Hawai''i journal of health & social welfare最新文献

Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories.

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/UVII6313

Amity Tran, Hannah Mettias, Lauren Nakamine, Tiffany Ng, Devashri Prabhudesai, John J Chen, Lee E Buenconsejo-Lum

{"title":"Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories.","authors":"Amity Tran, Hannah Mettias, Lauren Nakamine, Tiffany Ng, Devashri Prabhudesai, John J Chen, Lee E Buenconsejo-Lum","doi":"10.62547/UVII6313","DOIUrl":"https://doi.org/10.62547/UVII6313","url":null,"abstract":"Since 2017, Hawai'i has had a statute requiring health plans to update their provider directories at least monthly. However, the results of this study suggest that despite this regulation, errors in physician directories may be an ongoing problem. Using publicly available online Medicaid physician directories from Med-QUEST, Hawaii Medical Service Association (HMSA), AlohaCare, 'Ohana Health Plan, and United Healthcare, 473 unique listings for dermatologists were reviewed and 411 (86.9%) of these listings contained at least 1 inaccuracy. Using the deficiency scoring methodology designed by the Centers for Medicare & Medicaid Services (CMS), it was found that the proportions of deficient listings were significantly different among the directories (P<.001). Med-QUEST had the highest weighted final deficiency score of 92.9% and HMSA had the lowest weighted final score of 49.2%. In between were United Healthcare (71.0%), 'Ohana Health Plan (69.7%), and AlohaCare (65.7%). It is unknown whether these results are an improvement from the implementation of the statute. Nevertheless, this issue can cause additional barriers for Medicaid patients who already experience narrower networks and longer wait times for dermatologists. Furthermore, it would also be worth investigating if this issue is also prevalent in listings for other specialties.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 12","pages":"316-321"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Educator Externship: A Cross-Sector Collaboration to Support Health Academy Educators Prepare Aspiring Nursing Students.

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/YLNE6348

Katherine Finn Davis, Lorrie Wong, William Siegman

引用次数: 0

The Impact of a Commensality Intervention on Physician Burnout.

Hawai''i journal of health & social welfare Pub Date : 2024-12-01 DOI: 10.62547/NCHU6884

Jason C Seto, Jennifer Beals, Todd B Seto, Holly Olson, Kuo-Chiang Lian, Malia Ramirez, Susan Steinemann

{"title":"The Impact of a Commensality Intervention on Physician Burnout.","authors":"Jason C Seto, Jennifer Beals, Todd B Seto, Holly Olson, Kuo-Chiang Lian, Malia Ramirez, Susan Steinemann","doi":"10.62547/NCHU6884","DOIUrl":"https://doi.org/10.62547/NCHU6884","url":null,"abstract":"Commensality, the act of eating together, when organized around facilitated discussion is an evidence-based intervention that can promote engagement and reduce physician burnout. The purpose of this pilot study is to evaluate the feasibility, acceptance, and impact of a commensality intervention for physicians. The Commensality Intervention was based on a Mayo Clinic model that consisted of 6, 2-hour dinner meetings at local restaurants over 6 months with facilitated discussion. Seven physicians participated, with controls matched by specialty and career stage. All completed the Maslach Burnout Inventory and Areas of Worklife Survey (MBI/AWS) at baseline, 6 months, and 12 months. Results were analyzed using Mann-Whitney tests for comparison of intervention group members to controls. At baseline, 4 of 7 in the intervention group and 3 of 7 controls met criteria for burnout. At 6 months, MBI improved in all dimensions: emotional exhaustion (EE) 24.3 to 17.2; depersonalization (DP) 7.1 to 5.1; personal accomplishment (PA) 40.0 to 43.3. Improvement in EE was significantly greater for intervention group members vs. controls (P=.015). Similarly, every AWS dimension (except reward) improved in the intervention group, with significant improvements in Workload (P=.012), Control (P=.027), and Community (P=.039). At 12 months, improvements in EE (21.6), DP (5.3) and PA (42.7) persisted but were attenuated, with none of the MBI/AWS changes from baseline statistically significant. Findings suggest significant improvements in physician burnout following the intervention, with attenuation at 12-months. Results will be used to support the broader implementation of commensality within the group practice.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 12","pages":"322-326"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol-Induced & Drug-Induced Deaths in Hawai'i During the COVID-19 Pandemic. COVID-19 大流行期间夏威夷因酒精和毒品导致的死亡。

Hawai''i journal of health & social welfare Pub Date : 2024-11-01 DOI: 10.62547/IYGW7064

