Journal of Health Care for the Poor and Underserved最新文献_第8页

Barriers and Facilitators to Lung Cancer Screening in Rural and Academic Medical Center Primary Care Facilities. 农村和学术医疗中心初级保健机构肺癌筛查的障碍和促进因素。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a994063

Leah M Lambart, Nicole L Nollen, Edward Ellerbeck, Aaron Katz, Simon C Lee

{"title":"Barriers and Facilitators to Lung Cancer Screening in Rural and Academic Medical Center Primary Care Facilities.","authors":"Leah M Lambart, Nicole L Nollen, Edward Ellerbeck, Aaron Katz, Simon C Lee","doi":"10.1353/hpu.2026.a994063","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994063","url":null,"abstract":"Background: Rates of lung cancer mortality, incidence, and stage at diagnosis are poor.Objective: Explore staff and primary care providers' (PCP) barriers and facilitators in a rural versus academic medical center primary care to help explain low lung cancer screening (LCS) rates in primary care.Design: In May 2024, researchers conducted nine semi-structured interviews with six clinicians and staff of six rural primary care practices, and contrast interviews with three PCPs at the only quaternary academic medical center in the region.Setting: Interviews were conducted and recorded via Zoom, transcribed with Microsoft Word, and analyzed in Dedoose.Results: All participants reported positive views of LCS. Barriers included patient identification and workflow processes. Rural participants further reported lack of navigation, staffing, billing, and geographical distance.Conclusion: Patient identification contributes to lower rates of LCS in primary care. Addressing barriers could contribute to increased LCS, which could reduce mortality from lung cancer.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"122-139"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391977","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

Lessons from the fields of Kansas: Food is medicine implementation in a predominantly rural state. 堪萨斯州田野的经验教训：在一个以农村为主的州，食品是医药的实施。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a994071

Marianna Wetherill, Susan P Harvey, Kristina M Bridges, Carlie Houchen, Elizabeth Burger

引用次数: 0

Three Decades of Workforce Impact: The Path Thus Far and Forward for the Association of Clinicians for the Underserved. 三十年的劳动力影响：迄今为止的路径和前进的临床医生协会为服务不足。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a998534

Amanda Pears Kelly, Rick Brown

引用次数: 0

Impact of Coronavirus 2019 on Breast Cancer Screening in African American Women. 冠状病毒2019对非裔美国妇女乳腺癌筛查的影响

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a998538

Jasmin Eugene, LaKeisha Williams, Elizabeth Howard

引用次数: 0

Addressing Nutrition Insecurity Through a Social Determinants of Health Framework: Training Wisconsin Nutrition and Dietetics Professionals. 通过健康框架的社会决定因素解决营养不安全问题：培训威斯康星州营养和营养学专业人员。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982980

Christopher J Simenz, Sarah Wright, Emily Dieringer, Jessica Olson

引用次数: 0

The Association between Structural Racism and Infant Mortality: A Systematic Review. 结构性种族主义与婴儿死亡率之间的关系：一项系统综述。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982954

Chimezie Obi, Mel Law Eh Say Kaw Lah, Alexandra Hatzievangelou, John Oldroyd

{"title":"The Association between Structural Racism and Infant Mortality: A Systematic Review.","authors":"Chimezie Obi, Mel Law Eh Say Kaw Lah, Alexandra Hatzievangelou, John Oldroyd","doi":"10.1353/hpu.2026.a982954","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982954","url":null,"abstract":"The evidence that links structural racism to disparities in infant mortality across racial groups needs closer examination, given its central role in achieving health equity. We undertook a systematic review using four databases (MEDLINE, Academic Search Complete, APA PsycInfo, and SocINDEX) to determine whether structural racism is associated with infant mortality rates (IMR). The review used the PRISMA guidelines. Relevant articles between 1955 and 2024 were included. A narrative synthesis was conducted informed by critical race theory. Data quality was assessed using the Critical Appraisal Skills Program (CASP) checklist. Thirty-three studies were included covering six domains of structural racism: income, education, housing, civil/political rights, health care and health behaviours, and the justice system. All included studies were conducted in United States (U.S.). Racial inequality was associated with higher Black infant mortality with little or no effect on White infant mortality in all domains. The findings from this study are consistent with structural racism adversely affecting the IMR of Black infants in the U.S.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"1-23"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018325","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

