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https://www.readbyqxmd.com/read/28930763/a-new-community-health-center-academic-medicine-partnership-for-medicaid-cost-control-powered-by-the-mega-teaching-health-center
#1
Richard E Rieselbach, Ted Epperly, Aaron Friedman, David Keahey, Eleanor McConnell, Karen Nichols, Greg Nycz, Jeanette Roberts, Kenneth Schmader, Peter Shin, Derri Shtasel
Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28930761/factors-associated-with-medical-school-graduates-intention-to-work-with-underserved-populations-policy-implications-for-advancing-workforce-diversity
#2
Andrea N Garcia, Tony Kuo, Lisa Arangua, Eliseo J Pérez-Stable
PURPOSE: Given projected U.S. physician shortages across all specialties that will likely impact underserved areas disproportionately, the authors sought to explore factors most correlated with medical school graduates' intention to work with underserved populations (IWUP). METHOD: Data from the 2010-2012 Association of American Medical Colleges Medical School Graduation Questionnaire (n = 40,846) were analyzed. Variables (demographics, career preference, debt burden, intention to enter loan forgiveness programs) were examined using chi-square tests and logistic regression models...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28929831/culturally-appropriate-assessment-of-functioning-in-diverse-children-development-and-preliminary-validation-of-the-fx-ii-scale-in-mexico
#3
Lauren M Haack, Eva A Araujo
OBJECTIVE: We sought to develop and provide preliminary validation for a questionnaire evaluating functioning related to ADHD (i.e., the FX-II) with a particularly underserved group (i.e., Mexican youth). METHOD: 191 Mexican raters completed the FX-II alongside measures of ADHD symptoms, impairment, cultural values, and demographics: 127 raters were caregivers of treatment-naïve youth (i.e., community sample); 32 raters were caregivers and 32 raters were teachers of youth participating in a school-based program for attention/behavior concerns (i...
September 1, 2017: Journal of Attention Disorders
https://www.readbyqxmd.com/read/28928345/clinical-medical-education-in-rural-and-underserved-areas-and-eventual-practice-outcomes-a-systematic-review-and-meta-analysis
#4
Ryan William Raymond Guilbault, Joseph Alexander Vinson
BACKGROUND: Undergraduate medical students are enrolled in clinical education programs in rural and underserved urban areas to increase the likelihood that they will eventually practice in those areas and train in a primary care specialty to best serve those patient populations. METHODS: MEDLINE and Cochrane Library online databases were searched to identify articles that provide a detailed description of the exposure and outcome of interest. A qualitative review of articles reporting outcome data without comparison or control groups was completed using the Medical Education Research Study Quality Instrument (MERSQI)...
May 2017: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/28925913/how-underserviced-rural-communities-approach-physician-recruitment-changes-following-the-opening-of-a-socially-accountable-medical-school-in-northern-ontario
#5
Oxana Mian, John C Hogenbirk, Wayne Warry, Roger P Strasser
INTRODUCTION: The Northern Ontario School of Medicine (NOSM) opened in 2005 with a social accountability mandate to address a long history of physician shortages in northern Ontario. The objective of this qualitative study was to understand the school's effect on recruitment of family physicians into medically underserviced rural communities of northern Ontario. METHODS: We conducted a multiple case study of 8 small rural communities in northern Ontario that were considered medically underserviced by the provincial ministry of health and had successfully recruited NOSM-trained physicians...
2017: Canadian Journal of Rural Medicine
https://www.readbyqxmd.com/read/28923033/feasibility-of-a-low-cost-hearing-screening-in-rural-indiana
#6
Khalid M Khan, Sylvanna L Bielko, Priscilla A Barnes, Sydney S Evans, Anna L K Main
BACKGROUND: Hearing loss remains a neglected public health issue in the rural and agricultural communities in the United States and therefore, promotion of a low-cost hearing screening may be important for these underserved populations. The major objectives of our study were to assess feasibility of a low-cost telephone-administered hearing test in rural Indiana and to identify the challenges, barriers and viable implementation strategies associated with this test. Also, we evaluated whether a focus group session could change the hearing health attitude of rural residents...
September 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28913882/reducing-disparities-in-cancer-screening-and-prevention-through-community-based-participatory-research-partnerships-with-local-libraries-a-comprehensive-dynamic-trial
#7
Bruce D Rapkin, Elisa Weiss, David Lounsbury, Tamara Michel, Alexis Gordon, Jennifer Erb-Downward, Eilleen Sabino-Laughlin, Alison Carpenter, Carolyn E Schwartz, Linda Bulone, Margaret Kemeny
Reduction of cancer-related disparities requires strategies that link medically underserved communities to preventive care. In this community-based participatory research project, a public library system brought together stakeholders to plan and undertake programs to address cancer screening and risk behavior. This study was implemented over 48 months in 20 large urban neighborhoods, selected to reach diverse communities disconnected from care. In each neighborhood, Cancer Action Councils were organized to conduct a comprehensive dynamic trial, an iterative process of program planning, implementation and evaluation...
