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The Patient Perspective: Receiving Care In The Post-Aca Era, Melanie F. Molina, Medell Briggs-Malonson 2017 Harvard Medical School

The Patient Perspective: Receiving Care In The Post-Aca Era, Melanie F. Molina, Medell Briggs-Malonson

Journal of Health Disparities Research and Practice

The purpose of this study was to explore patients’ experiences and perceptions regarding the accessibility of healthcare services within a low-income, culturally diverse community in the post-Affordable Care Act era. We conducted a cross-sectional qualitative analysis of 32 interviews with patients that presented to a community emergency department in South L.A with one or more adult ambulatory care sensitive conditions. Both insured and uninsured patients shared many of the same experiences and perceptions when accessing healthcare services. The most prominent commonalities were related to healthcare cost, difficulty qualifying for insurance, lack of awareness of existing services, and healthcare service ...


Identifying Corners Stores As The Future Of Healthy Food Access In African American Communities, Victor Romano, Jennifer Lee, Elliott Royal, Katherine Metzo, William Ruth, Theodore Hartsook 2017 Catawba College

Identifying Corners Stores As The Future Of Healthy Food Access In African American Communities, Victor Romano, Jennifer Lee, Elliott Royal, Katherine Metzo, William Ruth, Theodore Hartsook

Journal of Health Disparities Research and Practice

For many people, the corner store remains the main grocer, or the only source of sustenance in minority communities. This study examined the distribution of corner stores as a future reference point to provide healthy food access to predominantly African American communities that lack full service grocery stores. Business data was obtained from respective county by use of Standard Industrial Codes. Each corner store was then categorized by either being Full Service (Stores that sell fresh produce, fresh meat, fresh dairy, and processed foods) or Non-Full Service (stores that do not sell all four categories of foods included in the ...


Stroke Quality Measures In Mexican Americans And Non-Hispanic Whites, Darin B. Zahuranec, Lynda D. Lisabeth, Jonggyu Baek, Eric E. Adelman, Nelda M. Garcia, Erin C. Case, Morgan S. Campbell, Lewis Morgenstern 2017 University of Michigan

Stroke Quality Measures In Mexican Americans And Non-Hispanic Whites, Darin B. Zahuranec, Lynda D. Lisabeth, Jonggyu Baek, Eric E. Adelman, Nelda M. Garcia, Erin C. Case, Morgan S. Campbell, Lewis Morgenstern

Journal of Health Disparities Research and Practice

Mexican Americans (MAs) have been shown to have worse outcomes after stroke than non-Hispanic Whites (NHWs), but it is unknown if ethnic differences in stroke quality of care may contribute to these worse outcomes. We investigated ethnic differences in the quality of inpatient stroke care between MAs and NHWs within the population-based prospective Brain Attack Surveillance in Corpus Christi (BASIC) Project (February 2009- June 2012). Quality measures for inpatient stroke care, based on the 2008 Joint Commission Primary Stroke Center definitions were assessed from the medical record by a trained abstractor. Two summary measure of overall quality were also created ...


The Impact Of The Patient-Centered Medical Home On Health Disparities In Adults: A Systematic Review Of The Evidence, J. Nwando Olayiwola 2062970, Sonali Sheth, Victor Mleczko, Anna L. Choi, Anjana E. Sharma 2017 University of California, San Francisco

The Impact Of The Patient-Centered Medical Home On Health Disparities In Adults: A Systematic Review Of The Evidence, J. Nwando Olayiwola 2062970, Sonali Sheth, Victor Mleczko, Anna L. Choi, Anjana E. Sharma

Journal of Health Disparities Research and Practice

Introduction: The objective of this study was to review the empirical evidence on Patient-Centered Medical Home (PCMH) impact on health disparities in adults.

Methods: We searched PubMed, Scopus, and Google Scholar to identify studies on PCMH/health homes and health disparities published in English between January 1, 2009 and December 31, 2014. Articles met inclusion criteria if they investigated at least one component of PCMH or health homes in vulnerable populations, defined by PROGRESS-PLUS criteria, and reported differences in one of five clinical quality measures.

Results: 964 articles were identified through database searching and subsequent snowballing. 60 articles underwent full ...


No Puffs: Penguins Go Smoke-Free, Monica Sciamanna 2017 Dominican University of California

No Puffs: Penguins Go Smoke-Free, Monica Sciamanna

Scholarly & Creative Works Conference 2018

In partnership with the Department of Student Life, this project examines campus smoking behaviors among students, faculty, and staff. It will gather information regarding awareness and perceptions of current smoking policies at Dominican. Data may be used in the development of a new campus smoking policy.


