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https://www.readbyqxmd.com/read/29350592/geographic-proximity-to-specialized-pediatric-neurosurgical-care-in-the-contiguous-united-states
#1
Abdul-Kareem Ahmed, Ann-Christine Duhaime, Timothy R Smith
OBJECTIVE Absent from an analysis of supply is consideration of the geographic distribution of pediatric neurosurgeons. Several patient socioeconomic metrics are known to be associated with outcome in pediatric neurosurgical diseases, such as hydrocephalus. The purpose of this study was to determine current geographic proximity to pediatric neurosurgical care using professional society databases. This study also sought to establish how socioeconomic factors are related to distance to care, using federal government-collected data...
January 19, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29342009/how-academic-health-systems-can-achieve-population-health-in-vulnerable-populations-through-value-based-care-the-critical-importance-of-establishing-trusted-agency
#2
Donald E Wesson, Heather E Kitzman
Improving population health may require health systems to proactively engage patient populations as partners in the implementation of healthy behaviors as a shared value using strategies that incentivize healthy outcomes for the population as a whole. The current reactive health care model, which focuses on restoring the health of individuals after it has been lost, will not achieve the goal of improved population health. To achieve this goal, health systems must proactively engage in partnerships with the populations they serve...
January 16, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29339097/safety-and-preliminary-efficacy-of-venetoclax-with-decitabine-or-azacitidine-in-elderly-patients-with-previously-untreated-acute-myeloid-leukaemia-a-non-randomised-open-label-phase-1b-study
#3
Courtney D DiNardo, Keith W Pratz, Anthony Letai, Brian A Jonas, Andrew H Wei, Michael Thirman, Martha Arellano, Mark G Frattini, Hagop Kantarjian, Relja Popovic, Brenda Chyla, Tu Xu, Martin Dunbar, Suresh K Agarwal, Rod Humerickhouse, Mack Mabry, Jalaja Potluri, Marina Konopleva, Daniel A Pollyea
BACKGROUND: Elderly patients (aged ≥65 years) with acute myeloid leukaemia have poor outcomes and no effective standard-of-care therapy exists. Treatment with hypomethylating agents such as azacitidine and decitabine is common, but responses are modest and typically short-lived. The oral anti-apoptotic B-cell lymphoma 2 protein inhibitor, venetoclax, has shown promising single-agent activity in patients with relapsed or refractory acute myeloid leukaemia and preclinical data suggested synergy between hypomethylating agents and venetoclax, which led to this combination phase 1b study...
January 12, 2018: Lancet Oncology
https://www.readbyqxmd.com/read/29338951/small-incentives-improve-weight-loss-in-women-from-disadvantaged-backgrounds
#4
Tricia M Leahey, Jessica Gokee LaRose, Marc S Mitchell, Carnisha M Gilder, Rena R Wing
INTRODUCTION: Women from lower-income backgrounds have the highest rates of obesity. Thus, effective programs for this high-risk population are urgently needed. Evidence suggests that adding financial incentives to treatment helps to engage and promote health behavior change in lower-income populations; however, this has never been tested in women for obesity treatment. The purpose of this study was to examine whether adding small financial incentives to Internet weight loss treatment yields better weight loss outcomes in women from lower-income backgrounds compared with the same treatment without incentives...
January 12, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29333200/perceptions-of-mindfulness-in-a-low-income-primarily-african-american-treatment-seeking-sample
#5
Claire Adams Spears, Sean C Houchins, Wendy P Bamatter, Sandra Barrueco, Diana Stewart Hoover, Rokas Perskaudas
Individuals with low socioeconomic status (SES) and members of racial/ethnic minority groups often experience profound disparities in mental health and physical well-being. Mindfulness-based interventions show promise for improving mood and health behaviors in higher-SES and non-Latino White populations. However, research is needed to explore what types of adaptations, if any, are needed to best support underserved populations. This study used qualitative methods to gain information about a) perceptions of mindfulness, b) experiences with meditation, c) barriers to practicing mindfulness, and d) recommendations for tailoring mindfulness-based interventions in a low-income, primarily African American treatment-seeking sample...
December 2017: Mindfulness
https://www.readbyqxmd.com/read/29330250/the-intersection-of-national-immigration-and-healthcare-policy
#6
Jeffrey Douaiher, Douglas J Inciarte, Edibaldo Silva
Immigration policy and health care policy remain principal undertakings of the federal government. The two have recently been pursued independently in the judicial and legislative arenas. Unbeknownst to many policymakers, however, national immigration policy and health care policy are linked in ways that, if unattended, could undermine the well-being of a significant portion of the US population, specifically medically underserved rural and urban populations. Using current data from a workforce report of the Association of American Colleges and the published literature, we demonstrate the significant impact that contemporary immigration policy directives may have on the number and distribution of international medical graduates who currently provide-and by the year 2025 will provide-a significant portion of primary health care in the United States, especially in underserved small urban and rural communities...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29326964/transportation-and-other-nonfinancial-barriers-among-uninsured-primary-care-patients
#7
Akiko Kamimura, Samin Panahi, Zobayer Ahmmad, Mu Pye, Jeanie Ashby
Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29324393/changing-students-perceptions-of-the-homeless-a-community-service-learning-experience
#8
Janet Gardner, Jan Emory
The homeless are an underserved, local vulnerable population that can benefit from a service learning clinical practicum experience for baccalaureate prepared nursing students. Negative attitudes and disrespect among healthcare workers has been identified by the homeless as a barrier to healthcare. A service learning experience with a vulnerable population has been shown to change nursing students' attitudes and beliefs. A large university in a southern city partnered with a community based organization that provided services to the homeless to educate senior nursing students in a service learning experience...