September 15, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28913510/the-prevalence-and-determinants-of-pterygium-in-rural-areas
#8
Hassan Hashemi, Mehdi Khabazkhoob, Abbasali Yekta, Ebrahim Jafarzadehpour, Hadi Ostadimoghaddam, Haleh Kangari
PURPOSE: To evaluate the prevalence of pterygium and its determinants in the underserved, rural population of Iran. METHODS: In this cross-sectional study of 3851 selected individuals, 86.5% participated in the study, and the prevalence of pterygium was evaluated in 3312 participants. A number of villages were selected from the north and south of Iran using multistage cluster sampling. Pterygium was diagnosed by the ophthalmologist using slit-lamp examination. RESULTS: The mean age of the study participants was 37...
September 2017: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/28903891/health-information-national-trends-survey-in-american-sign-language-hints-asl-protocol-for-the-cultural-adaptation-and-linguistic-validation-of-a-national-survey
#9
Poorna Kushalnagar, Raychelle Harris, Raylene Paludneviciene, TraciAnn Hoglind
BACKGROUND: The Health Information National Trends Survey (HINTS) collects nationally representative data about the American's public use of health-related information. This survey is available in English and Spanish, but not in American Sign Language (ASL). Thus, the exclusion of ASL users from these national health information survey studies has led to a significant gap in knowledge of Internet usage for health information access in this underserved and understudied population. OBJECTIVE: The objectives of this study are (1) to culturally adapt and linguistically translate the HINTS items to ASL (HINTS-ASL); and (2) to gather information about deaf people's health information seeking behaviors across technology-mediated platforms...
September 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28902704/hiv-pre-exposure-prophylaxis-implementation-at-local-health-departments-a-statewide-assessment-of-activities-and-barriers
#10
Helen L Zhang, Sarah K Rhea, Christopher B Hurt, Victoria L Mobley, Heidi Swygard, Arlene C Seña, Mehri S McKellar
BACKGROUND: Expanding access to HIV pre-exposure prophylaxis (PrEP) could help reduce rates of HIV infection in the United States. This study characterizes activities and barriers to PrEP implementation at local health departments (LHDs) in North Carolina (NC), which contains a large rural population. METHODS: In May 2016, a web-based survey was distributed to health directors of all county and district health departments in NC to assess PrEP-related activities, perceived barriers to PrEP implementation, and desired PrEP-related resources...
September 11, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28901239/ethical-issues-in-action-oriented-research-in-indonesia
#11
Rini Rachmawaty
BACKGROUND: Action-oriented research is one of the most frequent research types implemented to transform community health in Indonesia. Three researchers and 11 graduate students from a developed country in East Asia conducted a fieldwork program in a remote area in South Sulawesi Province. Although the project was completed, whether or not the international standards for human subject research were applied into that study remains unclear. OBJECTIVES: This study aimed to examine ethical issues raised from that case, analyze constraints to the problems, and recommend alternatives to protect vulnerable populations from being exploited by local/international researchers...
September 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28888312/burn-management-in-the-developing-world-international-volunteerism
#12
REVIEW
Anne Argenta, Jack Demos
The burden of burn injury falls predominantly on the world's poor, with low-income and middle-income countries accounting for 96% of burn injuries. These vulnerable populations are the least likely to have access to adequate medical care and are the most reliant on volunteer organizations. Every underserved area has a unique set of needs, circumstances, customs, resources, and challenges. The authors' intent is to provide an additional resource for volunteer surgeons who are interested in treating burns. This article reviews planning, organizing, and participating in a burn surgical mission trip...
October 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/28885858/the-latino-integrative-medical-group-visit-as-a-model-for-pain-reduction-in-underserved-spanish-speakers
#13
Oscar Cornelio-Flores, Anna Sophia Lestoquoy, Sheila Abdallah, Amanda DeLoureiro, Karla Lorente, Bryan Pardo, Joseph Olunwa, Paula Gardiner
OBJECTIVES: Chronic pain is a common problem in the United States, one for which there is a dearth of effective treatments. Nonpharmacological options are a promising alternative, especially for Spanish-speaking Latinos. This pilot study would like to assess the feasibility of an adapted Integrative Medical Group Visit (IMGV) curriculum for a Spanish-speaking Latino chronic pain population. DESIGN AND INTERVENTION: We translated and adapted the curriculum of the IMGV for a Spanish-speaking Latino chronic pain population...
September 8, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28885419/competency-based-objectives-in-global-underserved-women-s-health-for-medical-trainees
#14
Chi Chiung Grace Chen, Anne Dougherty, Sara Whetstone, Saifuddin T Mama, Margaret Larkins-Pettigrew, Susan P Raine, Amy M Autry
The Association of Professors of Gynecology and Obstetrics Committee on Global Health developed an inclusive definition of global women's health and competency-based objectives that reflected work internationally, as well as with U.S. vulnerable and underserved populations, such as refugee and immigrant populations or those who would otherwise have compromised access to health care. The knowledge, skill, and attitude-based competencies required to fulfill each learning objective were mapped to the Accreditation Council for Graduate Medical Education Outcomes Project's educational domains and the Consortium of Universities for Global Health competency domains...
September 5, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28884405/ethnicity-and-language-proficiency-differences-in-the-provision-of-and-intention-to-use-prenatal-screening-for-down-s-syndrome-and-congenital-anomalies-a-prospective-non-selected-register-based-study-in-the-netherlands
#15
Ingrid A Peters, Kirsten M Heetkamp, Nicolette T C Ursem, Eric A P Steegers, Semiha Denktaş, Maarten F C M Knapen
Objective We aimed to conduct an analysis of the associations between the information provision procedure of prenatal screening for Down's syndrome and congenital anomalies and the intention to participate in prenatal screening (PS) of ethnicity groups and Dutch language proficiency groups. Design Using a prospective web-based registration form, we asked counselors (midwives, general practitioners, nurses and gynecologists) to report whether and how they offered information about PS to pregnant women. Duration The study was conducted from 2008 to 2010...
September 7, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28882272/using-interactive-virtual-presence-to-support-accurate-installation-of-child-restraints-efficacy-and-parental-perceptions
#16
David C Schwebel, M Alison Tillman, Marie Crew, Matthew Muller, Anna Johnston
INTRODUCTION: Child restraint systems (car seats) reduce injury risk for young children involved in motor-vehicle crashes, but parents experience significant difficulty installing child restraints correctly. Installation by certified child passenger safety (CPS) technicians yields more accurate installation, but is impractical for broad distribution. A potential solution is use of interactive virtual presence via smartphone application (app), which permits "hands on" teaching through simultaneous and remote joint exposure to 3-dimensional images...
September 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28879489/place-still-matters-racial-ethnic-and-geographic-disparities-in-hiv-transmission-and-disease-burden
#17
Bridgette M Brawner, Barbara Guthrie, Robin Stevens, Lynne Taylor, Michael Eberhart, Jean J Schensul
Neighborhood-level structural interventions are needed to address HIV/AIDS in highly affected areas. To develop these interventions, we need a better understanding of contextual factors that drive the pandemic. We used multinomial logistic regression models to examine the relationship between census tract of current residence and mode of HIV transmission among HIV-positive cases. Compared to the predominantly white high HIV prevalence tract, both the predominantly black high and low HIV prevalence tracts had greater odds of transmission via injection drug use and heterosexual contact than male-to-male sexual contact...
September 6, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28879174/mobile-technology-to-increase-hiv-hcv-testing-and-overdose-prevention-response-among-people-who-inject-drugs
#18
Ian David Aronson, Alexander Bennett, Lisa A Marsch, Theodore C Bania
The United States faces dramatically increasing rates of opioid overdose deaths, as well as persistent ongoing problems of undiagnosed HIV and HCV infection. These problems commonly occur together in substance using populations that have limited, if any, access to primary care and other routine health services. To collectively address all three issues, we developed the Mobile Intervention Kit (MIK), a tablet computer-based intervention designed to provide overdose prevention and response training and to facilitate HIV/HCV testing in community settings...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28879068/self-collected-vaginal-swabs-for-hpv-screening-an-exploratory-study-of-rural-black-mississippi-women
#19
Richard A Crosby, Michael E Hagensee, Rebecca Fisher, Lindsay R Stradtman, Tom Collins
OBJECTIVES: To determine the post-procedure acceptability of self-collecting a vaginal swab for HPV testing among a highly impoverished and geographically isolated population of medically underserved Black women residing in the Mississippi Delta. Further, to test correlates of reporting that self-collection is preferred over Pap testing. Finally, to determine the prevalence of any of 13 high-risk HPV types among this population and the correlates of testing positive. METHODS: Eighty-eight women were recruited from two churches located in different towns of the Mississippi Delta...
September 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28876317/cervical-cancer-screening-and-prevention-in-78-sexually-transmitted-disease-clinics-united-states-2014-2015
#20
Emily McGinnis, Beth E Meyerson, Elissa Meites, Mona Saraiya, Rebecca Griesse, Emily Snoek, Laura Haderxhanaj, Lauri E Markowitz, William Smith
BACKGROUND: Human papillomavirus (HPV) infections cause approximately 30,700 cancers annually among US men and women, cervical cancer being the most common. Human papillomavirus vaccination is recommended routinely for US girls and boys at age 11 to 12 years, and for those not previously vaccinated, through age 26 and 21 years for women and men, respectively. Our objective was to assess current cervical cancer screening and HPV vaccination practices among sexually transmitted disease (STD) clinics in the United States...
June 19, 2017: Sexually Transmitted Diseases
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