Asthma-Related Hospitalization And Emergency Room Visits In Oakland, Alondra Varela 2017 San Jose State University

Asthma-Related Hospitalization And Emergency Room Visits In Oakland, Alondra Varela

McNair Research Journal SJSU

The City of Oakland has seen diminished childhood asthma rates. During the last few years more children have been able to qualify for Medi-Cal and other health insurance plans under the Affordable Care Act (ACA). Local programs work together with Medi-Cal and ACA to reduce the number of symptoms related to asthma by making sure children from low-income communities have access to primary care, medicine, and treatment. Unfortunately, the asthma-related hospitalizations and emergency room visits among children have continued to increase. These rates are even higher in low-income communities located near highly trafficked areas. To investigate this phenomenon, this study ...


Exploring Memory Impairment In A Rural Community In Tanzania: Trends And Reflections, Amanda Barry 2017 Ohio Wesleyan University

Exploring Memory Impairment In A Rural Community In Tanzania: Trends And Reflections, Amanda Barry

Student Symposium

The researchers traveled to Tanzania in January of 2017. For two weeks they traveled to various Masaai villages around the town of Arusha. Mini-mental status exams were administered to 46 individuals ranging in age from 40-101 years. For those participants whose scores reflected possible memory impairment, family members or close friends were then administered a semi-structured interview to develop a more comprehensive understanding of the individual's life and cognitive function. The data collection process was directly affected by cultural differences between the United States (where the materials were developed) and Tanzania (where the materials were applied). This effect, although ...


How Healthcare And Culture Impacts Cost And Experience Of Sex Reassignment Surgery In Various Sites Of Europe, Carson Shaw 2017 Ohio Wesleyan University

How Healthcare And Culture Impacts Cost And Experience Of Sex Reassignment Surgery In Various Sites Of Europe, Carson Shaw

Student Symposium

My presentation reviews how more widely accessible forms of health insurance impact a trans person’s ability to transition in the Netherlands, Germany, the Czech Republic, and Poland. This includes the steps and processes they must go through, the pressures of transitioning, and the overall costs of sex reassignment surgery, both socially and financially. It also takes into account the cultural stressors of transitioning as well as how different types of insurances are more or less beneficial to people in each of these countries. In order to achieve this research, I performed interviews and lectures on trans experience in each ...


2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Contest Entry), Megan Kenney 2017 Chapman University

2nd Place: Patient Activation Among Diverse Populations: A Systematic Review (Contest Entry), Megan Kenney

Kevin and Tam Ross Undergraduate Research Prize

This is Megan Kenney's submission for the 2017 Kevin and Tam Ross Undergraduate Research Prize, which won second place. She wrote about the patient activation (a measure of an individual’s knowledge, skill, and confidence in managing his or her own health and health care) among diverse populations. You can read the final essay that came out of her research here.

Megan is a senior at Chapman University, majoring in Kinesiology. Her faculty mentor is Dr. Elizabeth DeBaets.


Deaf 101: How To Navigate Clinical Interactions With Deaf Sign Language Users, Melissa L. Anderson, Timothy Riker 2017 University of Massachusetts Medical School

Deaf 101: How To Navigate Clinical Interactions With Deaf Sign Language Users, Melissa L. Anderson, Timothy Riker

SPARC Multimedia & Webinars

This webinar provides some basic guidelines for interacting with culturally Deaf clients, including how to work with American Sign Language interpreters and Certified Deaf interpreters, how to respect Deaf culture and Deaf social norms, and how to adapt common treatment approaches to be more Deaf-friendly.


Nortex Spring 2017 Newsletter, North Texas Primary Care Practice-Based Research Network 2017 University of North Texas Health Science Center

Nortex Spring 2017 Newsletter, North Texas Primary Care Practice-Based Research Network

North Texas Primary Care Practice-Based Research Network (NorTex) Newsletter

No abstract provided.


Rapid Innovations In Care: Building On The Success Of A Care Transitions Team., Laura J. Benner RN, BSN, ACM-RN, CCCTM, Cathryn L. Kelly BS, RN, LDN, CCCTM 2017 Lehigh Valley Health Network

Rapid Innovations In Care: Building On The Success Of A Care Transitions Team., Laura J. Benner Rn, Bsn, Acm-Rn, Ccctm, Cathryn L. Kelly Bs, Rn, Ldn, Ccctm

Department of Community Health and Health Studies

No abstract provided.


