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

Developing Political Engagement Competency Among Primary Care Advanced Practice Nursing Students. 培养初级护理高级实践护理学生的政治参与能力。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Melanie P Baucom, Eileen S Meyer, Aimee C Holland, Joy P Deupree, Loretta T Lee

引用次数: 0

Staff Perspectives and Organizational Climate Factors Related to Implementation of Food is Medicine Programming in a Federally Qualified Health Center. 与联邦合格医疗中心实施 "食物即药物 "计划相关的员工观点和组织氛围因素。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Margaret Raber, Joseph Brozovich, Thuan Le, Asyjia Brown, Tabbie Saenz, Andrea Caracostis, Karen Basen-Engquist

引用次数: 0

Racial Disparities in Hospital Utilization Among Patients with Multimorbidity. 多病患者住院治疗的种族差异。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943979

Alisha Crump, Clare C Brown, Maryam Y Garza, Austin Porter, Kevin Sexton, Jennifer L Vincenzo, Taiquitha Robins, Tremaine B Williams

{"title":"Racial Disparities in Hospital Utilization Among Patients with Multimorbidity.","authors":"Alisha Crump, Clare C Brown, Maryam Y Garza, Austin Porter, Kevin Sexton, Jennifer L Vincenzo, Taiquitha Robins, Tremaine B Williams","doi":"10.1353/hpu.2024.a943979","DOIUrl":"10.1353/hpu.2024.a943979","url":null,"abstract":"Background: It is reported that racial differences exist among patients with multimorbidity. However, there are no studies that have investigated racial disparities within multimorbidity-related hospitalization encounters among patients with multimorbidity in rural states such as Arkansas.Methods: Binomial logistic regression identified associations between race and hospitalization utilization. Insurance type was assessed as a potential effect modifier of the association.Results: Non-Hispanic Black, non-Hispanic Other and Hispanic patients collectively represented more than 50% of 18-34-year-old patients with multimorbidity. Compared with patients who were non-Hispanic White, Other patients were more likely to have a high length of stay. In the insurance-type stratified analysis, uninsured Hispanic patients demonstrated greater hospital length of stay during the study period.Conclusion: Results of the current study suggest that multimorbidity-related conditions differentially affect racially and ethnically minoritized, young patients. These findings highlight the need for future studies to understand the contributory factors involved in this disparity.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1089-1112"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711499","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 Road to Access: Addressing Transportation Challenges in Rural Primary Care. 通路：应对农村初级医疗中的交通挑战。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943985

Joanna Bailey, Katie Burchfield, Jacob Redden, Keli Adkins, Andrea Thornton, Sunanda Tah, Trey Bennett, Sijin Wen, Adam Baus

{"title":"The Road to Access: Addressing Transportation Challenges in Rural Primary Care.","authors":"Joanna Bailey, Katie Burchfield, Jacob Redden, Keli Adkins, Andrea Thornton, Sunanda Tah, Trey Bennett, Sijin Wen, Adam Baus","doi":"10.1353/hpu.2024.a943985","DOIUrl":"10.1353/hpu.2024.a943985","url":null,"abstract":"Central Appalachia's coal fields are the site of health disparities influenced by social determinants of health including poverty and isolation, compounded by transportation barriers to health care. In this study, we conducted two surveys among patients at a rural federally qualified health center (FQHC) to evaluate the health and financial ramifications of transportation barriers to primary care. Our findings indicate that patients facing transportation barriers rely disproportionately on emergency department services or hospitalization. Most notably, we found that Medicaid beneficiaries, theoretically eligible for no- cost, non- emergency medical transportation (NEMT), often resort to paying for transportation to office visits. Patients, especially Medicaid beneficiaries, who are financially burdened by transportation costs exhibit higher likelihood of requiring emergency department services or hospitalization. Our study underscores the potential benefits of investing in NEMT services, with the potential to reduce health care spending by mitigating reliance on emergency care and hospitalization while increasing equitable access to care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1192-1205"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711509","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

Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders. 值得信赖的沟通者：导航支持在改善美国印第安长者的健康和医疗服务中的作用。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Elise Trott Jaramillo, Emily A Haozous, Hannah Brechtel, Cathleen E Willging

