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Property & Business Parent-youth agreement on the youth’s functional impairment may have important implications for mental health service utilization, assessment, therapy goal development, and treatment engagement for adolescents. The present study examines parent-youth agreement on their perceptions of youth functional impairment in a predominantly racial/ethnic minority sample of adolescents utilizing outpatient mental health services. Parent and youth functional impairment ratings were compared, and agreement was estimated in multiple ways. On average, parents indicated higher levels of youth functional impairment compared to youth in their overall scores, and when differences existed between parents and youth at the functioning domain and item level. Although there was similarity in the proportion of parents and youth who reported total impairment above the clinical cut-off, actual agreement between parent-youth pairs was only slight. There appeared to be substantial variation in agreement levels when identifying problems in functional impairment at the domain and item levels, and some areas of strong consensus were identified. These findings highlight the need to consider parent-youth agreement in perceptions of functional impairment and the complexities that may underlie this agreement. Full article
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SEARCH QUOTES The Balance Small Business Small Biz Ahead Going to a local dental school can be a great option for getting low priced dental care. Dental students need to practice in order to become qualified as dentists and so there are opportunities to get dental care at very low rates. They are closely monitored by licensed dentists and so the work that you get done is going to be very good.
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$0 preventive care1 To determine the 25 cars with the highest insurance costs, 24/7 Wall Street reviewed data on insurance claim payments made by insurers by make and model, provided by the Insurance Institute for Highway Safety, a nonprofit research organization funded by auto insurers. The costs include six types of insurance: collision, property damage, comprehensive, personal injury, medical payment, and bodily injury. The model that is most expensive to insure had the highest overall average cost to the insurer per year. These data are for 575 vehicles of 2014-2016 model years sold in the United States. Average annual insurance payments account for both the frequency of accidents, as well as the average payment made, by model. IIHS breaks down the data for models to sometimes include certain safety-relevant features, such as all wheel drive, and driver assistance technology. To avoid repetition, each model nameplate was listed only once, and the more expensive version to insure is always listed.
Ask the Insurance Expert SelectQuote Insurance Agency, MN lic. #7148 At hospitals, for example, most revenue is still made the old-fashioned way: fee-for-service, through health insurance provided by for-profit companies, as opposed to government programs. Value-based payments consist of only 5% to 10% of a hospital’s revenue on average, according to Celina Burns, vice president of value-based-care strategy and program development at Irving, Texas–based Vizient, a health-care performance-improvement company. She works to develop those offerings for the company’s hospital members.
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Online Courses Login Report Fraud and Abuse Banking Products Holidays Background: There is a significant geographical disparity in place of death. Socio-demographic and disease-related variables only explain less than a quarter of the variation. Healthcare service factors may account for some (or much) of the remaining variation but their effects have never been systematically evaluated, partly due to the lack of a conceptual framework. This study aims to propose a population-based framework to guide the evaluation of the role of the healthcare service factors in place of death. Methods: Review and synthesis of health service models that include the impact of a service component on either place of death/end of life care outcomes or service access/utilization. Results: The framework conceptualizes the impact of healthcare services on the place of death as starting from the end of life care policies that in turn influence service commissioning and shape healthcare service characteristics, including service type, service capacity—facilities, service location, and workforce, through which service utilization and ultimately place of death are affected. Patient socio-demographics, disease-related variables, family and community support and social care also influence place of death, but they are not the focus of this framework and therefore are grouped as needs and other environmental factors. Information on service utilization, together with the place of death, creates loop feedback to inform policy and service commission. Conclusions: The framework provides guidance for analysis aiming to understand the role of healthcare services in place of death. It aids the interpretation of results in the light of existing knowledge and potentially identifies service factors that can be addressed to improve end of life care. Full article
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