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2019

Health Services Research

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Articles 1 - 30 of 39

Full-Text Articles in Social Work

Patient-Initiated Second Opinions During Acute Hospital Care, Roni Gagin, Neta Hagani, Esti Zigelboim, Shiri Shinan-Altman Nov 2019

Patient-Initiated Second Opinions During Acute Hospital Care, Roni Gagin, Neta Hagani, Esti Zigelboim, Shiri Shinan-Altman

Patient Experience Journal

Second opinions are used in medicine in order to make better-informed decisions. Only a few studies have examined patient-initiated second opinions, and even fewer have examined it in the context of acute hospitalization. It is not clear whether patients and families are aware of this right and how often they exercise it during acute hospitalization. The objective of this paper is to identify factors associated with the awareness and utilization of patient-initiated second opinions. A survey was conducted among 92 neurosurgical patients who completed a questionnaire that included information regarding: awareness of second opinion consultations, reasons for not seeking a …


Adverse Childhood Experiences, Homeless Chronicity, And Age At Onset Of Homelessness, Joseph T. Tucciarone Jr. May 2019

Adverse Childhood Experiences, Homeless Chronicity, And Age At Onset Of Homelessness, Joseph T. Tucciarone Jr.

Electronic Theses and Dissertations

Childhood adversity is associated with numerous negative outcomes across multiple domains, including mental and physical health, interrelationships, and social functioning. Notably, research suggests that childhood adversity has a dose-response relationship with these outcomes; that is, greater numbers of adverse experiences in childhood are associated with worse outcomes. These outcomes overlap with many risk factors of homelessness. This study sought to address two questions: 1) Does a dose-response relationship exist between childhood adversity and chronic homelessness? 2) Does childhood adversity negatively predict the age at which homelessness first occurs? Adults experiencing homeless who are accessing homeless services in the Tri-Cities area …


Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp Apr 2019

Opioid Use Treatment Via Telemedicine: Treatment Options For Rural Maine, Benjamin Knapp

Thinking Matters Symposium Archive

The ongoing opioid crisis has overwhelmed the traditional opioid use disorder (OUD) treatment resources across America. The treatment resources in rural communities have been especially hard hit as geographic and financial barriers limit service capacity. Telemedicine, or medicine delivered via remote means, has been proposed as a potential solution to the lack of conventional opioid treatment resources in rural Maine. Current legalities in the US prohibit telemedicine being used to prescribe opioid agonist drugs, and insurance reimbursement for telemedicine remains a major barrier. This qualitative content analysis looks at the existing research on telemedicine's treatment efficacy for use with OUD …


What Are The Risk Factors Of Social Isolation And Loneliness, Sheridan Centre For Elder Research Jan 2019

What Are The Risk Factors Of Social Isolation And Loneliness, Sheridan Centre For Elder Research

What are the Risk Factors of Social Isolation and Loneliness

This educational PowerPoint presentation is intended to be used as a training resource and can be reviewed individually or as part of a group training session. It will allow you and your staff to review the risk factors that contribute to social isolation and loneliness, and learn about why/how immigration can be a risk factor for social isolation/loneliness. This training module will also encourage you to consider and discuss which risk factors might affect the older adults you work with and consider solutions.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder …


Tip Sheet - Staying Socially Connected (Gujarati), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Gujarati), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Care Of Acute Conditions And Chronic Diseases In Canada And The United States: Rapid Systematic Review And Meta-Analysis, Keren M. Escobar, Dorian Murariu, Sharon Munro, Kevin M. Gorey Jan 2019

Care Of Acute Conditions And Chronic Diseases In Canada And The United States: Rapid Systematic Review And Meta-Analysis, Keren M. Escobar, Dorian Murariu, Sharon Munro, Kevin M. Gorey

Social Work Publications

This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions or chronic diseases have health care access and survival advantages over their counterparts in the USA. A rapid systematic review retrieved 25 studies (34 independent cohorts) published between 2003 and 2018. They were synthesized with a streamlined meta-analysis. Very low-income Canadian patients were consistently and highly advantaged in terms of health care access and survival compared with their counterparts in the USA who lived in poverty and/or were uninsured or underinsured. In aggregate and controlling for specific conditions or diseases and typically 4 to 9 comorbid factors …


Multiplicative Advantages Of Hispanic Men Living In Hispanic Enclaves: Intersectionality In Colon Cancer Care: A Research Note, Keren M. Escobar, Mollie Sivaram, Kevin M. Gorey Jan 2019

Multiplicative Advantages Of Hispanic Men Living In Hispanic Enclaves: Intersectionality In Colon Cancer Care: A Research Note, Keren M. Escobar, Mollie Sivaram, Kevin M. Gorey

Social Work Publications

We examined Hispanic enclave paradoxical effects on cancer care among socioeconomically vulnerable people in pre-Obamacare California. We conducted a secondary analysis of a historical cohort of 511 Hispanic and 1,753 non-Hispanic white people with colon cancer. Hispanic enclaves were neighborhoods where 40% or more of the residents were Hispanic, mostly first-generation Mexican American immigrants. An interaction of ethnicity, gender, and Hispanic enclave status was observed such that the protective effects of living in a Hispanic enclave were larger for Hispanic men, particularly married Hispanic men, than women. Risks were also exposed among other study groups: the poor, the inadequately insured, …


Coping With Loneliness - A Resource For Older Adults (Tagalog), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Tagalog), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


The Role Of Faith Communities In Improving Supports To Reduce Loneliness And Social Isolation In Immigrants 65+, Reshma Banu, Sirena Liladrie, Behije Noka Jan 2019

The Role Of Faith Communities In Improving Supports To Reduce Loneliness And Social Isolation In Immigrants 65+, Reshma Banu, Sirena Liladrie, Behije Noka

The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+

This report titled “The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+” connects survey findings with the importance of offering programs and services through faith groups and makes recommendations for creative collaborations with them in strengthening the community’s response to unmet needs of older immigrants.

