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https://www.readbyqxmd.com/read/28238989/examining-the-influence-of-cost-concern-and-awareness-of-low-cost-health-care-on-cancer-screening-among-the-medically-underserved
#1
Alicia L Best, Alcha Strane, Omari Christie, Shalanda Bynum, Jaqueline Wiltshire
African Americans suffer a greater burden of mortality from breast, cervical, and colorectal cancers than other groups in the United States. Early detection through timely screening can improve survival outcomes; however, cost is frequently reported as a barrier to screening. Federally qualified health centers (FQHCs) provide preventive and primary care to underserved populations regardless of ability to pay, positioning them to improve cancer screening rates. The purpose of this study was to examine the influence of concern about health care cost (cost concern) and awareness of low-cost health care (awareness) on cancer screening among 236 African Americans within an FQHC service area using self-report surveys...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28218582/primary-care-for-underserved-populations-navigating-policy-to-incorporate-occupational-therapy-into-federally-qualified-health-centers
#2
Aileen D Murphy, Vanessa M Griffith, Tracy M Mroz, Tracy L Jirikowic
Federally qualified health centers (FQHCs) provide low- or no-cost primary care to medically underserved populations such as homeless or low-income people, migrant workers, and members of marginalized cultural groups. Occupational therapy services have the potential to help improve the health and functioning of FQHC patients. Using a FQHC serving American Indian/Alaska Native populations as a case example, we describe how occupational therapy is well suited to help meet the needs of medically underserved populations...
March 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/28199776/understanding-patient-perceptions-and-risk-for-hepatitis-c-screening
#3
Sheriedan Grannan
OBJECTIVES: The specific aims were to identify specific themes and barriers to HCV testing and to determine if testing rates increased when patients self-identify their risk factors and were offered testing. SETTING: The study was conducted at a Federally Qualified Health Center (FQHC) in an underserved neighborhood located in the Mountain West. METHODS: This descriptive study used survey and group-level electronic health record (EHR) data...
February 15, 2017: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/28070476/evaluating-screening-colonoscopy-quality-in-an-uninsured-urban-population-following-patient-navigation
#4
Keith Naylor, Cassandra Fritz, Blase Polite, Karen Kim
Patient navigation (PN) increases screening colonoscopy completion in minority and uninsured populations. However, colonoscopy quality is under-reported in the setting of PN and quality indicators have often failed to meet benchmark standards. This study investigated screening colonoscopy quality indicators after year-one of a PN initiative targeting the medically uninsured. This was a retrospective analysis of 296 outpatient screening colonoscopies. Patients were 45 to 75 years of age with no history of bowel cancer, inflammatory bowel disease, or colorectal surgery...
March 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28062822/improving-health-care-for-spanish-speaking-rural-dairy-farm-workers
#5
Caledonia Buckheit, Dwan Pineros, Ardis Olson, Deborah Johnson, Stephen Genereaux
BACKGROUND: Dartmouth Geisel Migrant Health (DGMH) is a medical student group that provides on-site health services for Spanish-speaking dairy workers in rural Vermont and New Hampshire in conjunction with a federally qualified health center (FQHC). STUDY OBJECTIVE: This project was undertaken to evaluate and improve the services provided by DGMH and the FQHC and to refine understanding of the target population. METHODS: We surveyed 25 workers at 6 collaborating dairy farms to identify health priorities and concerns and perceived barriers and facilitators to health care for these workers...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27989291/street-connectivity-and-obesity-risk-evidence-from-electronic-health-records
#6
Claudia Leonardi, Neal R Simonsen, Qingzhao Yu, Chi Park, Richard A Scribner
INTRODUCTION: This study aimed to determine the feasibility of using electronic health record (EHR) data from a federally qualified health center (FQHC) to assess the association between street connectivity, a measure of walkability for the local environment, and BMI obtained from EHRs. METHODS: The study included patients who visited Daughters of Charity clinics in 2012-2013. A total of 31,297 patients were eligible, of which 28,307 were geocoded. BMI and sociodemographic information were compiled into a de-identified database...
January 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27924620/the-frequency-of-ptsd-and-subthreshold-ptsd-among-african-american-women-with-depressive-symptoms-in-a-disadvantaged-urban-neighborhood-pilot-study
#7
Sunghyun Hong, Inger Burnett-Zeigler
Racial/ethnic minority women in a disadvantaged urban neighborhood may experience a high rate of post-traumatic stress disorder (PTSD) and depression. This brief report examined the frequency of a PTSD diagnosis and subthreshold PTSD among 72 female participants with depressive symptoms in a mindfulness-based intervention for depression at an urban federally qualified health center (FQHC). The MINI International Neuropsychiatric Interview was used to assess PTSD diagnosis or subthreshold PTSD, and the Inventory of Depressive Symptomatology-Self-Report (IDS-SR) was used to assess depressive symptoms...
December 6, 2016: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/27920309/improving-the-oral-health-care-capacity-of-federally-qualified-health-centers
#8
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
#9
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...
April 2017: 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
#10
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...
January 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27882775/association-between-availability-of-care-providers-and-healthcare-utilizations-among-adults-with-asthma
#11
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
#12
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
#13
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
#14
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
#15
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...
October 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
#16
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
#17
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
#18
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
#19
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
#20
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...
August 18, 2016: Preventing Chronic Disease
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