Medicine and Health Commons^™

Patient-Reported Outcomes Screening For Improved Patient Wellness: A Cancer Center Initiative, Alison Morris

Doctor of Nursing Practice (DNP) Projects

Background: People experiencing serious illness have significant unmet physical, emotional, social and spiritual needs. The Quality Oncology Practice Initiative (QOPI) requires patients to be screened for emotional wellbeing and pain by their second oncology visit. This project details one cancer center’s quality improvement initiative to (a) implement electronic screening of every cancer patient by their second oncology visit, (b) design processes for ongoing assessment and intervention of need(s), and (c) develop measurable and sustainable evaluation metrics to ensure that palliative care needs are met. Methods: In June 2015, we launched electronic collection of patient-reported outcomes (PROs) using the Patient Reported …

Gender And Attitudes About Mental Health Help Seeking: Results From National Data, Douglas Wendt, Kevin Shafer

Faculty Publications

Men often express less emotion than women do, are hesitant to express weakness, and seek professional help much less frequently than do their female counterparts. The lack of help seeking is common across characteristics such as age, race, ethnicity, and nationality. Authors used data from the 2006 General Social Surveys mental health module to suggest that the gender gap in help seeking may be rooted in attitudes regarding help-seeking behaviors generally. Using structural equation modeling, we linked vignette type (depression and schizophrenia) to the endorsement of help seeking from informal and formal sources. Men showed similar support for informal help …

The Hidden Epidemic: Mental Health Epidemiology In Post-Conflict Populations And Implications For Conflict Transformation Practices, Jennifer Sato

Capstone Collection

This capstone explores the ramifications of unmitigated mental health illness in conflict populations, paying special attention to refugees and migrants. The intersection between conflict and mental health is explored and analyzed in order to highlight the implications of the findings and to make recommendations to both metal health and conflict transformation practitioners. This capstone depends predominately on secondary resources and personal interviews and is informed by my own practicum experience at a refugee health center. The need to improve mental health outcomes in order to pursue conflict transformation and peace building is a key focus and is supported by the …

To A Better Understanding Of Professional Practice: Provider Decision-Making When Delivering Hiv Services, Carizma Amila Chapman

Loma Linda University Electronic Theses, Dissertations & Projects

Over the last several decades an abundance of research has been conducted on HIV/AIDS. These studies have focused on the infection, impact of the disease on the health and quality of life of people living with the infection, and on treatment effectiveness. However, limited studies are available that explore the experiences of providers delivering HIV/AIDS services. Research demonstrates that providers have an important impact on treatment, shaping not only patient retention, but also treatment adherence. The critical role HIV/AIDS providers have in shaping treatment makes understanding provider experiences a pertinent area of inquiry to understand HIV/AIDS care. In this study, …

Economic Status And Old-Age Health In Poverty-Stricken Myanmar, Bussarawan Teerawichitchainan, John Knodel

Research Collection School of Social Sciences

Objective: We examine the association between poverty, economic inequality, and health among elderly in Myanmar. Method: We analyze 2012 data from Myanmar’s first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quality. Results: Poverty and poor health are pervasive. Self-assessed health, sensory impairment, and functional limitation consistently improve with higher wealth levels regardless of socio-demographic controls. Differentials in self-rated health and sensory impairment between the bottom and second quintiles are clearly evident, suggesting that relative economic inequality matters even among very poor elders and that a small …

Using A New Evidence-Based Health Workforce Innovation Research Framework To Compare Innovations In Community Health Center And Other Ambulatory Care Settings, Leah E. Masselink, Patricia Pittman, Claire Houterman

Health Workforce Research Center Publications

In the United States, changing demographics, rising costs, and the impact of new regulations and payment models arising from the Affordable Care Act have placed unprecedented pressures on healthcare providers to increase access to care, improve quality and to control costs. To meet these challenges, some providers are forming accountable care organizations (ACOs) while others are pursuing medical homes or other novel payment and care delivery models designed to help meet these challenges. Within established organizations such as federally funded community health centers (CHCs), healthcare leaders are exercising significant latitude in developing innovative solutions for meeting their patients’ needs more …

Assessing The Deployment Of Home Visiting: Learning From A State-Wide Survey Of Home Visiting Programs, Robert L. Fischer, Elizabeth R. Anthony, Nina Lalich, Paul Bakaki, Siran Koroukian-Hajinazarian

Faculty Scholarship

Objectives: Large-scale planning for health and human services programming is required to inform effective public policy as well as deliver services to meet community needs. The present study demonstrates the value of collecting data directly from deliverers of home visiting programs across a state. This study was conducted in response to the Patient Protection and Affordable Care Act, which requires states to conduct a needs assessment of home visiting programs for pregnant women and young children to receive federal funding. In this paper, we provide a descriptive analysis of a needs assessment of home visiting programs in Ohio. Methods: All …

Living Arrangements And Psychological Well-Being Of The Elderly After The Economic Transition In Vietnam, Ken Yamada, Bussarawan Teerawichitchainan

