keyword
https://read.qxmd.com/read/38373529/telemedicine-reduces-missed-appointments-but-disparities-persist
#21
JOURNAL ARTICLE
Chinedum O Ojinnaka, Lara Johnstun, Anthony Dunnigan, Lora Nordstrom, Sandra Yuh
INTRODUCTION: Missed appointments also known as "no-shows" adversely affect clinical outcomes, clinic efficiency, and quality of care and have been attributed to barriers such as work schedule conflicts and lack of transportation. The widespread telemedicine implementation and adoption that has occurred as a consequence of the COVID-19 pandemic has the potential to address these barriers and improve missed appointment rates. This study aims to analyze the relationship between telemedicine and missed appointments...
February 17, 2024: American Journal of Preventive Medicine
https://read.qxmd.com/read/38353180/impact-of-initiating-a-glp1-agonist-and-or-sglt2-inhibitor-therapy-on-de-escalation-and-discontinuation-of-insulin-and-diabetes-control-when-managed-by-an-interprofessional-collaborative-team
#22
JOURNAL ARTICLE
Megan Champion, Gabriel Wills Avila, Angelica E Garcia, Faviola M Álvarez Delgado, Connie A Valdez
BACKGROUND: An FQHC in Denver, Colorado developed and implemented an interprofessional care model to collaboratively manage type 2 diabetes mellitus (T2DM). Utilizing the 340B program, the team protocolized ADA Guidelines to promote the early adoption of first-line medications, glucagon-like peptide1 receptor agonists (GLP1 RAs) and sodium-glucose cotransporter 2 inhibitors (SGLT2is) to improve patient outcomes. OBJECTIVES: To assess the impact of interprofessional collaborative management versus standard care on early initiation of a SGLT2i and/or GLP1 RA as first-line therapies to enhance (1) deprescribing of insulin, (2) reducing overbasalization of insulin through insulin de-escalation, and (3) effectively lowering A1C levels in adult primary care patients with T2DM...
2024: Journal of Primary Care & Community Health
https://read.qxmd.com/read/38347521/socioeconomic-factors-influence-surgical-wait-times-for-non-emergent-gynecologic-surgical-procedures-a-retrospective-analysis
#23
JOURNAL ARTICLE
Elizabeth Trevino Kinsey, Anne Hardart, Lisa Dabney, Susan Khalil, Elianna Kaplowitz, Lois Brustman
BACKGROUND: In various disciplines, an association between surgical wait times and patient outcomes has been identified. This study is among the first to investigate whether practice setting influences wait times for elective surgeries in benign gynecology. METHODS: This retrospective study of patients at three New York hospitals from 10/2019-2/2020 compared surgical wait times among patients seen in federally-qualified health centers (FQHC's) and private practice settings...
February 12, 2024: BMC Women's Health
https://read.qxmd.com/read/38344695/hepatitis-b-prevalence-and-risk-factors-in-foreign-born-asians-and-pacific-islanders-at-a-federally-qualified-health-center-in-hawai-i-2015-2020
#24
JOURNAL ARTICLE
Yash Vyas, Naoky C Tsai, Alan R Katz, Thaddeus Pham
The objective of this study was to estimate the prevalence of chronic hepatitis B infection in foreign-born Asians and Pacific Islanders at Kalihi-Palama Health Center in Honolulu, Hawai'i, and to assess the association between both chronic and resolved hepatitis B infection and risk factors such as household exposure to hepatitis B virus and geographic location of birthplace. The study involved cross-sectional data from 997 participants who accessed medical services at Kalihi-Palama Health Center between September 2015 and July 2020...
February 2024: Hawai'i journal of health & social welfare
https://read.qxmd.com/read/38344478/compliance-with-world-health-organization-who-world-federation-of-societies-of-anesthesiologists-wfas-standards-for-general-anesthesia-at-ibn-sina-university-hospital-center-morocco
#25
JOURNAL ARTICLE
Wafaa Harfaoui, Hicham Ziani, Zakaria Slaihi, Manal Arfaoui, Bouchra Armel, Hamza Elhamzaoui, Lahcen Belyamani, Mustapha Alilou, Majdouline Obtel
INTRODUCTION: Patient safety in anaesthesia has significantly improved over the past decades, largely due to pharmacological and technological advancements, as well as the widespread adoption of guidelines and standards recommended by international organisations. This study aimed to evaluate the practice of anaesthesia and its compliance with the international standards for safe anaesthesia practice recommended by the World Federation of Societies of Anaesthesiologists (WFSA) and the World Health Organization (WHO)...
