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https://www.readbyqxmd.com/read/29777334/patient-engagement-in-community-health-center-leadership-how-does-it-happen
#1
Anjana E Sharma, Beatrice Huang, Margae Knox, Rachel Willard-Grace, Michael B Potter
Patient engagement in primary care leadership is an important means to involve community voices at community health centers. Federally qualified health centers (FQHCs) are mandated to have patient representation within their governing boards, while practices seeking patient-centered medical home certification receive credit for implementing patient advisory councils (PACs). Our objective was to compare and contrast how community health centers engage patients in clinic management, decision-making and planning within governing boards versus PACs...
May 18, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29776778/three-years-post-affordable-care-act-sexually-transmitted-disease-clinics-remain-critical-among-vulnerable-populations
#2
Nicky J Mehtani, Christina M Schumacher, Luke E Johnsen, Adena Greenbaum, C Patrick Chaulk, Khalil G Ghanem, Jacky M Jennings, Kathleen R Page
INTRODUCTION: The purpose of the study is to examine whether demand for publicly funded sexually transmitted disease clinics changed after Affordable Care Act implementation. METHODS: The percentages of total incident sexually transmitted infections in Baltimore City that occurred at publicly funded sexually transmitted disease clinics were compared between the 3 years prior to and following the 2014 Medicaid and private insurance expansions. Risk factors associated with diagnosis at sexually transmitted disease clinics were identified using log binomial regression...
May 15, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29773938/correlations-between-a1c-and-diabetes-knowledge-diabetes-numeracy-and-food-security-in-a-vulnerable-type-2-diabetes-population
#3
Clipper F Young, Kenneth Yun, Edward Kang, Jay H Shubrook, Joy A Dugan
Type 2 diabetes is over-represented in vulnerable populations. Vulnerable patients managing diabetes are challenged with less-than-optimal processes and outcomes of care; thus, Healthy People 2020 and the American Diabetes Association have renewed the focus on social determinants of health with regard to the management of chronic diseases such as diabetes. This study explored the correlations between A1C and social and personal factors, including diabetes knowledge, diabetes numeracy, and food security. The Diabetes Numeracy Test-15, the Spoken Knowledge in Low Literacy Diabetes Scale, and the U...
May 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29770945/use-of-evidence-based-interventions-and-implementation-strategies-to-increase-colorectal-cancer-screening-in-federally-qualified-health-centers
#4
Swann Arp Adams, Catherine L Rohweder, Jennifer Leeman, Daniela B Friedman, Ziya Gizlice, Robin C Vanderpool, Natoshia Askelson, Alicia Best, Susan A Flocke, Karen Glanz, Linda K Ko, Michelle Kegler
While colorectal cancer (CRC) screening rates have been increasing in the general population, rates are considerably lower in Federally Qualified Health Centers (FQHCs), which serve a large proportion of uninsured and medically vulnerable patients. Efforts to screen eligible patients must be accelerated if we are to reach the national screening goal of 80% by 2018 and beyond. To inform this work, we conducted a survey of key informants at FQHCs in eight states to determine which evidence-based interventions (EBIs) to promote CRC screening are currently being used, and which implementation strategies are being employed to ensure that the interventions are executed as intended...
May 16, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29750550/knowledge-of-hiv-testing-guidelines-among-us-internal-medicine-residents-a-decade-after-the-centers-for-disease-control-and-prevention-s-routine-hiv-testing-recommendations
#5
Dima Dandachi, Bich N Dang, Rita Wilson Dib, Harvey Friedman, Thomas Giordano
Ten years after the Centers for Disease Control and Prevention recommended universal HIV screening, rates remain low. Internal medicine residents are the front-line medical providers for large groups of patients. We evaluated the knowledge of internal medicine residents about HIV testing guidelines and examined adherence to universal HIV testing in an outpatient setting. A cross-sectional survey of internal medicine residents at four residency programs in Chicago was conducted from January to March 2016. Aggregate data on HIV screening were collected from 35 federally qualified community health centers in the Chicago area after inclusion of an HIV testing best practice alert in patients' electronic medical records...
May 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29728349/-the-doctor-needs-to-know-acceptability-of-smartphone-location-tracking-for-care-coordination
#6
David T Liss, Eloisa Serrano, Julie Wakeman, Christine Nowicki, David R Buchanan, Ana Cesan, Tiffany Brown
BACKGROUND: Care coordination can be highly challenging to carry out. When care is fragmented across health systems and providers, there is an increased likelihood of hospital readmissions and wasteful health care spending. During and after care transitions, smartphones have the potential to bolster information transfer and care coordination. However, little research has examined patients' perceptions of using smartphones to coordinate care. OBJECTIVE: This study's primary objective was to explore patient acceptability of a smartphone app that could facilitate care coordination in a safety net setting...