January 5, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29320892/the-effect-of-the-global-financial-crisis-on-preventable-hospitalizations-among-the-homeless-in-new-york-state
#9
Brandi White, Charles Ellis, Walter Jones, William Moran, Kit Simpson
Objective Periods of economic instability may increase preventable hospitalizations because of increased barriers to accessing primary care. For underserved populations such as the homeless, these barriers may be more pronounced due to limited resources in the health care safety net. This study examined the impact of the global financial crisis of 2007-2008 on access to care for the homeless in New York State. Methods Hospitalizations for ambulatory care sensitive conditions (ACSCs) were used as a proxy measure for primary care access...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29319331/-simple-and-easy-providers-and-latinos-perceptions-of-the-fecal-immunochemical-test-fit-for-colorectal-cancer-screening
#10
Claudia X Aguado Loi, Dinorah Martinez Tyson, Enmanuel A Chavarria, Liliana Gutierrez, Lynne Klasko, Stacy Davis, Diana Lopez, Tracy Johns, Cathy D Meade, Clement K Gwede
OBJECTIVE: Colorectal cancer (CRC) screening efforts have effectively reduced CRC morbidity and mortality, yet screening remains relatively low among Latinos. The study's purpose was to document the awareness/knowledge of Fecal Immunochemical Test (FIT) among Latinos, gain better understanding of patient and health care provider perceptions about FIT, and explore the feasibility of adoption/uptake. DESIGN/METHODS: The study was guided by qualitative, ethnography design and methods...
January 10, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29314188/-seniors-only-want-respect-designing-an-oral-health-program-for-older-adults
#11
Ivette Estrada, Carol Kunzel, Eric W Schrimshaw, Ariel P Greenblatt, Sara S Metcalf, Mary E Northridge
AIM: Persistent socioeconomic disparities in the oral disease burden contribute to pain and suffering among vulnerable and underserved populations who face systemic barriers to access oral health care, including older adults living in disadvantaged urban neighborhoods. The aim of this study is to gain the views of racial/ethnic minority older adults regarding what they believe would support them and their peers in visiting the dentist regularly. METHODS AND RESULTS: Focus groups were conducted and digitally audio-recorded from 2013 to 2015 with 194 racial/ethnic minority women and men aged 50 years and older living in northern Manhattan who participated in one of 24 focus group sessions about improving oral health for older adults...
January 4, 2018: Special Care in Dentistry
https://www.readbyqxmd.com/read/29309089/evaluating-the-effectiveness-of-one-on-one-conversations-to-increase-colorectal-cancer-screening-in-a-community-based-clinical-setting
#12
Tyler J Fleming, Martha G Benitez, Miranda L Ritterman Weintraub
Context: The American Cancer Society's 80% by 2018 initiative aims to increase at-home colorectal cancer (CRC) screening. Objective: To assess the effectiveness of one-on-one conversations with patients about CRC screening on compliance with at-home fecal immunochemical tests (FITs). Setting: Federally funded health care center serving a largely minority, urban, underserved population in Vallejo, California. Methods: Patients aged 50 to 75 years were divided into 3 main intervention arms: (1) patients who received a one-on-one in-person consultation to discuss the need for CRC screening and the screening process, as well as a FIT; (2) patients who received a telephone call to discuss the need for CRC screening and the screening process before receiving a FIT in the mail; and (3) patients who were mailed a FIT with a letter explaining the importance of completing the FIT and instructions...
January 1, 2018: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/29308436/effect-of-personal-activity-trackers-on-weight-loss-in-families-enrolled-in-a-comprehensive-behavioral-family-lifestyle-intervention-program-in-the-federally-qualified-health-center-setting-a-randomized-controlled-trial
#13
Juan Espinoza, Alexander Chen, Jazminne Orozco, Alexis Deavenport-Saman, Larry Yin
Background: Childhood obesity continues to be a substantial problem despite major public health efforts, and disproportionately impacts children from low-income families. Digital health tools and consumer technology offer promising opportunities for interventions, but few studies have evaluated how they might be incorporated into existing interventions or used to create new types of interventions. It remains unclear which approaches would be most beneficial for underserved pediatric populations...