January 2024: Curēus
https://read.qxmd.com/read/38338180/examining-county-level-associations-between-federally-qualified-health-centers-and-sexually-transmitted-infections-a-political-ecology-of-health-framework
#26
JOURNAL ARTICLE
Christopher Williams, Laura A Skrip, Alexandrea S Adams, Sten H Vermund
Federally Qualified Health Centers (FQHCs) are the largest providers of healthcare for sexually transmitted infections (STIs) in medically underserved communities in the United States (US). Through the Affordable Care Act (ACA), FQHCs have grown in number, but the impact of this growth on STIs is poorly understood. This ecological study seeks to quantify the association between FQHCs and STI prevalence in all US counties. Variables were described utilizing medians and interquartile ranges, and distributions were compared using Kruskal-Wallis tests...
January 24, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38334130/perspectives-on-emergency-preparedness-among-indigenous-pacific-people-in-hawaii-a-qualitative-study
#27
JOURNAL ARTICLE
Gary Glauberman, Philmar Mendoza Kabua, Melveen Camba, Marissa Dela Cruz, Holly B Fontenot
PURPOSE: This study sought an improved understanding of household emergency preparedness (EP) among Native Hawaiian, Pacific Islander, and Filipino (Indigenous Pacific People [IPP]) parents in Hawaii. DESIGN: We conducted an exploratory qualitative descriptive study with 60-minute interviews occurring from October 2022 through March 2023. A semi-structured interview guide exploring participant household EP was employed. METHODS: Prospective participants were females who identified as IPP, caregivers of a 0-12-year-old child, spoke English, and received health services at a federally qualified health center clinic...
February 9, 2024: Journal of Community Health Nursing
https://read.qxmd.com/read/38332440/bundling-colorectal-cancer-screening-outreach-with-screening-for-social-risk-in-federally-qualified-health-centers-a-stepped-wedge-implementation-effectiveness-study
#28
JOURNAL ARTICLE
Gina R Kruse, Sanja Percac-Lima, Marjanna Barber-Dubois, Madeline E Davies, Daniel A Gundersen, Oanh Ho, Lynette Mascioli, Mehezbin Munshi, Sarah Perry, Deepinder Singh, Annette Thomas, Karen M Emmons, Jennifer S Haas
BACKGROUND: Bundling is combining individual interventions to meet quality metrics. Bundling offers of cancer screening with screening for social determinants of health (SDOH) may enable health centers to assist patients with social risks and yield efficiencies. OBJECTIVE: To measure effects of bundling fecal immunochemical testing (FIT) and SDOH screening in federally qualified health centers (FQHCs). DESIGN: Clustered stepped-wedge trial...
February 8, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38328789/impact-of-collaborative-chronic-care-management-with-remote-monitoring-on-blood-glucose-and-blood-pressure-in-federally-qualified-health-center-patients-a-pilot-study
#29
JOURNAL ARTICLE
Vincent Ekenga, Nedra Copelin, Clover Moten, Wylea Gray-Winfrey, Christine C Ekenga
No abstract text is available yet for this article.
February 2024: Health Science Reports
https://read.qxmd.com/read/38327151/nativity-and-the-risk-of-opioid-use-disorder-among-hispanic-latinx-women-in-primary-care-in-los-angeles-ca
#30
JOURNAL ARTICLE
Sae Takada, Marissa J Seamans, Marjan Javanbakht, Curtis Bone, Roya Ijadi-Maghsoodi, Steve Shoptaw, Lillian Gelberg
BACKGROUND: While rates of opioid use disorder (OUD) are lower among women compared to men, nativity may have disproportionate impacts on OUD risk among Hispanic/Latinx women but remain understudied. OBJECTIVE: To assess the association between country of birth and reported OUD risk among low-income Hispanic/Latinx women in primary care in Los Angeles, CA. METHODS: This was a cross-sectional study of 1189 non-pregnant, Hispanic/Latinx women attending two federally qualified health centers in Los Angeles between March and July 2013...
