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Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the CHART Investment Program. 解决患者医疗和社会需求的社区医院干预措施：来自 CHART 投资计划的患者观点。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1097/JAC.0000000000000495
Christopher J Louis, Elisa A Koppelman, Sara S Bachman
{"title":"Community Hospital Interventions Addressing the Medical and Social Needs of Patients : Patient Perspectives From the CHART Investment Program.","authors":"Christopher J Louis, Elisa A Koppelman, Sara S Bachman","doi":"10.1097/JAC.0000000000000495","DOIUrl":"10.1097/JAC.0000000000000495","url":null,"abstract":"<p><p>High utilizers of acute care in nonurban settings are at risk for poor health outcomes. Much of Massachusetts is nonurban, with many residents experiencing limited access to health care providers, fragmented health care services, inadequate housing, and low health literacy. This study examines patient perspectives on the Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program, a state-based grant program focused on advancing community hospitals toward value-based care. We found that CHART staff engaged patients in care coordination and patient advocacy, promoted patient agency and health literacy, and provided socioemotional support. These findings may help inform future program development around meeting the medical and social needs of high utilizers of health care services.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"143-153"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141094138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Qualitative Study of A Health Center-Based Mobile Produce Market. 对保健中心流动农产品市场的定性研究。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1097/JAC.0000000000000496
Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece
{"title":"A Qualitative Study of A Health Center-Based Mobile Produce Market.","authors":"Rebecca K Rudel, Elena Byhoff, Sarah B Fielman, Kiersten L Strombotne, Mari-Lynn Drainoni, Jacey A Greece","doi":"10.1097/JAC.0000000000000496","DOIUrl":"10.1097/JAC.0000000000000496","url":null,"abstract":"<p><p>Healthcare-based food assistance programs have the potential to improve patients' food security, but are underutilized. We conducted a qualitative study of user and staff perceptions of an on-site mobile market at a federally-qualified health center (FQHC). Five themes were identified: 1) financial need drives the decision to use the market, 2) people attend specifically to receive healthy food, 3) users feel a connection to the FQHC, which increases participation, 4) social networks increase usage of the program, and 5) long lines, inclement weather, inaccessibility, and inconsistent marketing and communication are attendance barriers. Findings should inform implementation of future healthcare-based food assistance programs.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"134-142"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community Health Work and Social Work Collaboration: Integration in Health Care and Public Health Settings: A Conceptual Framework. 社区卫生工作与社会工作合作：整合医疗保健和公共卫生环境：概念框架。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-21 DOI: 10.1097/JAC.0000000000000498
Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones
{"title":"Community Health Work and Social Work Collaboration: Integration in Health Care and Public Health Settings: A Conceptual Framework.","authors":"Liana Petruzzi, Julie Smithwick, Lily Lee, Jorge Delva, Lillie Fox, Geoff Wilkinson, Shetal Vohra-Gupta, Maria Aranda, Carmen Valdez, Barbara Jones","doi":"10.1097/JAC.0000000000000498","DOIUrl":"10.1097/JAC.0000000000000498","url":null,"abstract":"<p><p>Community health worker (CHW) and social worker (SW) collaboration is crucial to illness prevention and intervention, yet systems often engage the 2 workforces in silos and miss opportunities for cross-sector alignment. In 2021, a national workgroup of over 2 dozen CHWs, SWs, and public health experts convened to improve CHW/SW collaboration and integration across the United States. The workgroup developed a conceptual framework that describes structural, systemic, and organizational factors that influence CHW/SW collaboration. Best practices include standardized training, delineated roles and scopes of practice, clear workflows, regular communication, a shared system for documentation, and ongoing support or supervision.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"187-202"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thoughtful Investing in Social Care Management: The Cause of, and Solution to, All of Life's Problems. 对社会关怀管理进行深思熟虑的投资：生活中所有问题的起因和解决方案。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1097/JAC.0000000000000502