September 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29304745/characteristics-of-wild-polio-virus-outbreak-investigation-and-response-in-ethiopia-in-2013-2014-implications-for-prevention-of-outbreaks-due-to-importations
#14
Ayesheshem Ademe Tegegne, Fiona Braka, Meseret Eshetu Shebeshi, Aron Kassahun Aregay, Berhane Beyene, Amare Mengistu Mersha, Mohammed Ademe, Abdulahi Muhyadin, Dadi Jima, Abyot Bekele Wyessa
BACKGROUND: Ethiopia joined the Global Polio Eradication Initiative (GPEI) in 1996, and by the end of December 2001 circulation of indigenous Wild Polio Virus (WPV) had been interrupted. Nonetheless, the country experienced multiple importations during 2004-2008, and in 2013. We characterize the 2013 outbreak investigations and response activities, and document lessons learned. METHOD: The data were pulled from different field investigation reports and from the national surveillance database for Acute Flaccid Paralysis (AFP)...
January 5, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29299852/mental-health-service-engagement-among-underserved-minority-adolescents-and-young-adults-a-systematic-review
#15
Kiara L Moore
Limited ability to engage underserved racial-ethnic minority young adults into treatment contributes to mental health disparities among this population. A systematic literature review was conducted to examine the evidence for interventions that can improve their engagement with mental health services. A database search and bibliographic review yielded 1264 studies that were assessed according to the following inclusion criteria: sample with a mean age between 13 and 27; sufficient ethnic/racial representation (at least 50%); an explicitly stated objective for the intervention of improving mental health treatment engagement among adolescents and young adults (e...
January 3, 2018: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29298574/sensitive-health-topics-with-underserved-patient-populations-methodological-considerations-for-online-focus-group-discussions
#16
Sari L Reisner, Renee K Randazzo, Jaclyn M White Hughto, Sarah Peitzmeier, L Zachary DuBois, Dana J Pardee, Elliot Marrow, Sarah McLean, Jennifer Potter
Online focus group discussions provide an anonymous environment to assess sensitive, health-related experiences that may be difficult to discuss utilizing traditional face-to-face modalities, particularly for marginalized populations such as female-to-male trans masculine (TM) transgender individuals. This article reviews the history, advantages, and disadvantages of online focus groups, with an emphasis for research about sensitive issues with stigmatized, rare, and/or geographically dispersed patient populations...
May 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29298494/development-of-a-community-based-palliative-care-screening-tool-for-underserved-older-adults-with-chronic-illnesses
#17
Angela Ghesquiere, Daniel S Gardner, Caitlin McAfee, Cara Kenien, Elizabeth Capezuti, Elissa Kozlov, Jo Anne Sirey, M Carrington Reid
Although they experience high rates of chronic illness, low-income minority communities have traditionally underutilized palliative care services compared to whites and those with higher incomes. One reason for this trend is lack of screening by community providers. We utilized a community-based participatory research approach to develop and implement an innovative multidomain palliative care screening tool in aging service agencies. Participants were aging service providers and clients in the East and Central Harlem neighborhoods of New York City, which are characterized by high poverty, largely African American and Latino populations, disproportionally high rates of chronic conditions, and limited health-care access...
January 1, 2018: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/29297402/bridging-access-gaps-experienced-by-the-underserved-the-need-for-healthcare-providers-to-look-within-for-answers
#18
James K Elrod, John L Fortenberry
BACKGROUND: Health and medical providers dedicated to serving the poor face daunting challenges, with the most obvious one pertaining to the provision of services with little or no expectation of remuneration. This hardship often is overlooked by broad society as many view the delivery of healthcare services to indigent populations to be covered fully by government health insurance programs or other forms of public assistance. This, however, is only partially true and, even when reimbursements or similar payments are provided, they often fall short of covering the actual costs associated with rendering services...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297342/advancing-indigent-healthcare-services-through-adaptive-reuse-repurposing-abandoned-buildings-as-medical-clinics-for-disadvantaged-populations
#19
James K Elrod, John L Fortenberry
BACKGROUND: Challenges abound for healthcare providers engaged in initiatives directed toward disadvantaged populations, with financial constraints representing one of the most prominent hardships. Society's less fortunate typically lack the means to pay for healthcare services and even when they are covered by government health insurance programs, reimbursement shortcomings often occur, placing funding burdens on the shoulders of establishments dedicated to serving those of limited means...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29297334/the-hub-and-spoke-organization-design-revisited-a-lifeline-for-rural-hospitals
#20
James K Elrod, John L Fortenberry
BACKGROUND: Characterized by declining populations, high poverty, reduced employment opportunities, and high numbers of uninsured residents, rural communities pose significant challenges for healthcare providers desirous of addressing these medically underserved areas. Such difficult environments, in fact, have forced the closure of many rural hospitals across America, with scores facing the same threat, compelling intensive efforts to identify pathways which will yield an improved future...
December 13, 2017: BMC Health Services Research
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