Open Access. Powered by Scholars. Published by Universities.®

Health Services Research Commons

Open Access. Powered by Scholars. Published by Universities.®

4,369 Full-Text Articles 7,913 Authors 828,610 Downloads 129 Institutions

All Articles in Health Services Research

Faceted Search

4,369 full-text articles. Page 5 of 180.

New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London 2018 University of Massachusetts Medical School

New Payment Methods And Delivery System Reforms Can Support Sustainable Funding For Community Health Worker Services, Katharine London

Commonwealth Medicine Publications

Extensive evidence shows that Community Health Workers (CHWs) can help health systems meet the triple aim: improve population health, improve quality of care and contain costs, while also promoting health equity and community engagement. However, most CHW programs are grant funded, and when the funding ends, the program ends.


Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London 2018 University of Massachusetts Medical School

Making The Case For Sustainable Funding For Community Health Worker Services: Talking To Payers And Providers, Katharine London

Commonwealth Medicine Publications

In this presentation, Katharine London of the Center for Health Law and Economics makes her case for offering sustainable funding for community health worker services. Research has shown community health workers can have a distinct impact on health systems, helping them improve population health and contain costs, while also promoting health equity and community engagement.

This presentation was designed to assist CHWs and other advocates in engaging with policymakers and payers to support CHW sustainability and develop a financial plan for their CHW work. It was presented as part of a CHW Sustainability event held at the Families USA’s ...


The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner 2018 University of Massachusetts Medical School

The Kentucky Medicaid Waiver Penalizes Enrollees For Emergency Room “Misuse”, Rebecca Laes-Kushner

Commonwealth Medicine Publications

Kentucky’s 1115 Medicaid Waiver, approved by CMS on January 12, 2018, uses small financial incentives and punishments to try to change the behavior of enrollees.

Enrollees in Kentucky’s Medicaid program, Kentucky HEALTH (Helping to Engage and Achieve Long Term Health), will receive virtual accounts, called a My Rewards Account, into which credits will be placed for their positive activities related to health (completing health risk assessment - $25) and careers (passing the GED - $50). The credits can be used to pay for certain services not covered by health plans, such as vision and dental services.

However, members’ accounts will ...


A Natural Language Processing System That Links Medical Terms In Electronic Health Record Notes To Lay Definitions: System Development Using Physician Reviews, Jinying Chen, Emily Druhl, Balaji Polepalli Ramesh, Thomas K. Houston, Cynthia A. Brandt, Donna M. Zulman, Varsha G. Vimalananda, Samir Malkani, Hong Yu 2018 University of Massachusetts Medical School

A Natural Language Processing System That Links Medical Terms In Electronic Health Record Notes To Lay Definitions: System Development Using Physician Reviews, Jinying Chen, Emily Druhl, Balaji Polepalli Ramesh, Thomas K. Houston, Cynthia A. Brandt, Donna M. Zulman, Varsha G. Vimalananda, Samir Malkani, Hong Yu

Quantitative Health Sciences Publications and Presentations

BACKGROUND: Many health care systems now allow patients to access their electronic health record (EHR) notes online through patient portals. Medical jargon in EHR notes can confuse patients, which may interfere with potential benefits of patient access to EHR notes.

OBJECTIVE: The aim of this study was to develop and evaluate the usability and content quality of NoteAid, a Web-based natural language processing system that links medical terms in EHR notes to lay definitions, that is, definitions easily understood by lay people.

METHODS: NoteAid incorporates two core components: CoDeMed, a lexical resource of lay definitions for medical terms, and MedLink ...


Family-Centered Approach To Teen-Driving Program: Program Evaluation Of Parental Behavioral Outcomes, Karen K. Melton, Beth Lanning, Naomi Abel 2018 Baylor University

Family-Centered Approach To Teen-Driving Program: Program Evaluation Of Parental Behavioral Outcomes, Karen K. Melton, Beth Lanning, Naomi Abel

Journal of Adolescent and Family Health

This article presents the evaluation of parental monitoring and controlling of teen-drivers after attending a family-centered program focused on teen risky-driving behaviors. The program design was guided by the Social-Ecological Model and Health Belief Model. Fifteen parents attending the driving program completed measures of parent control and parent monitoring. Overall, effect sizes at the two-month follow-up indicate the program was moderately effective. There was a statistically significant increase to parental discussions of driving rules. Altogether, this article contributes to the growing literature on the effectiveness of family-centered programs.