Elena Byhoff, Rebecca Rudel, Lauren A Taylor
{"title":"Thoughtful Investing in Social Care Management: The Cause of, and Solution to, All of Life's Problems.","authors":"Elena Byhoff, Rebecca Rudel, Lauren A Taylor","doi":"10.1097/JAC.0000000000000502","DOIUrl":"10.1097/JAC.0000000000000502","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"203-211"},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees. 亚裔美国人、夏威夷原住民和太平洋岛民医疗补助参保者无法获得所需的医疗护理。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-01-19 DOI: 10.1097/JAC.0000000000000489
Kevin H Nguyen, Carlos Irwin A Oronce, Alexander C Adia, Jih-Cheng Yeh, Ninez Ponce
{"title":"Inability to Access Needed Medical Care Among Asian American, Native Hawaiian, and Pacific Islander Medicaid Enrollees.","authors":"Kevin H Nguyen, Carlos Irwin A Oronce, Alexander C Adia, Jih-Cheng Yeh, Ninez Ponce","doi":"10.1097/JAC.0000000000000489","DOIUrl":"10.1097/JAC.0000000000000489","url":null,"abstract":"<p><p>We examined self-reported inability to access to needed medical care and reasons for not accessing medical care among US-representative adult Medicaid enrollees, disaggregated across 10 Asian American, Native Hawaiian, and Pacific Islander ethnic groups. Chinese (-4.54 percentage points [PP], P < .001), Other Asian (-4.42 PP, P < .001), and Native Hawaiian (-4.36 PP, P < .001) enrollees were significantly less likely to report being unable to access needed medical care compared with non-Hispanic White enrollees. The most common reason reported was that a health plan would not approve, cover, or pay for care. Mitigating inequities may require different interventions specific to certain ethnic groups.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"96-103"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10940179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713193","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
Commentary: Community Health Workers and Peace Building Through Health in the Israeli-Palestinian Conflict After October 7th. 评论：评论：10 月 7 日之后的以巴冲突中社区保健工作者与通过保健建设和平。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-03-05 DOI: 10.1097/JAC.0000000000000493
Norbert Goldfield
{"title":"Commentary: Community Health Workers and Peace Building Through Health in the Israeli-Palestinian Conflict After October 7th.","authors":"Norbert Goldfield","doi":"10.1097/JAC.0000000000000493","DOIUrl":"10.1097/JAC.0000000000000493","url":null,"abstract":"<p><p>Health professionals, despite increasing challenges, with notable exceptions, always pursue peace through health because it is who we are-we are here to heal both at the individual and the community level. This applies to the long-standing Israeli-Palestinian conflict. Unfortunately, till now, nongovernmental organizations have had minimal impact on the conflict. This commentary makes 2 recommendations for donor countries after the fighting subsides: Do not insist on Israeli-Palestinian joint ventures at least for the short term and focus as much as possible your funding on interventions that improve community health.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 2","pages":"104-109"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Large-Scale Telemedicine Implementation for Outpatient Clinicians: Results From a Pandemic-Adapted Learning Collaborative. 针对门诊临床医生的大规模远程医疗实施：大流行病适应性学习合作的成果。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-02-05 DOI: 10.1097/JAC.0000000000000491
David Wong, Israel H Cross, Christian B Ramers, Farah Imtiaz, John D Scott, Amanda M Dezan, Amy J Armistad, Marie E Manteuffel, Dennis Wagner, Richard C Hunt, William L England, Mei Wa Kwong, Raynald A Dizon, Vanessa Lamers, Ilya Plotkin, B Tilman Jolly, Walter Jones, Darin D Daly, Megan Yeager, Jinean A Riley, Elizabeth A Krupinski, Andrew P Solomon, Katharine H Wibberly, Bruce B Struminger
