Health Services Administration Commons^™

Impact Of Social Determinants Of Health On Adherence To Urinary Tract Infection Treatment Recommendations: A Scoping Review, Charles W. Stewart Cpnp, Diana Dedmon Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background: Pediatric health is significantly affected by social determinants of health. Screening for and addressing social determinants of health helps to decrease negative effect on health outcomes. The purpose of this project is to determine if there is an association between addressing or not addressing social determinants of health by the healthcare provider and parents’ adherence to treatment recommendations in children with urinary tract infections.

Methods: Between October 2020 and November 2021, a literature review was performed to obtain data from studies regarding urinary tract infections, social determinants of health and adherence to treatment recommendations. The University of Tennessee Health …

Boarding Barriers For Psychiatric Patients In Emergency Departments, Emmeline B. Martin Bsn, Rn, Alison Rossano Bsn, Rn, Diana Dedmon Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Objective To identify past or current literature about emergency department holds and psychiatric patients consisting of the evaluation of patient outcomes, satisfaction and equity of care. It is already known that shorter boarding times from the emergency department to a psychiatric unit have positive patient outcomes such as a decrease in readmissions, increase in patient satisfaction and efficiency in appropriate treatment.

Method A scoping review to analyze data by grouping articles into themes which included authors, date of publication, aims/purpose, methodology, sample, interventional details, and the key findings in each article. Excluded articles included those discussing COVID-19 and case management. …

Impact Of Ante- And Postnatal Depression Screening In Women With Hiv: A Scoping Review, Kimberly M. Grider Bsn, Rn, Pmh-Bc, Bao Chau Le Bsn, Rn, Blessing Okon Bsn, Rn, Diana Dedmon Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background Maternal depression has been identified as a strong predictor of poor prenatal care. Among pregnant women living with Human Immunodeficiency Virus (HIV), mental health-related factors such as depression could potentially undermine effective antiretroviral therapy (ART) adherence, increase mortality, and cause poor HIV viral suppression consequently impacting vertical transmission of HIV. This scoping review aims to identify existing knowledge regarding the impact of ante- and postnatal depression screening in women with HIV and to adduce the necessity for effective screening.

Methods A literature search was performed for studies with primary outcomes of depression screening within the context of ante- or …

A Call For Occupational Justice: Amending Medicare Policy, Amanda Amaro, Lisa Griggs-Stapleton, Jennifer Summers

Spring 2022 Virtual OTD Capstone Symposium

This advocacy project titled, A Call for Occupational Justice: Amending Medicare Policy focuses on advocating for increased access to occupational therapy (OT) services for elderly individuals within home health settings and bridging the health equity gap. The student was able to collaborate with the AOTA Federal Affairs Department throughout their capstone advocacy experience. They began the process of addressing Medicare home health policy serving as an environmental barrier for quality of life within this population through preparing to introduce legislation amending Medicare policy. This Medicare home health legislation would allow OT to be recognized as a Medicare qualifying home health …

Association Of Age-Related Macular Degeneration With Prior Hyperthyroidism And Hypothyroidism: A Case-Control Study, Shih-Han Hung, Sudha Xirasagar, Tung-Mei Tammy Kuang, Wei-Wen Chang, Yen-Fu Cheng, Nai-Wen Kuo, Herng-Ching Lin

Faculty Publications

Prior studies suggest a possible association between thyroid disease and the subsequent development of age-related macular degeneration (AMD), although it remains inconclusive. This study aimed to evaluate the association of AMD with prior hyper-/hypothyroidism based on nationwide population-based data. We retrieved records of the study patients from the National Health Insurance Research Database, 7522 patients with a first-time diagnosis of AMD and 7522 propensity score-matched controls. Multiple logistic regression analyses were performed to explore the association of neovascular AMD with previously diagnosed hyperthyroidism or hypothyroidism. The Chi-square test shows that there was a statistically significant difference in the prevalence of …

Using Digital Storytelling To Assess Patient Experience With Management Of Diabetes In Everyday Life (Model) Study Intervention, Arati Joshi

Longitudinal Scholar's Project

African Americans are disproportionately affected by obesity-associated diabetes compared to their White counterparts. While social determinants of health may contribute to their poor health outcomes, studies have shown that pragmatic primary care-based interventions can be effective in improving the management of obesity-associated diabetes. The Management of Diabetes in Everyday Life (MODEL) is a pragmatic randomized comparative effectiveness trial of three approaches (health coaching, text-messaging, and enhanced usual care) to supporting medically underserved African American patients with uncontrolled diabetes in improving their self-care decisions. The purpose of this study is to assess the effect of the MODEL program participation on the …

A Discrete Choice Experiment Investigating Hiv Testing Preferences In South Africa, P. Chiwire, A. C. Muhlbacher, S. M. Evers, H. Mahomed, Jan Ostermann Ph.D., M. Hiligsmann

Faculty Publications

Background

South Africa (SA) has the world’s highest burden of HIV infection, with an estimated 13.7% of the population living with HIV (PLWH/Persons Living With HIV). The early identification of PLWH and rapid engagement of them in HIV treatment are indispensable tools in the fight against HIV transmission. Understanding client preferences for HIV testing may help improve uptake. This study aimed to elicit client preferences for key characteristics of HIV testing options.