Research Collection School of Social Sciences

Objectives: We examine the relationship between living arrangements and psychological well-being of the older adults in Vietnam, where there is an influence of Confucian values and a lack of close substitutes for family care of the older adults, by exploiting a great deal of regional variation in economic development. We also examine the role of living arrangements in well-being differentials across regions. Method: We estimate a triangular simultaneous-equation discrete-response model, which accounts for the simultaneity between living arrangements and psychological well-being (happiness, depression, loneliness, poor appetite, and sleep disorder), using a nationally representative sample of 2,225 adults aged 60 and …

Reproductive Rights In Latin America: A Case Study Of Guatemala And Nicaragua, Katherine W. Bogen

Scholarly Undergraduate Research Journal at Clark (SURJ)

A lack of access to contraceptives and legal abortion for women throughout the nations of Nicaragua and Guatemala creates critical health care problems. Moreover, rural and underprivileged women in Guatemala and Nicaragua are facing greater limitations to birth control access, demonstrating a classist aspect in the global struggle for female reproductive rights. Although some efforts have been made over the past half-century to initiate a dialogue on the failure of medical care in these nations to adequately address issues of maternal mortality and reproductive rights, the women's reproductive health movements of Nicaragua and Guatemala have struggled to reach an effective …

Recursos Y Servicios Disponibles Para Personas Afectadas Por El Uso De Agroquímicos Tóxicos En Avia Terai, Chaco, Argentina / Resources And Services That Are Available To People Who Are Affected By The Use Of Toxic Agrochemicals In Avia Terai, Chaco, Argentina, David Andersen

Independent Study Project (ISP) Collection

Introducción: El Chaco es una provincia del norte de Argentina con los peores indicadores de salud y de menor ingreso. El estudio se desarrolló en Avia Terai, un pueblo que tiene cinco mil habitantes, está rodeado por cultivos que son fumigados con agroquímicos tóxicos y que tiene niveles muy altos de cáncer y de discapacidad. Muchas personas en Avia Terai trabajan con agroquímicos y viven cerca de los campos fumigados. La mayoría de las personas en el pueblo no tienen seguros de salud y usan el sector público. En el pueblo hay un Centro Integrador Comunitario (CIC), un hospital, dos …

First Report Of The National Evaluation Of Rsvp Volunteers, Annie Georges, Susan Gabbard, Ashley Wendell Kranjac

Sociology Faculty Articles and Research

"In 2013, the Corporation for National and Community Service (CNCS) initiated a national evaluation of the Retired and Senior Volunteer Program (RSVP). The national evaluation was intended to collect the necessary information to better guide the RSVP program and to address three objectives: 1) describe the characteristics of RSVP volunteers, including how volunteers are distributed across CNCS’s performance measure categories, and how volunteers allocated their time to different service activities across the performance measure categories; 2) measure the relationship between volunteer characteristics, service activities, and volunteers’ psychosocial health; and 3) measure the impact of RSVP national service participation on volunteers’ …

La Relación Entre El Desamparo Y La Salud: El Caso Del Campamento Japón En Santiago, Chile, Chaveli Concepción

Independent Study Project (ISP) Collection

En esta investigación se busca exponer más a fondo como la desigualdad social afecta la salud de aquellos que han sido menos favorecidos. En esta ocasión se analizó el caso de los habitantes del Campamento Japón, en la comuna de Maipú, de Santiago, Chile, con el objetivo de entender el fenómeno de la desigualdad social y cómo esta afecta la salud de las personas que la sufren. La metodología de este estudio cualitativo se constituyó de investigación bibliográfica previa, y posteriormente visitas y trabajos voluntarios al Campamento Japón para hacer observaciones y entrevistas a los activistas del campamento, a los …

From Curing Patients To Healing Society : The Honourable Dr. Edward Che-Hung Leong, Chun Kiu, Tony Lai, Wing Chung, David Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

Dr. Edward Che-hung Leong, GBM, GBS, OBE, JP, a private medical practitioner specialised in urology, was born into a medical family. Leong is well-known to most Hong Kong people for his surgery skills. He has been praised as the "Golden Surgeon Leong" (金刀梁). He is also named the "Master of Public Office" (公職王). Since 1988, he has been a Legislative Councilor representing the Medical Functional Constituency, as well as many other public service roles of the Government and quangos, including Chairmanship of the Elderly Commission, in which his works were highly appraised. For years Doctor Leung has enthusiastically engaged in …

從「醫人」到「醫國」: 濟世為懷的梁智鴻醫生, Chun Kiu, Tony Lai, Wing Chung, David Chan

Asia Pacific Institute of Ageing Studies Newsletter 亞太老年學研究通訊

梁智鴻醫生 (GBM，GBS，OBE，太平紳士) 出身醫學世家，是醫術高超的私人執業泌尿科醫生。他手術技巧高超，素有「金刀梁」的綽號，是香港家喻戶曉的一位名醫。他同時是一名「公職王」，自1988年起擔任過立法會醫學界功能界別議員以及安老事務委員會主席等多項政府及不同半官方機構的公職，一直深受各界人士好評。梁醫生多年來熱心公益；為肯定其對社會的貢獻，政府先後向他頒授多個勳銜，包括太平紳士、金紫荊星章以及大紫荊勳賢。現時梁醫生的主要公職包括香港大學校務委員會主席以及安老事務委員會長者學院發展基金主席等。有説「醫有三品: 上醫 醫國，中醫醫人，下醫醫病」，梁醫生是如何從「醫人」到「醫國」呢？

