Journal of Health Care for the Poor and Underserved最新文献

Medical Interpretation for Emerging Populations: Building a Multi-Modal Interpretation Program for Pashto-Speakers at a Public Safety-Net Health System. 为新兴人群提供医疗口译服务：在一个公共安全网医疗系统中为普什图语使用者建立一个多模式口译项目。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Christopher Hromas, Waheedullah Ibrahim Khil, Tonya Burris, Virginia Mika

引用次数: 0

Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population. 医疗补助管理式护理儿科人群中与早期和定期筛查、诊断和治疗服务相关的因素。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Shamly Austin, Zo Ramamonjiarivelo, DeLawnia Comer-HaGans, Yuan Zhang

{"title":"Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population.","authors":"Shamly Austin, Zo Ramamonjiarivelo, DeLawnia Comer-HaGans, Yuan Zhang","doi":"","DOIUrl":"","url":null,"abstract":"Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services is a Medicaid benefit for children that addresses their health problems before they become advanced, debilitating, and expensive. We conducted a retrospective cross-sectional analysis of pediatric beneficiaries (newborn to younger than 21 years) enrolled in a Medicaid managed care organization to examine the factors associated with EPSDT screening services completion. We obtained 2018 administrative claims data for beneficiaries continuously enrolled for a minimum of 90 days (n=156,108). Completion of EPSDT screening services among our Medicaid managed care beneficiaries was low. Those having more emergency department visits and hospitalizations, having family medicine practitioners as primary care physicians, belonging to the racial/ethnic group Asian/Pacific Islander/Hawaiian/Alaskan Native/Native American, and 18 to younger than 21 years age group were less likely than others to complete EPSDT services. Our results provide information on segments of pediatric beneficiaries that can be targeted to increase EPSDT screening services completion.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"79-93"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Insurance Coverage Predicts Health Care Use among Latine Immigrants in Two Policy Contexts. 医疗保险覆盖率预测两种政策背景下拉丁裔移民的医疗保健使用情况。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Taryn Morrissey, Neko Michelle Castleberry, Duncan McHale, Catalina Sol, Molly Dondero, Thespina Yamanis

引用次数: 0

Women's Preventive Services Utilization in Illinois in the Aftermath of the ACA and the COVID-19 Pandemic. ACA 和 COVID-19 大流行后伊利诺伊州妇女对预防服务的利用情况。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Arden Handler, Trang Ngoc Doam Pham, Kristin Rankin

引用次数: 0

Hospitalized and Hungry: A Mixed Methods Study Assessing Immigrant Caregiver Perspectives on an Inpatient Food Insecurity Intervention. 住院和饥饿：一项混合方法研究，评估移民照顾者对住院病人粮食不安全干预措施的看法。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a942872

Marina Masciale, Rathi Asaithambi, Karen DiValerio Gibbs, Karla Fredricks, Xian Yu, Heather Haq, Mariana Carretero Murillo, Claire Bocchini, Michelle A Lopez

{"title":"Hospitalized and Hungry: A Mixed Methods Study Assessing Immigrant Caregiver Perspectives on an Inpatient Food Insecurity Intervention.","authors":"Marina Masciale, Rathi Asaithambi, Karen DiValerio Gibbs, Karla Fredricks, Xian Yu, Heather Haq, Mariana Carretero Murillo, Claire Bocchini, Michelle A Lopez","doi":"10.1353/hpu.2024.a942872","DOIUrl":"https://doi.org/10.1353/hpu.2024.a942872","url":null,"abstract":"Inpatient food insecurity (FI), or caregiver inability to obtain adequate food for themselves during child hospitalization, negatively affects caregiver participation in care. Using mixed methods, we assessed inpatient FI prevalence, factors associated with inpatient FI, and perspectives on an inpatient FI intervention among immigrant caregivers (ICs) at a children's hospital from 2021-2022. We performed a sub-analysis of data from a larger FI intervention study, which provided meal trays and food bank public benefit navigator referrals for caregivers screening positive for household or inpatient FI. Logistic regression assessed factors associated with inpatient FI among ICs. We interviewed ICs enrolled in the intervention and identified themes. Of 369 ICs, 56% reported inpatient FI. Low income, poor caregiver health, and household FI were associated with inpatient FI in regression analysis. Nine qualitative interviews revealed positive reception to the intervention. Immigrant caregivers noted that it facilitated participation in care and alleviated financial burden.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"115-133"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Community-based Intervention to Improve Health Outcomes for Vietnamese Americans. 基于社区的干预措施，改善美籍越南人的健康状况。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Jennifer B Unger, Tiffany Nguyen Budzinski, Thang D Nguyen, TrangKhanh Tran

{"title":"A Community-based Intervention to Improve Health Outcomes for Vietnamese Americans.","authors":"Jennifer B Unger, Tiffany Nguyen Budzinski, Thang D Nguyen, TrangKhanh Tran","doi":"","DOIUrl":"","url":null,"abstract":"Vietnamese Americans experience significant health disparities compared with other groups, but their health care utilization is suboptimal. Boat People SOS (BPSOS), a nationwide Vietnamese-serving community-based organization, implemented a community health worker and community-clinical linkage electronic referral system to improve health care utilization. Three sites (in Alabama, California, and Virginia) received the intervention; Mississippi was the comparison site. The intervention included bridging between communities and health systems, culturally appropriate health education, informal counseling and social support, advocating for individual and community needs, direct services, and building individual and community capacity through partnerships with service providers. Compared with the comparison site, clients at the intervention sites reported better overall perceived health after the intervention. Past-year medical checkups declined in both groups during the COVID-19 pandemic but declined less in the treatment group. The intervention did not reduce emergency room visits. Findings suggest that this intervention can improve health care utilization and health status among Vietnamese Americans.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"3-15"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Home Together: A Multi-Level Community-Based Health Promotion Program Supporting Families Experiencing Homelessness. 一起回家：以社区为基础的多层次健康促进计划，为无家可归的家庭提供支持。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Brooke E E Montgomery, Cindy Crone, Ben Goodwin, Ruthie Hokans, Ashley Williams, Jaime Stacker, Rachael Borne', George Pro, Isis Martel