May 4, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29703724/outcomes-at-18-months-from-a-community-health-worker-and-peer-leader-diabetes-self-management-program-for-latino-adults
#7
Michael S Spencer, Edith C Kieffer, Brandy Sinco, Gretchen Piatt, Gloria Palmisano, Jaclynn Hawkins, Alana Lebron, Nicolaus Espitia, Tricia Tang, Martha Funnell, Michele Heisler
OBJECTIVE: This study evaluated the effectiveness of a community health worker (CHW) diabetes self-management education (DSME) program, followed by two different approaches to maintain improvements in HbA1c and other clinical and patient-centered outcomes over 18 months. RESEARCH DESIGN AND METHODS: The study randomized 222 Latino adults with type 2 diabetes and poor glycemic control from a federally qualified health center to 1 ) a CHW-led, 6-month DSME program or 2 ) enhanced usual care (EUC)...
April 27, 2018: Diabetes Care
https://www.readbyqxmd.com/read/29702677/acceptability-of-oral-rapid-hiv-testing-at-dental-clinics-in-communities-with-high-hiv-prevalence-in-south-florida
#8
Erin L P Bradley, Denise C Vidot, Zaneta Gaul, Madeline Y Sutton, Margaret Pereyra
BACKGROUND: Expanding HIV screening for populations at risk necessitates testing in nontraditional settings. We assessed HIV testing in dental clinics in South Florida, an urban area with the highest rates of HIV diagnoses in the United States in 2015. AIMS: We explored patients' acceptance of oral HIV rapid tests administered by dental providers and identified reasons for accepting or declining HIV testing. METHODS: During 2014 and 2015, dentists and hygienists at two federally qualified health center (FQHC) dental clinics who serve racial/ethnic minority patient populations in South Florida were trained to administer oral HIV rapid tests as a part of a routine dental visit...
2018: PloS One
https://www.readbyqxmd.com/read/29691198/direct-observation-of-medicaid-beneficiary-attempts-to-fill-prescriptions-for-nicotine-replacement-medications
#9
Kimber P Richter, Elena Shergina, Amanda Grodie, Justin K Massey, Edward F Ellerbeck, Amanda Applegate, Babalola Faseru
OBJECTIVES: Although many states have expanded Medicaid coverage of cessation medications, utilization remains low. Anecdotal reports suggest that beneficiaries are at times denied coverage of cessation medications at the pharmacy counter. We conducted an observational community-wide case study of Medicaid beneficiary attempts to fill over-the-counter nicotine replacement therapy at pharmacies. METHODS: We recruited tobacco-using beneficiaries from a Federally Qualified Health Center, whose providers wrote paper prescriptions for nicotine patches...
April 21, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29685322/federally-qualified-health-centers-reduce-the-primary-care-provider-gap-in-health-professional-shortage-counties
#10
Ying Xue, Elizabeth Greener, Viji Kannan, Joyce A Smith, Carol Brewer, Joanne Spetz
BACKGROUND: Federally qualified health centers (FQHCs) were designed to provide care in medically underserved areas. Substantial and sustained federal funding has accelerated FQHC growth. PURPOSE: To examine temporal trends in primary care provider supply and whether FQHCs have been successful in reducing the gap in provider supply in primary care health professional shortage areas (HPSAs). METHODS: Retrospective cohort study design using national county-level data from 2009 to 2013...
February 13, 2018: Nursing Outlook
https://www.readbyqxmd.com/read/29659789/bipolar-disorder-in-primary-care-a-qualitative-study-of-clinician-and-patient-experiences-with-diagnosis-and-treatment
#11
Joseph M Cerimele, John C Fortney, Jeffrey M Pyne, Geoffrey M Curran
Objective: To understand primary care patients' and clinicians' experiences with diagnosis and treatment of patients with bipolar disorder in primary care. Methods: We conducted a qualitative study using thematic content analysis of individual interviews with nine primary care clinicians and six patients from Federally Qualified Health Centers to understand their experiences with the diagnosis and treatment of bipolar disorder. Results: Themes of bipolar disorder detection, referral to specialty mental health care and medication treatment emerged from individual interviews with primary care patients and clinicians...
April 5, 2018: Family Practice
https://www.readbyqxmd.com/read/29658287/perspectives-on-providing-and-receiving-preventive-health-care-from-primary-care-providers-and-their-patients-with-mental-illnesses
#12
Scott P Stumbo, Bobbi Jo H Yarborough, Micah T Yarborough, Carla A Green
PURPOSE: Individuals with mental illnesses have higher morbidity rates and reduced life expectancy compared to the general population. Understanding how patients and providers perceive the need for prevention, as well as the barriers and beliefs that may contribute to insufficient care, are important for improving service delivery tailored to this population. DESIGN: Cross-sectional; mixed methods. SETTING: An integrated health system and a network of federally qualified health centers and safety net clinics...
January 1, 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29657180/views-of-low-income-women-of-color-at-increased-risk-for-breast-cancer
#13
Emily E Anderson, Silvia Tejada, Richard B Warnecke, Kent Hoskins
Individual risk assessment (IRA) for breast cancer may increase adherence to risk-appropriate screening and prevention measures. However, knowledge gaps exist regarding how best to communicate IRA results and support women at increased risk in future health care decisions, in part because patients conceptualize and make meaning of risk differently from the medical community. Better understanding the views of low-income women of color identified as being at increased risk for breast cancer can inform efforts to conduct IRA in an ethical and respectful manner...
