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Underserved populations

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https://www.readbyqxmd.com/read/29780766/racial-ethnic-differences-in-health-insurance-adequacy-and-consistency-among-children-evidence-from-the-2011-12-national-survey-of-children-s-health
#1
Tulay G Soylu, Eman Elashkar, Fatemah Aloudah, Munir Ahmed, Panagiota Kitsantas
Background: Surveillance of disparities in healthcare insurance, services and quality of care among children are critical for properly serving the medical/healthcare needs of underserved populations. The purpose of this study was to assess racial/ethnic differences in children's (0 to 17 years old) health insurance adequacy and consistency (child has insurance coverage for the last 12 months). Design and methods: We used data from the 2011/2012 National Survey of Children's Health (n=79,474)...
February 5, 2018: Journal of Public Health Research
https://www.readbyqxmd.com/read/29779543/geographic-variation-in-the-supply-of-selected-behavioral-health-providers
#2
C Holly A Andrilla, Davis G Patterson, Lisa A Garberson, Cynthia Coulthard, Eric H Larson
INTRODUCTION: In 2015, an estimated 43.4 million Americans aged 18 and older suffered from a behavioral health issue. Accurate estimates of the number of psychiatrists, psychologists, and psychiatric nurse practitioners are needed as demand for behavioral health care grows. METHODS: The National Plan and Provider Enumeration System National Provider Identifier data (October 2015) was used to examine the supply of psychiatrists, psychologists, and psychiatric nurse practitioners...
June 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29767821/formative-research-on-knowledge-and-preferences-for-stool-based-tests-compared-to-colonoscopy-what-patients-and-providers-think
#3
John S Luque, Kristin Wallace, Bridgette F Blankenship, Lydia G Roos, Frank G Berger, Nancy R LaPelle, Cathy L Melvin
The rates of colorectal cancer (CRC) screening in the U.S. remain below national targets, so many people at risk are not being screened. The objective of this qualitative research project was to assess patient and provider knowledge and preferences about CRC screening modalities and specifically the use of the fecal immunochemical test (FIT) as a first line screening choice. Nine focus groups were conducted with a medically underserved patient population and qualitative interviews were administered to their medical providers...
May 16, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29762797/contrasting-incoming-medical-students-attitudes-dual-degree-vs-traditional-tracks
#4
Kristina A Monteiro, Karl Dietrich, Jeffrey Borkan, Luba Dumenco, Allan R Tunkel, Richard Dollase, Paul George
BACKGROUND AND OBJECTIVES: The Warren Alpert Medical School of Brown University (AMS) recently implemented a novel dual degree MD-ScM program in primary care and population medicine (PC-PM) that enrolls up to 24 of its nearly 144 yearly matriculants. The overarching goal of this track is to train medical students to become physician leaders who focus on issues in population medicine within primary care. METHODS: We conducted a baseline assessment of the students enrolled in this parallel track in comparison to our traditional students to identify characteristics of and group differences between students in the PC-PM program and traditional students...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29757929/transitioning-bodies-the-case-of-self-prescribing-sexual-hormones-in-gender-affirmation-in-individuals-attending-psychiatric-services
#5
Antonio Metastasio, Attilio Negri, Giovanni Martinotti, Ornella Corazza
Self-prescribing of sexual hormones for gender affirmation is a potentially widespread and poorly studied phenomenon that many clinicians are unaware of. The uncontrolled use of hormones poses significant health hazards, which have not been previously reported in the literature. We have collected seven clinical cases in general adult psychiatry settings (both inpatient and outpatients), describing transgender and gender non-conforming individuals' (TGNC) self-prescribing and self-administering hormones bought from the Internet without any medical consultation...
May 14, 2018: Brain Sciences
https://www.readbyqxmd.com/read/29755052/lessons-learned-from-data-collection-as-health-screening-in-underserved-farmworker-communities
#6
Joan Flocks, J Antonio Tovar, Eugenia Economos, Valerie Vi Thien Mac, Abby Mutic, Katherine Peterman, Linda McCauley
BACKGROUND: Girasoles is an academic-community partnership investigating heat-related illness (HRI) among farm-workers. An unexpected outcome is health screening and intervention for participants without access to health care. OBJECTIVES: We present a case of renal failure in a farmworker, detected during data collection, to illustrate how academic-community collaboration can result in clinical benefits for study participants. METHODS: Girasoles is examining physiologic responses to heat stress, associated vulnerability factors, and HRI symptoms...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29755048/school-based-interprofessional-asthma-self-management-education-program-for-middle-school-students-a-feasibility-trial
#7
Ellen B Buckner, Donna J Copeland, Kristina S Miller, Timothy Op Holt
BACKGROUND: Asthma is the most common chronic disease among school-aged children under 18 years of age and is a major cause of morbidity, loss of school days, and increased hospitalizations. Asthma disproportionately affects low-income, minority youth in Alabama. The benefits of improving asthma control and self-management have significance for improving health, preventing disease, and reducing health disparities by addressing social, behavioral, environmental, economic, and medical determinants of health...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29751807/assessment-of-modern-contraceptives-continuation-switching-and-discontinuation-among-clients-in-pakistan-study-protocol-of-24-months-post-family-planning-voucher-intervention-follow-up
#8
Moazzam Ali, Syed Khurram Azmat, Hasan Bin Hamza
BACKGROUND: Pakistan has the second highest fertility rate in South Asia and its increasing population growth presents a significant challenge for country's path to progress and development. Modern contraceptive methods only account for a slow-rising 26% of use in Pakistan which is further lowest in the underserved areas (< 20%), with a high unmet need for family planning (20%). The David and Lucile Packard Foundation USA and Pakistan funded two operational research projects from 2012 to 2015, that employed a Demand-side Financing (DSF) approach testing the effectiveness of single and multi-purpose voucher schemes in increasing access and uptake of FP services and products among the women of two-lowest income quintiles in the Punjab province of Pakistan...
