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Community-led Health Needs Assessment: A Co-development Approach to Identify Community Priorities in Los Angeles and Orange Counties. 社区主导的卫生需求评估：洛杉矶和奥兰治县确定社区优先事项的共同发展方法。
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.a967367
Jasmin R Navarrete, Corina Martinez, Cristina Mares, Rosa Vazquez, Dordaneh Ashouriha, Kyle J Moon, Gloria Itzel Montiel, Saira Nawaz
{"title":"Community-led Health Needs Assessment: A Co-development Approach to Identify Community Priorities in Los Angeles and Orange Counties.","authors":"Jasmin R Navarrete, Corina Martinez, Cristina Mares, Rosa Vazquez, Dordaneh Ashouriha, Kyle J Moon, Gloria Itzel Montiel, Saira Nawaz","doi":"10.1353/hpu.2025.a967367","DOIUrl":"10.1353/hpu.2025.a967367","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"183-197"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876077","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
Frostbite Injuries in Chicago's Unsheltered Population. 芝加哥无家可归人口的冻伤。
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.a951597
Owen Lewer, Cassandra Singler, Emily Wong, Danielle McGinnis, Theresa Nguyen
{"title":"Frostbite Injuries in Chicago's Unsheltered Population.","authors":"Owen Lewer, Cassandra Singler, Emily Wong, Danielle McGinnis, Theresa Nguyen","doi":"10.1353/hpu.2025.a951597","DOIUrl":"10.1353/hpu.2025.a951597","url":null,"abstract":"<p><p>People experiencing unsheltered homelessness (PEUH) have an increased risk of frostbite injury, which can be a dangerous and debilitating condition. Our study aims to determine the prevalence, incidence, and impact of frostbite in the unsheltered population in Chicago and nearby suburbs. We administered a survey at a Chicago Transit Authority metro station in suburban Cook County to assess the frequency of frostbite injury and the circumstances surrounding frostbite in this community. Our results demonstrated that frostbite is both common (incidence rate (IR) =1271.67 cases of frostbite per 100,000 life-years (LY)) and highly morbid (IR=46.24 amputations per 100,000 LY) in PEUH in Chicago. We hope to include more street medicine partners to raise awareness about the impact of frostbite injury in the unsheltered population and advocate for improved emergency preparedness plans during the cold winter season.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"284-294"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434275","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
Storm Clouds and a New Partnership. 乌云和新的伙伴关系。
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.a967328
Virginia M Brennan
{"title":"Storm Clouds and a New Partnership.","authors":"Virginia M Brennan","doi":"10.1353/hpu.2025.a967328","DOIUrl":"10.1353/hpu.2025.a967328","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"vii-x"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876051","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
Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System. 无证患者获得初级保健和可避免的急诊科访问：来自安全网系统的证据。
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.a967338
Annie Ro, Celina Morales, Sarah Axeen, Anna Gorman, Todd Schneberk
{"title":"Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System.","authors":"Annie Ro, Celina Morales, Sarah Axeen, Anna Gorman, Todd Schneberk","doi":"10.1353/hpu.2025.a967338","DOIUrl":"10.1353/hpu.2025.a967338","url":null,"abstract":"<p><p>We examined whether undocumented patients enrolled in a health care coverage program in Los Angeles have fewer avoidable emergency department (ED) visits than other foreign-born patients. We analyzed 2016-2020 ED encounters from all safety-net hospitals in Los Angeles County. We estimated the odds that an ED encounter was for an ambulatory care sensitive condition from mixed effects models among 1) undocumented patients in the program, My Health LA (MHLA), 2) non-MHLA undocumented patients, and 3) foreign-born documented patients (n=567,671). My Health LA patients had a lower likelihood of avoidable visits from acute conditions and non-diabetes chronic diseases than the foreign-born documented patients and non-MHLA patients. However, they had greater likelihood of visits related to type 2 diabetes (T2D). Having access to regular primary care improves some acute and chronic disease-related utilization but undocumented patients with T2D may select into the program and face ongoing challenges managing the disease.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"900-914"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876070","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
Improving AI/AN Access to Care at a Specialty Academic Center in the American Southwest: Lessons Learned from a Practice Evaluation Initiative. 在美国西南部的一个专业学术中心改善人工智能/人工智能获得护理的机会：从实践评估计划中吸取的教训。
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.a967348
Jon Tilburt, John Fasolino, Atul Jain, Nathan Delafield, Barb Thomley, Justin Anderson, Elizabeth Burden, Cynthia Heus, Jamie Leybeck, Janice Jones, Adam Van Hyfte, Don Northfelt, Paola Scarberry, Steven Ressler
