Disparities and Health Equity

The differences in ability to access health care and in health outcomes across the population.

Effect Of Peer Mentors In Diabetes Self-management vs Usual Care On Outcomes In US Veterans With Type 2 Diabetes

Judith Long, MD, Penn Internal General Medicine
Sep. 11, 2020

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

Sep. 11, 2020

[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

Sep. 7, 2020

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

Sep. 1, 2020

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

Aug. 27, 2020

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

George Demiris, Penn Nursing School
Aug. 22, 2020

Anne M. Turner, Jean O. Taylor, Andrea L. Hartzler, Katie P. Osterhage, Alyssa L. Bosold, Ian S. PainterGeorge 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 160
Aug. 21, 2020

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


Representation Of Women Authors In International Heart Failure Guidelines And Contemporary Clinical Trials

Aug. 14, 2020

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

Aug. 11, 2020

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


Social Determinants Among Communities Receiving Early COVID-19 Relief Funds

Aug. 3, 2020

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

Aug. 3, 2020

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 S. Schnittker, PhD
Jul. 30, 2020

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.