May 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29749848/institutional-interventions-that-remove-barriers-to-recruit-and-retain-diverse-biomedical-phd-students
#9
Marenda A Wilson, Anthony DePass, Andrew J Bean
The faculty and student populations in academia are not representative of the diversity in the U.S. POPULATION: Thus, research institutions and funding agencies invest significant funds and effort into recruitment and retention programs that focus on increasing the flow of historically underrepresented minorities (URMs) into the science, technology, engineering, and mathematics (STEM) pipeline. Here, we outline challenges, interventions, and assessments by the University of Texas MD Anderson Cancer Center UTHealth Graduate School of Biomedical Sciences (GSBS) that increased the diversity of the student body independently of grade point averages and Graduate Record Examination scores...
June 2018: CBE Life Sciences Education
https://www.readbyqxmd.com/read/29740521/satisfaction-with-healthcare-received-at-an-interprofessional-student-run-free-clinic-invested-in-training-the-next-generation-of-healthcare-professionals
#10
Karen B Lu, Bryan Thiel, Christopher A Atkins, Anand Desai, Ariel Botwin, Michael R Povlow, Judith Simms-Cendan, Magdalena Pasarica
Most medical schools in the United States have an associated student-run free clinic (SRFC) providing medical care to the underserved population around the campus. SRFCs provide students with opportunities to practice history-taking and diagnosis skills. There have been a few studies that have evaluated patient satisfaction within SRFCs; however, these studies report limited aspects of care within these clinics. This study hopes to determine the levels of satisfaction with clinical staff and operations and to ensure that the medical needs of patients are being met...
March 7, 2018: Curēus
https://www.readbyqxmd.com/read/29738944/sex-differences-in-traumatic-events-and-psychiatric-morbidity-associated-to-probable-posttraumatic-stress-disorder-among-latino-prisoners
#11
Coralee Pérez-Pedrogo, Alfonso Martínez-Taboas, Rafael A González, José N Caraballo, Carmen E Albizu-García
Latinos comprised 17.1% of the U.S. population and 33.1% of US prisoners, yet they are underrepresented in the psychopathology literature. Despite higher rates of trauma among incarcerated individuals than in the general population, most of the previous research in this area focused primarily on women samples, and very few studies examined sex differences in PTSD and traumatic experiences. In addition, there is a need for research assessing traumatic experiences and probable PTSD in men and women Latino inmates to inform culturally competent care and sex sensitive care for this vulnerable and underserved population...
April 14, 2018: Psychiatry Research
https://www.readbyqxmd.com/read/29735789/direct-acting-antivirals-improve-hcv-treatment-initiation-and-adherence-among-underserved-african-americans
#12
Kendall R Beck, Nicole J Kim, Mandana Khalili
INTRODUCTION: Adherence to hepatitis C (HCV) care was suboptimal in the interferon era among underserved African Americans (AA), but adherence data in the era of direct acting antivirals (DAA) is lacking in this population. We aimed to evaluate the impact of DAA on HCV care in underserved AA. MATERIAL AND METHODS: Clinical records of AAs undergoing HCV evaluation attending a safety net health system liver clinic were reviewed from 2006 to 2011 (pre-DAA), and January 1, 2014 to December 31, 2016 (post-DAA)...
April 9, 2018: Annals of Hepatology
https://www.readbyqxmd.com/read/29732279/racial-disparities-and-considerations-for-active-surveillance-of-prostate-cancer
#13
REVIEW
Song Jiang, Vikram Narayan, Christopher Warlick
Active surveillance (AS) for the management of low-risk prostate cancer has been increasing and in the general population appears safe, allowing for a reduction in the harms of prostate cancer screening such as overtreatment. African-American (AA) men have overall worse outcomes from prostate cancer compared to Caucasian-American (CA) men for a variety of socioeconomic, cultural and possibly biologic reasons, thus complicating the use of AS in this population. Strategies for optimizing care and mitigating risk in this population include pursuing close surveillance with steadfast patient compliance, the use of multiparametric MRI with targeted biopsies including the anterior prostate to reduce the risk of undersampling, as well as a judicious and thoughtful incorporation of novel molecular biomarkers for risk stratification...
