Journal of Health Care for the Poor and Underserved最新文献_第4页

Evaluation of a Youth-Adult Partnership Advisory Council for Black Youth Mental Health Policy Innovation in Georgia. 对格鲁吉亚黑人青年心理健康政策创新青年-成人伙伴关系咨询委员会的评价。

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.a967359

Mitchell A Blount, Sophia Steinberg, Sushana Lamsal, Alexandria C Marbury, Glory Okwori, Rachel Alterman Wallack, Dimple Desai, Brittney Newton, Eniyah Baptiste, Malaka Nzinga, Susan McLaren, Megan D Douglas

引用次数: 0

Access through Community Health Worker Engagement: Summary of a Vaccine Ambassador Program to Address Vaccine Hesitancy. 通过社区卫生工作者参与获取：解决疫苗犹豫问题的疫苗大使计划摘要。

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.a967349

Lauryn Berner-Davis, Kimberly Chiaramonte, Chelsea Hardin Hensley, Sarah Price, Ted Henson, Naomi Smith, Alaina Boyer

引用次数: 0

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 Disparities in Mortality and Readmission Among COVID-19 Hospitalized Patients. COVID-19住院患者死亡率和再入院率的种族差异

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.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":"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

A Community-Academic Partnership Using Digital Solutions for Diabetes Self-Management. 使用数字化解决方案进行糖尿病自我管理的社区-学术合作。

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.a967361

Vanessa L Errisuriz, Deborah Parra-Medina, Heather Cuevas, Bertha E Flores, Laura Delfausse, Christina Galvan, Renata Morfin, Jing Wang, Vanessa Sweet, Zenong Yin

引用次数: 0

Restoring Health Equity and Resilience to Cleveland Through Vacant Land Improvements. 通过改善空置土地，恢复克利夫兰的健康公平和弹性。

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.a967357

Kristen A Berg, Ellen Matlock, Adam T Perzynski, Jarrod E Dalton, Ther W Aung, Tim Dehm, Isaac Robb, Michael W Kenyhercz

引用次数: 0

Searching for Solutions in the South: A Network-First Approach to Health and Social Service Collaboration. 在南方寻找解决办法：网络优先的卫生和社会服务合作方法。

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.a967360

Daniel Lanford, Aisha Williams, Kathy Brennan, Jeffrey Collins-Smythe, Annelise Gilmer-Hughes, Ashley Allen

引用次数: 0

Combating Human Trafficking Through Education and Training: The Creation of an Outpatient Elective Experience in a Psychiatry Residency Program. 通过教育和培训打击人口贩运：在精神病学住院医师项目中创建门诊选修经验。

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.a967350

Lujain Alhajji, Maria Hadjikyriakou, Natalie Martinez-Sosa, Omar Munoz Abraham, JoNell Potter

引用次数: 0

The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta. 扩大亚特兰大社会需求活动的安全网医院计划的成本效益。

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.a951591

Kara E MacLeod, Kakoli Roy, Diane Wirth, Jasmin Minaya-Junca, Anekwe Onwuanyi, Feijun Luo, Rashon Lane

{"title":"The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta.","authors":"Kara E MacLeod, Kakoli Roy, Diane Wirth, Jasmin Minaya-Junca, Anekwe Onwuanyi, Feijun Luo, Rashon Lane","doi":"10.1353/hpu.2025.a951591","DOIUrl":"10.1353/hpu.2025.a951591","url":null,"abstract":"The Grady Heart Failure Program (GHFP), based in a safety-net hospital, is an outpatient program that follows heart failure hospitalization. The 2018 GHFP added a community health worker, patient liaison, and mobile integrated health home visits to reduce socioeconomic barriers to treatment. Important outcomes for the GHFP included the program cost and patient follow-up visits within seven days of hospital discharge. We calculated the difference in 30-day related readmission between 2017 and 2018 to assess pre-post program effectiveness. Patient follow-up visits within seven days increased from 63.7% in 2017 to 65.6% in 2018. Related 30-day readmissions declined from 15.5% in 2017 to 13.1% in 2018. Compared with 2017, the incremental program cost per related 30-day hospital readmission averted was $7,955 in 2018. The expanded GHFP is potentially cost-saving from the perspective of the hospital-provider based on the inpatient cost saved from a heart failure readmission averted.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"167-179"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433725","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

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":"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