Journal of Primary Care and Community Health最新文献

筛选
英文 中文
Front-Line Insights Into the Social Determinants of Health in Housing Instability: A Multi-Province Study. 对住房不稳定性中健康的社会决定因素的前沿见解:多省研究。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241292131
Ethan C Draper, Heather J Burgess, Cheryl Chisholm, Erin L Mazerolle, Conor Barker
{"title":"Front-Line Insights Into the Social Determinants of Health in Housing Instability: A Multi-Province Study.","authors":"Ethan C Draper, Heather J Burgess, Cheryl Chisholm, Erin L Mazerolle, Conor Barker","doi":"10.1177/21501319241292131","DOIUrl":"10.1177/21501319241292131","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals experiencing housing instability face significant health inequities. Addressing housing instability requires an understanding of the factors that contribute to these inequities-a responsibility that has been assumed by community-based organizations. Interviewing individuals from 3 Canadian provinces, the present study aimed to examine the perspectives of individuals from front-line services of the social determinants of health (SDoH) needs of individuals experiencing housing instability.</p><p><strong>Methods: </strong>As part of a larger knowledge translation study, we conducted 8 semi-structured interviews with individuals from front-line services (eg, shelter workers and shelter mental health nurses) in Canada (Nova Scotia, Saskatchewan, and Alberta) and used thematic analysis to identify predominant unmet SDoH needs.</p><p><strong>Results: </strong>Individuals from front-line services discussed the roles of many SDoH that may perpetuate housing instability in their clients. These included: (1) limited social supports; (2) poor access to health services; (3) poor opportunities for income and employment; (4) lack of transportation; (5) gender-based discrimination; (6) race-based discrimination; and (7) limited access to education and limited literacy skills.</p><p><strong>Conclusion: </strong>This study reveals how front-line service providers observe SDoH factors contributing to housing instability and create barriers to accessing support services. They advocate for a multi-system approach to addressing intersecting SDoH factors to validate clients' experiences and help them achieve stable housing. Additionally, more research and consultation with front-line providers are necessary to understand and overcome systemic barriers to stable housing.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241292131"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644745","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
Does Escalating Violence and Associated Fear of Crime Worsen Psychological Well-Being in Community Dwellers Living in a Rural Setting? Results From the Atahualpa Project Cohort. 暴力升级和对犯罪的恐惧是否会恶化农村社区居民的心理健康?阿塔瓦尔帕项目队列的研究结果。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241273167
Oscar H Del Brutto, Robertino M Mera, Denisse A Rumbea, Emilio E Arias, Mark J Sedler
{"title":"Does Escalating Violence and Associated Fear of Crime Worsen Psychological Well-Being in Community Dwellers Living in a Rural Setting? Results From the Atahualpa Project Cohort.","authors":"Oscar H Del Brutto, Robertino M Mera, Denisse A Rumbea, Emilio E Arias, Mark J Sedler","doi":"10.1177/21501319241273167","DOIUrl":"10.1177/21501319241273167","url":null,"abstract":"<p><strong>Background: </strong>Escalating street violence and criminal homicides have an adverse impact on psychological well-being. However, these consequences have been difficult to evaluate. Using a recently validated scale, we aimed to assess the impact of fear of crime on the psychological status of middle-aged and older adults living in a rural setting afflicted by endemic violence.</p><p><strong>Methods: </strong>Participants were selected from Atahualpa residents included in previous studies targeting psychological distress in the population. A validated scale was used to objectively quantify fear of crime in participants. Differences in symptoms of depression and anxiety between baseline and follow-up were used as distinct dependent variables and the continuous score of the fear of crime scale was used as the independent variable. Linear regression models were fitted to assess the association between the exposure and the outcomes, after adjusting for relevant confounders.</p><p><strong>Results: </strong>A total of 653 participants (mean age = 53.2 ± 11.5 years; 57% women) completed the requested tests. We found a 13% increase in symptoms of depression and anxiety during the peak of violence in the village compared with previous years. Linear regression models showed a significant association between the total score on the fear of crime questionnaire and worsening symptoms of depression (β = .24; 95% CI = 0.14-0.35) and anxiety (β = .31; 95% CI = 0.24-0.37), after adjustment for relevant confounders.</p><p><strong>Conclusions: </strong>This study shows a significant aggravating effect of fear of crime on pre-existing symptoms of depression and anxiety and a deleterious effect of these conditions on overall well-being.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241273167"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983584","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