April 2018: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29729855/addressing-potential-health-disparities-in-the-adoption-of-advanced-breast-imaging-technologies
#14
REVIEW
Randy C Miles, Tracy Onega, Christoph I Lee
With the advent of new screening technologies, including digital breast tomosynthesis, screening ultrasound, and breast magnetic resonance imaging, there is growing concern that existing disparities among traditionally underserved populations will worsen. These newer screening modalities purport improved cancer detection over mammography alone but are not offered at all screening facilities and often require a larger co-pay or out-of-pocket expense. Thus, the potential for worsening disparities with regard to access and appropriate utilization of supplemental screening technologies exists...
May 2018: Academic Radiology
https://www.readbyqxmd.com/read/29729194/virtual-consultations-through-the-veterans-administration-scan-echo-project-improves-survival-for-veterans-with-liver-disease
#15
Grace L Su, Lisa Glass, Elliot B Tapper, Tony Van, Akbar K Waljee, Anne E Sales
Access to specialty care has been associated with improved survival in patients with liver disease but universal access is not always feasible. Novel methods of care delivery using virtual modalities including the SCAN-ECHO (Specialty Access Network- Extension of Community Healthcare Outcome) program were implemented by the Veterans Health Administration (VHA) to address this need but limited data are available on patient outcomes. We sought to evaluate the efficacy of a SCAN-ECHO visit within the context of a regional cohort of patients with liver disease in the VHA (n= 62,237) following implementation of the Ann Arbor SCAN-ECHO Liver Clinic on 06/01/2011 to 03/31/2015...
May 5, 2018: Hepatology: Official Journal of the American Association for the Study of Liver Diseases
https://www.readbyqxmd.com/read/29724450/achieving-advance-care-planning-in-diverse-underserved-populations
#16
Mona Newsome Wicks, Jose Alejandro, Desiree Bertrand, Carol J Boyd, Christopher Lance Coleman, Emily Haozous, Cathy D Meade, Paula M Meek
No abstract text is available yet for this article.
April 11, 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29721489/the-brotherhood-medical-center-collaborative-foundation-of-maternity-and-children-s-healthcare-facility-for-displaced-syrians
#17
Rahma Aburas, Amina Najeeb, Laila Baageel, Tim K Mackey
The United Nations has declared the Syrian conflict, with more than 50% of Syria's population currently displaced, as the worst humanitarian crisis of the twenty-first century. The Syrian conflict has led to a collapse of infrastructure, including access to critical and lifesaving healthcare services. Women and children account for approximately 75% of internally displaced Syrians and refugees. This population is also particularly vulnerable to poor health outcomes, a condition worsened by lack of access to maternal and child health services...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29720163/caregivers-compliance-with-referral-advice-evidence-from-two-studies-introducing-mrdts-into-community-case-management-of-malaria-in-uganda
#18
Sham Lal, Richard Ndyomugenyi, Lucy Paintain, Neal D Alexander, Kristian S Hansen, Pascal Magnussen, Daniel Chandramohan, Siân E Clarke
BACKGROUND: Several malaria endemic countries have implemented community health worker (CHW) programmes to increase access to populations underserved by health care. There is considerable evidence on CHW adherence to case management guidelines, however, there is limited evidence on the compliance to referral advice and the outcomes of children under-5 referred by CHWs. This analysis examined whether caregivers complied with CHWs referral advice. METHODS: Data from two cluster (village) randomised trials, one in a moderate-to-high malaria transmission setting, another in a low-transmission setting conducted between January 2010-July 2011 were analysed...
May 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29718951/the-complementary-health-approaches-for-pain-survey-chaps-validity-testing-and-characteristics-of-a-rural-population-with-pain
#19
Termeh Feinberg, Dina L Jones, Christa Lilly, Amna Umer, Kim Innes
OBJECTIVES: Little is known about patterns and correlates of Complementary Health Approaches (CHAs) in chronic pain populations, particularly in rural, underserved communities. This article details the development and implementation of a new survey instrument designed to address this gap, the Complementary Health Approaches for Pain Survey (CHAPS). DESIGN: Following pilot-testing using pre-specified criteria to assess quality and comprehension in our target population, and after feedback regarding face-validity from content experts and stakeholders, the final cross-sectional self-report survey required 10-12 minutes to complete...
2018: PloS One
https://www.readbyqxmd.com/read/29717072/assessing-dental-students-readiness-to-treat-populations-that-are-underserved-a-scoping-review
#20
REVIEW
Linda Furlini, Nioushah Noushi, Geneviève Castonguay, Paul Allison, Christophe Bedos, Raphael De Souza, Shahrokh Esfandiari, Richard Hovey, Mary Ellen Macdonald, Martin Morris, Belinda Nicolau, Frances Power, Jocelyne Feine
In North America, all dental schools have adopted some form of community-based dental education (CBDE) or service-learning, but little is known about the areas being researched and reported in published studies. The aim of this study was to conduct a scoping review to determine what areas of research had been conducted to determine the effects of CBDE on dental students' readiness to treat populations that are underserved. A systematic search of articles published in English or French since 2000 was performed on July 29, 2015, and combined quantitative and qualitative synthesis of data was conducted...
May 2018: Journal of Dental Education
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