Subject: Studies in the News 06-46 (October 27, 2006)


CALIFORNIA RESEARCH BUREAU
CALIFORNIA STATE LIBRARY
Studies in the News
Health Care Supplement


Contents This Week

Introductory Material HEALTH
   Early onset of dementia
   State policy issues for cancer survivors
   Extending children's health insurance
   Treatments for pre-diabetics
   Crowding in emergency rooms
   Walking habits of California adults
   Physicians' income declining
   Children's health insurance programs
   Health status survey
   Homeless patients in Sacramento
   States call for better healthcare records
   Improving Latino healthcare
   Language barriers for HMO enrollees
   Obesity among food stamp participants
   Health problems for World Trade Center responders
   Prevention of eating disorders
PREVIOUSLY IN STUDIES IN THE NEWS
   Studies in the News, August - October 2006
Introduction to Studies in the News

Studies in the News is a very current compilation of items significant to the Legislature and Governor's Office. It is created weekly by the State Library's Research Bureau to supplement the public policy debate in California’s Capitol. To help share the latest information with state policymakers, these reading lists are now being made accessible through the State Library’s website. This week's list of current articles in various public policy areas is presented below.

Service to State Employees:

  • When available, the URL for the full text of each item is provided.

  • California State Employees may contact the State Information & Reference Center (916-654-0206; cslsirc@library.ca.gov) with the SITN issue number and the item number [S#].

  • All other interested individuals should contact their local library - the items may be available there, or may be borrowed by your local library on your behalf.

The following studies are currently on hand:

HEALTH

ALZHEIMER'S DISEASE

Early Onset Dementia: A National Challenge, A Future Crisis. By Katie Maslow, Alzheimer's Association. (The Association, Washington, DC) 2006. 70 p.

Full Text at: www.alz.org/Resources/FactSheets/earlyonsetreport_full%20report.pdf

["A growing number of men and women with early onset dementia are speaking out about their experiences and service needs.... Many responses to the survey include comments about the difficulty of coping with the loss of job-related income. Two thirds of the responses indicate that, as a result of being diagnosed with dementia, the person retired voluntarily or was fired from his or her job. People with early onset dementia who lose their jobs are likely to lose job-related health insurance."]

[Request #S64601]

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CANCER

Cancer Survivorship: State Policy Issues. By K. Hanson and M. Kriescher, National Conference of State Legislatures. (NCSL, Denver, Colorado) 2006. 20 p.

["A handful of states—California, Maine, Nevada, New York and Virginia— mandate coverage of hospice services for private insurance plans.... Not all insurance plans cover all treatments, follow-up care, clinical trials, or prescription drugs for people who are considered 'survivors.' The cancer 'survivorship' concept includes the physical, emotional and practical issues that arise during and after a cancer diagnosis."]

[Request #S64602]

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CHILDREN

SCHIP Buy-In Programs. By Cynthia Pernice and David Bergman, National Academy for State Health Policy. (The Academy, Portland, Maine) 2006. 5 p.

Full Text at: www.nashp.org/Files/SCHIP_Buy-in_programs_2006.pdf

["The SCHIP buy-in programs operate in seven states. The programs augment SCHIP, and are intended to fill a gap in children’s health coverage when families leave SCHIP due to a loss of financial eligibility. Six of the seven states with buy-in programs pass on the full cost of administering the program to the families participating in the program. They do this by charging participating families a premium that covers both the amount the state pays for the health care coverage and the cost to administer the program. "]

[Request #S64608]

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DIABETES

"Effect of Rosiglitazone on the Frequency of Diabetes in Patients with Impaired Glucose Tolerance or Impaired Fasting Glucose: A Randomized Controlled Trial." By the DREAM (Diabetes Reduction Assessment with Ramipril and Rosiglitazone Medication) Trial Investigators. IN: The Lancet, vol. 368, no. 9541. (September 23, 2006) pp. 1096-1105.

["A drug widely used to treat Type 2 diabetes delayed or prevented progression of prediabetes to diabetes by 60% in the largest such prevention trial ever conducted, researchers reported." Los Angeles Times (September 16, 2006) 1.]

[Request #S64603]

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EMERGENCY CARE

Staffing, Capacity, and Ambulance Diversion in Emergency Departments: United States: 2003-04. By Catharine W. Burt and Linda F. McCaig, Centers for Disease Control and Prevention. (The Centers, Atlanta, Georgia) September 27, 2006. 24 p.

Full Text at: www.cdc.gov/nchs/data/ad/ad376.pdf

["Emergency rooms at many hospitals are routinely stretched to the breaking point, raising concerns that they would not be able to handle victims during a terrorist attack or natural disaster.... Between 40 percent and 50 percent of emergency departments experienced crowding during 2003 and 2004, the study found.... The problem is more dramatic in metropolitan areas, where almost two-thirds of emergency departments experienced crowding." Washington Post (September 28, 2006) 1.]

[Request #S64604]

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EXERCISE

Less than One-Quarter of California Adults Walk Regularly. By Allison L. Diamant and others, UCLA Center for Health Policy Research. (The Center, Los Angeles, California) August 2006. 11 p.

Full Text at: www.healthpolicy.ucla.edu/pubs/files/Adult_Walk_PB.082406.pdf

["This policy brief presents information about the walking habits of California adults.... In California, only one in five adults walk regularly and over one quarter do not walk at all.... Findings in the report indicate that walking is related to neighborhood factors such as perceived safety and availability of parks."]

[Request #S64605]

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HEALTH CARE INDUSTRY

Losing Ground: Physician Income, 1995-2003. By Ha T. Tu and Paul B. Ginsburg, Center for Studying Health System Change. (The Center, Washington, DC) 2006. 5 p.

Full Text at: www.hschange.com/CONTENT/851/851.pdf

["In sharp contrast to other professionals, physicians' net income from the practice of medicine declined about 7 percent between 1995 and 2003 after adjusting for inflation. Among different types of physicians, primary care physicians fared the worst with a 10.2 percent decline in real income."]

[Request #S64607]

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HEALTH INSURANCE

Children's Health Insurance Programs: Facts snd Figures. By the California Healthcare Foundation. (The Foundation, Oakland, California) 2006. 24 p.

Full Text at: www.chcf.org/documents/policy/ChildrensHealthInsuranceProgramsFactsFigures.pdf

[Includes: "Major Milestones Affecting Medi-Cal and Healthy families Coverage;" "Sources of Coverage for California Children Under 19;" "State Comparison of Sources of Coverage for Children;" "Rates of Uninsured Children by State;" "Enrollee Profile: Race and Ethnicity;" and others.]

[Request #S64612]

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HEALTH STATISTICS

Health of California’s Adults, Adolescents and Children: Findings from CHIS 2003 and CHIS 2001. By Sue Holtby, Public Health Institute and others, UCLA Center for Health Policy Research. (The Center, Los Angeles, California) 2006. 130 p.

Full Text at: www.healthpolicy.ucla.edu/pubs/files/Hlth_CAs_RT.062906.pdf

["This report provides a summary of the statewide findings from the 2003 California Health Interview Survey, with highlights of changes from 2001-2003. Separate adult, adolescent and child findings are presented by age, gender, race/ethnicity, health insurance status and poverty level."]

[Request #S64609]

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HOMELESS

No Place to Go: Addressing the Challenges of Homeless Patients in Sacramento. By Jennifer Joynt, California HealthCare Foundation. (The Foundation, Oakland, California) 2006. 8 p.

Full Text at: www.chcf.org/documents/hospitals/HomelessPatientsSacramento.pdf

["A unique joint effort by community organizations, hospitals and government agencies in Sacramento is developing new ways to get health care to homeless patients after they leave the hospital.... [The report] provides an overview of the program and its potential benefits for patients, hospitals and county governments. It describes the concerted effort to address the problem, roles of participating organizations and how a similar program might work in other communities." ]

[Request #S64610]

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INFORMATION TECHNOLOGY

States Getting Connected: State Policymakers Drive Improvements in Healthcare Quality and Safety Through IT. By Ticia Gerber, eHealth Initiative, and others. (The Initiative, Washington, DC) 2006. 7 p.

Full Text at: www.ehealthinitiative.org/assets/documents/StateReportIssueBrief-08.31.06FINAL1.pdf

[“A majority of states are taking critical steps to drive improvements in the quality, safety and efficiency of healthcare through information technology. Thirty-six bills passed in 24 states and were signed into law during 2005 and 2006. Ten executive orders were issued by U.S. governors across the nation, calling for the development of strategies, plans and recommendations for using health information technology and health information exchange to improve health and healthcare.” Publisher's Announcement (August 16, 2006) 1.]

[Request #S64611]

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LATINOS

Culture, Collaboration and Capacity: A Call to a Healthier Community. By K & M Enterprises. Prepared for Destino: The Hispanic Legacy Fund, Ventura County Community Foundation. (The Foundation, Camarillo, California) Fall 2006.

