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

Addressing Disparities in Access to Mechanical Thrombectomy in a Developing Country: Insights from a Public-Private Partnership in Colombia. 解决发展中国家在机械取栓方面的差距：来自哥伦比亚公私合作伙伴关系的见解。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a959120

Juan Diego Martínez-Lemus, Stefania Forero-Caldas, Annelise Velasco de Azevedo-Pereira, Andrea Del Pilar González-Gamboa, Neiry María Zapa-Pérez, Hernán Bayona-Ortiz, Claudio Alejandro Jiménez-Monsalve

{"title":"Addressing Disparities in Access to Mechanical Thrombectomy in a Developing Country: Insights from a Public-Private Partnership in Colombia.","authors":"Juan Diego Martínez-Lemus, Stefania Forero-Caldas, Annelise Velasco de Azevedo-Pereira, Andrea Del Pilar González-Gamboa, Neiry María Zapa-Pérez, Hernán Bayona-Ortiz, Claudio Alejandro Jiménez-Monsalve","doi":"10.1353/hpu.2025.a959120","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959120","url":null,"abstract":"Introduction: Access to mechanical thrombectomy (MT) for ischemic stroke with large vessel occlusion is limited in upper middle-income countries.Objective: To describe the experience of a public-private partnership (PPP) aimed at enhancing MT access in Bogotá, Colombia's public health care network.Methods: Cross-sectional study describes access to MT under two drip-and-ship referral models (model A and B). Bivariate analysis was conducted using SPSS V25.Results: Between 2021 and 2023, there were 116 MT code activations. Over sixty percent (61.6%) successfully accessed MT, while administrative barriers prevented access in the remaining cases. There was no significant difference in MT access between PPP models A (60%) and B (66.7%). Model B faced prominent administrative issues related to insurance.Conclusions: Public-private partnerships significantly improved MT access in Bogotá, benefiting nearly two-thirds of the studied population. However, administrative challenges persist. Effective referral systems and robust national policies are crucial for further enhancing MT access.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"670-684"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022341","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

Obstetrics and Gynecology Residency Training on Caring for Incarcerated Patients: A National Survey of Programs. 关于监禁病人护理的妇产科住院医师培训：一项全国项目调查。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a959118

Meghna Tummala, Erin Christine Brousseau

引用次数: 0

Feasibility of Medical-Legal Partnership to Improve Inpatient Outcomes and Reduce Hospital Length of Stay. 医法伙伴关系改善住院治疗效果和缩短住院时间的可行性。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a959105

Nicole DePolo, Catherine A West, Brian D Johnston

{"title":"Feasibility of Medical-Legal Partnership to Improve Inpatient Outcomes and Reduce Hospital Length of Stay.","authors":"Nicole DePolo, Catherine A West, Brian D Johnston","doi":"10.1353/hpu.2025.a959105","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959105","url":null,"abstract":"Introduction: Length of stay (LOS) is an important quality metric often affected by social determinants of health including health-harming legal needs (HHLNs). We sought to determine the feasibility of medical-legal partnerships (MLPs) in the inpatient setting to improve LOS.Methods: Adult patients admitted to a safety-net public hospital beyond medically predicted LOS (n=110) were assessed for HHLNs via chart review and standardized surveys then referred for legal intervention if indicated. Staff were surveyed regarding HHLNs and MLPs. Retrospective cost-analysis was performed one year later.Results: Average excess LOS days were 41±51, and HHLNs were identified among 69% of patients. The need for guardianship was specifically associated with increased excess LOS (p=.03). Staff reported interest in MLPs, and referrals increased after initial exposure. Cost-analysis at one year showed savings in excess of $200,000.Conclusions: Medical-legal partnerships have potential to reduce excess LOS, improving inpatient clinical outcomes and health care cost-effectiveness.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"417-426"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052684","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 Case Study of Community Dental Health Coordinator: Evaluating a Medical-Dental Collaboration to Address Barriers to Preventive Dental Care. 社区牙科健康协调员的案例研究：评估医疗-牙科合作以解决预防牙科保健的障碍。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a951585

Jessica Weisz, Desiree de la Torre, Anupama Rao Tate

{"title":"A Case Study of Community Dental Health Coordinator: Evaluating a Medical-Dental Collaboration to Address Barriers to Preventive Dental Care.","authors":"Jessica Weisz, Desiree de la Torre, Anupama Rao Tate","doi":"10.1353/hpu.2025.a951585","DOIUrl":"10.1353/hpu.2025.a951585","url":null,"abstract":"Background: Tooth decay is common, but low-income families have low rates of preventive oral health care. The American Dental Association community dental health coordinator (CDHC) model has successfully increased referrals to co-located dentists.Objective: To implement a CDHC to link families between the medical home and community dentists.Methods: The CDHC universally screened patients between 2-17 years of age during medical check-ups at two sites. Iterative plan-do-study-act (PDSA) cycles aim to increase screening, increase participants, and increase phone follow-up with families. When participation was low, family and provider focus groups were held.Results: The CDHC completed 2,933 intakes with 745 appointments made and 250 dental appointments attended. Focus group participants of patients and providers endorsed support for the program, but iterative PDSA cycles did not increase participation.Discussion: The generalizability of the CDHC model from referrals to internal, co-located dentists to external, community providers was not as successful as expected.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"67-74"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434167","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

