{"title":"Disparities in Patient Experience of Care Between Children Enrolled in Medicaid-Managed Care Organizations.","authors":"Sara F Abu-Aridah, Paul M Griffin","doi":"10.1353/hpu.2026.a992128","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992128","url":null,"abstract":"<p><p>This study investigates the relationship between patient experience outcomes and participants' race, ethnicity, and geographic region of their health plan across the nine U.S. Census divisions, focusing on Medicaid children in managed care plans using 2019 CAHPS data. Logistic regression models revealed that racial and ethnic minority groups reported less favorable experiences than non-Hispanic Whites across various care components. Significant disparities were also noted across geographic divisions, particularly in regions with fewer non-Hispanic White individuals. Notably, Hispanic respondents from the West reported the poorest experiences. These findings highlight the need for policymakers to implement targeted programs and interventions aimed at improving access to quality care for racial and ethnic minority groups to address these disparities effectively.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"522-541"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254015","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}
{"title":"Vaccination Uptake in Affordable Housing Following a Telehealth Program.","authors":"Matthew Neidell","doi":"10.1353/hpu.2026.a998536","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998536","url":null,"abstract":"<p><strong>Objectives: </strong>We assessed whether participation in a housing-based telehealth program was associated with increased vaccination uptake.</p><p><strong>Methods: </strong>We compared vaccination rates between participants and non-participants of the Telehealth Intervention Programs for Seniors (TIPS) in two affordable housing complexes in Newark, NJ, and Detroit, MI. TIPS offered weekly telehealth sessions with health monitoring and social services delivered by trained staff and Resident Service Coordinators. Vaccination rates were compared between TIPS participants and non-participants using administrative data.</p><p><strong>Results: </strong>Telehealth Intervention Programs for Seniors participants had significantly higher vaccination rates than non-participants across clinics and sites. In Newark, participant rates were 35%, 19%, and 20% across three periods, versus 9%, 8%, and 3% for non-participants (OR=5.4, 2.7, 8.5 respectively; all p <. 001). In Detroit, 86% of participants received vaccines versus 14% of non-participants (OR=34.5, p < .001).</p><p><strong>Conclusions: </strong>Housing-based telehealth programs are associated with increased preventive health behaviors among underserved populations.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"815-820"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763771","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}
Emmanuel Adediran, Flora Ukoli, Jatheender Kumar, Dontal Johnson, Lisa H Watson, Unjanae C Johnson, Lisa Sherden, Chike Nzerue, Adrian Samuels
{"title":"Characteristics of Adults Participating in Community Blood Pressure Screening Events: An Exploratory Cross-Sectional Analysis.","authors":"Emmanuel Adediran, Flora Ukoli, Jatheender Kumar, Dontal Johnson, Lisa H Watson, Unjanae C Johnson, Lisa Sherden, Chike Nzerue, Adrian Samuels","doi":"10.1353/hpu.2026.a998547","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998547","url":null,"abstract":"<p><strong>Background: </strong>Community health events can be useful venues in hypertension control interventions, especially in low-income populations. This project performed blood pressure (BP) screenings at community health fairs in Nashville, Tennessee.</p><p><strong>Methods: </strong>The project collected demographic characteristics and BP measures data from May 2025-September 2025.</p><p><strong>Results: </strong>Of 272 participants screened, 126 (46.3%) occurred at public housing communities. Participants were often 65 years or older (43.4%) and female (51.8%). Men were more likely to be screened at health workshops (OR: 3.59, 95% CI: 1.92-6.71) and female attendees at churches (OR: 2.12, 95% CI: 1.15-3.90). Overall, 73 (26.8%) participants met the criteria for possible hypertension.</p><p><strong>Conclusions: </strong>This study provides insights into who attends community BP screenings. We found that people already diagnosed with hypertension, or those who deem themselves as high risk, attend BP screening events. Future research should tailor interventions based on demographic patterns to better engage underserved populations.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"821-838"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765010","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}
Sonia Rupcic, Talya Peltzman, Guneet K Jasuja, Joshua D Price-Crist, Mark R Relyea, Galina A Portnoy, Leslie R M Hausmann, Melissa E Dichter, Ida Griesemer