{"title":"Large-Scale Telemedicine Implementation for Outpatient Clinicians: Results From a Pandemic-Adapted Learning Collaborative.","authors":"David Wong, Israel H Cross, Christian B Ramers, Farah Imtiaz, John D Scott, Amanda M Dezan, Amy J Armistad, Marie E Manteuffel, Dennis Wagner, Richard C Hunt, William L England, Mei Wa Kwong, Raynald A Dizon, Vanessa Lamers, Ilya Plotkin, B Tilman Jolly, Walter Jones, Darin D Daly, Megan Yeager, Jinean A Riley, Elizabeth A Krupinski, Andrew P Solomon, Katharine H Wibberly, Bruce B Struminger","doi":"10.1097/JAC.0000000000000491","DOIUrl":"10.1097/JAC.0000000000000491","url":null,"abstract":"<p><p>Learning collaboratives are seldom used outside of health care quality improvement. We describe a condensed, 10-week learning collaborative (\"Telemedicine Hack\") that facilitated telemedicine implementation for outpatient clinicians early in the COVID-19 pandemic. Live attendance averaged 1688 participants per session. Of 1005 baseline survey respondents, 57% were clinicians with one-third identifying as from a racial/ethnic minoritized group. Practice characteristics included primary care (71%), rural settings (51%), and community health centers (28%). Of three surveys, a high of 438 (81%) of 540 clinicians had billed ≥1 video-based telemedicine visit. Our learning collaborative \"sprint\" is a promising model for scaling knowledge during emergencies and addressing health inequities.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 2","pages":"51-63"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Care Access, Care Delivery, and Peace Building through Health. 编辑的话
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-03-01 DOI: 10.1097/JAC.0000000000000492
{"title":"Care Access, Care Delivery, and Peace Building through Health.","authors":"","doi":"10.1097/JAC.0000000000000492","DOIUrl":"10.1097/JAC.0000000000000492","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"49-50"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Nationally Representative Summary of 2020 Changes in the Use of Health Care in the United States. 具有全国代表性的 2020 年美国医疗保健使用变化摘要》（A Nationally Representative Summary of 2020 Changes in the Use of Health Care in the United States）。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-02-13 DOI: 10.1097/JAC.0000000000000488
Sandra L Decker, Samuel H Zuvekas
{"title":"A Nationally Representative Summary of 2020 Changes in the Use of Health Care in the United States.","authors":"Sandra L Decker, Samuel H Zuvekas","doi":"10.1097/JAC.0000000000000488","DOIUrl":"10.1097/JAC.0000000000000488","url":null,"abstract":"<p><p>The COVID-19 pandemic produced an unprecedented shock to the U.S. health care system. Prior literature documenting 2020 changes has been limited to certain types of care or subsets of patients. We use the nationally representative Medical Expenditure Panel Survey to summarize changes in all types of health care from 2018 through 2020. Outpatient visits, emergency department visits, and inpatient admissions each fell about 35% in April 2020. Dental visits fell over 80%. Ophthalmology visits declined 71% and mammograms 82%. Psychiatric visits rose slightly (1.6%). By the end of 2020, specialist physician visits recovered, though primary care and dental visits remained 12% lower than 2019.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"64-83"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"Entonces, Como Promotores, Pues, No Somos Intérpretes": Reconciling Medical Interpretation & Community Health Work in Indiana and South Carolina. "Entonces, Como Promotores, Pues, No Somos Intérpretes"：印第安纳州和南卡罗来纳州医疗口译与社区卫生工作的协调。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-04-01 Epub Date: 2024-02-20 DOI: 10.1097/JAC.0000000000000490
Ryan I Logan, Richard L Strater
{"title":"\"Entonces, Como Promotores, Pues, No Somos Intérpretes\": Reconciling Medical Interpretation & Community Health Work in Indiana and South Carolina.","authors":"Ryan I Logan, Richard L Strater","doi":"10.1097/JAC.0000000000000490","DOIUrl":"10.1097/JAC.0000000000000490","url":null,"abstract":"<p><p>Community health workers (CHWs) and promotores de salud are frontline health workers who typically come from the communities they serve. Despite providing crucial services, they are not institutionalized (or integrated) within much of the U.S. health care system. Many work, either officially or unofficially, as medical interpreters-restricting their full impact as CHWs/ promotores . In this paper, we detail the misemployment and its effects among a subsample of CHWs/ promotores in two geographically distinct, exploratory projects. We encourage that collaborative research with CHWs/ promotores continue and that fidelity to the CHW model be ensured to realize their true potential.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":" ","pages":"84-95"},"PeriodicalIF":2.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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