The Experts below are selected from a list of 399 Experts worldwide ranked by ideXlab platform
Stephanie B Wheeler - One of the best experts on this subject based on the ideXlab platform.
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impact of the elimination of cost sharing for mammographic breast cancer screening among Rural us women a natural experiment
Cancer, 2017Co-Authors: Jeffrey Peppercorn, Kevin Houck, Victor G Villagra, Gary H Lyman, Nora Horick, Julia Rabin, Stephanie B WheelerAbstract:BACKGROUND Rural US women experience disparities in breast cancer screening and outcomes. In 2006, a national Rural health insurance provider, the National Rural Electric Cooperative Association (NRECA), eliminated out-of-pocket costs for screening mammography. METHODS This study evaluated the elimination of cost sharing as a natural experiment: it compared trends in screening before and after the policy change. NRECA insurance claims data were used to identify all women aged 40 to 64 years who were eligible for breast cancer screening, and mammography utilization from 1998 through 2011 was evaluated. Repeated measures regression models were used to evaluate changes in utilization over time and the association between screening and sociodemographic factors. RESULTS The analysis was based on 45,738 women enrolled in the NRECA membership database for an average of 6.1 years and included 279,940 person-years of enrollment. Between 1998 and 2011, the annual screening rate increased from 35% to a peak of 50% among women aged 40 to 49 years and from 49% to 58% among women aged 50 to 64 years. The biennial screening rate increased from 56% to 66% for women aged 40 to 49 years and from 68% to 73% for women aged 50 to 64 years. Screening rates increased significantly (P < .0001) after the elimination of cost sharing and then declined slightly after changes to government screening guidelines in 2009. Younger women experienced greater increases in both annual screening (6.2%) and biennial screening (5.6%) after the elimination of cost sharing in comparison with older women (3.0% and 2.6%, respectively). In a multivariate analysis, Rural residence, lower population income, and lower population education were associated with modestly lower screening. CONCLUSIONS In a national sample of predominantly Rural working-age women, the elimination of cost sharing correlated with increased breast cancer screening. Cancer 2017. © 2017 American Cancer Society.
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breast cancer screening utilization and understanding of current guidelines among Rural u s women with private insurance
Breast Cancer Research and Treatment, 2015Co-Authors: Jeffrey Peppercorn, Kevin Houck, Nina Beri, Victor G Villagra, Adane F Wogu, Gary H Lyman, Stephanie B WheelerAbstract:Women living in Rural areas of the U.S. face disparities in screening mammography and breast cancer outcomes. We sought to evaluate utilization of mammography, awareness of screening guidelines, and attitudes towards screening among Rural insured U.S. women. We conducted a cross-sectional self-administered anonymous survey among 2000 women aged 40–64 insured by the National Rural Electric Cooperative Association, a non-profit insurer for Electrical utility workers in predominantly Rural areas across the U.S. Outcomes included mammographic screening in the past year, screening interval, awareness of guidelines, and perceived barriers to screening. 1588 women responded to the survey (response rate 79.4 %). 74 % of respondents lived in a Rural area. Among women aged 40–49, 66.5 % reported mammographic screening in the past year. 46 % received annual screening, 32 % biennial screening, and 22 % rare/no screening. Among women aged 50–64, 77.1 % reported screening in the past year. 63 % received annual screening, 25 % biennial screening, and 12 % rare/no screening. The majority of women (98 %) believed that the mammography can find breast cancer early and save lives. Less than 1 % of younger women, and only 14 % of women over age 50 identified the recommendations of the U.S. Preventative Services Screening Task Force as the current expert recommendations for screening. Screening practices tended to follow perceived guideline recommendations. When Rural U.S. women over age 40 have insurance, most receive breast cancer screening. The screening guidelines of cancer advocacy groups and specialty societies appear more influential and widely recognized than those of the U.S. preventative services taskforce.
Jeffrey Peppercorn - One of the best experts on this subject based on the ideXlab platform.
