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SHERO: A Community-Driven, Technology-Enabled, and Human-Led Initiative to Advance Black Perinatal Health Equity in the U.S. SHERO：社区驱动，技术支持和人为主导的倡议，以促进美国黑人围产期健康公平
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.a967354
Renaisa Anthony, Priscilla Kehoe, Yuqing Guo
{"title":"SHERO: A Community-Driven, Technology-Enabled, and Human-Led Initiative to Advance Black Perinatal Health Equity in the U.S.","authors":"Renaisa Anthony, Priscilla Kehoe, Yuqing Guo","doi":"10.1353/hpu.2025.a967354","DOIUrl":"10.1353/hpu.2025.a967354","url":null,"abstract":"<p><p>Shaping Healthy Equitable Reproductive Outcomes (SHERO) is a community-driven, technology-enabled, and human-led initiative designed to address Black maternal and infant health disparities. It integrates culturally concordant care teams, digital health education, and hybrid social support into a technology-enhanced, coordinated perinatal care model. Evaluated by mixed methods, this initiative seeks to enhance maternal and infant health equity nationwide.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"1-11"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876085","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
Research Infrastructure and Capacity in Federally Qualified Health Centers. 联邦合格医疗中心的研究基础设施和能力。
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.a951607
Eve Walter, Matthew O'Brien
{"title":"Research Infrastructure and Capacity in Federally Qualified Health Centers.","authors":"Eve Walter, Matthew O'Brien","doi":"10.1353/hpu.2025.a951607","DOIUrl":"10.1353/hpu.2025.a951607","url":null,"abstract":"<p><p>Federally qualified health centers (FQHCs) constitute the primary system of ambulatory care for underserved populations, and therefore represent an important setting for clinical research. Our team sought to understand barriers in these environments impeding their engagement in clinical research.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"410-415"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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":"<p><p>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.</p>","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
{"title":"Health Insurance Coverage Predicts Health Care Use among Latine Immigrants in Two Policy Contexts.","authors":"Taryn Morrissey, Neko Michelle Castleberry, Duncan McHale, Catalina Sol, Molly Dondero, Thespina Yamanis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study analyzed electronic health record (EHR) data from 2016 through 2019 from a federally qualified health center (FQHC) serving predominantly low-income Latine immigrants in the Washington, D.C. metropolitan area to examine how changes in health insurance coverage relate to changes in health care use. Federally qualified health center clients were insured for an average of 59% to 63% of their annual visits, but about one-third had no coverage throughout the year. Findings from descriptive regression and within-client fixed effects models indicate that in years with higher proportions of insured visits, clients averaged more medical visits and interpreter services but fewer mental health and care coordination visits. Latine immigrant clients in D.C., a city with a universal health insurance option, had health insurance coverage for 89% of their visits, and averaged more medical and fewer coordination visits relative to those in a neighboring county in a state without a universal insurance option.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"481-502"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200833","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
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
{"title":"Women's Preventive Services Utilization in Illinois in the Aftermath of the ACA and the COVID-19 Pandemic.","authors":"Arden Handler, Trang Ngoc Doam Pham, Kristin Rankin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study explores the association between health system changes over the last decade and women's preventive care utilization in Illinois. A cross-sectional analysis using Illinois Behavioral Risk Factor Surveillance System (BRFSS) data from 2012-2020 among women aged 21-75 (n=21,258) examined well-woman visit (WWV) receipt and breast and cervical cancer screening overall and over several time periods. There was an increase in the prevalence of receiving a WWV for Illinois women overall from 2012-2020. However, the overall adjusted prevalence difference was only significant for the 2020 versus 2015-2019 comparison and not for 2015-2019 versus 2012-2014. The COVID-19 pandemic was not associated with a decrease in the prevalence of mammogram use but was manifest for cervical cancer screening, particularly for Black women. Finally, those reporting having a WWV in the past year had a significantly higher prevalence of being up to date with screening compared with those not reporting a WWV.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"672-691"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201010","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":"<p><p>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.</p>","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
{"title":"Newly and Previously Eligible Medicaid Enrollees Differ, but Not in Health Care Expenditures.","authors":"Paul D Jacobs, Steven C Hill, Jessica N Monnet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2014, the Affordable Care Act (ACA) expanded the role of Medicaid by encouraging states to increase eligibility for lower-income adults. As of 2024, 10 states had not adopted the expanded eligibility provisions of the ACA, possibly due to concerns about the state's share of spending. Using the Medical Expenditure Panel Survey (MEPS), we documented how health care utilization, expenditures, and the overall health status of newly eligible enrollees compare with enrollees who would have been eligible under their states' rules before the ACA. Our estimates suggest that, during 2014-16, newly eligible Medicaid enrollees had worse health and greater utilization and expenditures than previously eligible enrollees. However, during 2017-19, newly and previously eligible enrollees had comparable per capita health expenditures across six types of health spending. We find some evidence that changes in Medicaid enrollment composition muted observed differences between eligibility groups.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"802-815"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917799","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
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":"<p><strong>Objectives: </strong>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.</p><p><strong>Study design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><p>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.</p>","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
Teaching Abolition Medicine: Best Practices for Centering Criminalized Communities in Medical Education. 废医教学：在医学教育中以犯罪群体为中心的最佳实践。
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.a943993
Mackenzie A Mitchell, Mary Thomas, Micaela Linder, Joseph Truglio
{"title":"Teaching Abolition Medicine: Best Practices for Centering Criminalized Communities in Medical Education.","authors":"Mackenzie A Mitchell, Mary Thomas, Micaela Linder, Joseph Truglio","doi":"10.1353/hpu.2024.a943993","DOIUrl":"10.1353/hpu.2024.a943993","url":null,"abstract":"<p><p>Mass incarceration is a significant structural determinant of health, affecting incarcerated individuals, their families, and communities, with profound racial disparities. Health care professionals have an opportunity to reduce these inequities through abolition medicine. Abolition in health care means rewriting how doctors relate to patients labeled as criminal and is not a new checklist that can be imposed on the existing curriculum. Beyond changing individual clinical practice, abolition medicine also provides a critical framework for dismantling unjust policies. However, published medical education curricula lack an in-depth component on how to identify and disrupt medical practices designed to perpetuate inequities, and few report development alongside individuals with lived experience. In this article we explore the current state of medical education curricula as they pertain to health, incarceration, and abolition. We propose best practices for reducing health inequities for criminalized individuals grounded in our work alongside individuals with lived experience of incarceration.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1328-1342"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711505","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
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