Journal of Health Care for the Poor and Underserved最新文献_第2页

Re-Evaluating the Medicaid Sterilization Consent Process.

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.a951599

Cynthia Abraham

引用次数: 0

Racial Disparities in Mortality and Readmission Among COVID-19 Hospitalized Patients.

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.a951589

Aize Cao, Arielle M Fisher, Russell E Poland, Todd Gary, Jeffrey Schnipper, Kenneth Sands

{"title":"Racial Disparities in Mortality and Readmission Among COVID-19 Hospitalized Patients.","authors":"Aize Cao, Arielle M Fisher, Russell E Poland, Todd Gary, Jeffrey Schnipper, Kenneth Sands","doi":"10.1353/hpu.2025.a951589","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951589","url":null,"abstract":"We conducted a cross-sectional study to investigate racial disparities among patients hospitalized for COVID-19 using electronic health records from a large community-based health care system between March 2020 and February 2021. The primary outcomes were in-hospital mortality and 30-day readmission. Demographics, clinical characteristics, and socioeconomic factors were analyzed using logistic regression, with adjusted odds ratios (AOR) reported. The study identified 90,490 patients, including Hispanic (29%), White (45.5%), Black (17.3%), Asian (3.1%), and Others (4.1%). The mortality model demonstrated a strong performance with an area under curve (AUC) of 0.88 (95%CI=0.877-0.885) and a Brier score of 0.093 (95%CI=0.092-0.095). For the 30-day readmission model, the AUC was 0.726 (95%CI=0.717-0.734) with a Brier score of 0.091 (95%CI=0.088-0.093). Compared with Whites, Hispanics exhibited a higher risk of mortality (AOR=1.23; 95%CI=1.16-1.31) but a lower likelihood of readmission (AOR=0.89; 95%CI=0.83-0.97). These findings highlight the critical need for targeted health management strategies across different racial and ethnic groups.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"115-143"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434290","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

Exploring Factors Affecting Nurses' Actual Use of Electronic Health Records in Resource-Limited Settings in Botswana.

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.a951594

Oabile Lesley Boitshoko, Irina Zlotnikova, Malatsi Galani, Tshiamo Sigwele

{"title":"Exploring Factors Affecting Nurses' Actual Use of Electronic Health Records in Resource-Limited Settings in Botswana.","authors":"Oabile Lesley Boitshoko, Irina Zlotnikova, Malatsi Galani, Tshiamo Sigwele","doi":"10.1353/hpu.2025.a951594","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951594","url":null,"abstract":"This study investigates factors influencing nurses' actual use of electronic health record (EHR) systems in resource-limited settings in Botswana, with a focus on addressing barriers to EHR adoption and utilization. Despite the potential benefits of EHR systems, many nurses continue to rely on paper-based records, hampering health care delivery in underserved areas. Using a cross-sectional survey of 193 nurses from 55 health care facilities, this research identifies key predictors of EHR use. The modified Unified Theory of Acceptance and Use of Technology (UTAUT) model developed in this study highlights behavioral intention, facilitating conditions, and EHR experience as significant factors influencing EHR utilization. Effort expectancy and computer self-efficacy were found to be less impactful. The results suggest that targeted interventions focusing on improving behavioral intention, enhancing infrastructure, and increasing nurses' EHR experience can significantly boost EHR adoption. These findings offer actionable recommendations for health care organizations aiming to improve EHR implementation, ultimately leading to better patient outcomes in resource-limited environments.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"209-239"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434150","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

Racial and Ethnic Disparities in Access to Care Among Adults with Cardiovascular Disease.

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.a951588

Marjan Zakeri, Lincy S Lal, Susan M Abughosh, Shubhada Sansgiry, E James Essien, Sujit S Sansgiry

{"title":"Racial and Ethnic Disparities in Access to Care Among Adults with Cardiovascular Disease.","authors":"Marjan Zakeri, Lincy S Lal, Susan M Abughosh, Shubhada Sansgiry, E James Essien, Sujit S Sansgiry","doi":"10.1353/hpu.2025.a951588","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951588","url":null,"abstract":"Racial and ethnic disparities persist in cardiovascular disease (CVD) care. Using the Medical Expenditure Panel Survey, we conducted a retrospective cross-sectional study to assess access to care for CVD patients. Unadjusted analysis of 4,686 participants indicated lower consistent access to appointments for Hispanic individuals and lower timely access to care for Black and Hispanic individuals compared with the White cohort. After adjusting for predisposing, enabling, and external factors, differences were no longer significant. Individuals aged 45-64 and those 65 and older had higher odds of consistent access to appointments and timely access to care than younger individuals. Those with only public insurance (OR=0.85, p<.05) and the uninsured (OR=0.34, p<.001) had lower consistent access to appointments than individuals with any private insurance. This study highlights the need for culturally sensitive care and targeted interventions to address socioeconomic barriers in CVD management, ensuring equitable, high-quality care for all racial and ethnic groups.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"96-114"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434289","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

Hepatitis C Care in the Greater New Orleans Area: Patient Perspectives on the Barriers and Facilitators to Care.