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impact of the elimination of cost sharing for mammographic breast cancer screening among Rural us women a natural experiment
Cancer, 2017Co-Authors: Jeffrey Peppercorn, Kevin Houck, Victor G Villagra, Gary H Lyman, Nora Horick, Julia Rabin, Stephanie B WheelerAbstract:BACKGROUND Rural US women experience disparities in breast cancer screening and outcomes. In 2006, a national Rural health insurance provider, the National Rural Electric Cooperative Association (NRECA), eliminated out-of-pocket costs for screening mammography. METHODS This study evaluated the elimination of cost sharing as a natural experiment: it compared trends in screening before and after the policy change. NRECA insurance claims data were used to identify all women aged 40 to 64 years who were eligible for breast cancer screening, and mammography utilization from 1998 through 2011 was evaluated. Repeated measures regression models were used to evaluate changes in utilization over time and the association between screening and sociodemographic factors. RESULTS The analysis was based on 45,738 women enrolled in the NRECA membership database for an average of 6.1 years and included 279,940 person-years of enrollment. Between 1998 and 2011, the annual screening rate increased from 35% to a peak of 50% among women aged 40 to 49 years and from 49% to 58% among women aged 50 to 64 years. The biennial screening rate increased from 56% to 66% for women aged 40 to 49 years and from 68% to 73% for women aged 50 to 64 years. Screening rates increased significantly (P < .0001) after the elimination of cost sharing and then declined slightly after changes to government screening guidelines in 2009. Younger women experienced greater increases in both annual screening (6.2%) and biennial screening (5.6%) after the elimination of cost sharing in comparison with older women (3.0% and 2.6%, respectively). In a multivariate analysis, Rural residence, lower population income, and lower population education were associated with modestly lower screening. CONCLUSIONS In a national sample of predominantly Rural working-age women, the elimination of cost sharing correlated with increased breast cancer screening. Cancer 2017. © 2017 American Cancer Society.
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breast cancer screening utilization and understanding of current guidelines among Rural u s women with private insurance
Breast Cancer Research and Treatment, 2015Co-Authors: Jeffrey Peppercorn, Kevin Houck, Nina Beri, Victor G Villagra, Adane F Wogu, Gary H Lyman, Stephanie B WheelerAbstract:Women living in Rural areas of the U.S. face disparities in screening mammography and breast cancer outcomes. We sought to evaluate utilization of mammography, awareness of screening guidelines, and attitudes towards screening among Rural insured U.S. women. We conducted a cross-sectional self-administered anonymous survey among 2000 women aged 40–64 insured by the National Rural Electric Cooperative Association, a non-profit insurer for Electrical utility workers in predominantly Rural areas across the U.S. Outcomes included mammographic screening in the past year, screening interval, awareness of guidelines, and perceived barriers to screening. 1588 women responded to the survey (response rate 79.4 %). 74 % of respondents lived in a Rural area. Among women aged 40–49, 66.5 % reported mammographic screening in the past year. 46 % received annual screening, 32 % biennial screening, and 22 % rare/no screening. Among women aged 50–64, 77.1 % reported screening in the past year. 63 % received annual screening, 25 % biennial screening, and 12 % rare/no screening. The majority of women (98 %) believed that the mammography can find breast cancer early and save lives. Less than 1 % of younger women, and only 14 % of women over age 50 identified the recommendations of the U.S. Preventative Services Screening Task Force as the current expert recommendations for screening. Screening practices tended to follow perceived guideline recommendations. When Rural U.S. women over age 40 have insurance, most receive breast cancer screening. The screening guidelines of cancer advocacy groups and specialty societies appear more influential and widely recognized than those of the U.S. preventative services taskforce.
Mananoma Tiny - One of the best experts on this subject based on the ideXlab platform.