An Ambivalent Embrace: Service Needs And Gaps For Asian Immigrants In New Destinations, John J. Chin 2018 Hunter College, City University of New York

An Ambivalent Embrace: Service Needs And Gaps For Asian Immigrants In New Destinations, John J. Chin

Journal of Health Disparities Research and Practice

Asian immigrants to the U.S. are settling in "new destinations," but there has been little research on their health care and social service needs. Our analysis of Census data to identify cities with the fastest Asian immigrant population growth (1990-2000) yielded 33 smaller cities in 13 states. The cities ranged in population from 7,677 to 86,660; were spread across 13 states in the Northeast, South, and Midwest regions of the US; and varied widely demographically. Pilot surveys conducted in 2009 indicated that, although many residents had positive attitudes towards immigrants, many were also concerned about job competition ...


Effectiveness Of A Federal Healthy Start Program In Reducing Infant Mortality, Ronee E. Wilson, Hamisu M. Salihu, Jason L. Salemi, Priyanshi Patel, Rana Daas, Estrellita "Lo" Berry 2018 University of South Florida

Effectiveness Of A Federal Healthy Start Program In Reducing Infant Mortality, Ronee E. Wilson, Hamisu M. Salihu, Jason L. Salemi, Priyanshi Patel, Rana Daas, Estrellita "Lo" Berry

Journal of Health Disparities Research and Practice

Objective: Infant mortality is an important indicator of the health status of a community. In this analysis, we aimed to evaluate temporal changes in infant mortality rates (IMR) in the Central Hillsborough Healthy Start (CHHS) program service area in Tampa, Florida compared to rates in the rest of Hillsborough County and the state.

Method: We conducted a five-year (2010-2014) trends analysis using birth and infant death data extracted from the Florida Community Health Assessment Resource Tool Set (CHARTS). The number of infant deaths and live births were used to calculate and compare IMRs in the CHHS catchment area to those ...


Persistence With Mammography Screening And Stage At Breast Cancer Diagnosis Among Elderly Appalachia-West Virginia Women, Ami Vyas, Suresh Madhavan, Usha Sambamoorthi 2018 University of Rhode Island

Persistence With Mammography Screening And Stage At Breast Cancer Diagnosis Among Elderly Appalachia-West Virginia Women, Ami Vyas, Suresh Madhavan, Usha Sambamoorthi

Journal of Health Disparities Research and Practice

The objective of this study is to evaluate the association between persistence with mammography screening and stage at breast cancer diagnosis in elderly Appalachia-West Virginia women diagnosed with first incident breast cancer. The study utilized West Virginia Cancer Registry-Medicare linked database to identify women age 70 and above diagnosed with first incident breast cancer in 2007. Persistence to mammography screening was defined as having had at least three mammography screenings before breast cancer diagnosis. A multiple logistic regression was conducted to assess the association between persistence with mammography screening and stage at breast cancer diagnosis in these women. Of the ...


Factors Associated With Prolonged Length Of Stay For Elective Hepatobiliary And Neurosurgery Patients: A Retrospective Medical Record Review, Siu Yin Lee, Soo-Hoon Lee, Jenny H.H. Tan, Howard S.L. Foo, Phillip H. Phan, Alfred W.C. Kow, Sein Lwin, Penelope M.Y. Seah, Siti Zubaidah Mordiffi 2018 Old Dominion University

Factors Associated With Prolonged Length Of Stay For Elective Hepatobiliary And Neurosurgery Patients: A Retrospective Medical Record Review, Siu Yin Lee, Soo-Hoon Lee, Jenny H.H. Tan, Howard S.L. Foo, Phillip H. Phan, Alfred W.C. Kow, Sein Lwin, Penelope M.Y. Seah, Siti Zubaidah Mordiffi

Management Faculty Publications

Background: Patients with prolonged length of hospital stay (LOS) not only increase their risks of nosocomial infections but also deny other patients access to inpatient care. Hepatobiliary (HPB) malignancies have some of highest incidences in East and Southeast Asia and the management of patients undergoing HPB surgeries have yet to be standardized. With improved neurosurgery techniques for intracranial aneurysms and tumors, neurosurgeries (NS) can be expected to increase. Elective surgeries account for far more operations than emergencies surgeries. Thus, with potentially increased numbers of elective HPB and NS, this study seeks to explore perioperative factors associated with prolonged LOS for ...


