2022
Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study
Kyanko KA, A. Curry L, E. Keene D, Sutherland R, Naik K, Busch SH. Does Primary Care Fill the Gap in Access to Specialty Mental Health Care? A Mixed Methods Study. Journal Of General Internal Medicine 2022, 37: 1641-1647. PMID: 34993864, PMCID: PMC8734538, DOI: 10.1007/s11606-021-07260-z.Peer-Reviewed Original ResearchConceptsSpecialty mental health carePrimary care providersMental health carePrimary careMental health treatmentMental health providersHealth careHealth treatmentHealth providersOutpatient mental health providersPatient-reported barriersSerious psychological distressAddress unmet needsAdults ages 18PCP rolePCP careSpecialty careKey ResultsOfPCP engagementCare providersClinician trainingSpecialty consultantsSpecialty servicesPatient experienceUnmet need
2020
Use and Costs of Breast Cancer Screening for Women in Their 40s in a US Population With Private Insurance
Kunst N, Long JB, Xu X, Busch SH, Kyanko KA, Richman IB, Gross CP. Use and Costs of Breast Cancer Screening for Women in Their 40s in a US Population With Private Insurance. JAMA Internal Medicine 2020, 180: 799-801. PMID: 32202606, PMCID: PMC7147248, DOI: 10.1001/jamainternmed.2020.0262.Peer-Reviewed Original Research
2019
Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven
Wang EA, Lin HJ, Aminawung JA, Busch SH, Gallagher C, Maurer K, Puglisi L, Shavit S, Frisman L. Propensity-matched study of enhanced primary care on contact with the criminal justice system among individuals recently released from prison to New Haven. BMJ Open 2019, 9: e028097. PMID: 31048315, PMCID: PMC6502013, DOI: 10.1136/bmjopen-2018-028097.Peer-Reviewed Original ResearchConceptsPrimary careControl groupClinic participantsPropensity scoreHealth systemPropensity-matched studyPrimary care systemCommunity health systemIncarceration exposureTransition clinicIndex dateService utilisationMAIN OUTCOMELower oddsQuasi-experimental studyClinic programAddiction servicesState-wide dataMental healthCare systemPopulation healthIncarceration daysCareIncarceration historyConnecticut DepartmentAssociation of State Dense Breast Notification Laws With Supplemental Testing and Cancer Detection After Screening Mammography.
Busch SH, Hoag JR, Aminawung JA, Xu X, Richman IB, Soulos PR, Kyanko KA, Gross CP. Association of State Dense Breast Notification Laws With Supplemental Testing and Cancer Detection After Screening Mammography. American Journal Of Public Health 2019, 109: 762-767. PMID: 30896987, PMCID: PMC6459654, DOI: 10.2105/ajph.2019.304967.Peer-Reviewed Original ResearchConceptsSupplemental screeningCancer detectionMore breast cancersMagnetic resonance imagingPossible benefitsBreast cancerSupplemental ultrasoundBreast biopsySupplemental testingResonance imagingUse of ultrasoundLogistic regressionScreening mammographyCancer diagnosisUltrasoundSignificant differencesSupplemental testsMore ultrasoundMammographyUS statesBreast cancer detectionMammogramsAssociationScreeningBiopsyThe Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey
Drake C, Busch SH, Golberstein E. The Effects of Federal Parity on Mental Health Services Use and Spending: Evidence From the Medical Expenditure Panel Survey. Psychiatric Services 2019, 70: 287-293. PMID: 30691381, DOI: 10.1176/appi.ps.201800313.Peer-Reviewed Original ResearchConceptsMental health servicesMental health service useHealth service useMedical Expenditure Panel SurveyHealth servicesService useMental health specialty servicesAmbulatory mental health careStudy designAdults ages 26Use of outpatientFederal Mental Health ParityPrimary care servicesAddiction Equity ActFederal parity lawMental Health ParityMental health careMental health policyDifferences study designDifferent study designsFederal parityHealth ParitySpecialty servicesCare servicesAge 26
2017
Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison
Shavit S, Aminawung JA, Birnbaum N, Greenberg S, Berthold T, Fishman A, Busch SH, Wang EA. Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison. Health Affairs 2017, 36: 1006-1015. PMID: 28583958, DOI: 10.1377/hlthaff.2017.0089.Peer-Reviewed Original ResearchConceptsTransitions Clinic NetworkAcute care visitsPrimary careCare visitsMore acute care visitsCommunity health care systemHealth care systemAcute careChronic conditionsCommunity-based partnersClinic networkHealth disparitiesHealth equityCare systemHealth of peopleCareVulnerable populationsEarly engagementPatientsReferralVisitsMonthsPercentCorrectional systemRelease
2016
Evidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation
Friedman AS, Schpero WL, Busch SH. Evidence Suggests That The ACA’s Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation. Health Affairs 2016, 35: 1176-1183. PMID: 27385231, PMCID: PMC5589079, DOI: 10.1377/hlthaff.2015.1540.Peer-Reviewed Original ResearchConceptsExcess health care costsSmoking cessationAffordable Care ActBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemTobacco surchargesNon-tobacco usersHealth care costsInsurance statusTobacco usersCare costsMarketplace coverageCessationCare ActSmokersSignificant differencesFirst yearPocket premiumsSurveillance systemFinancial protectionHealth insurance exchangesPotential effectsInsurance exchangesEstimating demand for primary care‐based treatment for substance and alcohol use disorders
Barry CL, Epstein AJ, Fiellin DA, Fraenkel L, Busch SH. Estimating demand for primary care‐based treatment for substance and alcohol use disorders. Addiction 2016, 111: 1376-1384. PMID: 26899802, PMCID: PMC4940268, DOI: 10.1111/add.13364.Peer-Reviewed Original ResearchConceptsAlcohol use disorderSubstance use disordersPrimary care settingPrimary careUsual careUse disordersCollaborative careCare settingsAlcohol treatmentPrimary care-based treatmentTreatment ratesSpecialty care settingsPrior treatment historyDrug treatment centersHigh societal costsDrug treatmentSUD treatmentCommon reasonDiagnostic criteriaTreatment historyTreatment centersDisorder treatmentSocietal costsCareDisordersExploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States.
Muench U, Busch SH, Sindelar J, Buerhaus PI. Exploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States. Nursing Economics 2016, 34: 214-23. PMID: 29975036.Peer-Reviewed Original Research
2015
Salary Differences Between Male and Female Registered Nurses in the United States
Muench U, Sindelar J, Busch SH, Buerhaus PI. Salary Differences Between Male and Female Registered Nurses in the United States. JAMA 2015, 313: 1265-1267. PMID: 25803350, DOI: 10.1001/jama.2015.1487.Peer-Reviewed Original Research
2013
Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA
Busch SH, Meara E, Huskamp HA, Barry CL. Characteristics of Adults With Substance Use Disorders Expected to Be Eligible for Medicaid Under the ACA. Psychiatric Services 2013, 64: 520-526. PMID: 23450343, PMCID: PMC3672321, DOI: 10.1176/appi.ps.201200011.Peer-Reviewed Original ResearchConceptsSubstance use disorder treatmentUse disorder treatmentAffordable Care ActSubstance use disordersDisorder treatmentMedicaid enrolleesUse disordersUnmet needTreatment ratesSignificant unmet needFederal poverty levelCharacteristics of adultsTreatment needsMedicaid coverageDrug useHealth statusUninsured individualsInsurance expansionDemographic characteristicsCare ActDisordersTreatmentNational surveyLow-income individualsInformal care