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ANALISIS NERACA AIR SUNGAI ABUANG DI TITIK BENDUNG ABUANG KABUPATEN MINAHASA TENGGARA
JURNAL SIPIL STATIK, 2019Co-Authors: Rambembuoch, Irandy E., Sumarauw, Jeffry S. F., Mananoma TinyAbstract:Bendung Abuang memanfaatkan air dari Sungai Abuang untuk mengairi lahan irigasi yang ada di Daerah Irigasi Langowan. Berdasarkan hal tersebut, maka diperlukan studi mengenai analisis neraca air untuk melihat keseimbangan antara ketersediaan dan kebutuhan air di DAS Abuang.Analisis neraca air dilakukan dengan membandingkan ketersediaan dan kebutuhan air di sungai Abuang. Ketersediaan air dihitung menggunakan metode NRECA (National Rural Electric Cooperative Association) dengan masukan data curah hujan, evapotranspirasi dan parameter DAS untuk mencari debit andalan Q80% dan Ketersediaan air untuk pemeliharaan sungai Q95%. Kebutuhan air yang dihitung adalah kebutuhan air untuk lahan irigasi.Hasil dari analisis neraca air menunjukan bahwa ketersediaan air di sungai Abuangtidak bisa memenuhi kebutuhan air untuk lahan irigasi di sekitar DAS Abuang. Masa tanam yang digunakan perlu disesuaikan sehingga ketersediaan air dapat memenuhi kebutuhan lahan irigasi untuk lahan fungsional. Apabila lahan potensional di ubah menjadi fungsional, maka ketersediaan air di DAS Abuang tidak akan memenuhi kebutuhan air untuk lahan irigasi potensial dan fungsional. Kata Kunci: Sungai Abuang, DAS Abuang, Metode NRECA, Neraca Ai
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ANALISIS NERACA AIR SUNGAI MOLINOW DI TITIK BENDUNG MOLINOW KABUPATEN MINAHASA SELATAN
JURNAL SIPIL STATIK, 2019Co-Authors: Senaen, Yosua Marsel, Sumarauw, Jeffry S. F., Mananoma TinyAbstract:Bendung Molinow memanfaatkan air dari Sungai Molinow untuk mengairi lahan irigasi yang ada di Daerah Irigasi Tongop. Berdasarkan hal tersebut, maka diperlukan studi mengenai analisis neraca air untuk melihat keseimbangan antara ketersediaan dan kebutuhan air di DAS Molinow.Analisis neraca air dilakukan dengan membandingkan ketersediaan dan kebutuhan air di DAS Molinow agar dapat diketahui apakah jumlah air mengalami kelebihan ataupun kekurangan. Ketersediaan air dihitung menggunakan metode NRECA (National Rural Electric Cooperative Association) dengan masukan data curah hujan, evapotranspirasi dan parameter DAS untuk mencari debit andalan Q80% dan ketersediaan air untuk pemeliharaan sungai Q95%. Kebutuhan air yang dihitung adalah kebutuhan air untuk lahan irigasi.Berdasarkan Peraturan Pemerintah dihitung juga kebutuhan air untuk aliran pemeliharaan sungai atau Q95% yang adalah aliran minimum yang harus tersedia di sungai untuk menjaga kehidupan ekosistem sungai. Dari hasil analisis menunjukkan bahwa ketersediaan air Q95% tidak memenuhi karena debit yang besar sehingga membuat ketersediaan air tidak mencukupi. Ketersediaan air Q80% masih mencukupi untuk mengairi seluruh lahan irigasi. Kata Kunci : Sungai Molinow, DAS Molinow, Metode NRECA, Neraca Ai
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ANALISIS NERACA AIR SUNGAI PANIKI DENGAN TITIK TINJAUAN DI JEMBATAN PANIKI
JURNAL SIPIL STATIK, 2017Co-Authors: Mentang, Risky Schwars, Mananoma Tiny, Sumarauw, Jeffry S.f.Abstract:Lippo Holland Village Manado adalah sebuah kawasan hunian baru yang terletak di Kelurahan Paniki Bawah Kecamatan Mapanget Kota Manado. Hunian ini berada di kawasan sungai Paniki, potensi air sungai ini akan dimanfaatkan untuk kebutuhan air bersih di hunian tersebut. Berdasarkan hal tersebut maka diperlukan Analisis Neraca Air untuk melihat keseimbangan antara ketersediaan air di sungai Paniki dan kebutuhan air di hunian yang ada.Analisis neraca air dilakukan dengan menganalisis ketersediaan air di DAS Paniki menggunakan metode NRECA (National Rural Electric Cooperative Association) untuk mencari debit andalan 90% (Q90), sedangkan kalibrasi dilakukan pada data tahun 2013 dengan tingkat akurasi yang di hitung menggunakan model Coefficition of Determination (R2). Kebutuhan Air Bersih dihitung berdasarkan kriteria perencanaan air bersih Ditjen Cipta Karya Dinas PU (1997) hingga 20 tahun ke depan.Dari hasil analisis neraca air, hingga 20 tahun ke depan ketersediaan air masih mencukupi kebutuhan air di Lippo Holland Village Manado.Kata Kunci : Sungai Paniki, Metode Nreca, debit andalan (Q90), neraca ai
Victor G Villagra - One of the best experts on this subject based on the ideXlab platform.
