The Unique Pandemic Challenges Faced by Immunocompromised Individuals
Effect Of Peer Mentors In Diabetes Self-management vs Usual Care On Outcomes In US Veterans With Type 2 Diabetes
Judith A. Long, Valerie S. Ganetsky, Anne Canamucio, Tanisha N. Dicks, Michele Heisler, Steven C. Marcus
Abstract [from journal]
Importance: Diabetes is a substantial public health issue. Peer mentoring is a low-cost intervention for improving glycemic control in patients with diabetes. However, long-term effects of peer mentoring and creation of sustainable models are not well studied.
Objective: Assess the effects of a peer support intervention for improving glycemic control in patients with diabetes and evaluate a model in which former mentees serve as mentors.
Design, Setting, and Participants: A...
These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity
[Original post: Utsha Khatri, Corey S. Davis, Noa Krawczyk, Michael Lynch, Justin Berk, Elizabeth A. Samuels, These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity, Health Affairs Blog, September 11, 2020. https://www.healthaffairs.org/do/10.1377/hblog20200910.498716/full/. Copyright ©2020 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc.]
Impact Of Medicaid Expansion On Women With Gynecologic Cancer: A Difference-In-Difference Analysis
Benjamin B. Albright, Dimitrios Nasioudis, Stuart Craig, Haley A. Moss, Nawar A. Latif, Emily M. Ko, Ashley F. Haggerty
Abstract [from journal]
Background: Women with gynecologic cancer face socioeconomic disparities in care that impact survival outcomes. The Affordable Care Act offered states the option to expand Medicaid enrollment eligibility criteria as a means of improving timely and affordable access to care for the most vulnerable. Variable uptake of expansion by states created a natural experiment, allowing for quasi-experimental methods, which offer more unbiased estimates of treatment effects from retrospective data than traditional regression
...Implementing Inclusive Strategies To Deliver High Quality LGBTQ+ Care In Health Care Systems
Dane Menkin, Dawn Tice, Dalmacio Flores
Abstract [from journal]
Aim: There is a growing recognition of the need to provide inclusive care for LGBTQ+ individuals. Our aim is to provide guidance for nurse managers contemplating similar inclusive changes in their workplace. The role of nurse managers as change agents is discussed based on our experience transforming a traditional suburban healthcare system to one that is now more LGBTQ+ inclusive.
Background: LGBTQ+ individuals require and deserve high-quality care. Nurse managers can serve as patient
...Perspectives Of Urban Adolescent Black Males And Their Parents On Well Care
George Dalembert, Ima Samba, Victoria A. Miller, Carol A. Ford, Alexander G. Fiks
Abstract [from journal]
Objective: Adolescents have fewer well-care visits than all other age groups. Males and ethnic minorities are seen least often. We elicited, from Black adolescent males and their parents, key drivers of teen well-care seeking.
Methods: We conducted separate semi-structured interviews with Black adolescent males and their parents. We recruited parent-teen dyads from West Philadelphia. Eligible teens were age 13-18, with no complex chronic health conditions. We purposively sampled teens who had
...Personal Health Information Management Among Healthy Older Adults: Varying Needs And Approaches
Anne M. Turner, Jean O. Taylor, Andrea L. Hartzler, Katie P. Osterhage, Alyssa L. Bosold, Ian S. Painter, George Demiris
Abstract [from journal]
Objective: With age, older adults experience a greater number of chronic diseases and medical visits, and an increased need to manage their health information. Technological advances in consumer health information technologies (HITs) help patients gather, track, and organize their health information within and outside of clinical settings. However, HITs have not focused on the needs of older adults and their caregivers. The goal of the SOARING (Studying Older Adults and Researching their Information Needs and Goals)
...Evaluating The Quality Of Research Ethics Review And Oversight: A Systematic Analysis Of Quality Assessment Instruments
Holly Fernandez Lynch, Mohamed Abdirisak, Megan Bogia, Justin Clapp
Abstract [from journal]
Background: Research ethics review committees (RERCs) and Human Research Protection Programs (HRPPs) are responsible for protecting the rights and welfare of research participants while avoiding unnecessary inhibition of valuable research. Evaluating RERC/HRPP quality is vital to determining whether they are achieving these goals effectively and efficiently, as well as what adjustments might be necessary. Various tools, standards, and accreditation mechanisms have been developed in the United States and
...Understanding the Effects of Traumatic Injury in Urban Black Men
Black men bear the disproportionate burden of traumatic injury in the United States, and the disparities are especially acute for violent and intentional trauma. While the physical and psychosocial consequences of trauma can last a lifetime, strategies to mitigate trauma-associated psychological distress remain elusive. Recent studies by Therese Richmond and colleagues are filling this knowledge gap.
