Amy B Bernstein

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KEY FINDINGS Older adults (aged 75 and over), non-Hispanic black persons, poor persons, and persons with Medicaid coverage were more likely to have had at least one emergency department (ED) visit in a 12-month period than those in other age, race, income, and insurance groups. Among the under-65 population, the uninsured were no more likely than the(More)
OBJECTIVE To examine the variety of perspectives from which to study the measurement of competition in the healthcare marketplace. Based on a meeting held by The Robert Wood Johnson Foundation in 1996, the authors discuss the complications inherent in the way markets and products are defined by key stakeholders, including economists, policymakers, federal(More)
Data from the National Medical Care Expenditure Survey were used to examine access to care and utilization of health services in federally designated health manpower shortage areas (HMSAs). It was confirmed that residents of shortage areas experience some deprivation in access to care and use of services. Further analysis, however, indicated that shortage(More)
Studies suggest that the presence of multiple chronic conditions (MCC) adds a layer of complexity to disease management (1–6); recently the U.S. Department of Health and Human Services established a strategic framework for improving the health of this population (2). This report presents estimates of the population aged 45 and over with two or more of nine(More)
This study examines the impact of multiple roles and stressors on women of childbearing age, and compares the health status of women with and without children and their ability to access health care. Motherhood has many complex interactions with income level, availability of health insurance, and available social and income support. A cumulative burden of(More)
PURPOSE We address how the national prevalence of cognitive impairment can be estimated from two nationally representative surveys. DESIGN AND METHODS Data are from the 1999-2001 National Health Interview Survey (NHIS) and the 1999 National Nursing Home Survey (NNHS). The NHIS represents all community-dwelling people living in the United States, and the(More)
In the United States, data systems are created by the ongoing, systematic collection of health, demographic, and other information through federally funded national surveys, vital statistics, public and private administrative and claims data, regulatory data, and medical records data. Certain data systems are designed to support public health surveillance(More)
Data from the National Medical Care Expenditure Survey (NMCES) are used to produce national estimates of the use and sources of payment for home health care services for various demographic groups. The findings indicate that age and health status are strongly associated with home health care use and the vast majority of home health care services are(More)
Data from the National Medical Care Expenditure Survey are used to examine the access of elderly minorities to a regular source of medical care. The findings suggest that such elderly persons are about as likely as the white elderly to have a routine point of entry into the medical care system. There are, however, difference in the type of setting at which(More)
Data from the Cancer Control Supplement of the 1987 Health Interview Survey (NHIS), a nationally representative sample of the United States population, was used to examine rates of six screening tests for cancer. The rates of screening were compared for people who receive their usual source of medical care in an HMO or prepaid group practice versus those(More)