Duration Of U.S. Stay And Body Mass Index Among Latino And Asian Immigrants: A Test Of Theoretical Pathways, Annie Ro, Georgiana Bostean

Sociology Faculty Articles and Research

Studies find that longer-term immigrants have higher body mass index (BMI) than their more recently-arrived counterparts. Most interpretations of these health patterns by duration of U.S. residence rely on theories of immigrant integration; they posit that with increasing time in the United States, immigrants incorporate economically, socially, and culturally into aspects of U.S. society, and that these changes impact health. Few studies empirically examine whether these aspects of integration are indeed mediators of the association between duration of U.S. stay and BMI, and if their patterns differ across immigrant subgroups. This study examines data from the National Latino and Asian …

The Social Costs Of Gender Nonconformity For Transgender Adults: Implications For Discrimination And Health, Lisa R. Miller, Eric Anthony Grollman

Sociology and Anthropology Faculty Publications

Research suggests that transgender people face high levels of discrimination in society, which may contribute to their disproportionate risk for poor health. However, little is known about whether gender nonconformity, as a visible marker of one’s stigmatized status as a transgender individual, heightens trans people’s experiences with discrimination and, in turn, their health. Using data from the largest survey of transgender adults in the United States, the National Transgender Discrimination Survey (N = 4,115), we examine the associations among gender nonconformity, transphobic discrimination, and health-harming behaviors (i.e., attempted suicide, drug/alcohol abuse, and smoking). The results suggest that gender nonconforming trans …

Socially Deviant Communities Online: How The Pro-Anorexia Movement Utilizes The Anonymity Provided By The Internet To Thrive, Samantha Thomas

Honors Theses

The creation of the internet has produced an environment in which many communities have been able to develop into strong and thriving societies. A large number of communities that are now predominantly online were unable to exist successfully before the establishment of the internet for a variety of reasons. The internet has made it easier for people from different backgrounds and locations to network, form communities, and share information with one another. Unfortunately the internet has also given harmful underground communities the opportunity to develop and thrive as well. Socially deviant communities, groups that support ideas and behaviors deemed unacceptable …

Many Eligible Children Don’T Participate In School Nutrition Programs; Reauthorization Offers Opportunities To Improve, Jess Carson

Carsey Publications

This brief uses data from the 2013 Current Population Survey’s Food Security Supplement to document levels of participation in two of the largest programs authorized by the Healthy, Hunger-Free Kids Act of 2010—the National School Lunch Program and the School Breakfast Program—by region and place type (rural, suburban, and city), to identify areas where expanding participation may be especially important. Author Jessica Carson reports that only 64 percent of eligible households participate in the National School Lunch Program, and 52 percent participate in the School Breakfast Program. Fifty-nine percent of eligible suburban households and 63 percent of rural households participate …

How Do Living Arrangements And Intergenerational Support Matter For Psychological Health Of Elderly Parents? Evidence From Myanmar, Vietnam, And Thailand, Bussarawan Teerawichitchainan, Wiraporn Pothisiri, Giang Thanh Long

Research Collection School of Social Sciences

Living arrangements and family support for older persons have become an increasingly important policy concern in developing and rapidly aging Asia. Formulating a sound elderly care policy for the region will benefit from empirically examining how living arrangements, particularly coresidence, and intergenerational exchanges of financial, instrumental, and emotional support are associated with old-age psychological health. This study analyzes data from nationally representative aging surveys in Myanmar, Vietnam, and Thailand for 2011-2012 to offer a comparative perspective from Southeast Asia where various kinship systems coexist. Results suggest that coresidence with a child of culturally preferred gender significantly improves the emotional health …

Ethnic Differences In Medicinal Plant Use Among University Students: A Cross-Sectional Survey Of Self-Reported Medicinal Plant Use At Two Midwest Universities, Rachel Craft, Katrina C. Mcclure, Steven Corbett, Maria Pontes Ferreira, Ashley M. Stiffarm, Kelly Kindscher

Wayne State University Associated BioMed Central Scholarship

Background: Numerous surveys of medicinal plant use among college students abound, but none compare use between students enrolled in two different Universities with significantly different ethnic compositions. The objective of this study is to compare medicinal plant use between two different ethnic college populations and explore differences between student medicinal plant users and non-users for comparison with previous research.

Methods: Students (n = 721) at a large research university (n = 498) and a Pan-Tribal University for Native Americans (n = 233) completed surveys in October 2011 to assess past year medicinal plant use. The Mann-Whitney U test, Chi Square …