2018: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/29656463/rural-health-networks-how-network-analysis-can-inform-patient-care-and-organizational-collaboration-in-a-rural-breast-cancer-screening-network
#14
Beth Prusaczyk, Julia Maki, Douglas A Luke, Rebecca Lobb
PURPOSE: Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. METHODS: Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29620813/ensuring-access-to-prescription-medications-in-the-post-aca-healthcare-access-landscape-the-essential-role-of-fqhcs-in-the-safety-net-for-the-underinsured
#15
Lizheng Shi, M Kristina Wharton, Alisha Monnette
OBJECTIVES: Federally qualified health centers (FQHCs) are essential to underinsured populations in the safety net by offering them several means of access to reduced cost medications. This study employed a 2-pronged approach to evaluate FQHCs' role, estimating both the need for patient assistance and the impact of the safety net. STUDY DESIGN: A multiyear panel data study for post-Affordable Care Act (ACA) years 2012 to 2016 and a 2016 cross-sectional analysis design were utilized to analyze FQHCs, their patient populations, and prescription assistance programs...
March 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29608344/most-primary-care-physicians-provide-appointments-but-affordability-remains-a-barrier-for-the-uninsured
#16
Brendan Saloner, Katherine Hempstead, Karin Rhodes, Daniel Polsky, Clare Pan, Genevieve M Kenney
The US uninsurance rate has nearly been cut in half under the Affordable Care Act, and access to care has improved for the newly insured, but less is known about how the remaining uninsured have fared. In 2012-13 and again in 2016 we conducted an experiment in which trained auditors called primary care offices, including federally qualified health centers, in ten states. The auditors portrayed uninsured patients seeking appointments and information on the cost of care and payment arrangements. In both time periods, about 80 percent of uninsured callers received appointments, provided they could pay the full cash amount...
April 2018: Health Affairs
https://www.readbyqxmd.com/read/29603252/integrative-and-collaborative-care-models-between-pediatric-oral-health-and-primary-care-providers-a-scoping-review-of-the-literature
#17
Tylor L Gauger, Lisa A Prosser, Margherita Fontana, Peter J Polverini
OBJECTIVES: Collaborative and/or integrative care between oral health and primary care providers can increase access to care to a more expansive population, helping to mitigate oral health related disease. The objective of this review was to present and evaluate different types of care models that exist between oral health and primary care providers in pediatric settings. METHODS: A literature search was conducted using five databases: MEDLINE/PubMed, ISI Web of Science, Dentistry and Oral Sciences Source, Cochrane Database, and EMBASE, to identify literature from January 1990 to January 2016...
March 30, 2018: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29587804/developing-measures-to-assess-constructs-from-the-inner-setting-domain-of-the-consolidated-framework-for-implementation-research
#18
Maria E Fernandez, Timothy J Walker, Bryan J Weiner, William A Calo, Shuting Liang, Betsy Risendal, Daniela B Friedman, Shin Ping Tu, Rebecca S Williams, Sara Jacobs, Alison K Herrmann, Michelle C Kegler
BACKGROUND: Scientists and practitioners alike need reliable, valid measures of contextual factors that influence implementation. Yet, few existing measures demonstrate reliability or validity. To meet this need, we developed and assessed the psychometric properties of measures of several constructs within the Inner Setting domain of the Consolidated Framework for Implementation Research (CFIR). METHODS: We searched the literature for existing measures for the 7 Inner Setting domain constructs (Culture Overall, Culture Stress, Culture Effort, Implementation Climate, Learning Climate, Leadership Engagement, and Available Resources)...
March 27, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29582232/challenges-to-effective-primary-care-specialty-communication-and-coordination-in-the-mental-health-referral-and-care-process-for-publicly-insured-children
#19
Lorena Porras-Javier, Elizabeth Bromley, Maria Lopez, Tumaini R Coker
Publicly insured children needing referral to mental health (MH) services often do not access or receive services. The objective of this study was to identify gaps in communication and coordination between primary care providers (PCPs) and MH providers during the MH referral and care process for publicly insured children. Thirteen semi-structured interviews were conducted with 10 PCPs and staff from a federally qualified health center (FQHC) and 6 MH providers and staff from two local MH clinics. Interview participants identified multiple gaps in communication throughout the care process and different phases as priorities for improvement...
March 26, 2018: Journal of Behavioral Health Services & Research
https://www.readbyqxmd.com/read/29565669/fostering-local-health-department-and-health-system-collaboration-through-case-conferences-for-at-risk-and-vulnerable-populations
#20
Joshua R Vest, Virginia Caine, Lisa E Harris, Dennis P Watson, Nir Menachemi, Paul Halverson
In case conferences, health care providers work together to identify and address patients' complex social and medical needs. Public health nurses from the local health department joined case conference teams at federally qualified health center primary care sites to foster cross-sector collaboration, integration, and mutual learning. Public health nurse participation resulted in frequent referrals to local health department services, greater awareness of public health capabilities, and potential policy interventions to address social determinants of health...
March 22, 2018: American Journal of Public Health
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