Author Bios: Reshma Banu is a graduate from the Social Service Worker Program – Immigration and Settlement Stream at Sheridan College. Sirena Liladrie is a professor in the Social Service Worker Program at Sheridan College and Principle Investigator of the project. Behije Noka is a graduate of …


Tip Sheet - Staying Socially Connected (Punjabi), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Punjabi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Polish), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Polish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Arabic), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Arabic), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Spanish), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Spanish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Traditional Chinese), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Traditional Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Urdu), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Urdu), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Simplified Chinese), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Simplified Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Hindi), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Hindi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Tip Sheet - Staying Socially Connected (Italian), Sheridan Centre For Elder Research Jan 2019

Tip Sheet - Staying Socially Connected (Italian), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …


Coping With Loneliness - A Resource For Older Adults (Traditional Chinese), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Traditional Chinese), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Coping With Loneliness - A Resource For Older Adults (Spanish), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Spanish), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Coping With Loneliness - A Resource For Older Adults (Polish), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Polish), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Social Isolation Detection Checklist, Sheridan Centre For Elder Research Jan 2019

Social Isolation Detection Checklist, Sheridan Centre For Elder Research

Social Isolation Detection Checklist

The Social Isolation Detection Checklist is a preliminary screening tool that can help you determine if an older adult might be at risk of social isolation. This tool can be completed one on one with an older adult. Alternatively, if you have been working with an older adult for an extended period of time and are familiar with their case history you can use your insider knowledge, intake records and case notes to complete this tool and determine risk. A list of recommendations (referrals) that correspond directly with the various categories in the Detection Tool is also included.

This resource …


Understanding Social Isolation And Loneliness, Sheridan Centre For Elder Research Jan 2019

Understanding Social Isolation And Loneliness, Sheridan Centre For Elder Research

Understanding Social Isolation and Loneliness

This educational PowerPoint presentation is intended to be used as a training resource and can be reviewed individually or as part of a group training session. This training module covers the concepts of social isolation and loneliness, how they differ and how they interact, and includes concepts and models that contribute to an understanding of how social isolation and loneliness impact older immigrants. This resource will also encourage you to discuss how this all relates back to your organization.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, …


Intervention Best Practices, Sheridan Centre For Elder Research Jan 2019

Intervention Best Practices, Sheridan Centre For Elder Research

Intervention Best Practices

The Intervention Best Practices resource summarizes some of the best practices being used in programs and initiatives designed to address social isolation and/or loneliness. The various case studies included display innovative thinking and ideas from around the world. This resource can be used to inform program planning and implementation.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring …


Multiplicative Advantages Of Hispanic Men Living In Hispanic Enclaves: Intersectionality In Colon Cancer Care, Keren M. Escobar, Mollie Sivaram, Kevin M. Gorey Jan 2019

Multiplicative Advantages Of Hispanic Men Living In Hispanic Enclaves: Intersectionality In Colon Cancer Care, Keren M. Escobar, Mollie Sivaram, Kevin M. Gorey

The Journal of Sociology & Social Welfare

We examined Hispanic enclave paradoxical effects on cancer care among socioeconomically vulnerable people in pre-Obamacare California. We conducted a secondary analysis of a historical cohort of 511 Hispanic and 1,753 non-Hispanic white people with colon cancer. Hispanic enclaves were neighborhoods where 40% or more of the residents were Hispanic, mostly first-generation Mexican American immigrants. An interaction of ethnicity, gender and Hispanic enclave status was observed such that the protective effects of living in a Hispanic enclave were larger for Hispanic men, particularly married Hispanic men, than women. Risks were also exposed among other study groups: the poor, the inadequately insured, …


Tips For Planning And Implementing Inclusive Programs, Sheridan Centre For Elder Research Jan 2019

Tips For Planning And Implementing Inclusive Programs, Sheridan Centre For Elder Research

Tips for Planning and Implementing Inclusive Programs

The Tips for Planning and Implementing Inclusive Programs resource is intended to assist those involved in planning programs to support social inclusion. Tips are included for data-driven program development, for outreach to isolated and/or lonely older immigrants and for addressing barriers through a culturally competent lens.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies to effectively …


Coping With Loneliness – A Resource For Older Adults, Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness – A Resource For Older Adults, Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Coping With Loneliness - A Resource For Older Adults (Urdu), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Urdu), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Coping With Loneliness - A Resource For Older Adults (Simplified Chinese), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Simplified Chinese), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …


Coping With Loneliness - A Resource For Older Adults (Punjabi), Sheridan Centre For Elder Research Jan 2019

Coping With Loneliness - A Resource For Older Adults (Punjabi), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …