Research in the sociology of health care最新文献

{"title":"Full-Time Caregiving during COVID-19 based on Minority Identifications, Generation, and Vaccination Status.","authors":"Erica S Jablonski, Chris R Surfus, Megan Henly","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose -: </strong>This study compared different types of full-time caregivers (e.g., children, older adults, COVID-19 patients) and subgroups (e.g., disability, race/ethnicity, sexual orientation) in the United States during the COVID-19 pandemic for potentially meaningful distinctions.</p><p><strong>Methodology/approach -: </strong>Data from the 9,854 full-time caregivers identified in Phase 3.2 (July 21 -October 11, 2021) of the U.S. Census Household Pulse Survey (HPS) were analyzed in this study using multinomial logistic regression to examine relationships between caregiver types, marginalized subgroups, generation, and vaccination status.</p><p><strong>Findings -: </strong>The prevalence of caregiving was low, but the type of full-time caregiving performed varied by demographic group (i.e., disability, race/ethnicity, sexual orientation, gender, generation, and vaccination status). The relative risk of being a COVID-19 caregiver remained significant for being a member of each of the marginalized groups examined after all adjustments.</p><p><strong>Limitations/implications -: </strong>To date, the HPS has not been analyzed to predict the type of full-time informal caregiving performed during the COVID-19 pandemic or their characteristics. Research limitations of this analysis include the cross-sectional, experimental dataset employed, as well as some variable measurement issues.</p><p><strong>Originality/value of paper -: </strong>Prior informal caregiver research has often focused on the experiences of those caring for older adults or children with special healthcare needs. It may be instructive to learn whether and how informal caregivers excluded from paid employment during infectious disease outbreaks vary in meaningful ways from those engaged in other full-time caregiving. Because COVID-19 magnified equity concerns, examining demographic differences may also facilitate customization of pathways to post-caregiving workforce integration.</p>","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"40 ","pages":"43-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11872232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and Health Care Inequities, Infectious Diseases and Social Factors","authors":"","doi":"10.1108/s0275-4959202239","DOIUrl":"https://doi.org/10.1108/s0275-4959202239","url":null,"abstract":"","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46872647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Health Disparities of Rural Latinos Pre- and Post-Accountable Care Organization Implementation.","authors":"Judith Ortiz,&nbsp;Boondaniwon D Phrathep,&nbsp;Richard Hofler,&nbsp;Chad W Thomas","doi":"10.1108/s0275-495920220000039013","DOIUrl":"https://doi.org/10.1108/s0275-495920220000039013","url":null,"abstract":"<p><strong>Purpose: </strong>We present findings from a longitudinal investigation, the purpose of which was to compare health disparities of rural Latino older adult patients diagnosed with diabetes to their non-Latino White counterparts.</p><p><strong>Methodology/approach: </strong>A pre-post design was implemented treating Medicare Accountable Care Organization (ACO) participation by Rural Health Clinics (RHCs) as an intervention, and using diabetes-related hospitalizations to measure disparities. Data for a nationwide panel of 2,683 RHCs were analyzed for a study period of eight years: 2008 - 2015. In addition, data were analyzed for a subset of 116 RHCs located in Florida, Texas, and California that participated in a Medicare ACO in one or more years of the study period.</p><p><strong>Findings: </strong>Two broad findings resulted from this investigation. First, for both the nationwide panel of RHCs and the three-state sample of \"ACO RHCs,\" there was a decrease in the mean disparities in diabetes-related hospitalization rates over the eight-year study period. Second, in comparing a three-year time period after Medicare ACO implementation in 2012 to a four-year period before the implementation, a statistically significant difference in mean disparities was found for the nationwide panel.</p><p><strong>Research limitations/implications: </strong>There are a number of factors that may contribute to the decrease in diabetes-related hospitalization rates for Latinos in more recent years. Future research will identify specific contributors to reducing diabetes-related hospitalization disparities between Latinos and the general population, including the possible influence of ACO participation by RHCs.</p><p><strong>Originality/value of paper: </strong>This paper presents original research conducted using data related to rural Latino older adults. The data represent multiple states and an eight-year time period. The U.S. Latino population is growing at a rapid pace. As a group, they are at a high risk for developing diabetes, the complications of which are serious and costly to the patient and the U.S. healthcare system. With the continued growth of the Latino population, it is critical that their health disparities be monitored, and that factors that contribute to their health and well-being be identified and promoted.</p>","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"39 ","pages":"173-187"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9000292/pdf/nihms-1676278.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9194016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Index","authors":"","doi":"10.1108/s0275-495920200000038020","DOIUrl":"https://doi.org/10.1108/s0275-495920200000038020","url":null,"abstract":"","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48325035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prelims","authors":"","doi":"10.1108/s0275-495920200000038004","DOIUrl":"https://doi.org/10.1108/s0275-495920200000038004","url":null,"abstract":"","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0275-495920200000038004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46488243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Race, Ethnicity, Gender and Other Social Characteristics as Factors in Health and Health Care Disparities","authors":"","doi":"10.1108/s0275-4959202038","DOIUrl":"https://doi.org/10.1108/s0275-4959202038","url":null,"abstract":"","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0275-4959202038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42159776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ER Use among Older Adult RHC Medicare Beneficiaries in the Southeastern United States.","authors":"Matt T Bagwell,&nbsp;Thomas T H Wan","doi":"10.1108/S0275-495920200000038008","DOIUrl":"https://doi.org/10.1108/S0275-495920200000038008","url":null,"abstract":"Purpose\u0000This study analyzed individual factors of race and dual eligibility on emergency room (ER) utilization of older adult Medicare patients treated by RHCs in CMS Region 4.\u0000\u0000\u0000Methodology/approach\u0000A prospective, longitudinal design was employed to analyze health disparities that potentially exist among RHC Medicare beneficiary patients (+65) in terms of ER use. The years of investigation were 2010 through 2012, using mixed multilevel, binary logistic regression.\u0000\u0000\u0000Findings\u0000This study found that dual eligible RHC patients utilized ER services at higher rates than non-dual eligible, Medicare only RHC patients at: 77%, 80%, and 66%, in 2010, 2011, and 2012, respectively; and above the White reference group, Black RHC Medicare patients utilized ER services at higher rates of: 18%, 20%, and 34%, in 2010, 2011, and 2012, respectively.\u0000\u0000\u0000Research limitations/implications\u0000Regarding limitations, cohort data observations within the window of 3 years were only analyzed; regarding generalizability, in different CMS regions, results will likely vary; and linking other variables together in the study was limited by the accessible data. Future research should consider these limitations, and attempt to refine. The findings support that dual Medicare and Medicaid eligibility, as a proxy measure of socio-economic status, and race continue to influence higher rates of ER utilization in CMS Region 4.\u0000\u0000\u0000Originality/value\u0000In terms of ER utilization disparities, persistently, as recent as 2012, Black, dual eligible RHC Medicare beneficiary patients age 65 and over may be twice as likely to utilize ER services for care than their counterparts in the Southeastern United States.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"38 ","pages":"49-72"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920200000038008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25381496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thalassemic Women’s Biographical Trajectory: Retracing Gender Inequalities in Health Policies","authors":"V. Raffa","doi":"10.1108/S0275-495920190000037014","DOIUrl":"https://doi.org/10.1108/S0275-495920190000037014","url":null,"abstract":"Originality/Value of Paper\u0000They report on the urgency to deconstruct the social imagination according to which a woman is a “real” woman only if she is also a mother.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920190000037014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41525044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials","authors":"J. Kronenfeld","doi":"10.1108/s0275-4959201937","DOIUrl":"https://doi.org/10.1108/s0275-4959201937","url":null,"abstract":"Looking specifically at the factors impacting on health and health care differentials, this book examines the health and health care issues of both patients and providers of care in the United States and around the globe. Chapters focus on linkages to policy, population concerns and patients and providers of care as ways to meet health care needs.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/s0275-4959201937","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48008781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis C and Support Groups in Rural Communities","authors":"Atsuko Kawakami, Juyeon Son, C. Henderson","doi":"10.1108/S0275-495920190000037011","DOIUrl":"https://doi.org/10.1108/S0275-495920190000037011","url":null,"abstract":"Originality/Value of Paper\u0000Churches may have the most potential to bring about the needed changes in rural settings by fostering a supportive heath care environment in their communities.","PeriodicalId":74681,"journal":{"name":"Research in the sociology of health care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/S0275-495920190000037011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42438400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}