Practical Considerations and Implementation of Sodium-Glucose Co-Transporter-2 Inhibitors in Chronic Kidney Disease: Who, When, and How? A Position Statement by Nephrologists. 慢性肾脏病钠-葡萄糖共转运体-2 抑制剂的实际考虑因素和应用:谁、何时、如何使用?肾病学家的立场声明。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241259905
Anjay Rastogi, Ashté Collins, Ellie Kelepouris, Wayne Kotzker, John P Middleton, Minesh Rajpal, Prabir Roy-Chaudhury, Glenn M Chertow
{"title":"Practical Considerations and Implementation of Sodium-Glucose Co-Transporter-2 Inhibitors in Chronic Kidney Disease: Who, When, and How? A Position Statement by Nephrologists.","authors":"Anjay Rastogi, Ashté Collins, Ellie Kelepouris, Wayne Kotzker, John P Middleton, Minesh Rajpal, Prabir Roy-Chaudhury, Glenn M Chertow","doi":"10.1177/21501319241259905","DOIUrl":"10.1177/21501319241259905","url":null,"abstract":"<p><strong>Introduction: </strong>There remains an unmet need to reduce kidney and cardiovascular risk in patients with chronic kidney disease (CKD). This report is therefore intended to provide real-world clinical guidance to primary care providers on sodium-glucose co-transporter-2 (SGLT2) inhibitor use in patients with CKD, focusing on practical considerations. Initially developed as glucose-lowering drugs, SGLT2 inhibitors preserve kidney function and reduce risks of cardiovascular events and mortality. Clinical benefits of SGLT2 inhibitors in CKD have been demonstrated in multiple clinical trials, yet utilization in practice remains relatively low, likely due to the complexity of labeled indications (past and present) and misconceptions about SGLT2 inhibitors as a class.</p><p><strong>Methods: </strong>A panel of 8 US-based nephrologists convened in August 2022 to develop consensus guidance for the primary care community surrounding risk assessment as well as initiation and implementation of SGLT2 inhibitors in patients with CKD. Here, we provide an adapted version of the Kidney Disease: Improving Global Outcomes (KDIGO) heatmap and a treatment-decision algorithm.</p><p><strong>Conclusions: </strong>We advocate SGLT2 inhibitors as co-first-line therapy with renin-angiotensin-aldosterone system (RAAS) inhibitors, where RAAS inhibitor dose titration need not be completed before initiation of an SGLT2 inhibitor. In fact, SGLT2 inhibitor therapy may facilitate up-titration or maintenance of optimal RAAS inhibitor dosing. We describe potential strategies to aid implementation of an SGLT2 inhibitor in clinical practice, including improving education and awareness among care providers and patients and dispelling misconceptions about the safety of SGLT2 inhibitors. In summary, we support the use of SGLT2 inhibitors with RAAS inhibitors as co-first-line therapy in most patients with CKD.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241259905"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11327967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983605","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
Life Satisfaction Among Diverse Participants. 不同参与者的生活满意度。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241277574
Razel Bacuetes Milo, Maria Luisa B Ramira, Nicole Martinez
{"title":"Life Satisfaction Among Diverse Participants.","authors":"Razel Bacuetes Milo, Maria Luisa B Ramira, Nicole Martinez","doi":"10.1177/21501319241277574","DOIUrl":"https://doi.org/10.1177/21501319241277574","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health (MH) conditions are among the most common chronic health conditions in the United States. Previous studies suggested decreased in life satisfaction post-COVID-19 in other populations outside the United States. This study explored the correlations between life satisfaction and MH among diverse community post-COVID-19 pandemic.</p><p><strong>Methods: </strong>A cross-sectional, non-experimental, retrospective study. The primary outcome was the Satisfaction with Life Scale total score (SWLS_TS) and the characteristics of the cases from self-reported information. Statistical software SPSS was used for descriptive and inferential analyses.</p><p><strong>Results: </strong>About 218 cases were included for analysis. Many of the cases were Asian Americans (n = 185, 84.1%). The multiple linear regression model significantly predicted 5.2% of the variance in SWLS_TS. Three out of 6 predictors significantly contributed to the model (age β = .172, t = 2.42, P = .017, ethnicity β = .148, <i>t</i> = 2.07, <i>P</i> = .039, and no history of MH β = .248, t = 3.31, P = .001).</p><p><strong>Conclusion: </strong>A diverse population was examined post-COVID-19 pandemic, and the findings suggest a positive correlation with age, ethnicity, and no history of MH with SWLS_TS.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241277574"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298438","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
