Evaluating HIV pre-exposure prophylaxis implementation using an all payers claims database
使用所有付款人索赔数据库评估 HIV 暴露前预防的实施情况
基本信息
- 批准号:9345007
- 负责人:
- 金额:$ 20.03万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-04-01 至 2019-03-31
- 项目状态:已结题
- 来源:
- 关键词:AIDS/HIV problemAdoptedAffectAfrican AmericanAlgorithmsBig DataCaringCharacteristicsCost SharingCost-Sharing InsuranceCountryDataData SourcesDatabasesDeductiblesDevelopmentEpidemicFutureGoalsHIVHIV InfectionsInsuranceInsurance CarriersInsurance CoverageInterventionLeadMeasuresMedicaidMedicareMethodsMonitorOutcomePatientsPhysiciansPlayPoliciesPopulationPopulations at RiskPrimary Care PhysicianPrivatizationProviderResearchResourcesRhode IslandRiskRoleTestingTimeUnited StatesUnited States National Institutes of HealthVariantWorkbasecostdemographicsfederal policyhigh risk populationimprovedmen who have sex with mennovelpre-exposure prophylaxispreventprogramsracial disparityracial minorityscale uptherapy developmentuptake
项目摘要
PROJECT SUMMARY
The HIV epidemic continues to disproportionately impact men who have sex with men (MSM) and
African American populations in the United States (US). Pre-exposure prophylaxis (PrEP) has demonstrated
efficacy in preventing HIV acquisition among at-risk populations. Despite high efficacy, PrEP implementation
across the US has been slow, and approaches to evaluate implementation and determine gaps in coverage
have been limited. The goal of this study is to evaluate and inform PrEP implementation efforts with a novel
“big data” approach using the Rhode Island All Payers Claims Database (APCD). APCDs are an emerging
data source that contain insurance claims from Medicaid, Medicare, and most, if not all, private insurers.
Rhode Island is one of the first states in the country to adopt an APCD. This study will develop and validate an
algorithm to measure PrEP uptake and persistence using the RI APCD (Aim 1), describe PrEP implementation
across the state including which physicians are prescribing PrEP and characteristics of the patients PrEP is
being prescribed to (Aim 2), and assess the impact of insurance cost-sharing (e.g. co-pays, deductibles, and
co-insurance) on PrEP uptake and persistence (Aim 3). Results of this study will provide the groundwork for
the development of structural-level interventions to promote PrEP uptake among high-risk populations and
inform state and federal policies pertaining to PrEP implementation.
项目摘要
艾滋病毒流行病继续对男男性行为者(MSM)造成不成比例的影响,
美国的非洲裔美国人(US)。暴露前预防(PrEP)已经证明
预防高危人群感染艾滋病毒的有效性。尽管疗效高,PrEP实施
整个美国的进展缓慢,评估实施情况和确定覆盖范围差距的方法
都是有限的。本研究的目标是评估和告知PrEP实施工作与一种新的
使用罗得岛所有付款人索赔数据库(APCD)的“大数据”方法。APCD是一种新兴的
包含来自Medicaid、Medicare和大多数(如果不是全部)私人保险公司的保险索赔的数据源。
罗得岛是美国最早采用APCD的州之一。这项研究将开发和验证一个
使用RI APCD测量PrEP摄取和持续性的算法(目标1),描述PrEP实施
在整个国家,包括医生处方PrEP和患者的特点PrEP是
(目标2),并评估保险费用分摊的影响(如共同支付,免赔额,
共同保险)的PrEP吸收和持久性(目标3)。这项研究的结果将为以下方面奠定基础:
制定结构性干预措施,促进高危人群接受PrEP,
告知州和联邦有关PrEP实施政策。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Philip Andrew Chan其他文献
Philip Andrew Chan的其他文献
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{{ truncateString('Philip Andrew Chan', 18)}}的其他基金
Intervention to Enhance PrepPersistence Among African American Men Who Have Sex With Men
提高男男性行为非裔美国男性准备持久性的干预措施
- 批准号:
10700346 - 财政年份:2023
- 资助金额:
$ 20.03万 - 项目类别:
Improving mental health among the LGBTQ+ community impacted by the COVID-19 pandemic
改善受 COVID-19 大流行影响的 LGBTQ 群体的心理健康
- 批准号:
10613077 - 财政年份:2022
- 资助金额:
$ 20.03万 - 项目类别:
Applying user-centered design strategies to develop a tablet-optimized intervention to help high-risk men starting PrEP reduce their heavy drinking and adhere to their medication
应用以用户为中心的设计策略来开发平板电脑优化的干预措施,帮助开始 PrEP 的高危男性减少酗酒并坚持用药
- 批准号:
10002156 - 财政年份:2019
- 资助金额:
$ 20.03万 - 项目类别:
Characterizing the HIV pre-exposure prophylaxis care continuum for African American and Hispanic/Latino men who have sex with men
描述非裔美国人和男男性行为西班牙裔/拉丁裔男性的艾滋病毒暴露前预防护理连续性
- 批准号:
9978620 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
Evaluating HIV pre-exposure prophylaxis implementation using an all payers claims database
使用所有付款人索赔数据库评估 HIV 暴露前预防的实施情况
- 批准号:
9452114 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
Characterizing the HIV pre-exposure prophylaxis care continuum for African American and Hispanic/Latino men who have sex with men
描述非裔美国人和男男性行为西班牙裔/拉丁裔男性的艾滋病毒暴露前预防护理连续性
- 批准号:
10206014 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
Characterizing the HIV pre-exposure prophylaxis care continuum for African American and Hispanic/Latino men who have sex with men
描述非裔美国人和男男性行为西班牙裔/拉丁裔男性的艾滋病毒暴露前预防护理连续性
- 批准号:
9410241 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
Mobile health platform for providing real-time follow-up after home-based HIV self-testing for high-risk men who have sex with men
移动健康平台,为男男性接触者的高危男性进行家庭艾滋病自检后提供实时随访
- 批准号:
10058273 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
Mobile health platform for providing real-time follow-up after home-based HIV self-testing for high-risk men who have sex with men
移动健康平台,为男男性接触者的高危男性进行家庭艾滋病自检后提供实时随访
- 批准号:
10292977 - 财政年份:2017
- 资助金额:
$ 20.03万 - 项目类别:
PrEP uptake, adherence & retention for African American MSM in Mississippi
PrEP 的摄取、依从性
- 批准号:
9141506 - 财政年份:2016
- 资助金额:
$ 20.03万 - 项目类别:
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