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https://www.readbyqxmd.com/read/27920309/improving-the-oral-health-care-capacity-of-federally-qualified-health-centers
#1
James J Crall, Nadereh Pourat, Moira Inkelas, Colleen Lampron, Richard Scoville
Despite efforts that increased dental visits at federally qualified health centers (FQHCs) by 65 percent between 2007 and 2014, only 21 percent of FQHC patients received dental services in 2015-not altogether surprising, given that most such facilities do not offer dental services on site. Many of these facilities are part of multisite organizations that offer dental services at other locations; however, sites with co-located dental and medical services often serve only a fraction of their primary care patients...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27893515/use-of-federally-qualified-health-centers-and-potentially-preventable-hospital-utilization-among-older-medicare-medicaid-enrollees
#2
Brad Wright, Andrew J Potter, Amal N Trivedi
Using Medicare claims data from 2007 to 2010, we sought to determine whether dual eligibles 65 years and older who utilize federally qualified health centers (FQHCs) have lower rates of ambulatory care-sensitive hospitalizations and emergency department visits compared with nonusers. We found that FQHC use is associated with increased ambulatory care-sensitive hospitalization rates for whites and other races, but a decrease among blacks. Depending on race, FQHC use is associated with an increase of 24 to 43 ambulatory care-sensitive emergency department visits per thousand persons annually...
November 23, 2016: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/27888090/rationale-and-design-of-mi-care-the-mile-square-colorectal-cancer-screening-awareness-and-referral-and-education-project
#3
Joanna Buscemi, Yazmin San Miguel, Lisa Tussing-Humphreys, Elizabeth A Watts, Marian L Fitzgibbon, Karriem Watson, Robert A Winn, Kameron L Matthews, Yamile Molina
Although colorectal cancer (CRC) is largely preventable through identification of pre-cancerous polyps through various screening modalities, morbidity and mortality rates remain a challenge, especially in African-American, Latino, low-income and uninsured/underinsured patients. Barriers to screening include cost, access to health care facilities, lack of recommendation to screen, and psychosocial factors such as embarrassment, fear of the test, anxiety about testing preparation and fear of a cancer diagnosis...
November 22, 2016: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27882775/association-between-availability-of-care-providers-and-healthcare-utilizations-among-adults-with-asthma
#4
Minchul Kim, Carl V Asche, William Tillis, Jinma Ren
BACKGROUND: Limited accessibility to providers may delay appropriate control of asthma exacerbations. The objective of our study is to estimate the contributors to the hospital/emergency department (ED) visits among adults with asthma focusing on the availability of healthcare providers. METHODS: We conducted a pooled cross-sectional analysis using the 2011-2013 Asthma Call-Back Survey linked with 2012-2016 Area Health Resource Files. We employed multivariable logistic regression with dichotomous outcomes of hospitalization and ED visits...
December 2, 2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/27863611/mindfulness-based-stress-reduction-adapted-for-depressed-disadvantaged-women-in-an-urban-federally-qualified-health-center
#5
Inger E Burnett-Zeigler, Maureen D Satyshur, Sunghyun Hong, Amy Yang, Judith T Moskowitz, Katherine L Wisner
BACKGROUND: In this study we examine the feasibility and preliminary effectiveness of mindfulness based stress reduction adapted for delivery in an urban Federally Qualified Health Center (FQHC). METHODS: Thirty-one African- American adult women ages 18-65 with depressive symptoms enrolled to participate in an 8-week mindfulness group intervention. The primary outcome (depression) and secondary outcomes (stress, mindfulness, functioning, well-being, and depression stigma) were assessed at baseline, 8 and 16-weeks...
November 2016: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/27833667/connection-between-depression-and-inability-to-fill-prescriptions-in-rural-fqhc-patients-with-chronic-disease
#6
K Bryant Smalley, Jacob C Warren, K Nikki Barefoot
The purpose of this paper was to (1) examine the rates of elevated depression symptoms among a sample of rural Federally Qualified Health Center (FQHC) patients with chronic disease and (2) determine if an inability to afford general prescription medications within the past 12 months is a significant predictor of depression symptoms among these patients. These data came from Project EDUCATE, an ongoing five-year study designed to be a large-scale, multifocal examination of the needs and experiences of rural FQHC patients with hypertension and/or diabetes...
April 2016: Rural Mental Health
https://www.readbyqxmd.com/read/27818428/implementation-of-the-patient-centered-medical-home-model-in-facilities-providing-comprehensive-care-to-medically-underserved-populations
#7
Rachel Mosher Henke, Jayne Johann, Mahil Senathirajah, Maren Crandell, Lisa Parker, Lynn Riley, Grafton Adams, Fred Echoles, Michelle Mack, Jennifer Donovan, Robert Fleming, William Tulloch
During the three-year Centers for Medicare & Medicaid Services Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration, 393 FQHCs (78.6% of the original 500 and 90.6% of the 434 continually-enrolled FQHCs) achieved patient-centered medical home (PCMH) recognition. Facilitators included survey fee coverage and technical assistance.
