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Enhancing Patient Engagement and Hypertension Control Rates through Tailored Technical Assistance in Community Health Centers.
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.a951606
Mark V Mooney, Fil Mendez Guipoco, Lillian Gutierrez-Alvarez, Kennedy Harrison, Linda B King, Timothy McCray, Janak Deepak Patel, Gita Rampersad, Alizay Rizvi, Kyna Shine, Eduardo Sanchez
{"title":"Enhancing Patient Engagement and Hypertension Control Rates through Tailored Technical Assistance in Community Health Centers.","authors":"Mark V Mooney, Fil Mendez Guipoco, Lillian Gutierrez-Alvarez, Kennedy Harrison, Linda B King, Timothy McCray, Janak Deepak Patel, Gita Rampersad, Alizay Rizvi, Kyna Shine, Eduardo Sanchez","doi":"10.1353/hpu.2025.a951606","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951606","url":null,"abstract":"<p><p>Tailored technical assistance enhances patient and provider engagement and hypertension control in community health centers. Addressing each center's particular needs, the approach described here focused on self-measured blood pressure monitoring, training, and skills-building, and strengthening community-clinic linkages. Systematic approaches to stakeholder engagement can enhance health care delivery and improve hypertension control rates.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"401-409"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434136","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
Black History Month and Research Topics of Special Interest.
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.a951581
Virginia M Brennan
{"title":"Black History Month and Research Topics of Special Interest.","authors":"Virginia M Brennan","doi":"10.1353/hpu.2025.a951581","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951581","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"vii-viii"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434178","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
Psychiatric Emergency Service Use Trends: Adults Experiencing Homelessness in Massachusetts from 2005-2020.
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.a951595
Kaila A Rudolph, Corinne A Beaugard, Cindy Xu, Sarah Syed, Alison Duncan, Hannah E Brown, David C Henderson, Rachel Oblath
{"title":"Psychiatric Emergency Service Use Trends: Adults Experiencing Homelessness in Massachusetts from 2005-2020.","authors":"Kaila A Rudolph, Corinne A Beaugard, Cindy Xu, Sarah Syed, Alison Duncan, Hannah E Brown, David C Henderson, Rachel Oblath","doi":"10.1353/hpu.2025.a951595","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951595","url":null,"abstract":"<p><p>Adults experiencing homelessness (AEH) have high rates of psychiatric conditions, face barriers to accessing psychiatric care, and are high emergency department (ED) utilizers, a setting often unable to address their complex health needs. This study assesses time trends and high frequency utilization by AEH in one psychiatric emergency services (PES) program. A retrospective review of electronic health records from 2005 to 2020 was conducted at an urban PES program serving uninsured and publicly insured adults. Of the 227,553 PES encounters examined, 75,127 (33%) involved AEH. The percentage of PES encounters involving AEH almost doubled from 23.3% in 2005 to 41.6% in 2020. The proportion of AEH using PES aged 55 and older more than tripled, from 4.2% to 15.4%. Adults experiencing homelessness had over six times the odds of being high frequency PES utilizers (10+ visits/year) as housed adults. These findings support interventions addressing housing access within PES encounters.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"240-256"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434288","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.
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":"https://doi.org/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":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traumatic Stress Among Women who are Incarcerated: A Community Engaged Approach to Determining Needs and Opportunities for Intervention.