Lipid Management in Primary Care for Socioeconomically Disadvantaged Populations in Northern England: A Qualitative Study. 英格兰北部社会经济处境不利人群初级保健中的血脂管理:定性研究。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241272026
Yu Fu, Sarah Sewdon, Julia L Newton
{"title":"Lipid Management in Primary Care for Socioeconomically Disadvantaged Populations in Northern England: A Qualitative Study.","authors":"Yu Fu, Sarah Sewdon, Julia L Newton","doi":"10.1177/21501319241272026","DOIUrl":"10.1177/21501319241272026","url":null,"abstract":"<p><strong>Introduction: </strong>People in low socioeconomic circumstances are more susceptible to dyslipidemia and cardiovascular disease than those living in more affluent populations. Limited healthcare access and low preventive care uptake widen health inequalities. Understanding how primary care can better serve socioeconomically disadvantaged communities is urgently needed.</p><p><strong>Aim: </strong>To explore lipid management delivery in socioeconomically disadvantaged areas and identify barriers and enablers for lipid optimization for socioeconomically disadvantaged populations.</p><p><strong>Method: </strong>Individual semi-structured remote interviews with clinicians, purposively recruited from primary care practices serving extremely socioeconomically disadvantaged communities in Northern England, UK, who were involved in the delivery and organization of lipid management. Interviews were recorded, transcribed, and analyzed thematically following framework analysis.</p><p><strong>Results: </strong>Fifteen interviews were undertaken. Five themes emerged: complex and multimorbid patients with competing priorities, limited access and follow-up to supporting services, being flexible and working beyond guidelines, high workload with inadequate staff support, and the need for care integrity and sustainable support.</p><p><strong>Conclusion: </strong>The findings of this study have been fed back to the delivery of the national program to improve cardiovascular health. Socioeconomically disadvantaged communities have complex health needs posing risks of multimorbidity but living with low health literacy, competing demands upon time, and financial constraints. Clinicians are willing to adapt services but a lack of guidance for care and funded services remains a significant barrier to targeted service delivery. Research is needed to inform the effectiveness and acceptability of interventions for lipid management tailored for those experiencing low socioeconomic disadvantage.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241272026"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11490947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477473","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
"When You Look at This Chart, That Is Not My Whole Life": Caregiver Perspectives to Inform Improved Primary Care Practice and Outcomes. "当你看到这张图表时,这并不是我的全部生活":从护理者的视角出发,改进初级保健实践和成果。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241253524
Monique Quinn, Allison Parsons, Chidiogo Anyigbo, Alexandra M S Corley, Lauren Lipps, Jamaica Gilliam, Julietta O Ladipo, Caitlin Jee Hae Behle, Desiré Bennett, Carley Riley
{"title":"\"When You Look at This Chart, That Is Not My Whole Life\": Caregiver Perspectives to Inform Improved Primary Care Practice and Outcomes.","authors":"Monique Quinn, Allison Parsons, Chidiogo Anyigbo, Alexandra M S Corley, Lauren Lipps, Jamaica Gilliam, Julietta O Ladipo, Caitlin Jee Hae Behle, Desiré Bennett, Carley Riley","doi":"10.1177/21501319241253524","DOIUrl":"10.1177/21501319241253524","url":null,"abstract":"<p><strong>Objective: </strong>Worsening rates of infant and maternal mortality in the United States serve as an urgent call for multi-modal intervention. Infant Well Child Visits (WCVs) provide an opportunity for prevention, however not all infants receive the recommended schedule of visits, with infants of low-income and Black families missing a higher portion of WCVs. Due to diverse experiences and needs of under-resourced communities throughout the United States, caregiver voice is essential when designing improvement efforts.</p><p><strong>Methods: </strong>Purposeful sampling and interviewing of 10 caregivers in Cincinnati, OH was performed by community peer researchers. Interview transcripts were evaluated by the research team, with identification of several important themes.