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https://www.readbyqxmd.com/read/29118277/impact-of-state-workforce-policies-on-underserved-patients-access-to-dental-care-a-longitudinal-study
#1
Hannah L Maxey, Connor W Norwood, Johannah B O'Connell, Ziyue Liu
Purpose: Dental diseases are almost entirely preventable, but discrepancies in access to oral healthcare limit the effectiveness of preventive interventions. Dental hygienists are strategically positioned to improve access to preventive dental procedures; however, state workforce policies determine their permitted clinical tasks.Methods: This study cross-referenced oral healthcare service use at Federally Qualified Health Centers (FQHCs) between 2004 and 2012 with the Dental Hygiene Professional Practice Index (DHPPI), which quantifies the various aspects of state policy environments for the dental hygiene workforce...
October 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29118276/factors-associated-with-the-economic-sustainability-of-the-registered-dental-hygienist-in-alternative-practice
#2
Sara L Coppola, Danielle Furgeson, Margherita Fontana, Janet S Kinney, Anne E Gwozdek
Purpose: The purpose of this study was to investigate key factors associated with the economic sustainability of the Registered Dental Hygienist in Alternative Practice (RDHAP).Methods: An invitation to participate in a 38-question electronic survey was sent via postal mail to 440 RDHAP licentiate addressees obtained through the Dental Hygiene Committee of California (DHCC). Legal restrictions did not allow for obtaining the RDHAP licentiate email addresses from the DHCC. The survey was disseminated via email to the 254 RDHAPs who were members of the California Dental Hygienists' Association...
October 2017: Journal of Dental Hygiene: JDH
https://www.readbyqxmd.com/read/29117340/race-and-ethnicity-do-not-clinically-associate-with-quality-of-life-among-patients-with-chronic-severe-pain-in-a-federally-qualified-health-center
#3
Lara Dhingra, Robert Schiller, Raymond Teets, Sarah Nosal, Sandra Rodriguez, Gabriel Cruciani, Malcolm Barrett, Regina Ginzburg, Ebtesam Ahmed, Thomas Wasser, Jack Chen, Saskia Shuman, Casey Crump, Russell Portenoy
Objective: Previous research suggests that race/ethnicity predicts health-related quality of life (HRQL) in chronic pain populations but has not examined this in community settings. This study evaluated this association in 522 community-dwelling patients with chronic pain treated at a Federally Qualified Health Center (FQHC). Design: Cross-sectional secondary analysis. Setting: Six practice sites of an FQHC in New York. Subjects: One hundred forty-two non-Hispanic blacks, 121 non-Hispanic whites, 219 Hispanics, and 40 classified as "other" with severe chronic pain...
May 10, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29116416/postpartum-outcomes-of-a-pilot-prenatal-care-based-psychosocial-intervention-for-ptsd-during-pregnancy
#4
Linda Weinreb, Melodie Wenz-Gross, Carole Upshur
This study examines postpartum posttraumatic stress disorder (PTSD) symptoms and secondary outcomes including postpartum depression and birth outcomes for pregnant women who screened positive for PTSD and received a psychosocial education intervention compared to women with PTSD in the usual prenatal care setting. All women entering prenatal care at two federally qualified health centers were screened for symptoms of current PTSD; one site was selected randomly to have prenatal care advocates deliver eight Seeking Safety topics for women with clinical or subclinical PTSD...
November 7, 2017: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29111835/improving-outcomes-in-adults-with-diabetes-through-an-interprofessional-collaborative-practice-program
#5
Jean Nagelkerk, Margaret E Thompson, Michael Bouthillier, Amy Tompkins, Lawrence J Baer, Jeff Trytko, Andrew Booth, Adam Stevens, Kayleah Groeneveld
In 2014, the Midwest Interprofessional Practice, Education and Research Center partnered with a Federally Qualified Health Center (FQHC) to implement an interprofessional collaborative practice (IPCP) education program to improve the health of adult patients with diabetes and to improve practice efficiency. This partnership included integrating an interprofessional team of students with the practice team. Twenty-five students and 20 staff engaged in the IPCP program, which included completion of educational modules on IPCP and implementation of daily huddles, focus patient visits, phone calls, team-based case presentations, medication reconciliation, and student-led group diabetes education classes...
November 7, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29100551/beyond-implementation-strategies-classifying-the-full-range-of-strategies-used-in-implementation-science-and-practice
#6
Jennifer Leeman, Sarah A Birken, Byron J Powell, Catherine Rohweder, Christopher M Shea
BACKGROUND: Strategies are central to the National Institutes of Health's definition of implementation research as "the study of strategies to integrate evidence-based interventions into specific settings." Multiple scholars have proposed lists of the strategies used in implementation research and practice, which they increasingly are classifying under the single term "implementation strategies." We contend that classifying all strategies under a single term leads to confusion, impedes synthesis across studies, and limits advancement of the full range of strategies of importance to implementation...