{"title":"Improving AI/AN Access to Care at a Specialty Academic Center in the American Southwest: Lessons Learned from a Practice Evaluation Initiative.","authors":"Jon Tilburt, John Fasolino, Atul Jain, Nathan Delafield, Barb Thomley, Justin Anderson, Elizabeth Burden, Cynthia Heus, Jamie Leybeck, Janice Jones, Adam Van Hyfte, Don Northfelt, Paola Scarberry, Steven Ressler","doi":"10.1353/hpu.2025.a967348","DOIUrl":"10.1353/hpu.2025.a967348","url":null,"abstract":"<p><p>This report describes a practice evaluation initiative aimed at improving access to tertiary referral care for American Indian and Alaska Native patients. It outlines challenges related to insurance coverage, electronic systems, and related logistical issues. Conversations with local tribal health leaders yielded future education and service collaboration opportunities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"1054-1061"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876044","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
Assessment Of A Health System-Integrated Children's Savings Account and Financial Coaching Program Serving Low-Income Moms and Babies in Texas. 评估卫生系统整合的儿童储蓄账户和财务指导计划，为低收入的母亲和婴儿在德克萨斯州。
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.a951584
Todd A Olmstead, Laura Rosen, Michael K Hole
{"title":"Assessment Of A Health System-Integrated Children's Savings Account and Financial Coaching Program Serving Low-Income Moms and Babies in Texas.","authors":"Todd A Olmstead, Laura Rosen, Michael K Hole","doi":"10.1353/hpu.2025.a951584","DOIUrl":"10.1353/hpu.2025.a951584","url":null,"abstract":"<p><p>Families living in poverty with young children are particularly vulnerable to poor health outcomes. This study used a randomized controlled trial to analyze the impact of Early Bird (EB), a novel health system-integrated program that provided financial incentives to low-income mothers for achieving healthy milestones. Participants randomized to the EB condition received contributions in a tax-advantaged children's savings account (CSA) for attending a maternal six-week postpartum check-up ($25), a pediatric dental visit by age 12 months ($75), six well-check visits by age 15 months ($75), two financial coaching sessions ($30), and enrolling in the EB program and opening a CSA ($250). We found that Early Bird increased the likelihood that mothers attended a financial coaching session. We found no evidence of an increase in the likelihood of completing any of the medical milestones. Future work should examine whether larger contributions to CSAs might incentivize mothers to achieve the medical milestones.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"56-66"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434173","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
What Two New HBCU Medical Schools Can Mean for Poor and Underserved Populations. 两所新的HBCU医学院对贫困和服务不足人群的意义
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.a967345
Ashley Collazo, Kendall M Campbell
{"title":"What Two New HBCU Medical Schools Can Mean for Poor and Underserved Populations.","authors":"Ashley Collazo, Kendall M Campbell","doi":"10.1353/hpu.2025.a967345","DOIUrl":"10.1353/hpu.2025.a967345","url":null,"abstract":"<p><p>Two new medical schools are planned at HBCUs (historically Black colleges and universities), one at Xavier University and the other at Morgan State University. The number of Black physicians as of 2021 was 48,248 and according to the Association of American Medical Colleges, an additional 21,000 Black physicians will be needed by 2034 to create a physician workforce that reflects the diversity of the United States. In this Commentary, the authors use prior work on projecting the number of Black medical school graduates from closed HBCUs to approximate the potential numbers of Black graduates from the two newly planned medical schools. Xavier and Morgan State will need to graduate 482 medical students per year for over 20 years to account for one HBCU medical school closed as a result of the 1910 Flexner Report. Projections from Xavier and Morgan State show 3,165 graduates by 2034.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"1017-1022"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876072","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
Identifying Core Symptoms of Depression for Hawaii Farmers: A Network Analysis for PHQ-9 Screening Tool. 识别夏威夷农民抑郁症的核心症状：PHQ-9筛选工具的网络分析
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.a967369
Min Liu, Thao Le