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27660059/federally-qualified-health-center-access-and-emergency-department-use-among-children
#8
Julia B Nath, Shaughnessy Costigan, Feng Lin, Eric Vittinghoff, Renee Y Hsia
OBJECTIVE: To determine whether increasing access to federally qualified health centers (FQHCs) in California was associated with decreased rates of emergency department (ED) use by children without insurance or insured by Medicaid. METHODS: We combined several data sets to longitudinally analyze 58 California counties between 2005 and 2013. We defined access to FQHCs by county using 2 measures: FQHC sites per 100 square miles between 2005 and 2012 and percentage of Medicaid-insured and uninsured children served by FQHCs from 2008 to 2013...
September 22, 2016: Pediatrics
https://www.readbyqxmd.com/read/27595427/evaluation-of-asthma-medication-adherence-rates-and-strategies-to-improve-adherence-in-the-underserved-population-at-a-federally-qualified-health-center
#9
Monica Bidwal, Kajua Lor, Junhua Yu, Eric Ip
BACKGROUND: Adherence with asthma medications is less than optimal, measuring approximately 30-50%. Several factors have been shown to contribute to medication non-adherence including low-socioeconomic status, low literacy, medication cost, access to care, and language barriers. Community Health Clinic Ole has attempted to reduce medication adherence barriers associated with cost, access to care, and language by 1) allowing medications to be obtained from the clinic at a reduced cost via the 340B drug pricing program and patient assistance programs, and 2) providing one-on-one consultations from bilingual Spanish-speaking clinicians...
August 3, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27587354/beyond-the-surface-care-seeking-among-patients-initiating-contraceptive-implant-in-an-urban-federally-qualified-health-center-network
#10
Anita Ravi, Linda Prine, Gabrielle deFiebre, Susan E Rubin
PURPOSE: To describe rates of and reasons for follow-up among adolescents and adults receiving contraceptive implants in a Federally Qualified Health Center (FQHC). METHODS: Retrospective comparison of patient-initiated implant-related contacts during the 6 months postinsertion among adolescents (110) and adults (154) who had implants placed at a FQHC network. RESULTS: Forty percent of adolescents and 26% of adults initiated follow-up (P = ...
September 1, 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27574602/addressing-hearing-health-care-disparities-among-older-adults-in-a-us-mexico-border-community
#11
Maia Ingram, Nicole Marrone, Daisey Thalia Sanchez, Alicia Sander, Cecilia Navarro, Jill Guernsey de Zapien, Sonia Colina, Frances Harris
UNLABELLED: Hearing loss is associated with cognitive decline and impairment in daily living activities. Access to hearing health care has broad implications for healthy aging of the U.S. POPULATION: This qualitative study investigated factors related to the socio-ecological domains of hearing health in a U.S.-Mexico border community experiencing disparities in access to care. A multidisciplinary research team partnered with community health workers (CHWs) from a Federally Qualified Health Center (FQHC) in designing the study...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27558266/depression-screening-in-diabetes-care-to-improve-outcomes-are-we-meeting-the-challenge
#12
Mykell Barnacle, Mark A Strand, Amy Werremeyer, Brody Maack, Natasha Petry
PURPOSE: Evidence-based guidelines recommend regular depression screening among individuals with type 2 diabetes mellitus (T2DM). The purpose of this study is to examine depression screening patterns among a primary care population with T2DM, through use of the Patient Health Questionnaire-9 (PHQ-9). METHODS: In total, 1817 patients with T2DM were analyzed through a retrospective observational study at 2 sites, a regional health center and a federally qualified health center (FQHC)...
October 2016: Diabetes Educator
https://www.readbyqxmd.com/read/27536900/patient-perspectives-on-low-dose-computed-tomography-for-lung-cancer-screening-new-mexico-2014
#13
Shiraz I Mishra, Andrew L Sussman, Ambroshia M Murrietta, Christina M Getrich, Robert Rhyne, Richard E Crowell, Kathryn L Taylor, Ellen J Reifler, Pamela H Wescott, Ali I Saeed, Richard M Hoffman
INTRODUCTION: National guidelines call for annual lung cancer screening for high-risk smokers using low-dose computed tomography (LDCT). The objective of our study was to characterize patient knowledge and attitudes about lung cancer screening, smoking cessation, and shared decision making by patient and health care provider. METHODS: We conducted semistructured qualitative interviews with patients with histories of heavy smoking who received care at a Federally Qualified Health Center (FQHC Clinic) and at a comprehensive cancer center-affiliated chest clinic (Chest Clinic) in Albuquerque, New Mexico...