November 3, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29096768/expanding-our-reach-integrating-child-and-adolescent-psychiatry-into-primary-care-at-federally-qualified-health-centers
#7
EDITORIAL
Kristopher Edward Kaliebe
No abstract text is available yet for this article.
November 2017: Journal of the American Academy of Child and Adolescent Psychiatry
https://www.readbyqxmd.com/read/29095745/improving-quality-of-care-in-federally-qualified-health-centers-through-ambulatory-care-accreditation
#8
Suma Nair, Jie Chen
HRSA supported health centers have a long history of participating in ambulatory care accreditation; however, there is a dearth of information on the relationship between accreditation and quality of care. We conducted a cross-sectional study of 1,202 health centers, using multivariate regression to estimate the association between accreditation and 14 clinical quality measures, controlling for patient and organizational characteristics. We also predicted national estimates of accreditation-related improvement in quality...
October 26, 2017: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/29059017/baseline-characteristics-and-technology-training-of-underserved-adults-with-type-2-diabetes-in-the-mobile-diabetes-detective-modd-randomized-controlled-trial
#9
Elizabeth M Heitkemper, Lena Mamykina, Jonathan N Tobin, Andrea Cassells, Arlene Smaldone
Purpose The purpose of this study is to describe the characteristics and technology training needs of underserved adults with type 2 diabetes mellitus (T2DM) who participated in a health information technology (HIT) diabetes self-management education (DSME) intervention. Methods The baseline physiological, psychosocial, and technology use characteristics for 220 adults with poorly controlled T2DM were evaluated. Intervention participants received a 1-time intervention training, which included basic technology help, introduction to the Mobile Diabetes Detective (MoDD) website and text message features, and account activation that included subject-specific tailoring...
December 2017: Diabetes Educator
https://www.readbyqxmd.com/read/29056371/preventive-service-use-among-people-with-and-without-serious-mental-illnesses
#10
Bobbi Jo H Yarborough, Nancy A Perrin, Scott P Stumbo, John Muench, Carla A Green
INTRODUCTION: People with serious mental illnesses experience excess morbidity and premature mortality resulting from preventable conditions. The goal was to examine disparities in preventive care that might account for poor health outcomes. METHODS: In this retrospective cohort study, adults (N=803,276) served by Kaiser Permanente Northwest and federally qualified health centers/safety-net community health clinics were categorized into five groups: schizophrenia spectrum disorders, bipolar disorders/affective psychoses, anxiety disorders, nonpsychotic unipolar depression, and reference groups with no evidence of these specific mental illnesses...
October 11, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29044409/improving-pain-care-with-project-echo-in-community-health-centers
#11
Daren Anderson, Ianita Zlateva, Bennet Davis, Lauren Bifulco, Tierney Giannotti, Emil Coman, Douglas Spegman
Objective: Pain is an extremely common complaint in primary care, and patient outcomes are often suboptimal. This project evaluated the impact of Project ECHO Pain videoconference case-based learning sessions on knowledge and quality of pain care in two Federally Qualified Health Centers. Design: Quasi-experimental, pre-post intervention, with comparison group. Setting: Two large, multisite federally qualified health centers in Connecticut and Arizona...
October 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29041992/understanding-patterns-of-socioeconomic-and-demographic-factors-along-with-health-services-provider-availability-for-zika-outbreak-in-south-florida
#12
Linda McQuade, Mya Rao, Roger Miller, Winnie Zhou, Rinku Deol, Brian Sato
In this study, we analyzed the patterns of socioeconomic and demographic factors along with health services provider availability for the current Zika outbreak in Miami-Dade County, South Florida. We used Center for Consumer Information & Insurance Oversight (CCIIO) Machine-Readable Public Use Files (MR-PUFs) to examine provider availability in combination with socioeconomic and demographic factors that could potentially lead to healthcare disparities between any underserved population of the Wynwood neighborhood and the broader population of Miami-Dade County...
October 18, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/29031582/validation-of-a-shortened-version-of-the-children-s-eating-behavior-questionnaire-and-associations-with-bmi-in-a-clinical-sample-of-latino-children
#13
Alma I Behar, Noe C Crespo, Melawhy L Garcia, Guadalupe X Ayala, Nadia Campbell, Lisa M Shadron, John P Elder
OBJECTIVE: To examine the validity of the Children's Eating Behavior Questionnaire (CEBQ) through the associations of its 3 subscale scores (food responsiveness, slowness in eating, and satiety responsiveness) with body mass index (BMI). DESIGN: Cross-sectional study of baseline data from a clinic-based obesity prevention and control randomized controlled trial. PARTICIPANTS: Latino pediatric patients (n = 295) aged 5-11 years from a federally qualified health center in San Diego County, CA, with BMI percentiles ranging from 75...