February 7, 2024: Journal of Ethnicity in Substance Abuse
https://read.qxmd.com/read/38311885/career-pathway-strategies-that-reduce-barriers-for-nontraditional-nursing-students
#31
JOURNAL ARTICLE
Mona Lee, Kim Cook
Everyone recognizes the current nursing scarcity, but not everyone recognizes the need for a diverse nursing workforce to adequately serve patients whose social determinants of health include racism, racial bias, and reduced access to care. This article explores how building innovative partnerships between health-care providers and nursing institutions to advance the incumbent workforce can increase capacity and reduce staff burnout. Such partnerships can drive a culture of employee engagement through the development of career pathways while reducing barriers for nontraditional nursing students in advancing their credentials...
February 4, 2024: Creative Nursing
https://read.qxmd.com/read/38310359/maximizing-scarce-colonoscopy-resources-the-crucial-role-of-stool-based-tests
#32
JOURNAL ARTICLE
Gloria D Coronado, Leslie Bienen, Andrea Burnett-Hartman, Jeffrey K Lee, Carolyn M Rutter
During the COVID-19 pandemic, health systems, including federally qualified health centers (FQHCs), experienced disruptions in colorectal cancer (CRC) screening. National organizations called for greater use of at-home stool-based testing followed by colonoscopy for those with abnormal test results to limit (in-person) colonoscopy exams to people with acute symptoms, or who were high-risk. This 'stool-test-first' strategy may also be useful for adults with low-risk adenomas who are due for surveillance colonoscopy...
February 4, 2024: Journal of the National Cancer Institute
https://read.qxmd.com/read/38300760/human-technology-intermediation-to-reduce-cognitive-load-understanding-healthcare-staff-members-practices-to-facilitate-telehealth-access-in-a-federally-qualified-health-center-patient-population
#33
JOURNAL ARTICLE
Alicia K Williamson, Marcy G Antonio, Sage Davis, Vaishnav Kameswaran, Tawanna R Dillahunt, Lorraine R Buis, Tiffany C Veinot
OBJECTIVES: The aim of this study was to investigate how healthcare staff intermediaries support Federally Qualified Health Center (FQHC) patients' access to telehealth, how their approaches reflect cognitive load theory (CLT) and determine which approaches FQHC patients find helpful and whether their perceptions suggest cognitive load (CL) reduction. MATERIALS AND METHODS: Semistructured interviews with staff (n = 9) and patients (n = 22) at an FQHC in a Midwestern state...
January 31, 2024: Journal of the American Medical Informatics Association: JAMIA
https://read.qxmd.com/read/38294643/impact-of-2009-american-recovery-and-reinvestment-act-arra-health-center-investments-on-disadvantaged-neighborhoods-after-recession
#34
JOURNAL ARTICLE
Elizabeth L Tung, Nour Asfour, Joshua D Bolton, Elbert S Huang, Calvin Zhang, Luc Anselin
BACKGROUND: Federally qualified health centers (FQHCs) are integral to the U.S. healthcare safety net and uniquely situated in disadvantaged neighborhoods. The 2009 American Recovery and Reinvestment Act (ARRA) invested $2 billion in FQHC stimulus during the Great Recession; but it remains unknown whether this investment was associated with extended benefits for disadvantaged neighborhoods. METHODS: We used a propensity-score matched longitudinal design (2008-2012) to examine whether the 2009 ARRA FQHC investment was associated with local jobs and establishments recovery in FQHC neighborhoods...
January 31, 2024: Health Economics Review
https://read.qxmd.com/read/38288046/methadone-prescribing-by-addiction-specialists-likely-to-leave-communities-without-available-methadone-treatment
#35
JOURNAL ARTICLE
Paul J Joudrey, Dylan Halpern, Qinyun Lin, Susan Paykin, Christina Mair, Marynia Kolak
Methadone treatment for opioid use disorder is not available in most suburban and rural US communities. We examined 2 options to expand methadone availability: (1) addiction specialty physician or (2) all clinician prescribing. Using 2022 Health Resources and Services Administration data, we used mental health professional shortage areas to indicate the potential of addiction specialty physician prescribing and the location of federally qualified health centers (ie, federally certified primary care clinics) to indicate the potential of all clinician prescribing...
