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Walden University

Walden Dissertations and Doctoral Studies

2021

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Full-Text Articles in Medicine and Health Sciences

Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna Jan 2021

Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna

Walden Dissertations and Doctoral Studies

More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services, as well as Spector's …


Patient Perceptions Of Access To Chronic Pain Medications, Lauren Amy Durham Jan 2021

Patient Perceptions Of Access To Chronic Pain Medications, Lauren Amy Durham

Walden Dissertations and Doctoral Studies

AbstractThe 2014 Drug Enforcement Administration’s reclassification of hydrocodone combination products caused significant unintentional consequences to patients with chronic pain. Although a few researchers have looked at the problems that resulted immediately following the reclassification, none have as yet repeated their studies, creating a knowledge gap. Additionally, previous researchers have shown that most of the current opioid restricting policies in place today were not created using a strong evidence-based or ethically inclusive approach. The purpose of this study was to assess whether common factors identified as issues impacting care for these patients immediately following the reclassification continue to affect care standards. …


Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson Jan 2021

Emergency Encounters: A Cross Sectional Study Of A Rural Emergency Room, Selynto Rodrecca Anderson

Walden Dissertations and Doctoral Studies

It is very difficult for certain populations to obtain access to healthcare within the United States, particularly in rural areas. Typically, individuals who live in rural areas are far less healthy than those who live in more urbanized areas. Although there have been some improvements made to ensure there is adequate health care for all, barriers still exist. A few examples of these barriers are socioeconomic status, education, and job status. In this study, adult patients from a rural Southeastern hospital were surveyed via those who came to the emergency room seeking care, and via those who came to the …


Role Of Case Management In Access To Mental Health Care Among African Americans With Medicaid, Kira-Jai Jayne Taylor Jan 2021

Role Of Case Management In Access To Mental Health Care Among African Americans With Medicaid, Kira-Jai Jayne Taylor

Walden Dissertations and Doctoral Studies

Disparity in access to appropriate mental health care among African Americans compared to non-Hispanic Whites is growing. The purpose of this quantitative retrospective study was to examine the relationship between access to an outpatient mental health facility with case management and access to outpatient mental health services among African Americans with Medicaid compared to non-Hispanic Whites with Medicaid. The theoretical framework was based on the conceptual framework for integration created by PATH. The study addressed whether there is a difference in the number of African Americans compared to non-Hispanic White patients with Medicaid in access to an outpatient mental health …