Queer Health Equity And Cervical Cancer: Identifying Social Determinants Of Papanicolaou Test Uptake In A Sample Of Sexual Minority Women And Gender Nonbinary Individuals, Ariella R. Tabaac 2018 Virginia Commonwealth University

Queer Health Equity And Cervical Cancer: Identifying Social Determinants Of Papanicolaou Test Uptake In A Sample Of Sexual Minority Women And Gender Nonbinary Individuals, Ariella R. Tabaac

Theses and Dissertations

Sexual minority women (SMW) demonstrate lower rates of cervical cancer screening than heterosexual women. This is concerning as lesbian and bisexual women tend to engage in higher rates of substance-related cancer risk behaviors, unprotected sex, and tend to have higher body mass indices, all of which are risk factors for cancer development. Another major risk factor, screening avoidance, places SMW at increased risk for the development of high grade cervical lesions in the absence of early detection practices, which is likely to impact overall cervical cancer morbidity in this population. The aim of the present study was to utilize the ...


Taking Advantage Of The Teachable Moment: A Review Of Learner-Centered Clinical Teaching Models, Sneha A. Chinai, Todd Guth, Elise Lovell, Michael Epter 2018 University of Massachusetts Medical School

Taking Advantage Of The Teachable Moment: A Review Of Learner-Centered Clinical Teaching Models, Sneha A. Chinai, Todd Guth, Elise Lovell, Michael Epter

Emergency Medicine Publications and Presentations

When working in a chaotic Emergency Department (ED) with competing priorities, clinical teaching may be sacrificed for the sake of patient flow and throughput. An organized, efficient approach to clinical teaching helps focus teaching on what the learner needs at that moment, incorporates regular feedback, keeps the department on track, and prevents over-teaching. Effective clinical teaching in a busy environment is an important skill for senior residents and faculty to develop. This review will provide a critique and comparison of seven structured teaching models to better prepare readers to seize the teachable moment.


A Comparison Of Quality Indicators Between Medicare Accountable Care Organizations And Health Maintenance Organizations Using Publicly Available Data, William W. Campbell III 2018 Virginia Commonwealth University

A Comparison Of Quality Indicators Between Medicare Accountable Care Organizations And Health Maintenance Organizations Using Publicly Available Data, William W. Campbell Iii

Theses and Dissertations

The purpose of this study is to explore differences in quality between Medicare Accountable Care Organizations (ACO) and Health Maintenance Organizations (HMO). Three outcomes measures reported by these plans use different methodologies but possess enough alignment to permit comparison: percent of diabetic patients with last HbA1c > 9.0%, colon cancer screening rate and ER visits per 1,000. These outcomes are the dependent variables (DV). A secondary purpose is to explore differences in quality based on the size of the beneficiary population served, using the same measures.

As the Medicare program faces threats to its solvency in coming decades, with ...


Speech Recognition Technology: Improving Speed And Accuracy Of Emergency Medical Services Documentation To Protect Patients, Tan T. Tran 2018 Virginia Commonwealth University

Speech Recognition Technology: Improving Speed And Accuracy Of Emergency Medical Services Documentation To Protect Patients, Tan T. Tran

Undergraduate Research Posters

Because hospital errors, such as mistakes in documentation, cause one sixth of the deaths each year in the United States, the accuracy of health records in the emergency medical services (EMS) must be improved. One possible solution is to incorporate speech recognition (SR) software into current tools used by EMS first responders. The purpose of this research was to determine if SR software could increase the efficiency and accuracy of EMS documentation to improve the safety for patients of EMS. An initial review of the literature on the performance of current SR software demonstrated that this software was not 99 ...


Illicit Drug And Opioid Use Disorders Among Non-Metropolitan Residents, Tyrone F. Borders, Hefei Wen 2018 University of Kentucky

Illicit Drug And Opioid Use Disorders Among Non-Metropolitan Residents, Tyrone F. Borders, Hefei Wen

Rural & Underserved Health Research Center Publications

Illicit drug use disorder rates are similar across metropolitan and non-metropolitan areas and did not decline from 2011-2013 to 2014-2015 despite the implementation of major substance use treatment policies over this time period.


