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Full-Text Articles in Medicine and Health Sciences

Situational And Financial Barriers To Prenatal Care In A Sample Of Low-Income, Inner-City Women, P. St Clair, V. Smeriglio, C. Alexander, F. Connell, Jennifer Niebyl May 2013

Situational And Financial Barriers To Prenatal Care In A Sample Of Low-Income, Inner-City Women, P. St Clair, V. Smeriglio, C. Alexander, F. Connell, Jennifer Niebyl

Jennifer R Niebyl

The relationship between the use of prenatal care and factors that may impede access to care was examined in a sample of low-income, inner-city women. Situational and financial barriers to care were not important correlates of utilization. In unadjusted analyses, only insurance status and employment status were associated with utilization. Of the sociodemographic characteristics studied, only parity was strongly associated with the use of prenatal care. When the apparent associations between utilization and insurance status and utilization and employment were analyzed controlling for parity, the estimated strength and statistical significance of these relationships diminished considerably. Multiparous women who were more …


Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace Sep 2012

Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace

Andrea S. Wallace

The purpose of this exploratory, descriptive study was to identify factors that facilitate or impede the use of health care resources by urban children with asthma. Using an embedded case study design, the study considered the issue of health care access for urban children with asthma by focusing on attributes that impede and facilitate these children's access to health care resources. Interview, demographic, survey, and medical records data were analyzed for 34 parent-child dyads accessing asthma care in one metropolitan health care system. Interview data from 14 health care professionals were also analyzed. These findings were then compared with utilization …


Guiding Inpatient Quality Improvement: A Systematic Review Of Lean And Six Sigma, Justin Glasgow, Jill Scott-Caziewell, Peter Kaboli Nov 2011

Guiding Inpatient Quality Improvement: A Systematic Review Of Lean And Six Sigma, Justin Glasgow, Jill Scott-Caziewell, Peter Kaboli

Jill Scott-Cawiezell

Background: Two popular quality improvement (QI) approaches in health care are Lean and Six Sigma. Hospitals continue to adopt these QI approaches -- or the hybrid Lean Sigma approach -- with little knowledge on how well they produce sustainable improvements. A systematic literature review was conducted to determine whether Lean, Six Sigma, or Lean Sigma have been effectively used to create and sustain improvements in the acute care setting. Methods: Databases were searched for articles published in the health care, business, and engineering literatures. Study inclusion criteria required identification of a Six Sigma, Lean, or Lean Sigma project; QI efforts …


President's Message. Crystal Ball Gazing, Patricia Clinton Oct 2011

President's Message. Crystal Ball Gazing, Patricia Clinton

Patricia K. Clinton

No abstract provided.