Abstract:
:This study seeks to understand the perspective of Black and Hispanic/Latino residents of the South Bronx, New York, on the causes of persistent racial and ethnic disparities in health outcomes. In particular, it focuses on how people who live in this community perceive and interact with the health care system. Findings from 9 focus groups with 110 participants revealed a deep and pervasive distrust of the health care system and a sense of being disrespected, exacerbated by difficulties that patients experience in communicating with their providers. The paper suggests how health care institutions might respond to these perceptions.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Kaplan SA,Calman NS,Golub M,Davis JH,Ruddock C,Billings Jdoi
10.1353/hpu.2006.0026keywords:
subject
Has Abstractpub_date
2006-02-01 00:00:00pages
116-27issue
1eissn
1049-2089issn
1548-6869pii
S1548686906101163journal_volume
17pub_type
杂志文章abstract::Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0633
更新日期:1999-08-01 00:00:00
abstract::Only 43% of Americans with HIV are virally suppressed; the rate is lower for African Americans, even among insured populations. This study uses 2010 Medicare and Medicaid data for HIV-positive Californians to examine how antiretroviral treatment (ART) relates to patient and provider characteristics. Logistic regressio...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0031
更新日期:2017-01-01 00:00:00
abstract::Families experiencing homelessness struggle with food access and face a high burden of nutrition-related diseases. We assessed feasibility of Feastworthy, a prepared meal delivery program for families in motel-shelters with meals made from surplus food from local colleges. We used pre-and post-program surveys and semi...
journal_title:Journal of health care for the poor and underserved
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更新日期:2018-01-01 00:00:00
abstract::Precision medicine is an approach in which the characteristics of patients as well as their diseases are used to identify optimal therapy; it links researchers, patients, health care providers, and clinical laboratories. In precision medicine, specific molecular characteristics of an untreatable cancer can be targeted...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0117
更新日期:2019-01-01 00:00:00
abstract::Latino migrant day laborers (LMDLs) live under challenging conditions in the San Francisco Bay Area. This study explored day laborer alcohol use guided by a structural vulnerability framework, specifically problem vs. non-problem drinking as perceived by LMDLs and how they cope with or try to avoid problem drinking gi...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0121
更新日期:2014-08-01 00:00:00
abstract::This case study describes how we are translating a diabetes care quality improvement initiative from an insured (HMO) setting into federally qualified health centers (FQHCs). We outline the innovative collaborative processes whereby researchers and FQHC providers adapted this initiative, which includes health informat...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,随机对照试验
doi:10.1353/hpu.2012.0132
更新日期:2012-08-01 00:00:00
abstract::We sought to describe the prevalence and predictors of tuberculin skin test (TST) reactors in a high-risk sample of urban Aboriginal people, and to evaluate adherence to medical evaluation and latent tuberculosis infection (LTBI) treatment among those with TST reactivity. Of the 164 participants tested, 86% returned f...
journal_title:Journal of health care for the poor and underserved
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更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:To test whether foreign-born status confers a protective effect against low birth weight (LBW) outcomes among Mexican-origin women in Colorado. METHODS:Retrospective cohort study utilizing Colorado birth records from 1989-2004 for multivariate logistic regression analysis. The study population was 66,422 U....
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0065
更新日期:2012-05-01 00:00:00
abstract::Elevated body iron (ferritin) levels may contribute to adverse health outcomes. Racial differences in iron measures and clinical outcomes were observed during an iron reduction trial in peripheral arterial disease. At entry, Black compared with White participants had higher ferritin and lower red cell measures, as wel...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,随机对照试验
doi:10.1353/hpu.2015.0026
更新日期:2015-02-01 00:00:00
abstract::African Americans experience mental health disadvantages relative to European Americans with respect to financial barriers, barriers to help seeking, and poorer quality services. This paper provides an overview of these mental health inequalities, and offers recommendations for addressing them. ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.0.0155
更新日期:2009-05-01 00:00:00
abstract:PURPOSE:Measure immunization rates in subsidized child care and determine whether the population is representative of inner city preschool children. METHODS:We identified 156 children, ages 0-60 months, in 14 inner-city child care centers enrolled in subsidized care and obtained demographic and immunization informatio...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0000
更新日期:2008-05-01 00:00:00
abstract::The HIV/AIDS epidemic in Africa is frequently referred to as a crisis while the principal U.S. program to address it is labeled emergency relief. These terms trigger specific policy responses and corresponding evaluation activities. In this article, three stages in the response to HIV/AIDS are distinguished: awareness...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0230
更新日期:2009-01-01 00:00:00
abstract::Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. I...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0192
更新日期:2012-11-01 00:00:00
abstract::Farmworkers experience a lack of control over the conditions of their work environment. In trying to reduce the effects of exposure to pesticides, most health care providers give instructions to farmworkers about how to protect themselves. Outreach programs that target farmworkers focus on health education and recomme...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0744
更新日期:2001-05-01 00:00:00
abstract::The objective of this study was to compare the health care costs of adults with Medicaid aged 19 to 65 years (n = 29,680) and adults in the same age range with commercial insurance (n = 29,680) who were members of the same health maintenance organization between 1996 and 1998. After adjusting for age and sex, income-e...