Sleep Disorders And Kidney Transplant Outcomes: Findings From An 18-Year (1997-2015) Historical Cohort Study, Margaret M. Lubas 2017 Old Dominion University

Sleep Disorders And Kidney Transplant Outcomes: Findings From An 18-Year (1997-2015) Historical Cohort Study, Margaret M. Lubas

Health Services Research Dissertations

A historic cohort study of kidney transplant recipients with a failed graft was conducted to examine the associations between sleep disorders and kidney transplant outcomes. Adult kidney transplant recipients who were transplanted and failed or died with a functioning graft during the designated study time period (January 1, 1997 to September 1, 2015, inclusive) were included (n=299). The primary independent variables, any sleep disorder and any sleep-disordered breathing disorders, were defined through a diagnosis in a subject’s medical record. Transplant outcomes included: death with a functioning graft, graft survival time, and patient survival time after graft failure.

Chi-square ...


Rural Opioid Prevention And Treatment Strategies: The Experience In Four States, John A. Gale MS, Anush Hansen MS,MA, Martha Elbaum Williamson MPA 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Rural Opioid Prevention And Treatment Strategies: The Experience In Four States, John A. Gale Ms, Anush Hansen Ms,Ma, Martha Elbaum Williamson Mpa

Behavioral Health

Although opioid use rates are comparable in rural and urban counties, rural opioid users tend to be younger, unmarried, have lower incomes, and are more likely to lack health insurance, all vulnerabilities that may negatively impact their ability to seek treatment and recover. Additionally, the rural health care system is characterized by numerous resource, workforce, access, and geographic challenges that complicate the delivery of specialized care for OUDs in rural communities. The nature and scope of the opioid crisis vary across rural communities and require multifaceted, community-based strategies to address the problem. Based on interviews with key stakeholders in Indiana ...


Rural Opioid Prevention And Treatment Strategies: The Experience In Four States [Policy Brief], John A. Gale MS, Anush Hansen MS,MA, Martha Elbaum Williamson MPA 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Rural Opioid Prevention And Treatment Strategies: The Experience In Four States [Policy Brief], John A. Gale Ms, Anush Hansen Ms,Ma, Martha Elbaum Williamson Mpa

Behavioral Health

Little is known about what states with large rural populations are doing to combat opioid use disorders (OUD) in rural communities. This qualitative study identified rural challenges to the provision of OUD prevention, treatment, and recovery services and explored promising strategies to tackle the opioid crisis in rural communities.


Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake 2017 East Tennessee State University

Physician Role In Physical Activity For African-American Males Undergoing Radical Prostatectomy For Prostate Cancer, Faustine Williams, Kellie R. Imm, Graham A. Colditz, Ashley J. Housten, Lin Yang, Keon L. Gilbert, Bettina F. Drake

ETSU Faculty Works

Purpose

Physical activity is recognized as a complementary therapy to improve physical and physiological functions among prostate cancer survivors. Little is known about communication between health providers and African-American prostate cancer patients, a high risk population, regarding the health benefits of regular physical activity on their prognosis and recovery. This study explores African-American prostate cancer survivors’ experiences with physical activity prescription from their physicians.

Methods

Three focus group interviews were conducted with 12 African-American prostate cancer survivors in May 2014 in St. Louis, MO. Participants’ ages ranged from 49 to 79 years, had completed radical prostatectomy, and their time out ...


Evaluating The Impact Of Interventions By A Multidisciplinary Pediatric Behavioral Health Medication Initiative Workgroup On Medication Prescribing Trends In A Medicaid Population, Ashley N. Camilo, Neha Kashalikar, Thomas C. Pomfret, Donna M. Faber, Kimberly J. Lenz, Joel Goldstein, Karen M. Clements, Michael Angelini, Patricia Leto, Paul L. Jeffrey 2017 University of Massachusetts Medical School

Evaluating The Impact Of Interventions By A Multidisciplinary Pediatric Behavioral Health Medication Initiative Workgroup On Medication Prescribing Trends In A Medicaid Population, Ashley N. Camilo, Neha Kashalikar, Thomas C. Pomfret, Donna M. Faber, Kimberly J. Lenz, Joel Goldstein, Karen M. Clements, Michael Angelini, Patricia Leto, Paul L. Jeffrey

Commonwealth Medicine Publications

In 2011, the U.S. Government Accountability Office (GAO) reported foster and non-foster children in the MassHealth, Massachusetts Medicaid program, exhibited the highest rate of behavioral health medication (BHM) utilization, with 49.3% of all Medicaid children being prescribed a psychotropic medication, and 39.1% of children in foster care prescribed these medications.