November 2023: Health Aff Sch
https://read.qxmd.com/read/38283324/examination-of-the-black-white-racial-disparity-in-severe-maternal-morbidity-among-georgia-deliveries-2016-to-2020
#36
JOURNAL ARTICLE
E Kathleen Adams, Michael R Kramer, Peter J Joski, Marissa Coloske, Anne L Dunlop
BACKGROUND: Studies find that delivery hospital explains a significant portion of the Black-White gap in severe maternal morbidity. No such studies have focused on the US Southeast, where racial disparities are widest, and few have examined the relative contribution of hospital, residential, and maternal factors. OBJECTIVE: This study aimed to estimate the portion of Georgia's Black-White gap in severe maternal morbidity during delivery through 42 days postpartum explained by hospital, residential, and maternal factors...
February 2024: AJOG global reports
https://read.qxmd.com/read/38281569/association-of-contrast-sensitivity-with-eye-disease-and-vision-related-quality-of-life
#37
JOURNAL ARTICLE
Kathryn Flaharty, Leslie M Niziol, Maria A Woodward, Angela Elam, Amanda Bicket, Olivia J Killeen, Jason Zhang, Leroy Johnson, Martha Kershaw, Denise A John, Sarah K Wood, David C Musch, Paula Anne Newman-Casey
PURPOSE: To investigate contrast sensitivity (CS) as a screening tool to detect eye disease and assess its association with both eye disease and vision-related quality of life. DESIGN: Cross-sectional study METHODS: Setting & Population: Adults receiving care from a free clinic and a Federally Qualified Health Center in Michigan. MAIN OUTCOME MEASURES: Screening positive for eye disease and Visual Function Questionnaire (VFQ) score. OBSERVATION: Participants received a vision exam reviewed via telemedicine for disease, completed a demographic survey, and the 9-item VFQ...
January 26, 2024: American Journal of Ophthalmology
https://read.qxmd.com/read/38278482/missed-opportunities-in-guideline-based-fatty-liver-screening-among-3-5-million-children
#38
JOURNAL ARTICLE
Reema Gulati, Kabir Gulati, Naim Alkhouri, Herman Sahni, Maroun J Mhanna, David C Kaelber, Hafiza Mehreen Durrani, Roamaa Suri
OBJECTIVE: Determine screening rates and examine socio- demographic characteristics of MAFLD screening in a large population of obese children. METHODS: We used Explorys (IBM) which contains aggregated population-level electronic health record data from approximately 360 hospitals and 317,000 providers across the United States to determine MAFLD screening rates. In children 10-14 years, obesity was determined based on BMI >=95%, or encounter with an ICD obesity code...
January 24, 2024: Academic Pediatrics
https://read.qxmd.com/read/38273070/associations-of-primary-care-provider-burnout-with-quality-improvement-patient-experience-measurement-clinic-culture-and-job-satisfaction
#39
JOURNAL ARTICLE
Denise D Quigley, Mary Ellen Slaughter, Nabeel Qureshi, Ron D Hays
BACKGROUND: Burnout among providers negatively impacts patient care experiences and safety. Providers at Federally Qualified Health Centers (FQHC) are at high risk for burnout due to high patient volumes; inadequate staffing; and balancing the demands of patients, families, and team members. OBJECTIVE: Examine associations of provider burnout with their perspectives on quality improvement (QI), patient experience measurement, clinic culture, and job satisfaction...
January 25, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38253508/a-mixed-methods-evaluation-of-a-quality-improvement-model-to-optimize-perinatal-and-primary-care-in-the-community-health-setting
#40
JOURNAL ARTICLE
Jena Wallander Gemkow, Ashlee Van Schyndel, Renee M Odom, Ananya Stoller, Lisa Masinter, Ta-Yun Yang, Patricia A Lee King, Abigail C Holicky, Arden Handler
PURPOSE: Many maternal deaths occur beyond the acute birth encounter. There are opportunities for improving maternal health outcomes through facilitated quality improvement efforts in community settings, particularly in the postpartum period. We used a mixed methods approach to evaluate a collaborative quality improvement (QI) model in 6 Chicago Federally Qualified Health Centers (FQHCs) that implemented workflows optimizing care continuity in the extended postpartum period for high-risk prenatal patients...
2024: Annals of Family Medicine
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