Journal of Health Care for the Poor and Underserved最新文献_第5页

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":"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

Health Service Utilization by Adults Impacted by the Justice System at a Large Federally Qualified Health Care Clinic Network. 在一个大型联邦合格医疗保健诊所网络受司法系统影响的成年人的卫生服务利用。

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.a967334

Victoria D Ojeda, Deisy Celis, Adam Northrup, Sydney Lewis, Sandra D'Alonzo, Freddy Sanchez, Arthur Groneman, Job Godino

引用次数: 0

Homelessness, Mortality, and Social Exclusion. 无家可归、死亡率和社会排斥。

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.a967344

Hilary M Wright, Christine Tarleton, Joel T Braslow, Enrico G Castillo

引用次数: 0

Impacts of Access to Hospital and Emergency Care on Rural Mortality in Tennessee, 2010-2019: A GIS-Informed Study. 2010-2019年田纳西州农村住院和急救服务对死亡率的影响：一项基于gis的研究

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.a967333

Tracey T Stansberry, Carole R Myers, Liem Tran, Patricia N E Roberson, Sangwoo Ahn

{"title":"Impacts of Access to Hospital and Emergency Care on Rural Mortality in Tennessee, 2010-2019: A GIS-Informed Study.","authors":"Tracey T Stansberry, Carole R Myers, Liem Tran, Patricia N E Roberson, Sangwoo Ahn","doi":"10.1353/hpu.2025.a967333","DOIUrl":"10.1353/hpu.2025.a967333","url":null,"abstract":"Rural Tennessee's health and economic disparities have worsened since 2010 (while the state led the nation in hospital closures per capita). Guided by the Vulnerable Populations Conceptual Model, we examined the relationship between Tennessee's county-level rural mortality rates and declining access to hospital and emergency care in the decade preceding the COVID-19 pandemic (avoiding pandemic-related delayed data releases and potential statistical modeling issues). We conducted a retrospective, ecological correlational study using geographic information systems and annual cross-sectional secondary data, employing aspatial and spatial negative binomial generalized linear mixed-effects models (GLMMs). Our bivariate models revealed significant correlations between hospital and emergency care access and mortality rates, but the effect decreased when adjusted for rurality, median household income, age, and other covariates. While access to hospital and emergency care influences mortality, our findings indicate that socioeconomic and demographic factors have a greater impact, underscoring the strong health-wealth connection in rural Tennessee.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"787-814"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876043","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

Perspectives and Action on Climate-Related Health Impacts by Staff at Safety Net Clinics and Health Centers. 安全网诊所和保健中心工作人员对气候相关健康影响的看法和行动。

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.a967330

Mingyue Ma, Jinia Sarkar, Katherine Senechal, Thomas T Miles, Caleb Dresser, Aaron Bernstein

{"title":"Perspectives and Action on Climate-Related Health Impacts by Staff at Safety Net Clinics and Health Centers.","authors":"Mingyue Ma, Jinia Sarkar, Katherine Senechal, Thomas T Miles, Caleb Dresser, Aaron Bernstein","doi":"10.1353/hpu.2025.a967330","DOIUrl":"10.1353/hpu.2025.a967330","url":null,"abstract":"Background: The attitudes and engagement of health care staff with climate and social factors relevant to health are increasingly important as climate change intensifies.Methods: We conducted secondary analysis of 296 survey responses from employees at health care safety net clinics and health centers across 48 U.S. states and territories to ascertain perception and engagement with climate risks and social determinants of health (SDOH) in their practices.Results: Most participants demonstrated understanding, confidence, and engagement with climate risks and SDOH. Participants scored higher on SDOH metrics than climate metrics. There was moderate correlation between engagement with SDOH and engagement with climate-related health issues across domains of knowledge, confidence, perceived importance, and consultation with patients.Conclusions: Health care workers who engaged with SDOH in their practice were also more likely to consult with patients on climate-related health impacts, suggesting that climate exposures could be integrated into clinical care as SDOH are.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"765-770"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876046","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

The Effect of the Dobbs v. Jackson Women's Health Organization Ruling on Obstetric Care Use in the Medicaid Insured Population. 多布斯诉杰克逊妇女健康组织裁决对医疗补助保险人口产科护理使用的影响。

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.a967340

Lucille M Abrams, Kevin A Look, David A Mott, Olayinka O Shiyanbola, Mariel J Barnes

{"title":"The Effect of the Dobbs v. Jackson Women's Health Organization Ruling on Obstetric Care Use in the Medicaid Insured Population.","authors":"Lucille M Abrams, Kevin A Look, David A Mott, Olayinka O Shiyanbola, Mariel J Barnes","doi":"10.1353/hpu.2025.a967340","DOIUrl":"10.1353/hpu.2025.a967340","url":null,"abstract":"Introduction: Women with low incomes are more likely than women with higher incomes to terminate pregnancies to prevent unwanted births. Terminations became less accessible in some states following the Dobbs v. Jackson Women's Health Organization ruling. As women would likely carry pregnancies for longer following Dobbs, we evaluated pre-post changes in the use of Medicaid-funded obstetric care following the ruling.Methods: This study used a single group interrupted time series analysis design to assess pre-post changes in Medicaid health claims for obstetric care use.Results: Use of obstetric care among women who were Black and women living in urban areas was most affected by Dobbs. Obstetric care use by these sociodemographic groups immediately increased after the ruling, followed by a decreasing trend in care use.Conclusions: States with policies that reduce access to abortion care need to prepare for the increased demand for Medicaid-funded obstetric care among women who now must carry their pregnancies to term.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"929-942"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876068","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 Report on Georgia Cancer Disparities and an Economic Evaluation of a Statewide Cancer Clinicians and Scholars' Program. 一份关于乔治亚州癌症差异的报告和全州癌症临床医生和学者计划的经济评估。

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.a967352

Jon A Hoin, Kylie Brown, Joseph Lipscomb, Jorge Cortes, Roland P Matthews, Suresh S Ramalingam, Lynn M Durham, Sheryl G A Gabram-Mendola

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":"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

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