{"title":"The Civil Legal Needs of Patients Experiencing Intimate Partner Violence in the Veterans Health Administration.","authors":"Sonia Rupcic, Talya Peltzman, Guneet K Jasuja, Joshua D Price-Crist, Mark R Relyea, Galina A Portnoy, Leslie R M Hausmann, Melissa E Dichter, Ida Griesemer","doi":"10.1353/hpu.2026.a998542","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998542","url":null,"abstract":"<p><p>Little is known about the civil legal needs (CLNs) of those experiencing intimate partner violence (IPV). In this convergent mixed-methods, cross-sectional study, we used quantitative and qualitative data from a national online survey linked to Veteran Affairs health records to describe and compare the CLNs of patients who have screened IPV-positive versus IPV-negative. Using chi-square tests, we found that those who screened positive were significantly more likely to have at least one CLN (70.9% vs. 53.7%, p<.01 for all) and to have three or more CLNs (29.1% vs. 11.9%) than those who screened negative. IPV-positive patients were also significantly more likely to have CLNs related to housing (23.6% vs. 8.9%), family (23.6% vs. 8.6%), protection orders (14.6% vs. 1.3%), and military discharge status (14.6% vs. 5.1%) than IPV-negative patients. These findings underscore the importance of raising provider awareness of the breadth of patient-survivors' CLNs and staffing medical-legal partnerships with legal professionals qualified to address a range of legal services.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"897-914"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765951","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}
{"title":"A Roadmap for the Health Workforce Revisited: New Recommendations to Ensure the Continuing Impact of the National Health Service Corps.","authors":"Amanda Pears Kelly, Douglas P Olson, Rick Brown","doi":"10.1353/hpu.2026.a982952","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982952","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"xi-xiv"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018314","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}
{"title":"Advancing Treatment for Tobacco Users in Louisiana's Rural Health Centers: Partnerships, Successes, and a Way Forward.","authors":"Michael D Celestin, Julie Martin, Leon Gallow","doi":"10.1353/hpu.2026.a994065","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994065","url":null,"abstract":"<p><p>Tobacco use, a leading cause of preventable disease and death, is highest among subgroups including rural populations and Medicaid recipients. Community health centers are well-positioned to address this burden. This report describes implementation barriers, strategies, and outcomes from a rural Louisiana center and academic partner to advance tobacco cessation services.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"151-157"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391959","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}
Kelley Newlin Lew, Dorothy Wilson, MaryAnn Perez-Brescia, Veena Channamsetty, Eugenia Araiza, Nancy A Allen
{"title":"Rural Federally Qualified Health Center Interventions Targeting Persons with Diabetes: A Systematic Review.","authors":"Kelley Newlin Lew, Dorothy Wilson, MaryAnn Perez-Brescia, Veena Channamsetty, Eugenia Araiza, Nancy A Allen","doi":"10.1353/hpu.2026.a994059","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994059","url":null,"abstract":"<p><p>Diabetes and its complications are serious public health problems, disproportionately affecting rural Americans. Contributing to the literature, this systematic review examines intervention studies targeting people with diabetes (PWDs) receiving care in rural federally qualified health centers (FQHCs). The study (N=16) is informed by the Study Design, Data, Methods, Outcomes (SDMO) framework. Overall, findings revealed that rural FQHC interventions targeting PWDs were of serious or high risk of bias. Most studies (69%) used pre-experimental, pre-post intervention designs, often embedded within quality improvement initiatives or feasibility studies. Three studies (19%) employed quasi-experimental designs while only two studies (12%) employed randomized controlled trial designs. Most studies (63%) collected self-report (e.g., dietary intake, diabetes knowledge and behaviors) and objective (e.g., A1C, body mass index) data. Interventions largely focused on improving diabetes self-management or outcomes (56%), with fewer focused on hypertension management and food insecurity (44%). The intervention studies often reported improved A1C levels and other meaningful results. More rigorous research is needed to advance the science of rural FQHC interventions targeting PWDs.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"33-63"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392109","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}