Representation Of Women Authors In International Heart Failure Guidelines And Contemporary Clinical Trials
Nosheen Reza, Ayman Samman Tahhan, Nadim Mahmud, Ersilia M. DeFilippis, Alaaeddin Alrohaibani, Muthiah Vaduganathan, Stephen J. Greene, Annie Hang Ho, Gregg C. Fonarow, Javed Butler, Christopher O’Connor, Mona Fiuzat, Orly Vardeny, Ileana L. Piña, JoAnn Lindenfeld, Mariell...
Abstract [from journal]
Background: Gender disparities in authorship of heart failure (HF) guideline citations and clinical trials have not been examined.
Methods: We identified authors of publications referenced in Class I Recommendations in United States (n=173) and European (n=100) HF guidelines and of publications of all HF trials with >400 participants (n=118) published between 2001 and 2016. Authors' genders were determined, and changes in authorship patterns over time were evaluated with linear regression
...Exploring The Gap: Food Insecurity And Resource Engagement
Danielle Cullen, Dori Abel, Megan Attridge, Joel A. Fein
Abstract [from journal]
Background: Pediatric healthcare institutions are increasingly implementing food insecurity (FI) screens, but there is limited information about participant interest in referral and engagement with resources provided.
Methods: In this descriptive cross-sectional study, we recruited participants from a consecutive sample of adult caregivers arriving with pediatric patients in the ED at an urban, freestanding children's hospital. Caregivers completed a validated, two-question screen for FI. All
...Does Access to an ICU Bed Depend on Income?
In Health Affairs, Genevieve Kanter and Peter Groeneveld find that Intensive care unit (ICU) beds are not equally distributed across the United States, and income is a strong predictor of access to an ICU. The implications for COVID-19 are troubling.
Social Determinants Among Communities Receiving Early COVID-19 Relief Funds
COVID-19 has placed an immense burden on the US health care system, particularly hospitals serving communities with the highest number of cases. To alleviate financial strain, the U.S. Department of Health and Human Services distributed $12 billion of “high impact” relief funds to 395 hospitals that individually cared for 100 or more COVID-19 patients. Collectively, this group accounted for 71% of all U.S.
"I Don't Have Time To Sit And Talk With Them": Hospitalists' Perspectives on Palliative Care Consultation for Patients With Dementia
Katherine R. Courtright, Trishya L. Srinivasan, Vanessa L. Madden, Jason Karlawish, Stephanie Szymanski, Sarah H. Hill, Scott D. Halpern, Mary Ersek
Abstract [from journal]
Background/objectives: Specialty palliative care for hospitalized patients with dementia is widely recommended and may improve outcomes, yet rates of consultation remain low. We sought to describe hospitalists' decision-making regarding palliative care consultation for patients with dementia.
Design: Descriptive qualitative study.
Setting: Seven hospitals within a national nonprofit health system.
Participants: Hospitalist physicians.
...In-Utero Determinants Of Adult Depression: Evidence From The 1918 Flu Pandemic
Jason Schnittker
Abstract [from journal]
Social scientists have dealt only glancing with potential in-utero determinants of mental health. This study looks at the enduring consequences of gestational exposure to the 1918 flu pandemic for adult depression. It does so using data collected in the first wave of the National Health and Nutrition Examination Survey (1971-1975), corresponding to when those exposed in-utero were in their early to mid-50s. The results indicate very strong effects of in-utero exposure on depression. These effects are only found, however, among men.
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