</p><p><strong>Results: </strong>Nine out of 10 caregivers self-identified as Black. All young children of the interviewed caregivers had Medicaid as their insurance provider. All interviews highlighted rich perspectives on caregiver hopes for their child, family, and selves. Establishing trust through empathy, shared decision making, and the nurturing of interpersonal patient-practitioner relationships is crucial for fostering a positive healthcare experience. Levels of mistrust was perceptibly high across several interviews, with lack of racial concordance between medical provider and family exacerbating the issue for some caregivers. Caregivers voiced a tendency to rely on family and community members for when to seek out health care for their children, and additionally cited racism and perceptions of being rushed or judged as barriers to seeking further care.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of being community-informed when considering interventions. Prior research on the topic of missed WCV's often focused on material resource availability and limitations. While that was commented on by caregivers in this study as well, equal-if not more-attention was directed toward interpersonal relationship formation, the presence or absence of trust between practitioner and caregiver, and the importance of social-emotional support for caregivers. We highlight several opportunities for systemic improvements as well as future directions for research.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241253524"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899798","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
Pro Inflammatory Cytokines Profiles of Patients With Long COVID Differ Between Variant Epochs. 长 COVID 患者的前炎症细胞因子图谱在不同变异纪元之间存在差异。
IF 3.6
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241254751
Ravindra Ganesh, Siddhant Yadav, Ryan T Hurt, Michael R Mueller, Christopher A Aakre, Elizabeth A Gilman, Stephanie L Grach, Joshua Overgaard, Melissa R Snyder, Nerissa M Collins, Ivana T Croghan, Andrew D Badley, Raymund R Razonable, Bradley R Salonen
{"title":"Pro Inflammatory Cytokines Profiles of Patients With Long COVID Differ Between Variant Epochs.","authors":"Ravindra Ganesh, Siddhant Yadav, Ryan T Hurt, Michael R Mueller, Christopher A Aakre, Elizabeth A Gilman, Stephanie L Grach, Joshua Overgaard, Melissa R Snyder, Nerissa M Collins, Ivana T Croghan, Andrew D Badley, Raymund R Razonable, Bradley R Salonen","doi":"10.1177/21501319241254751","DOIUrl":"10.1177/21501319241254751","url":null,"abstract":"<p><strong>Background: </strong>Over 30% of patients with COVID-19 have persistent symptoms that last beyond 30 days and referred to as Long COVID. Long COVID has been associated with a persistent elevation in peripheral cytokines including interleukin-6, interleukin-1β, and tumor necrosis factor-α. This study reports cytokine profiles of patients in our clinic across SARS-COV-2 variant epochs.</p><p><strong>Methods: </strong>The clinical cytokine panel was analyzed in patients with Long COVID during periods that were stratified according to variant epoch. The 4 variant epochs were defined as: (1) wild-type through alpha, (2) alpha/beta/gamma, (3) delta, and (4) omicron variants.</p><p><strong>Results: </strong>A total of 390 patients had the clinical cytokine panel performed; the median age was 48 years (IQR 38-59) and 62% were female. Distribution by variant was wild-type and alpha, 50% (n = 196); alpha/beta/gamma, 7.9% (n = 31); delta, 18% (n = 72); and omicron, 23% (n = 91). Time to cytokine panel testing was significantly longer for the earlier epochs. Tumor necrosis factor-α (<i>P</i> < .001) and interleukin 1β (<i>P</i> < .001) were significantly more elevated in the earlier epochs (median of 558 days in wild-type through Alpha epoch vs 263 days in omicron epoch, <i>P</i> < .001)). Nucleocapsid antibodies were consistently detected across epochs.</p><p><strong>Discussion: </strong>When stratified by variant epoch, patients with early epoch Long COVID had persistently elevated peripheral pro-inflammatory cytokine levels when compared to later epoch Long COVID. Patients with Long COVID have similar clusters of symptoms across epochs, suggesting that the underlying pathology is independent of the peripheral cytokine signature.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241254751"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11138192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162843","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
How to Care for Adolescent Patients With Orthostatic Intolerance in the Primary Care Office. 如何在初级医疗诊所护理患有正张力不耐受症的青少年患者。
IF 3
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241299527
Camden Hebson, Kelly Muterspaw, Alexander Kuo, Polly Borasino, Khalisa Syeda, Toren Anderson