{"title":"Identifying Core Symptoms of Depression for Hawaii Farmers: A Network Analysis for PHQ-9 Screening Tool.","authors":"Min Liu, Thao Le","doi":"10.1353/hpu.2025.a967369","DOIUrl":"10.1353/hpu.2025.a967369","url":null,"abstract":"<p><strong>Background: </strong>As an occupation, farmers are at high risk for depression and suicide and may exhibit distinctive depression symptom patterns.</p><p><strong>Objective: </strong>To develop a new version of Patient Health Questionnaire-2 (PHQ-2) for rapid screening for Hawai'i farmers.</p><p><strong>Methods: </strong>Cross-sectional survey collected Patient Health Questionnaire-9 (PHQ-9) data from 375 Hawai'i farmers. Network analysis included 144 participants with mild to severe depressive symptoms. Gaussian Graphical Models based on Spearman correlations were used to estimate depressive symptom networks, with bootstrapping employed to assess stability, and Receiver Operating Characteristic (ROC) analysis conducted to evaluate the sensitivity and specificity of the new PHQ-2.</p><p><strong>Results: </strong>Three clusters emerged: Guilt-Mood-Anhedonia, Sleep-Fatigue-Appetite, and Suicide-Motor-Focus. Guilt and fatigue were central symptoms with high values across strength, closeness, betweenness, and expected influence. The new PHQ-2 (guilt and fatigue) demonstrated good validity (AUC = 0.883) and reliability (α =0.632).</p><p><strong>Conclusions: </strong>The new PHQ-2 showed strong psychometric properties, providing a rapid screening tool for underserved populations of farmers. Findings have broader implications for addressing mental health needs in vulnerable communities globally.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"214-226"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876079","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
Structural Racism and Low Threshold Shelters: Experience of Racially and Ethnically Diverse Unsheltered Individuals with Substance Use Disorder in Boston. 结构性种族主义和低门槛庇护所：波士顿不同种族和民族的物质使用障碍无庇护所个体的经验。
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.a967364
Ariela Braverman Bronstein, Jeffrey Desmarais, Krystal García, Ranjani Krishnan Paradise, Michele Clark, Nubia Goodwin, Andrés Hoyos-Céspedes, Bisola O Ojikutu
{"title":"Structural Racism and Low Threshold Shelters: Experience of Racially and Ethnically Diverse Unsheltered Individuals with Substance Use Disorder in Boston.","authors":"Ariela Braverman Bronstein, Jeffrey Desmarais, Krystal García, Ranjani Krishnan Paradise, Michele Clark, Nubia Goodwin, Andrés Hoyos-Céspedes, Bisola O Ojikutu","doi":"10.1353/hpu.2025.a967364","DOIUrl":"10.1353/hpu.2025.a967364","url":null,"abstract":"<p><p>The City of Boston established seven low- threshold shelters (LTS) between 2022- 2023 to address unsheltered homelessness, which disproportionately affects racially and ethnically marginalized groups. Guided by Housing First and harm reduction principles, these shelters provide immediate support for individuals experiencing homelessness and substance use disorder. Semi- structured qualitative interviews with 23 guests self- identified as belonging to racially and ethnically marginalized groups and focus groups with 35 LTS staff revealed barriers to housing stability rooted in structural racism, such as stigma, discrimination, and criminal- legal system involvement. Thematic framework analysis highlighted the critical role of LTS in fostering stability by addressing immediate needs. However, challenges in transitioning to permanent housing persisted, including difficulties obtaining identification and inadequate long- term support. Both guests and staff stressed the need for sustained financial, social, behavioral health, and medical support to ensure lasting stability. While LTS advanced short- term racial equity, overcoming systemic inequities requires additional efforts to sustain housing retention.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"109-134"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876086","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
Workplace Violence in Health Care: An Overdue OSHA Standard in the Making. 医疗保健中的工作场所暴力：一项迟来的OSHA标准正在制定中。
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.a959123
Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen
{"title":"Workplace Violence in Health Care: An Overdue OSHA Standard in the Making.","authors":"Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen","doi":"10.1353/hpu.2025.a959123","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959123","url":null,"abstract":"<p><p>The evidence of rising workplace violence in the health care sector is clear. Two recent surveys (of emergency physicians and nursing personnel) indicate that the rate of violence experienced by health care workers has increased, and the number of assaults is alarming. Workplace violence also a is a key compounder of staff attrition as well as patient safety. Absent federal protective legislation, OSHA (Occupational Safety and Health Administration) has developed a potential standard for the prevention of workplace violence in health care and social assistance.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"715-719"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064995","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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