{"title":"Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders.","authors":"Elise Trott Jaramillo, Emily A Haozous, Hannah Brechtel, Cathleen E Willging","doi":"","DOIUrl":"","url":null,"abstract":"Navigating health care and insurance systems presents significant challenges for American Indian (AI) Elders. Access to culturally congruent assistance with decision-making, scheduling, transportation, and communication can bridge the gap between AI Elders and health systems. This study uses qualitative interviews with professionals providing navigation services to American Indian Elders in a Southwestern state to understand the skills, experiences, and challenges involved in delivering this support. We conducted semi-structured interviews with 16 professionals providing navigation support to AI Elders between November 2018 and August 2020 and used a constant comparative approach to identify themes. Participants' descriptions of their work centered on the themes of (1) respect for Elders; (2) wide-ranging responsibilities; (3) acting as a trusted communicator; (4) developing trust; and (5) challenges to providing navigation support for AI Elders. Efforts to achieve health equity for AI Elders must include supporting individuals such as these within communities and advocating for a just health care system for American Indian people.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"246-263"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872849","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

Implementing Community Clinical Linkages in Underserved Communities: Lessons Learned from Six Community-Based Organizations. 在服务不足的社区实施社区临床联系：六家社区组织的经验教训。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Jesabel Rivera, Kayla Knock

引用次数: 0

Colorectal Cancer Screening in Free Clinics: A Systematic Review. 免费诊所的结直肠癌筛查：系统回顾。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Saarang R Deshpande, Lillian Wieland, Zhuoyang Wang, Suneel Kamath

{"title":"Colorectal Cancer Screening in Free Clinics: A Systematic Review.","authors":"Saarang R Deshpande, Lillian Wieland, Zhuoyang Wang, Suneel Kamath","doi":"","DOIUrl":"","url":null,"abstract":"Objective: There are significant inequities in colorectal cancer (CRC) screening and outcomes. Via literature review, we assessed CRC screening rates for the vulnerable populations served by free clinics.Methods: A systematic review was conducted for publications on CRC screening in free clinics. Outcomes included CRC screening characteristics, population demographics, and limitations. A methodological quality assessment was completed.Results: Out of 63 references, six studies were included, representing 8,844 participants. Black or Hispanic participants were the plurality in all but one study. All participants were uninsured. Median CRC screening rate was 48.4% (range 6.6-78.9%). Screening methods included colonoscopy, fecal occult blood test, flexible sigmoidoscopy, and fecal immunochemical test. Clinics offering only one screening method had a mean screening rate of 7.2% while those with multiple methods had a screening rate of 65.4%.Conclusion: Access to multiple CRC screening modalities correlates with higher screening rates in free clinics. More work is needed to increase CRC screening in free clinics.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"425-438"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200801","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 Lack of Long-Term Funding for the National Health Service Corps Limits the Ability to Address Health Care Workforce Shortages. 国家医疗卫生服务队缺乏长期资金限制了解决医疗卫生人才短缺问题的能力。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Jordan Marshall, Amanda Pears Kelly, Rick Brown

引用次数: 0

Obesity Medicine Intervention at an Academic Medical Center in a Resource-Limited Population Shows Promise. 一家学术医学中心对资源有限人群的肥胖症医学干预初见成效。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Emily C Grew, Vanya Jain, Kathleen R Brodowski, Carter D Burton, Jai C Patel, Dhvani A Doshi

{"title":"Obesity Medicine Intervention at an Academic Medical Center in a Resource-Limited Population Shows Promise.","authors":"Emily C Grew, Vanya Jain, Kathleen R Brodowski, Carter D Burton, Jai C Patel, Dhvani A Doshi","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Obesity disproportionately affects some non-White and low-socioeconomic-status Americans. Medical obesity treatment includes aggressive lifestyle interventions with medications when applicable. We evaluated a physician-led, resource-limited obesity medicine program.Methods: This retrospective review included 98 adults with BMI >30 completing three or more obesity medicine physician visits, without bariatric surgery before or during Oct 2019-Feb 2022 at an academic medical center in Newark, N.J. Outcomes included changes in weight, HbA1c, blood pressure, and lipids.Results: Sixty-eight percent (68%) of patients lost weight, with one-third losing 5% or more of total weight. Almost 30% (29.3%) gained and 2.4% maintained weight. Number of visits (p<.01) and GLP-1 receptor agonist use predicted weight loss (p<.05). Hemoglobin A1c decreased (p<.01); blood pressure and lipids did not.Conclusion: Our study shows that medical weight management programs can achieve meaningful weight loss, despite resource limitations. Patients using GLP-1 receptor agonists lost more weight compared with other agents, even on suboptimal doses.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"55-64"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870302","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

Eliminating Health Care Access and Quality Inequities in Sickle Cell Disease: Policy Lessons from the End Sepsis Initiative. 消除镰状细胞病的医疗服务获取和质量不平等：从 "终结败血症倡议 "中汲取的政策教训。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Kenneth Rivlin, Jean-Bernard Poulard, Marcy Stein-Albert

引用次数: 0