Journal of Health Care for the Poor and Underserved最新文献_第3页

Re-Evaluating the Medicaid Sterilization Consent Process. 重新评估医疗补助绝育同意程序。

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 and Ethnic Disparities in Access to Care Among Adults with Cardiovascular Disease. 成人心血管疾病患者获得护理的种族和民族差异

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

Exploring Factors Affecting Nurses' Actual Use of Electronic Health Records in Resource-Limited Settings in Botswana. 在博茨瓦纳资源有限的环境中，探索影响护士实际使用电子健康记录的因素。

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

How Community-Based Organizations View and Use Data: Practices, Challenges, and Opportunities. 基于社区的组织如何看待和使用数据：实践、挑战和机遇。

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.a959108

Molly A Martin, Jose Echeverria, DeAnthoni Wilkins, Preethi Navalpakkam, Samuel Battalio, Jacquelyn Jacobs, Jennifer Holcomb, Madison Hartstein, Milkie Vu, Bonnie Spring

{"title":"How Community-Based Organizations View and Use Data: Practices, Challenges, and Opportunities.","authors":"Molly A Martin, Jose Echeverria, DeAnthoni Wilkins, Preethi Navalpakkam, Samuel Battalio, Jacquelyn Jacobs, Jennifer Holcomb, Madison Hartstein, Milkie Vu, Bonnie Spring","doi":"10.1353/hpu.2025.a959108","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959108","url":null,"abstract":"This analysis aimed to define the data needs of community-based organizations (CBOs) after the COVID-19 pandemic. Through a mixed-methods explanatory sequential design during the summer/fall of 2023, 51 CBOs completed surveys and 24 participated in subsequent interviews. The CBOs provided social services to Black, Latinx, Asian, and/or low-income communities in the Chicago region. They varied in size, funding sources, and focus areas. Results showed that all used data, and 82.4% used population-level data. Data use expansion was limited by funding, staffing, data management systems, and skills. Existing population-level data was not sufficiently hyper-local, updated, and culturally appropriate to meet CBOs' needs. Community-based organization data needs and challenges have not changed significantly post-COVID despite rapid expansion of data availability. Findings highlight a need for long-term infrastructure funding and partnership from external agencies. Flexible tailored approaches to support CBOs are essential to increase social trust in data and ensure CBO missions remain community-driven.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"458-479"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001319","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. 历史悠久的黑人学院/大学走向大学复苏的一小步。

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. 经历住房不稳定在北美农村和获得卫生保健和支持服务：范围审查。

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.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

Hepatitis C Care in the Greater New Orleans Area: Patient Perspectives on the Barriers and Facilitators to Care. 大新奥尔良地区的丙型肝炎护理：患者对护理障碍和促进因素的看法。

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.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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932733/pdf/","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":"OA","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. 大量受访者不愿在职业倦怠调查中确定性别或种族的潜在影响。

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. 尿布在医生：解决尿布在儿科诊所的需求。

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. 探索流动医疗诊所：范围审查。

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.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