Nash A K Witten, Clark Caballero

引用次数: 0

Building Resilience in Medical Students: "Strengthening You to Strengthen Them". 培养医学生的抗挫折能力："增强你的力量以增强他们的力量"。

Hawai''i journal of health & social welfare Pub Date : 2024-11-01 DOI: 10.62547/GTPT8844

Francie Julien-Chinn, Dee-Ann Carpenter, Camlyn Masuda, A Aukahi Austin Seabury, Fary Maldonado, Marjorie K Leimomi M Mau

{"title":"Building Resilience in Medical Students: \"Strengthening You to Strengthen Them\".","authors":"Francie Julien-Chinn, Dee-Ann Carpenter, Camlyn Masuda, A Aukahi Austin Seabury, Fary Maldonado, Marjorie K Leimomi M Mau","doi":"10.62547/GTPT8844","DOIUrl":"10.62547/GTPT8844","url":null,"abstract":"Medical students, like many health professional students, are at risk for burnout and other negative well-being outcomes. Research suggests that building resilience may help to mitigate these risks. A multi-disciplinary team developed, delivered, and evaluated a training on building resilience for medical students entitled, \"Resilience for Health Providers - Strengthening You to Strengthen Them.\" The training program provided parallel learning intended to teach medical students how to apply protective factors to both themselves and their patients. The research team proposed that training medical students to understand mechanisms that support resilience such as motivation and self-efficacy may increase the development of resilience as part of their medical training. Through parallel learning, students can also learn how to apply these mechanisms to their patients. The evaluation of the training's effectiveness consisted of pre- and post-tests. Medical students' resilience was measured using the Connor-Davidson Resilience Scale (CD-RISC-10), a tested and validated scale. Findings indicated that post-test scores increased in each domain from pre-test. Participants reported enhanced skill building for both their own resilience and that of patients after the training. Results from the CD-RISC-10 scale showed that the medical students rated slightly lower than the mean identified by the CD-RISC-10 creators. The results from this initial study to strengthen health professionals' self-reported resilience showed that the training improved medical students' self-reported resilience and their confidence in assisting houseless participants to improve their understanding of building their own self-resilience.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 11","pages":"300-305"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Physician Shortage in Hawai'i - Kaua'i Medical Training Opportunities. 解决夏威夷医生短缺问题 - 考艾岛医疗培训机会。

Hawai''i journal of health & social welfare Pub Date : 2024-11-01 DOI: 10.62547/GRQB2504

Kathleen Kihmm Connolly, Travis Hong, Lee Ellen Buenconsejo-Lum

引用次数: 0

The Assessment and Management of Biliary Atresia in Hawai'i, 2009-2023. 2009-2023 年夏威夷胆道闭锁的评估和管理。

Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/NUOX8943

Sneha A Singh, Kalpana K Balaraman, Madeline I Johnson, Venkataraman Balaraman, Devin P Puapong, Sidney M Johnson, Benjamin D Tabak, Russell K Woo

{"title":"The Assessment and Management of Biliary Atresia in Hawai'i, 2009-2023.","authors":"Sneha A Singh, Kalpana K Balaraman, Madeline I Johnson, Venkataraman Balaraman, Devin P Puapong, Sidney M Johnson, Benjamin D Tabak, Russell K Woo","doi":"10.62547/NUOX8943","DOIUrl":"10.62547/NUOX8943","url":null,"abstract":"Although biliary atresia (BA) is a rare neonatal disorder, it remains the leading cause of pediatric end-stage liver disease. Early diagnosis of BA and treatment with the Kasai procedure can significantly reduce the need for pediatric liver transplant. Current data suggests that performing the Kasai procedure at 30-45 days of life is associated with longer native liver survival rates and reduction of the need for liver transplant. The incidence rate of BA in the state of Hawai'i is nearly double the incidence rate in the continental US. International studies have demonstrated that screening programs for BA reduce the age at diagnosis and treatment. However, there has been no statewide analysis on the ages at diagnosis or at Kasai, nor does a statewide screening program for BA exist. The purpose of this study is to review the age of diagnosis and treatment of BA to determine if the current practice in Hawai'i is in line with the published data. A retrospective chart review of all patients diagnosed with BA at the state's primary children's hospital was performed (2009-2023) and 19 patients who underwent the Kasai procedure were identified. The mean age at diagnosis is 71.4 days (n=19) and the mean age at Kasai procedure is 72.0 days (n=19). Both the average age at diagnosis and treatment for BA in Hawai'i is significantly higher than published data suggesting best outcomes at 30-45 days of life. This review suggests that the implementation of a statewide screening program for BA in Hawai'i is warranted.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"268-273"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Survival Difference of Colorectal Adenocarcinoma Among Racial and Ethnic Minority Groups: A SEER Database Study. 少数种族和族裔群体结直肠腺癌的生存率差异：SEER 数据库研究。

Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/AEBM4307

Arvin Jeremy Tan, Chuong Tran, Nurlan Aliyev, Fedja Rochling, Tomoki Sempokuya

{"title":"Survival Difference of Colorectal Adenocarcinoma Among Racial and Ethnic Minority Groups: A SEER Database Study.","authors":"Arvin Jeremy Tan, Chuong Tran, Nurlan Aliyev, Fedja Rochling, Tomoki Sempokuya","doi":"10.62547/AEBM4307","DOIUrl":"10.62547/AEBM4307","url":null,"abstract":"Despite advances in diagnosis and treatment, racial disparities continue to exist in colorectal cancer (CRC) survival. This study aims to characterize the CRC survival differences among racial and ethnic minority groups. The Surveillance, Epidemiology, and End Results (SEER) database was used to identify adults diagnosed with CRC from 2015 to 2019. Demographics, disease characteristics, surgical treatment, stages, and survival data for individuals who are Hispanic, Black, Southeast Asian, Chinese, American Indian and Alaskan Native (AIAN), Asian Indian and Pakistani (AIP), and Native Hawaiian and Other Pacific Islanders (NHOPI) were extracted. Survival analysis was done using the Kaplan-Meier survival curve. Multivariate analysis was done with the Cox proportional hazard model. There were 40 091 individuals with CRC. NHOPI had the youngest median age of 59 years, while Chinese individuals had the oldest median age of 65 years. From the total sample of their respective subgroups, 43.8% of Black patients and 36.7% of AIAN patients had a median household income of <$60 000, while 55.3% of Southeast Asian patients, 59.7% of Chinese patients, 55.8% of AIP patients, and 65.6% of NHOPI patient had a median household income >$70 000. The 1-year survival rate was lower for patients who were Hispanic (62.0%), Black (60.9%), and AIAN (63.1%). Even after multivariate analysis, Black patients had a significant hazard ratio (HR) of 1.21 (95% confidence interval [95% CI]: 1.05-1.38), while AIP had a HR of 0.68 (95% CI 0.55-0.84), compared to AIAN. Other significant variables that were linked with survival included older age, advanced stage of CRC, a median household income <$60 000, male sex, no surgery, subtotal colectomy/hemicolectomy, and total colectomy. Further studies are needed to elucidate the specific causes of these differences and create appropriate strategies to reduce this survival disparity.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"279-285"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum in: A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance. 勘误：农村社区救护车院前远程卒中服务准备情况评估》（A Rural Community Readiness Assessment of Prehospital Telestroke Services in the Ambulance）。

Hawai''i journal of health & social welfare Pub Date : 2024-10-01

引用次数: 0

Relevance of ACE Scores in Teens with Depression and Anxiety: A Maui Pilot Study. 青少年抑郁和焦虑症患者 ACE 分数的相关性：毛伊岛试点研究

Hawai''i journal of health & social welfare Pub Date : 2024-10-01 DOI: 10.62547/TMQN6220

Sharon Wong, Felicitas Livaudais, Meliza Roman, Devashri Prabhudesai, John J Chen

{"title":"Relevance of ACE Scores in Teens with Depression and Anxiety: A Maui Pilot Study.","authors":"Sharon Wong, Felicitas Livaudais, Meliza Roman, Devashri Prabhudesai, John J Chen","doi":"10.62547/TMQN6220","DOIUrl":"10.62547/TMQN6220","url":null,"abstract":"In the aftermath of the Covid pandemic and the notable rise of teen depression and anxiety (DA), there is an urgent need to focus on youth mental health. Another important variable to consider is the presence of adverse childhood experiences (ACE), which can be associated with chronic mental and physical health conditions. This pilot study explores how ACEs relate to DA for adolescents in Maui, Hawai'i. The cohort was 75 patients seen at a Kaiser Pediatric Clinic in the spring of 2022. Data was collected from standard questionnaires and the Pediatric ACEs and Life-Events Screener (PEARLS). There were significant associations between DA and a high ACE score (4+), as well as female sex. A high ACE score can alert providers to initiate a trauma informed dialogue with patients. The effects of trauma are not often discussed at routine visits. Mental health care needs and community support can also be addressed as needed. The PEARLS questionnaire is a standard tool to help clinicians be more trauma-informed. This study explores its relevance at routine adolescent visits.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"83 10","pages":"286-290"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0