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.a951598
Kirsten A Dickins, Mary Clare Kathleen Houlihan, Amy Kim, Imani Dixon, Monique Reed, Niranjan S Karnik
{"title":"Traumatic Stress Among Women who are Incarcerated: A Community Engaged Approach to Determining Needs and Opportunities for Intervention.","authors":"Kirsten A Dickins, Mary Clare Kathleen Houlihan, Amy Kim, Imani Dixon, Monique Reed, Niranjan S Karnik","doi":"10.1353/hpu.2025.a951598","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951598","url":null,"abstract":"<p><p>The rate of increase at which women are incarcerated in the United States dramatically outpaces the rate of increase among men. Women frequently enter incarceration after facing extensive trauma and often suffer the consequences of unacknowledged and undertreated post-traumatic stress disorder (PTSD). Yet, little is known regarding the types of traumas that women who are incarcerated (WI) experience, the types/magnitude of traumatic stress symptoms endured, or attitudes towards intervention. We sought to understand trauma experiences of WI (particularly those related to violent victimization), the degree of traumatic stress symptoms faced, and population-tailored opportunities for intervention. Via sequential mixed methods, we assessed trauma exposure and symptoms in 51 WI in two state prisons, then conducted 16 in-depth interviews. Participants universally reported exposure to traumatic life events, demonstrating collectively high PTSD symptom severity. Qualitatively, we deductively applied three main themes to interview data: trauma exposure, trauma responses, and recovery. Findings highlight the essential nature of trauma-focused service availability for WI.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"295-326"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433796","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
Relationship between Safety-net Oral Health Care Practices and Income among American Indian/Alaska Native, Black, and Hispanic/Latino Dentists.
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.a951590
Jessica C Williams, Astha Singhal, Paul Gates, Matthew Jura, Elizabeth Mertz, Brenda Heaton
{"title":"Relationship between Safety-net Oral Health Care Practices and Income among American Indian/Alaska Native, Black, and Hispanic/Latino Dentists.","authors":"Jessica C Williams, Astha Singhal, Paul Gates, Matthew Jura, Elizabeth Mertz, Brenda Heaton","doi":"10.1353/hpu.2025.a951590","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951590","url":null,"abstract":"<p><strong>Background: </strong>American Indian/Alaska Native (AI/AN), Black (B), and Hispanic/Latino (H/L) people are underrepresented in dentistry, yet disproportionately constitute the safety-net dental workforce. We examined the relationship between serving as safety-net providers (SNPs) and self-reported income.</p><p><strong>Methods: </strong>Using data from a 2012 national survey of AI/AN, B, and H/L dentists, we examined the relationship between being an SNP and income using linear regression, stratified by potential modifying factors.</p><p><strong>Results: </strong>In 2011, AI/AN, B, and H/L SNPs earned 82% of non-SNP income, even after considering traditional predictors of practice choice and income (race and educational debt), as well as practice trends (practice ownership and busyness).</p><p><strong>Discussion: </strong>Serving as a SNP may explain observed income differences between AI/AN, B, and H/L dentists and their non-SNP counterparts. Given that these dentists are more likely to practice in safety nets, practice choice may contribute to the observed racial income gap in dentistry.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"144-166"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434292","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
Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing.
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.a951586
Adam G Hidad, Paul J Bryar
{"title":"Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing.","authors":"Adam G Hidad, Paul J Bryar","doi":"10.1353/hpu.2025.a951586","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951586","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the efficacy of a diabetic eye care coordinator (DECC) conducting non-mydriatic diabetic retinopathy (DR) screening in federally qualified health centers (FQHCs) compared with primary care team screenings at the point-of-care (POC).</p><p><strong>Methods: </strong>The DECC model involved one person scheduling stand-alone, non-mydriatic diabetic eye-screening appointments, while the POC model incorporated these screenings into primary care visits. Metrics analyzed included average weekly screening (AWS), rate of DR, and percentage of gradable images (%GI).</p><p><strong>Results: </strong>The DECC model significantly increased AWS (from 7.3 to 15.8, p=.0005) and %GI (from 70.90% to 83.5%, p=.002). The rate of DR was similar across both models (32.77% POC vs. 34.18% DECC, p=.89).</p><p><strong>Conclusion: </strong>Implementing a DECC model significantly boosts the efficiency of diabetic retinopathy screening processes in FQHCs, potentially enhancing vision preservation efforts.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"75-81"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434283","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
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
{"title":"Medical Interpretation for Emerging Populations: Building a Multi-Modal Interpretation Program for Pashto-Speakers at a Public Safety-Net Health System.","authors":"Christopher Hromas, Waheedullah Ibrahim Khil, Tonya Burris, Virginia Mika","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Limited English proficient patients are prone to adverse health care effects compared to English proficient patients, including decreased access to care, lower health literacy, and worse clinical outcomes. This report describes a multi-modal medical interpreter program at a safety-net health system designed for the emerging Afghan population in San Antonio, Texas.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"167-173"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789512","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
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
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