The MassHealth Pharmacy Program, which is managed by UMass Medical School, implemented a PBHMI Workgroup in November 2014 with the collaboration of the Department of Children and Families and the Department of Mental Health.

The workgroup proactively requires prior authorization (PA) for specific medications or combinations of ...


Effectiveness Of Ledipasvir/Sofosbuvir And Predictors Of Treatment Failure In Members With Hepatitis C Genotype 1: A Retrospective Cohort Study In A Medicaid Population, George Kouris, Tasmina Hydery, Bonnie C. Greenwood, Pavel Lavitas, Caroline J. Alper, Mylissa K. Price, Karen M. Clements, Kimberly J. Lenz, Paul L. Jeffrey 2017 University of Massachusetts Medical School

Effectiveness Of Ledipasvir/Sofosbuvir And Predictors Of Treatment Failure In Members With Hepatitis C Genotype 1: A Retrospective Cohort Study In A Medicaid Population, George Kouris, Tasmina Hydery, Bonnie C. Greenwood, Pavel Lavitas, Caroline J. Alper, Mylissa K. Price, Karen M. Clements, Kimberly J. Lenz, Paul L. Jeffrey

Commonwealth Medicine Publications

An evaluation of the effectiveness of HCV genotype 1 treatment with Harvoni® (ledipasvir/sofosbuvir) as measured by a sustained virological response (SVR) of 12 weeks in the MassHealth fee-for-service and Primary Care Clinician plan population. The analysis concluded that treatment was associated with a a high rate of SVR12, which means that Hepatitis C is not detected in the blood after 12 weeks.


Identifying Disparities In Colorectal Cancer Screening Rates In Milwaukee-Based Academic And Nonacademic Clinics, Jasmine Wiley, Jonathan J. Blaza, Will Lehmann, Deborah Simpson, Jeffrey A. Stearns, Shelby L. Pischke, Tracy L. Greiten 2017 Department of Family Medicine, Aurora Health Care

Identifying Disparities In Colorectal Cancer Screening Rates In Milwaukee-Based Academic And Nonacademic Clinics, Jasmine Wiley, Jonathan J. Blaza, Will Lehmann, Deborah Simpson, Jeffrey A. Stearns, Shelby L. Pischke, Tracy L. Greiten

Will Lehmann, MD

Background: The Institute for Healthcare Improvement’s Triple Aim focuses on improving the patient’s experience of care, improving population health and reducing the per capita cost of health care. Health care systems and providers continuously seek to improve quality of care through understanding what percentage of their patients are achieving quality-of-care standards for various indicators, including immunizations, tobacco cessation, asthma and cancer screening. As health care moves toward reimbursing for value-based care, deepening our understanding of patient population characteristics within each of these conditions is vital to continuous quality improvement.

Purpose: To determine if there are race/ethnicity/age ...


Identifying Disparities In Colorectal Cancer Screening Rates In Milwaukee-Based Academic And Nonacademic Clinics, Jasmine Wiley, Jonathan J. Blaza, Will Lehmann, Deborah Simpson, Jeffrey A. Stearns, Shelby L. Pischke, Tracy L. Greiten 2017 Department of Family Medicine, Aurora Health Care

Identifying Disparities In Colorectal Cancer Screening Rates In Milwaukee-Based Academic And Nonacademic Clinics, Jasmine Wiley, Jonathan J. Blaza, Will Lehmann, Deborah Simpson, Jeffrey A. Stearns, Shelby L. Pischke, Tracy L. Greiten

Will Lehmann, MD

Background: The Institute for Healthcare Improvement’s Triple Aim focuses on improving the patient’s experience of care, improving population health and reducing the per capita cost of health care. Health care systems and providers continuously seek to improve quality of care through understanding what percentage of their patients are achieving quality-of-care standards for various indicators, including immunizations, tobacco cessation, asthma and cancer screening. As health care moves toward reimbursing for value-based care, deepening our understanding of patient population characteristics within each of these conditions is vital to continuous quality improvement.

Purpose: To determine if there are race/ethnicity/age ...


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