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impact of the elimination of cost sharing for mammographic breast cancer screening among Rural us women a natural experiment
Cancer, 2017Co-Authors: Jeffrey Peppercorn, Kevin Houck, Victor G Villagra, Gary H Lyman, Nora Horick, Julia Rabin, Stephanie B WheelerAbstract:BACKGROUND Rural US women experience disparities in breast cancer screening and outcomes. In 2006, a national Rural health insurance provider, the National Rural Electric Cooperative Association (NRECA), eliminated out-of-pocket costs for screening mammography. METHODS This study evaluated the elimination of cost sharing as a natural experiment: it compared trends in screening before and after the policy change. NRECA insurance claims data were used to identify all women aged 40 to 64 years who were eligible for breast cancer screening, and mammography utilization from 1998 through 2011 was evaluated. Repeated measures regression models were used to evaluate changes in utilization over time and the association between screening and sociodemographic factors. RESULTS The analysis was based on 45,738 women enrolled in the NRECA membership database for an average of 6.1 years and included 279,940 person-years of enrollment. Between 1998 and 2011, the annual screening rate increased from 35% to a peak of 50% among women aged 40 to 49 years and from 49% to 58% among women aged 50 to 64 years. The biennial screening rate increased from 56% to 66% for women aged 40 to 49 years and from 68% to 73% for women aged 50 to 64 years. Screening rates increased significantly (P < .0001) after the elimination of cost sharing and then declined slightly after changes to government screening guidelines in 2009. Younger women experienced greater increases in both annual screening (6.2%) and biennial screening (5.6%) after the elimination of cost sharing in comparison with older women (3.0% and 2.6%, respectively). In a multivariate analysis, Rural residence, lower population income, and lower population education were associated with modestly lower screening. CONCLUSIONS In a national sample of predominantly Rural working-age women, the elimination of cost sharing correlated with increased breast cancer screening. Cancer 2017. © 2017 American Cancer Society.
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breast cancer screening utilization and understanding of current guidelines among Rural u s women with private insurance
Breast Cancer Research and Treatment, 2015Co-Authors: Jeffrey Peppercorn, Kevin Houck, Nina Beri, Victor G Villagra, Adane F Wogu, Gary H Lyman, Stephanie B WheelerAbstract:Women living in Rural areas of the U.S. face disparities in screening mammography and breast cancer outcomes. We sought to evaluate utilization of mammography, awareness of screening guidelines, and attitudes towards screening among Rural insured U.S. women. We conducted a cross-sectional self-administered anonymous survey among 2000 women aged 40–64 insured by the National Rural Electric Cooperative Association, a non-profit insurer for Electrical utility workers in predominantly Rural areas across the U.S. Outcomes included mammographic screening in the past year, screening interval, awareness of guidelines, and perceived barriers to screening. 1588 women responded to the survey (response rate 79.4 %). 74 % of respondents lived in a Rural area. Among women aged 40–49, 66.5 % reported mammographic screening in the past year. 46 % received annual screening, 32 % biennial screening, and 22 % rare/no screening. Among women aged 50–64, 77.1 % reported screening in the past year. 63 % received annual screening, 25 % biennial screening, and 12 % rare/no screening. The majority of women (98 %) believed that the mammography can find breast cancer early and save lives. Less than 1 % of younger women, and only 14 % of women over age 50 identified the recommendations of the U.S. Preventative Services Screening Task Force as the current expert recommendations for screening. Screening practices tended to follow perceived guideline recommendations. When Rural U.S. women over age 40 have insurance, most receive breast cancer screening. The screening guidelines of cancer advocacy groups and specialty societies appear more influential and widely recognized than those of the U.S. preventative services taskforce.
