Health Care Podcast “Tradeoffs” to Launch at Penn
Health Care Safety-Net Programs After The Affordable Care Act
Prior to the Affordable Care Act (ACA), health care safety-net programs were the primary source of care for over 44 million uninsured people. While the ACA cut the number of uninsured substantially, about 30 million people remain uninsured, and many millions more are vulnerable to out-of-pocket costs beyond their resources. The need for the safety net remains, even as the distribution and types of need have shifted. This brief reviews the effects of the ACA on the funding and operation of safety-net institutions. It highlights the challenges and opportunities that health care reform presents to safety-net programs, and how they have adapted and evolved to continue to serve our most vulnerable residents.
Beyond Physicians: Interdisciplinary Teams in Integrated Care
In our recent blog post, we explore barriers to behavioral health care in the United States and discuss an alternate strategy: integrated care. Traditionally, integrated care has entailed behavioral health care delivered by a primary care provider.
Racial and Ethnic Differences Over Time in Outcomes of Infants Born Less Than 30 Weeks' Gestation
Nansi S. Boghossian, Marco Geraci, Scott A. Lorch, Ciaran S. Phibbs, Erika M. Edwards, Jeffrey D. Horbar
Abstract [from journal]
Objectives: To examine changes in care practices over time by race and ethnicity and whether the decrease in hospital mortality and severe morbidities has benefited infants of minority over infants of white mothers.
Methods: Infants 22 to 29 weeks’ gestation born between January 2006 and December 2017 at a Vermont Oxford Network center in the United States were studied. We examined mortality and morbidity rate differences and 95% confidence intervals for African American and
...Penn CICADA Initiative Names Three Researchers for 2019-2020 Cohort
Recognizing Racism in Medicine: A Student-Organized and Community-Engaged Health Professional Conference
Ademide A. Adelekun, Sourik Beltrán, Julia Carney, Lanair A. Lett, Whitney U. Orji, Emily Rider-Longmaid, Daniel C. Stokes, Stephanie Teeple, and Jaya Aysola
Abstract [from journal]
Purpose: This piece details the evaluation and implementation of a student-led educational intervention designed to train health professionals on the impact of racism in health care and provide tools to mitigate it. In addition, this conference, cosponsored by medical, nursing, and social work training programs, facilitates development of networks of
...What's Happening at Skilled Nursing Facilities on Day 20?
There’s something unusual happening on patients’ 20th day in skilled nursing facilities (SNFs).
Contributors to Post-injury Mental Health in Urban Black Men with Serious Injuries
Factors over the life course affect the mental health of urban black men with serious injuries. Childhood adversity, pre-injury physical and mental health conditions, and intentional injury (violence) are risk factors for post-injury depression and posttraumatic stress. Clinicians should expand assessment beyond the acute injury event to identify those patients at risk for poor mental health outcomes.