journal_title:Journal of health care for the poor and underserved
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doi:10.1353/hpu.2010.0553
更新日期:2003-08-01 00:00:00
abstract::This study investigated relationships between health insurance status and health-related quality of life (HRQOL) using the 2000 Medical Expenditure Panel Survey data. Health-related quality of life was measured using the SF-12 Physical Component Summary (PCS) and SF-12 Mental Component Summary (MCS). The analysis cont...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0064
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:This study describes the characteristics of migrant and seasonal farm workers (MSFWs) served by federally-funded health centers and examines disparities in access to primary and preventive care between migrant health center (MHC) and community health center (CHC) program patients. METHODS:Cross-sectional an...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0107
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To examine the experiences of low-income Part D beneficiaries with mental illness and their use of community helpers to access prescription medicines. METHODS:Individual semi-structured interviews were conducted with 26 Medicare beneficiaries with mental illness in community settings. The transcripts were a...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0019
更新日期:2011-02-01 00:00:00
abstract::Death, disability, and injury from motor vehicle accidents constitute a public health crisis. The goal of this paper is to describe how Meharry Medical College's Center for Community Based Research plans to address this problem. A model of how high-risk groups are influenced to engage in behaviors that increase risk f...
journal_title:Journal of health care for the poor and underserved
pub_type: 社论
doi:10.1353/hpu.2004.0004
更新日期:2004-02-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
abstract::Screening for colorectal cancer (CRC) is underutilized among ethnic minority groups, particularly among Korean American immigrants. To explore the role of cultural and health beliefs in CRC screening, a structured questionnaire was administered to 281 Korean American immigrants aged between 50 and 88 in the New York m...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0087
更新日期:2013-05-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0764
更新日期:1999-02-01 00:00:00
abstract::This qualitative longitudinal study documents the experiences of 60 people who are homeless and mentally ill from their state mental hospital discharge through their first two years in community housing. The study explores the personal, cultural, and environmental contexts of life for adults who are homeless and menta...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0754
更新日期:2003-05-01 00:00:00
abstract::The objective of this study was to assess the factorial invariance and convergent validity of the Group-Based Medical Mistrust Scale (GBMMS) across gender (male and female) and ethnoracial identity (Latino and Black). Minority students (N = 686) attending a southeastern university were surveyed in the fall of 2011. Ps...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0011
更新日期:2017-01-01 00:00:00
abstract::Studies on the engagement of the CHC workforce in health policy are limited. Most uninsured Americans do not understand how the ACA affects them. We assessed knowledge and interest of our workforce in health policy, and applied the Socio-Ecological model to a plan for engagement, sharing strategies for similar setting...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0052
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:Austin is Chicago's largest community and is 85% African American. The purpose of this study was to the examine facilitators and barriers to physical therapy (PT) access as described by Austin community residents and health care providers (HCPs). METHODS:Community residents (n=47) participated in focus groups....
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0055
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Vision problems in homeless children can decrease educational achievement and quality of life. PURPOSE:To estimate the prevalence and specific diagnoses of vision problems in children in an urban homeless shelter. METHODS:A prospective series of 107 homeless children and teenagers who underwent screening w...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0072
更新日期:2015-08-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 社论
doi:10.1353/hpu.2010.0433
更新日期:1994-01-01 00:00:00
abstract::Grassroots level health care workers provided insights into rural women's health concerns at a program development workshop held at Sundarban Islands in West Bengal, India. This report describes these narratives and identifies strategies for potential intervention plans. The narratives suggest layers of disenfranchise...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0069
更新日期:2013-05-01 00:00:00