Emily Alway, Trisha Dalapati, Melissa Greene, Samantha Kaplan, Megan von Isenburg, J Matthew Velkey, Fatima Syed, Andrew Muzyk
{"title":"A Novel Curricular Thread on Native and Indigenous Health: Fostering Cultural Competency in Preclerkship Medical Students.","authors":"Emily Alway, Trisha Dalapati, Melissa Greene, Samantha Kaplan, Megan von Isenburg, J Matthew Velkey, Fatima Syed, Andrew Muzyk","doi":"10.1353/hpu.2026.a992130","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992130","url":null,"abstract":"<p><p>Native patients face persistent health disparities and barriers to care, yet medical education has historically lacked content addressing these issues. To bridge this gap, the Duke University School of Medicine integrated a Native health thread into its first-year medical curriculum. Developed by medical students and faculty, the thread aimed to enhance students' understanding of Native health disparities, cultural competency, and the lived experiences of Native patients and physicians. The thread included lectures, experience-sharing sessions, and a self-directed learning activity. Pre- and post-thread surveys assessed students' awareness, attitudes, and behaviors. Students entered the thread highly motivated to learn and engage with Native communities. Following the intervention, they reported increased knowledge and greater comfort discussing Native health issues. This mandatory curricular thread effectively improved cultural competency, knowledge, and satisfaction among medical students. Future efforts will evaluate the thread's long-term impact on clinical practice and expand opportunities for direct patient engagement.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"568-586"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253946","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}
S Csistopher Owens, Ayodele Akinremi, Yolanda Rainey, Pamela Tucker
{"title":"Use of Quantitative Pre-admission Criteria to Predict Academic Difficulty in a Physical Therapy Program at a Historically Black University.","authors":"S Csistopher Owens, Ayodele Akinremi, Yolanda Rainey, Pamela Tucker","doi":"10.1353/hpu.2026.a982962","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982962","url":null,"abstract":"<p><strong>Background: </strong>The physical therapy profession has historically been characterized by a lack of diversity. The challenge of increasing diversity is exacerbated by the lack of consensus on quantitative measures of performance that predict success in physical therapy programs. The purpose of our study is to determine if quantitative preadmission measures can be used to identify students at risk for academic difficulty in a doctor-of-physical-therapy (DPT) program at a historically Black college/university. A retrospective observational cohort design was used to evaluate factors that contributed to DPT student academic difficulty.</p><p><strong>Results: </strong>Students who were academically dismissed or experienced academic difficulty had significantly lower quantitative Graduate Record Examination (GRE) and verbal GRE scores than students who graduated without academic difficulty. Based on our findings, quantitative GRE is the most effective quantitative preadmission measure to identify students who are at risk of academic difficulty in a diverse DPT program.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"166-180"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017973","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}
Ryland Davidson, Abbey Semivan, Adam Lazarewicz, Jeff Stone
{"title":"Evidence of Implicit Bias Against People Experiencing Homelessness Among Emergency Medical Services Providers.","authors":"Ryland Davidson, Abbey Semivan, Adam Lazarewicz, Jeff Stone","doi":"10.1353/hpu.2026.a982973","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982973","url":null,"abstract":"<p><p>Emergency medical services (EMS) personnel provide medical care for many low-income and underserved individuals, including people experiencing homelessness (PEH). However, whereas EMS providers report positive explicit attitudes toward PEH, when seeking care, PEH report being the target of discrimination, which may reflect automatic or implicit prejudice that EMS providers hold toward them. To examine if EMS providers hold implicit prejudice toward PEH, 42 certified emergency medical technician (EMT) workers from Southern Arizona completed an Implicit Associations Test (IAT). The results showed a moderate and significant level of implicit prejudice against PEH, with male EMTs reporting significantly higher levels than female EMTs. The results indicate that developing new education and training in implicit bias for EMS providers may improve care for PEH.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"339-351"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018267","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}