The Essential Role of Senior Care Pharmacists in Antimicrobial Stewardship: An Updated Position Statement on Behalf of the American Society of Consultant Pharmacists and the Society of Infectious Diseases Pharmacists.

Senior care pharmacists are well-positioned to lead and drive antimicrobial stewardship (AMS) initiatives, not only through audit and data collection, but also through communication, collaboration, and cooperation with prescribers and nurses to influence prescribing behaviors. Senior care pharmacists are in a unique position to take a leadership role within the interprofessional team to achieve AMS goals. They should engage with the interprofessional team to promote the judicious and appropriate use of antimicrobials at their practice sites. This position statement is an update of the 2017 version by the American Society of Consultant Pharmacists (ASCP) Antimicrobial Stewardship and Infection and Prevention Control Committee and the Society of Infectious Diseases Pharmacists (SIDP).

The Effect of Emergency Financial Assistance on Healthcare Use.

Does providing financial assistance to people who have just experienced an income shock affect their healthcare use? To address this question, we examine healthcare outcomes in a setting where people at risk of homelessness due to an income shock were offered or denied referral to financial assistance quasi-randomly. Among callers who have been screened as eligible for assistance at Chicago's Homelessness Prevention Call Center (HPCC), some are denied assistance because the availability of funding varies. Conditional on some observable characteristics, funding availability is as-good-as-randomly assigned to callers. We link callers to healthcare utilization records and observe their inpatient hospital stays and emergency department visits. We find that referral to financial assistance has little effect on overall healthcare use-we can reject increases in total utilization greater than 7% of the base rate and decreases of more than 4%. This null effect can be explained, in part, by the fact that the income shock does not significantly change overall healthcare use among those not receiving assistance, suggesting that these individuals can insure health and healthcare demand against these shocks in other ways.

Understanding socioeconomic disparities in travel behavior during the COVID-19 pandemic.

We document the magnitudes of and mechanisms behind socioeconomic differences in travel behavior during the COVID-19 pandemic. We focus on King County, Washington, one of the first places in North America where COVID-19 was detected. We leverage novel and rich administrative and survey data on travel volumes, modes, and preferences for different demographic groups. Large average declines in travel and public transit use due to the pandemic and related policy responses mask substantial heterogeneity across socioeconomic groups. Travel declined considerably less among less-educated and lower-income individuals, even after accounting for mode substitution and variation across neighborhoods in the impacts of public transit service reductions. As policy became less restrictive and travel increased, the size of the socioeconomic gap in travel behavior remained stable, and remote work capabilities became increasingly important in explaining this gap. Our results imply that disparities in travel behavior across socioeconomic groups may become an enduring feature of the urban landscape.

Measuring Housing Stability With Consumer Reference Data.

Housing instability for low-income renters has drawn greater attention recently, but measurement has limited research on policies to stabilize housing. Address histories from consumer reference data can be used to increase the quantity and quality of research on low-income renters. Consumer data track housing moves throughout the entire United States for most of the adult population. In this article, I show that such data can measure housing stability for groups with very low income and extreme instability. For example, the data can track housing moves during natural disasters, at demolition of public housing, for households at high risk of homelessness, and during gentrification. Consumer data can track housing instability outcomes that are more common than shelter entry and less expensive to collect than surveys. Relative to existing administrative address histories, consumer data allow researchers to track housing moves to exact addresses and across jurisdictions.