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.a951596

Brittany L Lane, David W Seal, Dielda J Robertson, Carl Kendall, Casey D Xavier Hall, Osaro Mgbere, Patricia J Kissinger

{"title":"Hepatitis C Care in the Greater New Orleans Area: Patient Perspectives on the Barriers and Facilitators to Care.","authors":"Brittany L Lane, David W Seal, Dielda J Robertson, Carl Kendall, Casey D Xavier Hall, Osaro Mgbere, Patricia J Kissinger","doi":"10.1353/hpu.2025.a951596","DOIUrl":"10.1353/hpu.2025.a951596","url":null,"abstract":"Increasing engagement in hepatitis C virus (HCV) care and treatment will help mitigate HCV incidence, morbidity, and mortality in the United States. This study aimed to understand the multilevel factors affecting engagement in HCV care after implementation of a subscription-based payment model for HCV treatment. Semi-structured interviews were conducted with patients with chronic HCV from a federally qualified health center in New Orleans, Louisiana. We used a convenience sampling method to recruit patients for the study. The interviews conducted between May 2020 and February 2021 explored factors influencing linkage to and retention in HCV care, using the socio-ecological model as the guiding framework. An analysis of the interviews with 39 patients revealed multilevel barriers to care, including instability, provider attitudes, prior care experiences, and the corrections system. Facilitators identified included personal health journey, network HCV experiences, and HCV awareness. A multilevel approach to facilitate engagement in HCV care is imperative.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"257-283"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434277","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

Small Steps Toward Collegiate Recovery at Historically Black Colleges/Universities.

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.a951603

Dominiquie Cj Clemmons-James

引用次数: 0

Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.

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.a951583

Jill S Roncarati, Meagan Cusack, Gala True, Julia Browne, Taylor Harris, Aerin deRussy, Jack Tsai, A Rani Elwy, Thomas H Byrne, Ann Elizabeth Montgomery

{"title":"Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.","authors":"Jill S Roncarati, Meagan Cusack, Gala True, Julia Browne, Taylor Harris, Aerin deRussy, Jack Tsai, A Rani Elwy, Thomas H Byrne, Ann Elizabeth Montgomery","doi":"10.1353/hpu.2025.a951583","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951583","url":null,"abstract":"Objective: We conducted a scoping review of 45 peer-reviewed articles to characterize the intersection of housing instability and homelessness, care, and services in rural North America. We sought gaps in literature related to geographically based health disparities among people experiencing housing instability and identify practices that may promote better health outcomes. We offer practical implications for health care and service provision for people experiencing housing instability in rural areas.Methods: We reviewed the literature and according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards.Results: We identified 45 articles matching the inclusion criteria for full-text review. Emerging themes included subpopulations and demographics, physical and behavioral health, and services.Conclusions: More information is needed on housing instability in rural settings such as housing instability among unsheltered individuals, Native Americans, and older persons. Solutions to end homelessness should consider tailoring resources and services to the rural context.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"21-55"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434195","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

Potential Implications of the Large Number of Respondents Who Prefer Not to Identify Gender or Race on Burnout Surveys.

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.a951600

Mark Linzer, Dawn Johnson, Martin Stillman, Elizabeth Goelz

引用次数: 0

Diapers at the Doctor: Addressing Diaper Need in a Pediatric Clinic.

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.a951605

Max Lee, Janine S Bruce, Shada Sinclair, Nicola Gerbino, Vanessa Baker-Simon, Elena Vinton, Samhita Kadiyala, Gaby Escobar, Lisa J Chamberlain, Baraka Floyd

引用次数: 0

Exploring Mobile Health Clinics: A Scoping Review.

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.a951582

Kathryn Sabo, Esther Herring, Christopher Clock, Jessica G Bell, Patricia Reidy

{"title":"Exploring Mobile Health Clinics: A Scoping Review.","authors":"Kathryn Sabo, Esther Herring, Christopher Clock, Jessica G Bell, Patricia Reidy","doi":"10.1353/hpu.2025.a951582","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951582","url":null,"abstract":"Mobile health clinics (MHC) have emerged as vital resources to enhance health care access for historically marginalized populations. Using the Arksey and O'Malley framework, this scoping review explores MHC programs, focusing on target populations, settings, services, professionals, and outcomes. The review was conducted through a comprehensive search of PubMed, CINAHL Complete, and EBSCO's Business Source Complete databases from 2017 to 2024. Thirty-eight relevant articles were identified. The review underscores the significance of setting, professional roles, and services offered by MHC programs, alongside highlighting key themes such as populations served, measured outcomes, and barriers/facilitators. It advocates for interprofessional collaboration beyond traditional clinics to provide inclusive care and bridge health care disparities. Beyond health care delivery, the review underscores the importance of interprofessional collaboration in addressing health inequities. The findings of this scoping review provide insights for designing and implementing effective mobile health services in underserved communities.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"1-20"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434273","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