Communication strategies in caring for the underserved.

Abstract:

:Physicians face numerous challenges in caring for underserved patients. These include both structural barriers, such as the increasing ranks of the uninsured, and contextual barriers. Contextual problems are embedded within the communication between doctors and patients. Communication between doctors and poor patients fails principally because of inadequately shared information and a power asymmetry in the relationship. This paper addresses specific strategies which practitioners and educators can use to improve communication with poor patients and assist in their empowerment. These strategies include employing attentive patient care, attending to the use of jargon, and using self-empowering language.

authors

Ventres W,Gordon P

doi

10.1353/hpu.2010.0251

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

305-14

issue

3

eissn

1049-2089

issn

1548-6869

journal_volume

1

pub_type

杂志文章
  • Racial differences in iron measures and outcomes observed during an iron reduction trial in peripheral arterial disease.

    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

    authors: Zacharski LR,Shamayeva G,Chow BK,DePalma RG

    更新日期:2015-02-01 00:00:00

  • Questionnaire design from a cross-cultural perspective: an empirical investigation of Koreans and non-Koreans.

    abstract::A persistent challenge to self-report data across racial, ethnic, or cultural groups is the inherent difficulty of attaining cross-cultural comparability of key measures. The current research study investigated the cross-cultural functioning of health-survey questions presented to four groups: (1) Koreans who were mon...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0118

    authors: Willis G,Zahnd E

    更新日期:2007-11-01 00:00:00

  • Predictors of smoking cessation counseling adherence in a socioeconomically disadvantaged sample of pregnant women.

    abstract::Implementing and evaluating smoking cessation interventions in underserved populations has been found difficult due to high rates of non-adherence to the prescribed protocol. To understand better the barriers to cessation participation, we studied low-income inner-city pregnant women who were enrolled in either a stan...

    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.2012.0096

    authors: Wen KY,Miller SM,Lazev A,Fang Z,Hernandez E

    更新日期:2012-08-01 00:00:00

  • An overview of Tennessee state legislation affecting violence prevention.

    abstract::Homicide is the number one cause of death among African American youth, both male and female. Largely to blame for Black-on-Black violence is the sense of alienation our youth feel from society. To counter this phenomenon of violence it is essential to empower youth. Through education and community-based programs we c...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0612

    authors: DeBerry LM

    更新日期:1995-01-01 00:00:00

  • A comparison of National Emergency Department use by homeless versus non-homeless people in the United States.

    abstract:BACKGROUND:A single-site study described differences between homeless and non-homeless patient utilization of the emergency department (ED). No prior study has examined ED use by the homeless on a national level. OBJECTIVE:To analyze national ED utilization by homeless patients. METHODS:Data were extracted from the 2...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0192

    authors: Oates G,Tadros A,Davis SM

    更新日期:2009-08-01 00:00:00

  • Altered Emotional Intelligence through a Health Disparity Curriculum: Early Results.

    abstract:INTRODUCTION:Emotional intelligence (EI) interests medical schools as a predictive factor in their graduates' clinical success. Historically black college and university (HBCU) academic health centers produce professionals to address health disparities. This preliminary study evaluated a health disparity reduction curr...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0091

    authors: Parks MH,Chen CK,Haygood CD,McGee ML

    更新日期:2019-01-01 00:00:00

  • Extending Medicare immunosuppressive medication coverage.

    abstract::African Americans and the poor are at a high risk of suffering from kidney disease and are at an extreme disadvantage when it comes to obtaining the resources needed to maintain a functioning kidney post-transplant. Medicare currently covers 80% of the cost of immunosuppressive therapy for up to three years following ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0021

    authors: Beaubrun AC

    更新日期:2012-02-01 00:00:00

  • Better Prescribing in Correctional Facilities.

    abstract::Serious mental illness is highly prevalent in jails and prisons, and treatment with psychiatric medications is often required. However, operational factors and patient characteristics make prescribing in correctional settings uniquely challenging. The American Academy of Psychiatry and the Law has approved the formati...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0055

    authors: Tamburello AC,Ferguson E

    更新日期:2016-01-01 00:00:00

  • Provider behaviors contributing to patient self-management of chronic illness among underserved populations.

    abstract::Effective treatment of chronic illness requires active engagement of patients in managing their own conditions. This research explores the influence of provider support for self-management on patients' performance of self-care activities, a widely presumed but under-studied relationship, particularly among underserved...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2005.0097

    authors: Greene J,Yedidia MJ,Take Care to Learn Evalutation Collaborative.

