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Full-Text Articles in Medicine and Health Sciences

Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas Dec 2016

Hpv Vaccine Reminders At The Point Of Service: Efficacy And Missed Opportunities. A Claims Based Study Within One Health Plan, B. Dale Magee, Katherine G. Leung, Tiffany A. Moore Simas

B. Dale Magee

Introduction: Our objective is to assess HPV vaccine series completion rates, whether on-screen Point of Service reminders (POS) make a difference, and missed opportunities for reminders to have an effect. Methods: Retrospective, claims-based study of females aged 9-26 receiving an initial dose of HPV vaccine during 2 periods: before (period 1) and after (period 2) implementation of a POS reminder system in 1(“Change Group”) of 2 physician groups using EHRs for both periods. Completion rates, and missed opportunities during eligible periods were calculated for those with continuous enrollment in the health plan investigated. Results: Completion rates within 1 year of …


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 Dec 2016

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

Aurora Family Medicine Residents

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/preferred language (REAL) disparities in …


Aca Implementation In Metro Louisville: Outreach And Enrollment, Susan Buchino, Liza Creel Sep 2016

Aca Implementation In Metro Louisville: Outreach And Enrollment, Susan Buchino, Liza Creel

Susan Buchino

The purpose of this study was to identify gaps in outreach and enrollment patterns in Metro Louisville, to examine the impact that outreach has made during ACA implementation in Metro Louisville, and to understand the evolution of outreach strategies and the role of outreach and enrollment personnel in Metro Louisville. Additionally, this study examined the demographics and perspectives of individuals who remain uninsured in the Metro Louisville area to inform ongoing outreach and community education strategies.

This was an exploratory study that sought to understand enrollment patterns to identify gaps in the Metro Louisville community and to inform state- and …


Application Of The Breastfeeding Personal Efficacy Beliefs Inventory And Acknowledgment Of Barriers For Improving Breastfeeding Initiation Rates In An Urban Population, Diwata Bose, Callie Cox Bauer, Kiley A. Bernhard, Dennis J. Baumgardner Feb 2016

Application Of The Breastfeeding Personal Efficacy Beliefs Inventory And Acknowledgment Of Barriers For Improving Breastfeeding Initiation Rates In An Urban Population, Diwata Bose, Callie Cox Bauer, Kiley A. Bernhard, Dennis J. Baumgardner

Dennis J. Baumgardner, MD

Introduction: Breastfeeding (BF) is recognized as the preferred method of infant nutrition by American Academy of Pediatricians, American College of Obstetricians and Gynecologists, and the World Health Organization. Despite the benefits of BF, in 1998 only 69% of new mothers in the United States initiated BF and 29% continued to breastfeed at 6 months. Objective: To assess perceived breastfeeding confidence (BFC) and determine barriers in regards to BF in an urban population. Methods: The Breastfeeding Personal Efficacy Beliefs Inventory (BPEBI) was used to determine perceived BFC. The survey was distributed to 271 women during prenatal appointments at an urban Milwaukee …


Cbpr And A Multitrack Model Of Development: A Critical Ethnography Of A Community-Based Health Communication Project., Jeanette Dillon, Kate Magsamen-Conrad Dec 2015

Cbpr And A Multitrack Model Of Development: A Critical Ethnography Of A Community-Based Health Communication Project., Jeanette Dillon, Kate Magsamen-Conrad

Kate Magsamen-Conrad

Scholars in development communication have called for a more participatory approach in development programs. However, the traditional, generally top-down approach associated with the modernization paradigm still dominates in practice [1]. The mere existence of participatory models has not been enough to move the participatory approach to prominence. Sparks has noticed the discrepancy between theory and practice observing that although the dominant paradigm has been disparaged and the participatory paradigm praised since the 1970s, researchers have been slow to adopt participatory methods [1]. This discrepancy may be because in practice, participation is difficult to manipulate, control, analyze and evaluate. We argue …