVD risk factors. This study aimed to determine whether access to health care (ie, insurance status and having a usual source of care) is associated with 4 CVD prevention factors (ie, health care utilization, CVD screening, information received from health care providers, and lifestyle factors) among Latino adults and to evaluate whether the associations depended on CVD clinical risk/disease.Data were collected as part of a community-engaged food environment intervention study in East Los Angeles and Boyle Heights, CA. Logistic regressions were fitted with insurance status and usual source of care as predictors of the 4 CVD prevention factors while controlling for demographics. Analyses were repeated with interactions between self-reported CVD clinical risk/disease and access to care measures.Access to health care significantly increased the odds of CVD prevention. Having a usual source of care was associated with all factors of prevention, whereas being insured was only associated with some factors of prevention. CVD clinical risk/disease did not moderate any associations.Although efforts to reduce CVD risk among Latinos through the Affordable Care Act could be impactful, they might have limited impact in curbing CVD among Latinos, via the law's expansion of insurance coverage. CVD prevention efforts must expand beyond the provision of insurance to effectively lower CVD rates.

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Section: Discussionmentioning

confidence: 99%

Access to Care and Cardiovascular Disease Prevention

et al. 2015

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Exercise adherence in the elderly: Experience with abdominal aortic aneurysm simple treatment and prevention

McElrath

Myers

Chan

et al. 2017

Journal of Vascular Nursing

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Healthy Lifestyle Interventions to Combat Noncommunicable Disease—A Novel Nonhierarchical Connectivity Model for Key Stakeholders: A Policy Statement From the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and American College of Preventive Medicine

Arena¹,

Guazzi²,

Lianov³

et al. 2015

Mayo Clinic Proceedings

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108

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Noncommunicable diseases (NCDs) have become the primary health concern for most countries around the world. Currently, more than 36 million people worldwide die from NCDs each year, accounting for 63% of annual global deaths; most are preventable. The global financial burden of NCDs is staggering, with an estimated 2010 global cost of $6.3 trillion (US dollars) that is projected to increase to $13 trillion by 2030. A number of NCDs share one or more common predisposing risk factors, all related to lifestyle to some degree: (1) cigarette smoking, (2) hypertension, (3) hyperglycemia, (4) dyslipidemia, (5) obesity, (6) physical inactivity, and (7) poor nutrition. In large part, prevention, control, or even reversal of the aforementioned modifiable risk factors are realized through leading a healthy lifestyle (HL). The challenge is how to initiate the global change, not toward increasing documentation of the scope of the problem but toward true action-creating, implementing, and sustaining HL initiatives that will result in positive, measurable changes in the previously defined poor health metrics. To achieve this task, a paradigm shift in how we approach NCD prevention and treatment is required. The goal of this American Heart Association/European Society of Cardiology/European Association for Cardiovascular Prevention and Rehabilitation/American College of Preventive Medicine policy statement is to define key stakeholders and highlight their connectivity with respect to HL initiatives. This policy encourages integrated action by all stakeholders to create the needed paradigm shift and achieve broad adoption of HL behaviors on a global scale.

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The Affordable Care Act

Cited by 14 publications

References 39 publications

Access to Care and Cardiovascular Disease Prevention

Access to Care and Cardiovascular Disease Prevention

Exercise adherence in the elderly: Experience with abdominal aortic aneurysm simple treatment and prevention

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