Methods

A discrete-choice experiment (DCE) was conducted among individuals presenting for HIV testing at two public primary healthcare facilities in Cape Town, South Africa. Participants were asked to …

Covid-19 Vaccine Uptake Among College Students, Erin Hoening, Elizabeth Morse, David Phillippi, Krystal Huesmann

DNP Projects

Background: Public health strategies to improve COVID-19 vaccine uptake among college students living in residential communities varied, some universities opted to mandate COVID-19 vaccines while other universities opted to promote and influence the choice for vaccination.

Purpose: This descriptive, cross-sectional study examined the voluntary uptake of COVID-19 vaccines among residential students on a college campus in the southeastern U.S. that elected an evidence-driven health promotion strategy that included strong health promotion messaging coupled with coordinated efforts to make the vaccine accessible and appealing to students on campus.

Methods: Analysis of vaccine uptake was derived from campus electronic health records during …

The Public Health Response To Covid-19 In The Southwest Region Of Missouri, Jennifer Trott Mph, K. Holly Mead Phd, Marie-Anais Benoit, Dora Hughes Md, Mph, Jeffrey Levi Phd, Jacqueline Baños Mph, Semret Seyoum Mph, Marsha Regenstein Phd

Reports on Missouri's Public Health Response to COVID-19

The Public Health Response to COVID-19 in the Southwest Region of Missouri documents efforts by Southwest Missouri’s local public health agencies along with other stakeholders to leverage their partnerships, resources, and expertise to respond to COVID-19. Along with professional stakeholder accounts, the report includes residents’ perspectives and experiences during the COVID-19 response. Professional and resident findings helped identify lessons that could strengthen the public health system’s ability to continue responding to COVID-19 and face future crisis with greater resources, coordination, equitable strategies, modernized infrastructure and public trust. The findings in this report center on the period of the pandemic from …

The Public Health Response To Covid-19 In The Northeast Region Of Missouri, Jennifer Trott Mph, K. Holly Mead Phd, Anne Markus Phd, Jd, Alexis Acosta Msc, Jacqueline Baños Mph, Ciara Conway, Marie-Anais Benoit, Marsha Regenstein Phd

Reports on Missouri's Public Health Response to COVID-19

The Public Health Response to COVID-19 in the Northeast Region of Missouri documents efforts by Northeast Missouri’s local public health agencies along with other stakeholders to leverage their partnerships, resources, and expertise to respond to COVID-19. Along with professional stakeholder accounts, the report includes residents’ perspectives and experiences during the COVID-19 response. Professional and resident findings helped identify lessons that could strengthen the public health system’s ability to continue responding to COVID-19 and face future crisis with greater resources, coordination, equitable strategies, modernized infrastructure and public trust. The findings in this report center on the period of the pandemic from …

The Public Health Response To Covid-19 In The St. Louis Region Of Missouri, Marsha Regenstein Phd, K. Holly Mead Phd, Jennifer Trott Mph, Semret Seyoum Mph, Jacqueline Baños Mph, Hope Van Bronkhorst, Marie-Anais Benoit, Dora Hughes Md

Reports on Missouri's Public Health Response to COVID-19

The Public Health Response to COVID-19 in the St. Louis Region of Missouri documents efforts by St. Louis Missouri’s local public health agencies along with other stakeholders to leverage their partnerships, resources, and expertise to respond to COVID-19. Along with professional stakeholder accounts, the report includes residents’ perspectives and experiences during the COVID-19 response. Professional and resident findings helped identify lessons that could strengthen the public health system’s ability to continue responding to COVID-19 and face future crisis with greater resources, coordination, equitable strategies, modernized infrastructure and public trust. The findings in this report center on the period of the …

A Comparative Analysis Of Migrant Health Policies And Practices In The Us And Switzerland, Rebecca Mak

Independent Study Project (ISP) Collection

Migrants compose a large proportion of the population in both the US and Switzerland. The social vulnerability of migrants has been well-established in literature, but few studies have attempted to compare healthcare policies and approaches that most effectively support migrant health using multiple measures.

To fill this gap in the literature, this study will comparatively analyze of the efficacy of US and Switzerland migrant health policies and services by assessing access to and quality of care for migrants in each country. Four main features of healthcare systems were analyzed: insurance policy, healthcare utilization, NCD outcomes, and patient perceptions of care. …

Gonorrhea: Core Areas And State Policies, Jessica Purser

Theses and Dissertations

This research looked at gonorrhea rates both from a community perspective and at the state level. Using hot spot analysis, means differences, and quantile regression, we found that education, specifically the percent of people over the age of 25 with less than a high school education, was the dominant factor at the state level while core areas of gonorrhea exist in the PeeDee and western Lowcountry regions of South Carolina in 2017 and 2018. Risky sexual behaviors are well-defined in the literature for individual persons, but this shows that looking at societal and community factors is important.