Development Of An Integrated Service Model To Achieve Personal Health Libraries For Consumers, Nathan Gauss 2018 Michigan Technological University

Development Of An Integrated Service Model To Achieve Personal Health Libraries For Consumers, Nathan Gauss

Dissertations, Master's Theses and Master's Reports

This concept paper establishes the framework for additional research regarding how medical records are stored and shared. Health Information Technology is rapidly developing, and one large barrier to true interoperability is data silos. This integrated service model proposes using Health Record Banks (HRB) to store and share data, while using open source applications to limit costs and create opportunities for the consumer to be at the center of their own medical records. This includes the authorization phase, in which patients will be able to seamlessly allow access to their records for clinicians they choose. This conceptual framework includes using eXist ...


French Polynesia: Chikungunya Virus And Fever, Chase Spicer 2018 Augustana College, Rock Island Illinois

French Polynesia: Chikungunya Virus And Fever, Chase Spicer

Global Public Health

French Polynesia, a country with very a tropical climate, consists of 118 islands in the middle of the ocean and they are all completely controlled by the nation of France. French Polynesia is a very different nation than most in a lot of ways. The aspects and culture of the people who live here are very different because they are mainly only influenced from people of neighboring islands. This place is also very interesting because of the past political corruption that has occurred, the very fluctuating economy and job market, a variety of religious beliefs, and the fact that they ...


Perceived Treatment Need And Utilization For Illicit Drug And Opioid Use Disorders In Non-Metropolitan Areas, Tyrone F. Borders, Hefei Wen 2018 University of Kentucky

Perceived Treatment Need And Utilization For Illicit Drug And Opioid Use Disorders In Non-Metropolitan Areas, Tyrone F. Borders, Hefei Wen

Rural & Underserved Health Research Center Publications

The policy brief provides nationally representative estimates of perceived treatment need and utilization for illicit drug and prescription pain reliever use disorders among non-metropolitan and metropolitan adults ages 18-64.


Association Between Local Health Departments’ Engagement In Phab Accreditation And Budget Cuts Prevention, Ghadeer M. Albashir 2018 Georgia Southern University

Association Between Local Health Departments’ Engagement In Phab Accreditation And Budget Cuts Prevention, Ghadeer M. Albashir

Electronic Theses & Dissertations

Objectives: The primary purpose of this study is to examine whether engagement in Public Health Accreditation Board (PHAB) accreditation process and its requirements are associated with budget cuts prevention for local health departments (LHDs). Methods: For this study, we performed multinomial logistic regression using the 2016 National Profile of Local Health Departments Survey conducted by the National Association of County and City Health Officials. Results: While budget did not change for a majority of LHDs in comparison with previous year (48.6%), there were 28.7% that reported budget increase, and almost a quarter of LHDs had reduced budget (23 ...


Screening And Management Practices For Patients With Diabetes, Brian Farnand, Florianna Pattacciato, Benjamin Purrington, Colleen Zuniga 2018 Daemen College

Screening And Management Practices For Patients With Diabetes, Brian Farnand, Florianna Pattacciato, Benjamin Purrington, Colleen Zuniga

Academic Festival Posters

Prediabetes is a disorder that affects approximately 84 million adults, which equates to about 26% of the U.S population. Although this disorder has reached epidemic levels, only 12% of adults with prediabetes report that a healthcare professional has informed them of their condition. Accordingly, most adults with prediabetes are unaware of their diagnosis. Additionally, the rate of progression of prediabetes to diabetes is 5-10%, regardless of the diagnostic criteria used by varying professional organizations. Consequently, the incidence of diabetes is continuously increasing, with 1.5 million new cases of adult diabetes in 2015 alone. Clearly, prevention of the progression ...


Work And Family Conflict: A Comparative Analysis Among Staff Nurses, Nurse Managers, And Nurse Executives, Amanda Raffenaud 2018 University of Central Florida

Work And Family Conflict: A Comparative Analysis Among Staff Nurses, Nurse Managers, And Nurse Executives, Amanda Raffenaud

Electronic Theses and Dissertations

The nursing workforce increasingly faces issues that affect clinical and managerial practice. One such issue is work-family conflict (WFC) and family-work conflict (FWC). Nurses face role strain as they confront the pressures from often competing work-and-family roles. This study assessed WFC/FWC among varying nurse roles: staff nurses, managerial nurses, and nurse executives. A random sample of 5,000 nurses, generated from registered nurses practicing in the state of Florida, was surveyed for this research study. Nurses were surveyed on demographics, perceptions regarding the work environment, and perceptions of WFC/FWC. Descriptively, nurses experienced more work-family conflict than family-work conflict ...


Digital Commons powered by bepress