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.
项目概要
艾滋病毒流行继续对男男性行为者 (MSM) 和男男性行为者产生不成比例的影响
美国 (US) 的非裔美国人人口。暴露前预防 (PrEP) 已被证明
预防高危人群感染艾滋病毒的功效。尽管功效很高,但 PrEP 的实施
美国各地的进展缓慢,评估实施情况和确定覆盖范围差距的方法
已受到限制。本研究的目的是通过一种新颖的方法来评估 PrEP 的实施工作并为其提供信息
使用罗德岛州所有付款人索赔数据库 (APCD) 的“大数据”方法。 APCD是一种新兴的
包含医疗补助、医疗保险和大多数(如果不是全部)私人保险公司的保险索赔的数据源。
罗德岛州是美国最早采用 APCD 的州之一。这项研究将开发并验证
使用 RI APCD 测量 PrEP 摄取和持久性的算法(目标 1),描述 PrEP 实施
全州范围内,包括哪些医生正在开 PrEP 处方以及患者的特征 PrEP 是
规定(目标 2),并评估保险费用分摊的影响(例如自付额、免赔额和
PrEP 的采用和持久性(目标 3)。这项研究的结果将为
制定结构层面的干预措施,以促进高危人群对 PrEP 的吸收,以及
告知有关 PrEP 实施的州和联邦政策。
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)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Philip Andrew Chan其他文献
Philip Andrew Chan的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ 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:
相似海外基金
How novices write code: discovering best practices and how they can be adopted
新手如何编写代码:发现最佳实践以及如何采用它们
- 批准号:
2315783 - 财政年份:2023
- 资助金额:
$ 20.03万 - 项目类别:
Standard Grant
One or Several Mothers: The Adopted Child as Critical and Clinical Subject
一位或多位母亲:收养的孩子作为关键和临床对象
- 批准号:
2719534 - 财政年份:2022
- 资助金额:
$ 20.03万 - 项目类别:
Studentship
A material investigation of the ceramic shards excavated from the Omuro Ninsei kiln site: Production techniques adopted by Nonomura Ninsei.
对大室仁清窑遗址出土的陶瓷碎片进行材质调查:野野村仁清采用的生产技术。
- 批准号:
20K01113 - 财政年份:2020
- 资助金额:
$ 20.03万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2633211 - 财政年份:2020
- 资助金额:
$ 20.03万 - 项目类别:
Studentship
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2436895 - 财政年份:2020
- 资助金额:
$ 20.03万 - 项目类别:
Studentship
A comparative study of disabled children and their adopted maternal figures in French and English Romantic Literature
英法浪漫主义文学中残疾儿童及其收养母亲形象的比较研究
- 批准号:
2633207 - 财政年份:2020
- 资助金额:
$ 20.03万 - 项目类别:
Studentship
A Study on Mutual Funds Adopted for Individual Defined Contribution Pension Plans
个人设定缴存养老金计划采用共同基金的研究
- 批准号:
19K01745 - 财政年份:2019
- 资助金额:
$ 20.03万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
The limits of development: State structural policy, comparing systems adopted in two European mountain regions (1945-1989)
发展的限制:国家结构政策,比较欧洲两个山区采用的制度(1945-1989)
- 批准号:
426559561 - 财政年份:2019
- 资助金额:
$ 20.03万 - 项目类别:
Research Grants
Securing a Sense of Safety for Adopted Children in Middle Childhood
确保被收养儿童的中期安全感
- 批准号:
2236701 - 财政年份:2019
- 资助金额:
$ 20.03万 - 项目类别:
Studentship
Structural and functional analyses of a bacterial protein translocation domain that has adopted diverse pathogenic effector functions within host cells
对宿主细胞内采用多种致病效应功能的细菌蛋白易位结构域进行结构和功能分析
- 批准号:
415543446 - 财政年份:2019
- 资助金额:
$ 20.03万 - 项目类别:
Research Fellowships














{{item.name}}会员