2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/27524776/views-on-hpv-and-hpv-vaccination-the-experience-at-a-federal-qualified-clinic-in-puerto-rico
#14
Vivian Colón-López, Lizbeth M Toro-Mejías, Alexandra Conde-Toro, Michelle J Serra-Rivera, Tania M Martínez, Verónica Rodríguez, Ana M Ríos, Luis Berdiel, Héctor Villanueva
OBJECTIVE: The purpose of this study was to understand through a quantitative assessment, the views of HPV and HPV vaccination among parents of sons from a FQHC in PR. METHODS: A self-administered questionnaire was given to a convenience sample of 200 parents of sons 9-17 years old. RESULTS: Nearly 30% of the parents reported that their sons had initiated the HPV vaccine regimen. Health care provider recommendation was significantly associated with vaccine initiation...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27484348/implementing-shared-decision-making-in-federally-qualified-health-centers-a-quasi-experimental-design-study-the-office-guidelines-applied-to-practice-office-gap-program
#15
Adesuwa Olomu, William Hart-Davidson, Zhehui Luo, Karen Kelly-Blake, Margaret Holmes-Rovner
BACKGROUND: Use of Shared Decision-Making (SDM) and Decision Aids (DAs) has been encouraged but is not regularly implemented in primary care. The Office-Guidelines Applied to Practice (Office-GAP) intervention is an application of a previous model revised to address guidelines based care for low-income populations with diabetes and coronary heart disease (CHD). OBJECTIVE: To evaluate Office-GAP Program feasibility and preliminary efficacy on medication use, patient satisfaction with physician communication and confidence in decision in low-income population with diabetes and coronary heart disease (CHD) in a Federally Qualified Healthcare Center (FQHC)...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27416646/an-innovative-project-breaks-down-barriers-to-oral-health-care-for-vulnerable-young-children-in-los-angeles-county
#16
James J Crall, Jackie Illum, Ana Martinez, Nadereh Pourat
Despite the high rate of untreated tooth decay, many young children in California under six years of age have never been to a dentist. Numerous and complex barriers to access to oral health care for young children exist, and a multifaceted approach is required to improve receipt of preventive and treatment services that could improve the oral health of this population. This policy brief describes the UCLA-First 5 LA 21st Century Dental Homes Project, which was designed to improve oral health care for young children in 12 Federally Qualified Health Center (FQHC) clinic sites with co-located dental and primary care services and its accessibility in their service areas throughout Los Angeles County...
June 2016: Policy Brief
https://www.readbyqxmd.com/read/27371525/younger-dual-eligibles-who-use-federally-qualified-health-centers-have-more-preventable-emergency-department-visits-but-some-have-fewer-hospitalizations
#17
Andrew J Potter, Amal N Trivedi, Brad Wright
OBJECTIVE: To determine whether younger dual-eligibles receiving care at federally qualified health centers (FQHCs) have lower rates of ambulatory care sensitive (ACS) hospitalization and emergency department (ED) visits. DATA SOURCES: We used the 100% Medicare Part A and Part B institutional claims from 2007 to 2010 for dual-eligibles younger than 65 years, enrolled in traditional fee-for-service Medicare, who received care at an FQHC or lived in a primary care service area with an FQHC...
July 1, 2016: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/27219635/characteristics-and-service-use-of-medicare-beneficiaries-using-federally-qualified-health-centers
#18
Chiang-Hua Chang, Valerie A Lewis, Ellen Meara, Jon D Lurie, Julie P W Bynum
BACKGROUND: Federally Qualified Health Centers (FQHCs) provide primary care for millions of Americans, but little is known about Medicare beneficiaries who use FQHCs. OBJECTIVE: To compare patient characteristics and health care service use among Medicare beneficiaries stratified by FQHC use. RESEARCH DESIGN: Cross-sectional analysis of 2011 Medicare fee-for-service beneficiaries aged 65 years and older. SUBJECTS: Subjects included beneficiaries with at least 1 evaluation and management (E&M) visit in 2011, categorized as FQHC users (≥1 E&M visit to FQHCs) or nonusers living in the same primary care service areas as FQHC users...
August 2016: Medical Care
https://www.readbyqxmd.com/read/27170789/primary-care-continuity-improves-diabetic-health-outcomes-from-free-clinics-to-federally-qualified-health-centers
#19
Priya P Mehta, Juan E Santiago-Torres, C Ellis Wisely, Katherine Hartmann, Frini A Makadia, Mary Jo Welker, Diane L Habash
INTRODUCTION: There are a number of well-established barriers to accessing primary care. The LINKED Study set out to improve primary care usage through 1-on-1 counseling and referrals for patients with diabetes being treated at local free clinics. We hypothesized that this educational intervention paired with expedited referral would increase the use of federally qualified health centers (FQHCs) as a source of health care and ultimately lead to improved diabetic health. METHODS: Medical student volunteers counseled participants on the importance of primary care...
May 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27059049/neighborhood-predictors-of-mammography-barriers-among-us-based-latinas
#20
Yamile Molina, Jesse J Plascak, Donald L Patrick, Sonia Bishop, Gloria D Coronado, Shirley A A Beresford
BACKGROUND: Little is known about how neighborhood factors are associated with Latinas' barriers to cancer screening, including mammography. To address this gap, we examined barriers to mammography by neighborhood racial/ethnic composition and socioeconomic status among a federally qualified health center (FQHC)-based sample of non-adherent Latinas in Western Washington State. METHODS: Baseline data were drawn from a larger intervention study (n = 536 Latinas)...
April 8, 2016: Journal of Racial and Ethnic Health Disparities
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