October 11, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29030128/expansion-of-diabetes-education-in-a-united-states-mexico-border-community-expanding-services-for-patients-to-acquire-new-skills-set-goals-and-improve-overall-knowledge
#14
Melissa Carrillo, Jeri Sias, Jacquelyn P Navarrete, Sam Aboud, Enrique Valenzuela
OBJECTIVES: To describe the process used by a pharmacy team at a community health center to coordinate and expand diabetes education services (English and Spanish) for a predominantly Hispanic, Spanish-speaking population. SETTING: The project was implemented at 2 clinics in a federally qualified community health center system based in a low-income southwest U.S.-Mexico border community. PRACTICE INNOVATION: This project enhanced accessibility to diabetes education to improve knowledge, skills, and goal setting through existing pharmacy services at the primary clinic and 1 rural satellite clinic...
October 10, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29029685/using-structured-and-unstructured-data-to-identify-patients-need-for-services-that-address-the-social-determinants-of-health
#15
Joshua R Vest, Shaun J Grannis, Dawn P Haut, Paul K Halverson, Nir Menachemi
INTRODUCTION: Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. METHODS: A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29025508/discrepancy-in-motivation-for-weight-loss-and-exercise-in-rural-patients
#16
Jacob C Warren, K Bryant Smalley, K Nikki Barefoot
OBJECTIVES: We explored the extent to which discrepancy between motivation for weight loss and exercise is related to obesity among rural patients with chronic disease, and identified the psychosocial correlates of this discrepancy. METHODS: 497 patients with diabetes and/or hypertension were recruited from a network of Federally Qualified Health Centers in the rural South and completed a battery of assessments. RESULTS: Most persons in the sample (83...
November 1, 2017: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29018299/provision-of-medication-therapy-management-by-pharmacists-to-patients-with-type-2-diabetes-mellitus-in-a-federally-qualified-health-center
#17
Uche Anadu Ndefo, Aisha Morris Moultry, Portia N Davis, Raven Askew
BACKGROUND: Type-2 diabetes mellitus is a complex condition for which pharmacists are well suited to improve patient outcomes by delivering medication therapy management (MTM) services. When diabetes is well controlled, patients can avoid its long-term complications, such as cardiovascular and renal diseases. This article describes an MTM pilot program that was implemented at a federally qualified health center (FQHC). METHODS: This program was implemented at three clinics involving patients with uncontrolled diabetes, defined as hemoglobin A1c (HbA1c) greater than 8%...
October 2017: P & T: a Peer-reviewed Journal for Formulary Management
https://www.readbyqxmd.com/read/28974481/lack-of-adoption-of-a-mobile-app-to-support-patient-self-management-of-diabetes-and-hypertension-in-a-federally-qualified-health-center-interview-analysis-of-staff-and-patients-in-a-failed-randomized-trial
#18
Kathleen Thies, Daren Anderson, Benjamin Cramer
BACKGROUND: Thousands of mobile health (mHealth) apps have been developed to support patients' management of their health, but the effectiveness of many of the apps remains unclear. While mHealth apps appear to hold promise for improving the self-management of chronic conditions across populations, failure to balance the system demands of the app with the needs, interests, or resources of the end users can undermine consumers' adoption of these technologies. OBJECTIVE: The original aim of this study was to evaluate the effectiveness of a commercial mHealth app in improving clinical outcomes for adult patients in a Federally Qualified Health Center (FQHC) with uncontrolled diabetes and/or hypertension...
October 3, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28967319/integrating-behavioral-health-and-primary-care-in-two-new-jersey-federally-qualified-health-centers
#19
Kristin S Budde, Dovid Friedman, Kemi Alli, Joan Randell, Barbara Kang, Seth D Feuerstein
This column describes a unique model for integrating behavioral health services into two New Jersey federally qualified health centers (FQHCs). The pilot project, funded by a private foundation grant, offers a lens for exploring the distinct challenges and opportunities faced by FQHCs serving diverse populations. The behavioral health services provided through this project were comprehensive, including behavioral health care, chronic disease management, and computerized cognitive-behavioral therapy. Although many changes to health center structure and staffing were required, building on existing infrastructure allowed substantial progress toward implementation of an integrated (and eventually self-sustaining) care system in one year...
October 2, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28962555/family-centered-depression-treatment-for-older-men-in-primary-care-a-qualitative-study-of-stakeholder-perspectives
#20
Ladson Hinton, Andrés F Sciolla, Jürgen Unützer, Edward Elizarraras, Richard L Kravitz, Ester Carolina Apesoa-Varano
BACKGROUND: Family members often play important roles in the lives of depressed older men and frequently attend primary care visits with their loved ones, yet surprisingly little is known about how to most effectively engage and include family members in depression treatment. However, including family in depression treatment may be difficult due to several factors, such as depression stigma and family conflicts. The objective of this study was to describe challenges in engaging family members in older men's depression treatment and potential strategies to overcome those challenges...
September 29, 2017: BMC Family Practice
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