Anthony Damico
Kaiser Family Foundation
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Vaccine | 2013
Michelle J. Mergler; Saad B. Omer; William Pan; Ann Marie Navar-Boggan; Walter A. Orenstein; Edgar K. Marcuse; James A. Taylor; M. Patricia deHart; Terrell Carter; Anthony Damico; Neal A. Halsey; Daniel A. Salmon
OBJECTIVES Health care providers influence parental vaccination decisions. Over 90% of parents report receiving vaccine information from their childs health care provider. The majority of parents of vaccinated children and children exempt from school immunization requirements report their childs primary provider is a good source for vaccine information. The role of health care providers in influencing parents who refuse vaccines has not been fully explored. The objective of the study was to determine the association between vaccine-related attitudes and beliefs of health care providers and parents. METHODS We surveyed parents and primary care providers of vaccinated and unvaccinated school age children in four states in 2002-2003 and 2005. We measured key immunization beliefs including perceived risks and benefits of vaccination. Odds ratios for associations between parental and provider responses were calculated using logistic regression. RESULTS Surveys were completed by 1367 parents (56.1% response rate) and 551 providers (84.3% response rate). Parents with high confidence in vaccine safety were more likely to have providers with similar beliefs, however viewpoints regarding disease susceptibility and severity and vaccine efficacy were not associated. Parents whose providers believed that children get more immunizations than are good for them had 4.6 higher odds of holding that same belief compared to parents whose providers did not have that belief. CONCLUSIONS The beliefs of childrens health care providers and parents, including those regarding vaccine safety, are similar. Provider beliefs may contribute to parental decisions to accept, delay or forgo vaccinations. Parents may selectively choose providers who have similar beliefs to their own.
Health Affairs | 2013
Gary Claxton; Matthew Rae; Nirmita Panchal; Anthony Damico; Heidi Whitmore; Nathan Bostick; Kevin Kenward
Employer-sponsored health insurance premiums rose moderately in 2013, the annual Kaiser Family Foundation/Health Research and Educational Trust (Kaiser/HRET) Employer Health Benefits Survey found. In 2013 single coverage premiums rose 5 percent to
Health Affairs | 2015
Patricia Neuman; Juliette Cubanski; Anthony Damico
5,884, and family coverage premiums rose 4 percent to
Health Affairs | 2012
Rachel Garfield; Anthony Damico
16,351. The percentage of firms offering health benefits (57 percent) was similar to that in 2012, as was the percentage of workers at offering firms who were covered by their firms health benefits (62 percent). The share of workers with a deductible for single coverage increased significantly from 2012, as did the share of workers in small firms with annual deductibles of
Vaccine | 2013
Michelle J. Mergler; Saad B. Omer; William Pan; Ann Marie Navar-Boggan; Walter A. Orenstein; Edgar K. Marcuse; James A. Taylor; M. deHart; Terrell Carter; Anthony Damico; Neal A. Halsey; Daniel A. Salmon
1,000 or more. Most firms (77 percent), including nearly all large employers, continued to offer wellness programs, but relatively few used incentives to encourage employees to participate. More than half of large employers offering health risk appraisals to workers offered financial incentives for completing the appraisal.
Archive | 2014
Rachel Garfield; Anthony Damico
Medicare per capita spending for beneficiaries with traditional Medicare over age 65 peaks among beneficiaries in their mid-90s and then declines, and it varies by type of service with advancing age. Between 2000 and 2011 the peak age for Medicare per capita spending increased from 92 to 96. In contrast, among decedents, Medicare per capita spending declines with age.
Health Affairs | 2015
Gary Claxton; Matthew Rae; Nirmita Panchal; Heidi Whitmore; Anthony Damico; Kevin Kenward; Michelle Long
Medicaids key role in financing diabetes care will grow when many low-income uninsured people with diabetes gain eligibility to the program in 2014 under the Affordable Care Act. Using a national data set to describe current health care use and spending among the nonelderly, low-income adult population, we found that adult Medicaid beneficiaries with diabetes had total annual per capita health expenditures more than three times higher (
Health Affairs | 2014
Gary Claxton; Matthew Rae; Nirmita Panchal; Heidi Whitmore; Anthony Damico; Kevin Kenward
14,229 versus
Health Affairs | 2012
Gary Claxton; Matthew Rae; Nirmita Panchal; Anthony Damico; Heidi Whitmore; Kevin Kenward; Awo Osei-Anto
4,568) than those of adult beneficiaries without diabetes. At the same time, Medicaid facilitates financial protection and care access among beneficiaries with diabetes. Low-income adults with diabetes who were uninsured used fewer services, spent more out of pocket, and reported worse access than did their peers who were covered by Medicaid. Uninsured adults with diabetes who gain Medicaid coverage under health reform are likely to enter the program with unmet needs, and coverage is likely to result in both improved access and increased use of health care.
Health Affairs | 2016
Gary Claxton; Matthew Rae; Michelle Long; Anthony Damico; Heidi Whitmore; Gregory Foster
Rates of delay and refusal of recommended childhood vaccines are increasing in many U.S. communities. Children’s health care providers have a strong influence on parents’ knowledge, attitudes, and beliefs about vaccines. Provider attitudes towards immunizations vary and affect their immunization advocacy. One factor that may contribute to this variability is their familiarity with vaccine-preventable diseases and their sequelae. The purpose of this study was to investigate the association of health care provider year of graduation with vaccines and vaccine-preventable disease beliefs. We conducted a cross sectional survey in 2005 of primary care providers identified by parents of children whose children were fully vaccinated or exempt from one or more school immunization requirements. We examined the association of provider graduation cohort (5 years) with beliefs on immunization, disease susceptibility, disease severity, vaccine safety, and vaccine efficacy. Surveys were completed by 551 providers (84.3% response rate). More recent health care provider graduates had 15% decreased odds of believing vaccines are efficacious compared to graduates from a previous 5 year period; had lower odds of believing that many commonly used childhood vaccines were safe; and 3.7% of recent graduates believed that immunizations do more harm than good. Recent health care provider graduates have a perception of the risk-benefit balance of immunization, which differs from that of their older counterparts. This change has the potential to be reflected in their immunization advocacy and affect parental attitudes.