[“Some of the key barriers faced by Latinos in the county include the lack of access to healthcare, transportation, and gaps in medical services. Because some low/middle-income families who don't qualify for Medi-Cal also can't afford private insurance, chronic medical diseases like diabetes and obesity are often left unchecked. Many undocumented immigrants forgo seeking medical attention for fear of deportation. The study suggests healthcare and organization administrators should develop a series of training and development activities that would lead to an improvement in services for the Latino population.“ Ventura County Star (October 5, 2006) A1.]

Report. 99 p.
http://www.vccf.org/dldest/CCCFullReport0906.pdf

Executive Summary. 9 p.
http://www.vccf.org/dldest/CCCSummary0906.pdf

[Request #S64613]

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MINORITIES

Language Barriers Pose a Risk for California HMO Enrollees. By Gerald F. Kominski and others, UCLA Center for Health Policy Research. (The Center, Los Angeles, California) 2006. 4 p.

Full Text at: www.healthpolicy.ucla.edu/pubs/files/Lang_Barrier_HMO_PB.pdf

["Among California's adult HMO enrollees ages 18 to 64, 3.4 million speak a language other than English at home and of those, almost 30% report not being able to speak English well or not at all. Over one million of these HMO members with limited English proficiency are at risk of facing problems accessing health care services and receiving quality treatment."]

[Request #S64614]

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OBESITY

Food Stamp Program Participation and Obesity Among Low-Income Adults in Los Angeles County. By Paul Simon and others, Los Angeles County Department of Health Services. (The Department, Los Angeles, California) 2006. 29 p.

Full Text at: www.lapublichealth.org/ha/reports/foodstampsfinal.pdf

[Includes: "The Obesity Epidemic in Los Angeles County;" "Obesity Prevalence Among Adults by Federal Poverty Level;" "Federal Poverty Level Research Findings on Food Stamp Program;" "Prevalence of Obesity by Sociodemographic and Behavioral Characteristics;" "Predictors of Obesity Among Adults Living in Poverty;" and others.]

[Request #S64615]

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OCCUPATIONAL HEALTH & SAFETY

"The World Trade Center Disaster and the Health of Workers: Five-Year Assessment of a Unique Medical Screening Program." By Robin Herbert, Department of Community and Preventive Medicine, Mount Sinai School of Medicine, and others. IN: Environmental Health Perspectives (September 2006) 39 p.

Full Text at: www.ehponline.org/members/2006/9592/9592.pdf

[“Nearly seven out of every 10 World Trade Center responders suffered lung problems during or after their work at Ground Zero. In lung-function tests, responders had abnormalities at a rate double that expected in the general population and those abnormalities persisted for months and even years. The data showed illnesses tended to be the worst among those who arrived first on the scene. Although some medical experts have disagreed with the findings, virtually all believe the attack produced a unique set of medical circumstances that are difficult to understand.” Newsday (September 7, 2006) 1.]

[Request #S64616]

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WOMEN

Prevention of Eating Disorders in At-Risk College-Age Women. By C. Barr Taylor and others. IN: Archives of General Psychiatry, vol. 63 no. 9. (September 2006) pp. 881-888.

Full Text at: archpsyc.ama-assn.org/cgi/reprint/63/8/881

["A long-term, large-scale study has found that an Internet-based intervention program may prevent some high risk, college-age women from developing an eating disorder. The authors suggest that the intervention helped these high-risk women become less concerned about their weight and shape, while also helping them understand healthier eating and nutrition practices." National Institute of Health (August 7, 2006) 1.]

[Request #S64617]

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PREVIOUSLY IN STUDIES IN THE NEWS
[This section links to items in Studies in the News since the last Health Care Supplement.]

HEALTH CARE POLICY

"Health." IN: Studies in the News, (August - October 2006).

Full Text at: www.library.ca.gov/SITN/2006/0605.htm

[Includes:  "Public retiree health coverage;"    "Access to care for Hispanics;"    "Problems with individual health insurance;"    "Financing drug research;"   "Decline of cancer in U.S. population;"    "Hospital certificate of need program;"    "State plans for pandemic influenza;"    "Reforming federal medicaid funding;"    "Gaps in coverage and care for minority adults;" "Insured satisfied with health care;"    "Statewide health survey results;"    "State behavioral health innovations;"    "Nurse shortage;"    "Responses to nurse shortage;"   "Autism and air pollutants;"    "Emergence of retail clinics;"    "San Francisco health care ordinance;"    "Implementation of paid family leave law;"    "Improving children's health;"    "Emergency medical services;"    "Emergency room use across communities;"    "Health insurance coverage gap;"    "Settlement of Mexican candy case; and others."]

[Request #S64618]

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