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

Creating a Sustainable Native Hawaiian Pacific Islander Community Health Worker Workforce to Address Health Inequity in Hawai'i. 创建一个可持续的夏威夷土著太平洋岛民社区卫生工作者队伍，以解决夏威夷的卫生不平等问题。

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/ZMJI5576

Chantelle Matagi, Ke'alohilani Worthington Antonio, Sarah Momilani Marshall, Donna Marie Palakiko

引用次数: 0

Resilience in Medical Education: Examining the Effects of the COVID-19 Pandemic on Pre-clerkship Curriculum Outcomes and Learner Perceptions at the University of Hawai'i John A. Burns School of Medicine. 医学教育的弹性：研究COVID-19大流行对夏威夷大学约翰·a·伯恩斯医学院职前课程成果和学习者认知的影响

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/IJCZ9506

Kyra A Len, Chieko Kimata, Sheri F T Fong

{"title":"Resilience in Medical Education: Examining the Effects of the COVID-19 Pandemic on Pre-clerkship Curriculum Outcomes and Learner Perceptions at the University of Hawai'i John A. Burns School of Medicine.","authors":"Kyra A Len, Chieko Kimata, Sheri F T Fong","doi":"10.62547/IJCZ9506","DOIUrl":"10.62547/IJCZ9506","url":null,"abstract":"The transition to virtual learning formats during the COVID-19 pandemic necessitated substantial curricular adjustments to the University of Hawai'i John A. Burns School of Medicine. This study compares student satisfaction and academic performance between the pre-pandemic (up through March 25, 2020) and pandemic (after March 25, 2020) periods. Standard end of course surveys for first year (M1) and second year (M2) courses and exam scores were compared between the pre-pandemic and pandemic groups. The median exam scores for problem-based learning generally increased for M1 and M2 courses during the pandemic, whereas Anatomy scores showed variability with some declining and some remaining stable or inclining. End-course evaluations indicated a significant decrease in student-perceived effectiveness for PBL, Lecture and Anatomy during the initial pandemic period. However, survey ratings for the learning environment improved in later courses, suggesting adaptation over time. Notably, Anatomy exam scores and course ratings improved significantly later in the pandemic which may be attributed to the development of virtual resources and early introduction of in-person sessions. This study provides insight into the dynamic effects of the pandemic on medical education, enhancing understanding of student experiences and academic outcomes during this challenging time. This study underlines adaptations in the curriculum that were effective, highlighting the resilience of the curriculum and students in maintaining quality education during the pandemic.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 1","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956382","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

Baseline Estimates for Companion Animals Living in Households in Hawai'i: Associated Socio-Demographic, and Select Health Variables, as Measured by a Household Survey. 夏威夷家庭中伴侣动物的基线估计：通过家庭调查测量的相关社会人口统计学和选择健康变量。

Hawai''i journal of health & social welfare Pub Date : 2025-01-01 DOI: 10.62547/QGYR3306

Kathleen Kromer Baker

{"title":"Baseline Estimates for Companion Animals Living in Households in Hawai'i: Associated Socio-Demographic, and Select Health Variables, as Measured by a Household Survey.","authors":"Kathleen Kromer Baker","doi":"10.62547/QGYR3306","DOIUrl":"10.62547/QGYR3306","url":null,"abstract":"Information on companion animals in Hawai'i is lacking. The Hawai'i Department of Health's Hawai'i Health Survey, collected data on adults and households by telephone interview. National estimates of companion animals range from 50-67%. However, the estimate from Hawai'i was lower with 39% of households in Hawai'i having a companion animal that spends part or all of the day indoors, including 29.5% of households with dogs and 14.7% with cats. There may be multiple reasons the count is lower for Hawai'i and possible factors are identified. There were significant differences in companion animals by ethnicity with Whites having the highest percentage of cats (25.8%) and Japanese the highest percentage of dogs (33.8%). Differences were observed between Asian ethnicities and Native Hawaiians. Specifically, individuals of Japanese ethnicity were more likely to have dogs, while Native Hawaiians were more likely to have cats compared to other Asian and Other Pacific Island ethnicities. Furthermore, companion animals were associated with counties other than Honolulu, lower poverty, ownership of a car or home, women, education, and middle-aged adults. Thus, many households in Hawai'i may not have the resources for a companion animal. Adults who rated their general health excellent had the highest association with having a cat(s). Asthma was higher for women living with dogs than women without cats or dogs. Asthma was lowest for men with cats compared to other groups for men and women. This study contributes to the understanding of complex interrelationships of humans, animals, and their environment which is gaining momentum under the umbrella of \"One Health\" by supporting increased collaboration and new data sources.","PeriodicalId":36659,"journal":{"name":"Hawai''i journal of health & social welfare","volume":"84 1","pages":"10-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956378","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

Accuracy of Dermatologist Listings in Hawai'i's Medicaid (Med-QUEST) Physician Directories. 夏威夷医疗补助（Med-QUEST）医师目录中皮肤科医生列表的准确性。

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. 教育实习：跨部门合作，支持卫生学院教育工作者准备有抱负的护理学生。

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. 共生干预对医师职业倦怠的影响。

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