{"title":"Home Together: A Multi-Level Community-Based Health Promotion Program Supporting Families Experiencing Homelessness.","authors":"Brooke E E Montgomery, Cindy Crone, Ben Goodwin, Ruthie Hokans, Ashley Williams, Jaime Stacker, Rachael Borne', George Pro, Isis Martel","doi":"","DOIUrl":"","url":null,"abstract":"Home Together (HT) is a multi-level multi-component health promotion program, co-led by academic and non-profit partners in Arkansas that sought (1) to improve access to and family acceptance of social services and health care among women experiencing homelessness who have a diagnosed mental health condition and a child younger than six years and (2) to increase service provider capacity to engage with this population. A socioecological perspective was used to detail program components and lessons learned. Home Together enrolled 345 women representing unduplicated families. Of these, 214 completed six-month reassessments and 111 completed discharge assessments. Representative of the area and population served, most self-identified as belonging to racial minorities (87.0%), being younger than 35 years (80.1%), experiencing violence (76%), and being heterosexual (82%). Pre-post testing indicated positive changes for HT families, including improvements in mental health, health care access, and housing. Yet, even the most coordinated comprehensive programs are no substitute for policy-level changes that help families reach stability.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"880-902"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Newly and Previously Eligible Medicaid Enrollees Differ, but Not in Health Care Expenditures. 新符合条件的医疗补助计划参保者与之前符合条件的参保者存在差异，但在医疗支出方面没有差异。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Paul D Jacobs, Steven C Hill, Jessica N Monnet

引用次数: 0

Infants' Non-Enrollment in Medicaid after Medicaid-Financed Birth: an Analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) Data. 婴儿出生后未加入医疗补助计划：妊娠风险评估监测系统 (PRAMS) 数据分析。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943989

Dmitry Tumin, Valentina Marginean, Jessica Eubanks, Uduak S Akpan

{"title":"Infants' Non-Enrollment in Medicaid after Medicaid-Financed Birth: an Analysis of Pregnancy Risk Assessment Monitoring System (PRAMS) Data.","authors":"Dmitry Tumin, Valentina Marginean, Jessica Eubanks, Uduak S Akpan","doi":"10.1353/hpu.2024.a943989","DOIUrl":"10.1353/hpu.2024.a943989","url":null,"abstract":"Objectives: To characterize the proportion of Medicaid-eligible infants experiencing gaps in Medicaid coverage during early infancy and to determine whether infants without Medicaid coverage were covered by other plans or not at all.Study design: Infants with Medicaid-financed births from three states participating in the 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) were included (N=3,658). Infant insurance coverage (Medicaid, non-Medicaid, none) was assessed at the time of the PRAMS survey, typically around four months of age.Results: Fifteen percent of infants had non-Medicaid insurance coverage, two percent were uninsured, and 83% had Medicaid coverage after Medicaid-financed birth. The strongest predictor of infant uninsurance was maternal uninsurance or non-Medicaid coverage before pregnancy.Conclusion: Some presumably eligible infants are not enrolled in Medicaid or experience lapses in Medicaid coverage. Informing families about infants' coverage eligibility and supporting families during the enrollment process would especially benefit families with no pre-pregnancy experience with Medicaid.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1273-1283"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mississippi Abortion Clients' Strategies to Pay for Abortion Care and Manage Economic Hardship. 密西西比州堕胎客户支付堕胎护理费用和应对经济困难的策略。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943980

Whitney Arey, Klaira Lerma, Amanda Nagle, Gema Alemán, Kari White

{"title":"Mississippi Abortion Clients' Strategies to Pay for Abortion Care and Manage Economic Hardship.","authors":"Whitney Arey, Klaira Lerma, Amanda Nagle, Gema Alemán, Kari White","doi":"10.1353/hpu.2024.a943980","DOIUrl":"10.1353/hpu.2024.a943980","url":null,"abstract":"Abortion clients who experience economic hardship face barriers paying for abortion care. Between September 2020 and June 2021, we conducted a facility-based survey with 211 abortion clients who obtained care in Mississippi, and 25 respondents completed in-depth interviews. We computed the frequency with which survey respondents used social network-based, agency-based, and individual strategies to pay for care and we employed thematic analysis to explore in-depth interviewees' decision-making and experiences with these strategies. Overall, 93% used at least one strategy to pay for their abortion: 62% sought help from social networks; 61% received assistance from abortion funds (non-profit organizations that help people pay for abortion care); and 47% relied on individual strategies, such as postponing routine expenses. Interviewees often noted it was difficult to use these strategies and doing so adversely affected their economic stability. These findings support the need for insurance coverage and expanded financial assistance for abortion seekers, particularly those now forced to travel following abortion bans.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1113-1127"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0