Community Health Centers and Medical Traineeship Patterns-Implications for Addressing Health Workforce Shortage. 社区卫生中心和医疗培训模式——解决卫生人力短缺的意义。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a951592

Seongwon Choi, Aizhan Karabukayeva, Ganisher Davlyatov, William Opoku-Agyeman

引用次数: 0

Patient Navigation in Amyotrophic Lateral Sclerosis (ALS): A Potential Approach to Timely Diagnosis. 肌萎缩侧索硬化症（ALS）患者导航：一种及时诊断的潜在方法。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a951602

Busisiwe Mombaur, Kaiseree Dias

引用次数: 0

Educational Activity with Guatemalan Lay Midwives about Helping Babies Breath. 危地马拉外行助产士关于帮助婴儿呼吸的教育活动。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a967343

Kimberly Garcia, Cheryl Armstrong, Emily Flynn, Argelia Rodriguez, Buffy Taylor, Eli Iacob, Zoila Gonzalez

{"title":"Educational Activity with Guatemalan Lay Midwives about Helping Babies Breath.","authors":"Kimberly Garcia, Cheryl Armstrong, Emily Flynn, Argelia Rodriguez, Buffy Taylor, Eli Iacob, Zoila Gonzalez","doi":"10.1353/hpu.2025.a967343","DOIUrl":"10.1353/hpu.2025.a967343","url":null,"abstract":"Reason. Guatemala's Infant Mortality Rate (IMR) of 18 deaths per 100,000 live births was 17th highest in the world in 2020. One contributor is lay midwives, who attend most births at home and often lack education about helping babies breathe (HBB). An educational activity that incorporated cultural humility was provided orally in the native language of participants about HBB. The educational activity was provided in the most remote department with some of the worst health outcomes in the country. Demographic and quality improvement data were collected. A pretest posttest was used to evaluate if the educational activity changed participants' knowledge. Findings. A t test showed a statistically significant change in knowledge from pretest (n=195, M=2.64, SD=1.27) to posttest (n=195, M=4.22, SD=1.37), 95% Confidence Interval, p=.0001. Conclusion. Educational activities for vulnerable populations with low literacy should be provided orally in the native language of participants and should be designed with cultural humility to maximize knowledge improvement.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"987-1001"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876040","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

Community Centered Education, Interpreter Training, and Advocacy to Improve Language Access for California's Asian Americans, Native Hawaiians, and Pacific Islanders. 以社区为中心的教育、翻译培训和倡导改善加州亚裔美国人、夏威夷原住民和太平洋岛民的语言使用。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a967363

Jacqueline H Tran, Eddie G Hu, Andrew Menor, Doreena P Wong

引用次数: 0

The All One Community (A1C) Program Boosts Diabetes Outcomes in Under-Engaged Asian Immigrants Through Culturally Tailored Education and Partner-Supported Enrollment. All One Community （A1C）项目通过文化量身定制的教育和合作伙伴支持的入学，提高了参与不足的亚洲移民的糖尿病结局。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a967365

Alia Southworth, Susan M Perrine, Paula Lozano, Chieko Maene, Shivam Bhargava, Arshiya A Baig, Karen E Kim, Fornessa T Randal

{"title":"The All One Community (A1C) Program Boosts Diabetes Outcomes in Under-Engaged Asian Immigrants Through Culturally Tailored Education and Partner-Supported Enrollment.","authors":"Alia Southworth, Susan M Perrine, Paula Lozano, Chieko Maene, Shivam Bhargava, Arshiya A Baig, Karen E Kim, Fornessa T Randal","doi":"10.1353/hpu.2025.a967365","DOIUrl":"10.1353/hpu.2025.a967365","url":null,"abstract":"The All One Community (A1C) program addresses chronic disease among immigrant populations, specifically South Asian, Arab, and Rohingya groups in Greater Chicago. The program offers culturally and linguistically tailored type 2 diabetes education, incorporating social support from family or friends. Participants (n=247) provided biometric data at baseline and during community screenings at 3, 6, and 9 months. Of the 199 participants completing at least 10 sessions, 91 had diabetes (HbA1C ≥ 6.5). Significant improvements in blood pressure (p=0.025) and body mass index (BMI, p=0.015) were observed. Diabetic participants with a social support partner experienced greater BMI reductions (p<0.05). Uninsured participants showed more significant improvements in systolic blood pressure (p=0.02) and cholesterol (p=0.04) than those with insurance. The findings suggest that social support and targeted interventions can improve diabetes management in uninsured immigrants at higher health risk.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"135-159"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876087","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

Community Engaged Health Literacy Events with Faith-Based and Community-Based Organizations: Health Equity & Advancing Health Literacy-DC (HEAL-DC). 社区参与健康扫盲活动与基于信仰和基于社区的组织：健康公平和促进健康扫盲- dc （healdc）。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a967351

Melissa Hawkins, Jackie Rumeld, Robin McClave, Kimi Yonamine, Leah Varga Diaz, C Anneta Arno, Anastasia Snelling

引用次数: 0