Targeted Burdens?: How Support for Administrative Burdens in Medicaid Differs Across Target Populations. 有针对性的负担吗?：对医疗补助行政负担的支持如何因目标人群而异。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a992760

Simon F Haeder, Donald P Moynihan

引用次数: 0

Implementation of a Harm Reduction Initiative for Hospitalized Patients with Substance Use Disorders. 实施药物使用障碍住院患者减少伤害倡议。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a992143

Erin Bredenberg, Christine Gill, Eric Grimm, Jason Hoppe, Susan L Calcaterra

引用次数: 0

Perspectives of Older Veterans on Aging in Permanent Supportive Housing. 老年退伍军人对永久支援房屋的看法。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a992131

Medha Romee Maitra, Kelly Su, Amanda D Peeples, Octavia Goodman, Rebekah Colacot, Kara Zamora, Jack Tsai, Deborah Lee, Kenneth Lam, Pauline Lubens, Emma B Shak, Rebecca T Brown

{"title":"Perspectives of Older Veterans on Aging in Permanent Supportive Housing.","authors":"Medha Romee Maitra, Kelly Su, Amanda D Peeples, Octavia Goodman, Rebekah Colacot, Kara Zamora, Jack Tsai, Deborah Lee, Kenneth Lam, Pauline Lubens, Emma B Shak, Rebecca T Brown","doi":"10.1353/hpu.2026.a992131","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992131","url":null,"abstract":"Aging in place-the ability to live comfortably and safely in one's own home and community as one ages-is a priority for many older adults and a growing focus of research and policy efforts. Little is known about perspectives on aging in place among the growing population of older Veterans with experiences of homelessness. Data from qualitative interviews with 21 formerly homeless Veterans ages 50 and older engaged in U.S. Department of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) Program were analyzed using rapid qualitative analysis. Analysis revealed six interconnected themes: independence and self-sufficiency; functional status and mobility; physical and mental health; housing, food, and financial security; transportation and accessible services; and external support systems. These findings provide insight into perspectives on aging in place among older Veterans with experiences of homelessness and evidence to guide housing-based interventions for this growing population.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"587-607"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253961","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

Development of User-Centered Design for Screening, Referral, and Enrollment of Medicaid Adults with Hypertension in a Health Care by Food™ Pilot Study. 开发以用户为中心的设计，用于筛查、转诊和食品保健™试点研究中患有高血压的医疗补助成人患者。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a992141

Elizabeth Anderson Steeves, Carolina Morales Serrano, Christa Mayfield, Emily Dimond, Carolyn Lauckner, Joshua Bush, Alison Gustafson

{"title":"Development of User-Centered Design for Screening, Referral, and Enrollment of Medicaid Adults with Hypertension in a Health Care by Food™ Pilot Study.","authors":"Elizabeth Anderson Steeves, Carolina Morales Serrano, Christa Mayfield, Emily Dimond, Carolyn Lauckner, Joshua Bush, Alison Gustafson","doi":"10.1353/hpu.2026.a992141","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992141","url":null,"abstract":"Background: Food is medicine (FIM) partnerships are increasing. There are no standard practices that integrate user-centered design (UCD) in screening, referral, and enrollment process for FIM programs.Methods: This mixed-methods study, based on UCD principles and the Fogg Behavior Model, used quantitative and qualitative data to understand multiple users' perspectives on screening, referral, and enrollment processes for a Health Care by Food™ pilot study.Results: Most eligible participants (73%) enrolled in the study. Patients who were eligible but did not participate expressed embarrassment about discussing their food situation, lack of understanding of the type of foods being offered, and not wanting to take resources from others. Health care providers found the screening and referral process easy to implement. Patients who enrolled in the study found the process acceptable.Conclusion: User-informed screening, referral, and enrollment processes can support the creation of more acceptable systems to connect people with needed food resources.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"750-772"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253989","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