This is a …

Increased Risk Of Major Depressive Disorder Following Tinnitus: A Population-Based Study, Herng-Ching Lin, Sudha Xirasagar Mbbs, Ph.D., Chia-Hui Wang, Yen-Fu Cheng, Tzong-Hann Yang

Faculty Publications

Background and Purpose: In this study, we aimed to evaluate the relationship between tinnitus and a subsequent diagnosis of major depressive disorder (MDD) by studying the incidence of both entities.

Design: A retrospective cohort study.

Methods: Data for this observational follow-up study were retrieved from the Taiwan's National Health Insurance Dataset. A total of 375,272 patients with newly diagnosed tinnitus (study group) were retrieved. The date of first diagnosis of tinnitus was assigned as their index date. Comparison patients were selected by propensity score matching (one per case, n = 375,272 controls) from the same dataset, with their index date …

A New Directive: An Ethical Analysis Of The Ethical And Religious Directives And Catholic Healthcare Mission To Promote And Sustain Catholic Healthcare, Noah Dimas

Graduate Student Research Symposium

At the heart of all Catholic healthcare is the mission and duty to further the healing ministry of Jesus Christ and care for one’s neighbor to uphold human dignity. However, some in Catholic healthcare may not fully know nor understand these foundational Catholic teachings. As such, these healthcare professionals can turn to a simple but rich guide in giving direction to these healthcare professionals, the USCCB’s Ethical and Religious Directives. This document acts as both a primer and set of guidelines regarding Catholic doctrine, the Catholic moral tradition, and how both inform the Catholic response to common ethical concerns. However, …

Antibacterial And Anti-Hiv-1 Gp120 Activities Of Selected Medicinal Plants, Rose J. Masalu, Cyprian B. Mpinda

Journal of Humanities and Social Sciences

Medicinal plants play an important role in traditional medicine and drug development research because of their numerous bioactivities. However, some concerns have risen on the inefficiencies of such products due to improper use of medicinal plant products, notably when mixed with other traditional remedies. This study evaluates the antibacterial and anti-human immunodeficiency virus 1 glycoprotein 120/CD4 (anti-HIV-1 GP120/CD4) activities of medicinal plants species Sapium ellipticum, Pseudospondias microcarpa, and Capparis erythrocarpos; and their respective combinations effects. Results revealed that aqueous and ethyl acetate extracts of S. ellipticum and P. microcarpa had antimicrobial activities against S. aureus (ATCC 25923), E. coli (ATCC …

The 2025 Michigan State Oral Health Plan, Ellen Sugrue Hyman Jd

The Journal of the Michigan Dental Association

This feature article explores the 2025 Michigan State Oral Health Plan (SOHP), a comprehensive initiative developed by the Michigan Oral Health Coalition (MOHC) and a statewide coalition, including the Michigan Dental Association (MDA). With a focus on enhancing oral health for all Michigan residents, the SOHP prioritizes addressing economic and racial disparities. The plan, guided by three key goals—Increasing Awareness and Education, Dental-Health Integration, and Access and Infrastructure—aims to improve oral health outcomes. The article discusses the plan's development process, key findings highlighting existing disparities, workforce challenges, and the strategic implementation of the SOHP through collaborative efforts and workgroups.

Getting Clear About Fuzzy Matching: A Guide To Matching Administrative Data Sets, Taylor Doren, Chia-Hua Yu, Benjamin Gronowski

Articles, Abstracts, and Reports

No abstract provided.

Kinerja Pelayanan Poliklinik Obstetri Dan Ginekologi Dengan Metode Performance Prism Di Rsia Sammarie Basra, Kristee Grace Sormin, Puput Oktamianti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Analysis of unit service performance is very important for the improvement or growth of hospital services. This study discusses the analysis of the performance of the Obstetrics and Gynecology (Obgyn) Polyclinic service at SamMarie Basra Hospital using the Performance Prism method. This type of research is a qualitative study with the aim of getting a picture of stakeholder satisfaction, stakeholder contribution, strategy, process, and capability through in-depth interviews, observation and document review. The results of this study indicate that each stakeholder's satisfaction with the Obgyn Polyclinic's performance has not been maximized because most of the stakeholders' desires and needs have …

Teledentistry: Strategi Marketing Pelayanan Kesehatan Gigi Dan Mulut Di Era Pandemi Covid-19: Systematic Review, Noormaya Sari, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

During COVID-19 pandemic, most patients were unwilling to visit the hospital because of fear of COVID-19 contracted, including dental patients, then led to a decrease in the number of patients visits to dental clinics. Hospital managements should have the right marketing strategy so that this situation does not interfere with the operation and income of the hospital. One of the dental service concept that can be developed during the COVID-19 pandemic is teledentistry. The design of this study is a systematic review that searches correlation between dental patients and COVID-19 and marketing strategy. As a result, several studies said that …