Kevin Houck - One of the best experts on this subject based on the ideXlab platform.
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impact of the elimination of cost sharing for mammographic breast cancer screening among Rural us women a natural experiment
Cancer, 2017Co-Authors: Jeffrey Peppercorn, Kevin Houck, Victor G Villagra, Gary H Lyman, Nora Horick, Julia Rabin, Stephanie B WheelerAbstract:BACKGROUND Rural US women experience disparities in breast cancer screening and outcomes. In 2006, a national Rural health insurance provider, the National Rural Electric Cooperative Association (NRECA), eliminated out-of-pocket costs for screening mammography. METHODS This study evaluated the elimination of cost sharing as a natural experiment: it compared trends in screening before and after the policy change. NRECA insurance claims data were used to identify all women aged 40 to 64 years who were eligible for breast cancer screening, and mammography utilization from 1998 through 2011 was evaluated. Repeated measures regression models were used to evaluate changes in utilization over time and the association between screening and sociodemographic factors. RESULTS The analysis was based on 45,738 women enrolled in the NRECA membership database for an average of 6.1 years and included 279,940 person-years of enrollment. Between 1998 and 2011, the annual screening rate increased from 35% to a peak of 50% among women aged 40 to 49 years and from 49% to 58% among women aged 50 to 64 years. The biennial screening rate increased from 56% to 66% for women aged 40 to 49 years and from 68% to 73% for women aged 50 to 64 years. Screening rates increased significantly (P < .0001) after the elimination of cost sharing and then declined slightly after changes to government screening guidelines in 2009. Younger women experienced greater increases in both annual screening (6.2%) and biennial screening (5.6%) after the elimination of cost sharing in comparison with older women (3.0% and 2.6%, respectively). In a multivariate analysis, Rural residence, lower population income, and lower population education were associated with modestly lower screening. CONCLUSIONS In a national sample of predominantly Rural working-age women, the elimination of cost sharing correlated with increased breast cancer screening. Cancer 2017. © 2017 American Cancer Society.
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breast cancer screening utilization and understanding of current guidelines among Rural u s women with private insurance
Breast Cancer Research and Treatment, 2015Co-Authors: Jeffrey Peppercorn, Kevin Houck, Nina Beri, Victor G Villagra, Adane F Wogu, Gary H Lyman, Stephanie B WheelerAbstract:Women living in Rural areas of the U.S. face disparities in screening mammography and breast cancer outcomes. We sought to evaluate utilization of mammography, awareness of screening guidelines, and attitudes towards screening among Rural insured U.S. women. We conducted a cross-sectional self-administered anonymous survey among 2000 women aged 40–64 insured by the National Rural Electric Cooperative Association, a non-profit insurer for Electrical utility workers in predominantly Rural areas across the U.S. Outcomes included mammographic screening in the past year, screening interval, awareness of guidelines, and perceived barriers to screening. 1588 women responded to the survey (response rate 79.4 %). 74 % of respondents lived in a Rural area. Among women aged 40–49, 66.5 % reported mammographic screening in the past year. 46 % received annual screening, 32 % biennial screening, and 22 % rare/no screening. Among women aged 50–64, 77.1 % reported screening in the past year. 63 % received annual screening, 25 % biennial screening, and 12 % rare/no screening. The majority of women (98 %) believed that the mammography can find breast cancer early and save lives. Less than 1 % of younger women, and only 14 % of women over age 50 identified the recommendations of the U.S. Preventative Services Screening Task Force as the current expert recommendations for screening. Screening practices tended to follow perceived guideline recommendations. When Rural U.S. women over age 40 have insurance, most receive breast cancer screening. The screening guidelines of cancer advocacy groups and specialty societies appear more influential and widely recognized than those of the U.S. preventative services taskforce.