{"title":"How to Care for Adolescent Patients With Orthostatic Intolerance in the Primary Care Office.","authors":"Camden Hebson, Kelly Muterspaw, Alexander Kuo, Polly Borasino, Khalisa Syeda, Toren Anderson","doi":"10.1177/21501319241299527","DOIUrl":"10.1177/21501319241299527","url":null,"abstract":"<p><p>Orthostatic intolerance (and its subtype postural orthostatic tachycardia syndrome [POTS]) is an increasingly common complaint among adolescents associated with significant decrease in quality of life and frequent visits to primary care offices. As orthostatic intolerance becomes increasingly discussed online and through social media, we have observed that family angst and anxiety only heighten, often leading to requests for specialist referral to manage the symptoms. This often leads to delay in diagnosis, which further exacerbates the situation. In truth, however, a pragmatic approach applied by the primary care provider, including a ready explanation for the experienced symptoms, not only provides the bedrock for patient improvement, but also eases the anxiety of having a seemingly nebulous diagnosis. As physicians caring for these patients, we have seen success with treatment and seek to share this blueprint. Key points that will be covered include how to make an accurate diagnosis (using the \"dizziness rule\"), how to counsel about treatment, and clinic pitfalls to avoid. The description of care that follows is not based on systematic review and instead is exactly what is used in our office and what we hope will be successful in yours as well.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241299527"},"PeriodicalIF":3.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630069","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
A Survey of Sleep Quality From a Post-COVID Clinic. 后 COVID 诊所的睡眠质量调查。
IF 3.6
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241233205
Mantavya Punj, Michael Schwartz, Anjali Morris, Joseph Cheung, Bala Munipalli
{"title":"A Survey of Sleep Quality From a Post-COVID Clinic.","authors":"Mantavya Punj, Michael Schwartz, Anjali Morris, Joseph Cheung, Bala Munipalli","doi":"10.1177/21501319241233205","DOIUrl":"10.1177/21501319241233205","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the prevalence of sleep disturbance among patients evaluated at a clinic for patients afflicted with Post-acute sequelae of COVID-19 (PASC).</p><p><strong>Methods: </strong>Sleep disturbance was assessed with the Patient-Reported Outcomes Measurement Information System-Sleep Disturbance (PROMIS-SD) framework among adult patients of the PASC clinic.</p><p><strong>Results: </strong>Among 312 patients, the mean age was 46.2 years, and 70.2% were women. About 41.0% of patients had no sleep disturbance; sleep disturbance was mild to moderate in 51.3% and severe in 7.7%. PROMIS-SD score was negatively correlated with the time from the initial positive COVID-19 test to the initial consultation in the PASC clinic (Pearson <i>r</i> = -.094; <i>r</i><sup>2</sup> = .0088).</p><p><strong>Conclusions: </strong>The PROMIS-Sleep Disturbance framework can serve as a tool to assess the burden of sleep disturbances in PASC patients.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241233205"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900630","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
Identifying High-Cost, High-Need Patients in a Network of Community Hospitals. 在社区医院网络中识别高成本、高需求患者。
IF 3.6
Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI: 10.1177/21501319241233410
Gabriel Zdrale, Alison Essary, Stephan Bremer, Wesley Peng, Weiqi Chen, Edward Kalpas
{"title":"Identifying High-Cost, High-Need Patients in a Network of Community Hospitals.","authors":"Gabriel Zdrale, Alison Essary, Stephan Bremer, Wesley Peng, Weiqi Chen, Edward Kalpas","doi":"10.1177/21501319241233410","DOIUrl":"10.1177/21501319241233410","url":null,"abstract":"<p><p>We examined healthcare costs at HonorHealth, a community-based academic health center comprised of 5 hospitals and numerous ambulatory care facilities. Patient encounters that resulted in admission in 2019 were included in the study. Mean costs in 2019 for high costs and high needs (HCHN) patients were compared with all remaining patients using a framework developed by the National Academy of Medicine. HCHN patients were older (71 vs 52 years), with a lower percentage of females (41.7% vs 59.8%), more frequently White (90.1% vs 87.5%), less frequently married (52.4% vs 54.5%), with a longer length of stay (6.5 vs 3.0 days) and higher mean charges ($134 743 vs $16 414). The mean cost per patient in the HCHN group decreased by age group ($192, 963, $165 200, $144 584, $134 795, and $108 356) for 0 to 18, 19 to 44, 45 to 64, 65 to 84, and 85+ years, respectively. HCHN patients were more publicly insured (49% vs 38%). Targeted interventions to treat HCHN may lead to lower healthcare costs and improved health outcomes within this system.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241233410"},"PeriodicalIF":3.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10894528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139940908","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信