    更新日期:2005-11-01 00:00:00

  • Relation of domestic violence to health status among Hispanic women.

    abstract::Little research has addressed the association of domestic violence (DV) with physical and mental health in Hispanic women. We conducted a cross-sectional study with 146 Hispanic women patients in 2002 at an urban family medicine practice. Twenty-one percent of the women were identified as current victims of DV. Two-fi...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0145

    authors: Chen PH,Rovi S,Vega M,Jacobs A,Johnson MS

    更新日期:2009-05-01 00:00:00

  • Measuring the Effect of Social Determinants on Patient Outcomes: A Systematic Literature Review.

    abstract::Given the movement towards value-based purchasing in the United States, health care leaders need methods to characterize and address the complex effect that social determinants have on health care outcomes. This systematic literature review was specifically designed to understand current research on the effect that pa...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0009

    authors: Knighton AJ,Stephenson B,Savitz LA

    更新日期:2018-01-01 00:00:00

  • Improving access to care for uninsured patients at an academic medical center: The Access Partnership.

    abstract::Uninsured individuals face great challenges in accessing both primary and specialty care. The Access Partnership (TAP) is a novel collaboration between primary and specialty care providers at an urban academic medical center to provide care coordination and facilitate access to specialty services for uninsured patient...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0085

    authors: Block L,Ma S,Emerson M,Langley A,de la Torre D,Noronha G

    更新日期:2012-08-01 00:00:00

  • Under the ACA Higher Deductibles and Medical Debt Cause Those Most Vulnerable to Defer Needed Care.

    abstract:OBJECTIVE:Study occurrence and consequences of deductibles and medical debt among privately insured under the Affordable Care Act. METHODS:Analysis of 2012-2016 National Health Interview Survey data on privately insured adults younger than age 65 on the effect of deductibles on medical debt, deferred medical care, and...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0031

    authors: Rabin DL,Jetty A,Petterson S,Froehlich A

    更新日期:2020-01-01 00:00:00

  • Disparities in breast cancer treatment among American Indian, Hispanic and non-Hispanic White Women Enrolled in Medicare.

    abstract::Because racial/ethnic disparities in breast cancer survival have persisted, we investigated differences in breast cancer treatment among American Indian, Hispanic, and non-Hispanic White (NHW) women. Surveillance, Epidemiology and End Results data linked to Medicare claims in New Mexico and Arizona (1987-1997) among e...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0071

    authors: Wilson RT,Adams-Cameron M,Burhansstipanov L,Roubidoux MA,Cobb N,Lynch CF,Edwards BK

    更新日期:2007-08-01 00:00:00

  • Community based health insurance schemes: lessons from rural Kenya.

    abstract:BACKGROUND:Health care costs are often a hindrance to seeking health care. Community-based health care insurance schemes (CBHIS) is a suitable alternative to conventional health insurance schemes which are often beyond the budget of majority of rural residents in Africa. Following establishment of a model CBHIS in the ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0023

    authors: Kamau N,Njiru H

    更新日期:2014-02-01 00:00:00

  • Racism and Oral Health Outcomes among Pregnant Canadian Aboriginal Women.

    abstract::This study assessed links between racism and oral health outcomes among pregnant Canadian Aboriginal women. Baseline data were analyzed for 541 First Nations (94.6%) and Métis (5.4%) women in an early childhood caries preventive trial conducted in urban and on-reserve communities in Ontario and Manitoba. One-third of ...

    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.2016.0030

    authors: Lawrence HP,Cidro J,Isaac-Mann S,Peressini S,Maar M,Schroth RJ,Gordon JN,Hoffman-Goetz L,Broughton JR,Jamieson L

    更新日期:2016-02-01 00:00:00

  • Race/ethnicity, acculturation, and sex differences in the relationship between parental social support and children's overweight and obesity.

    abstract::In the present study we use the 2007 National Survey of Child Health to examine whether parental social support is associated with children's overweight/obesity and if this relationship is moderated by race/ethnicity, acculturation, and/or parent's sex. Results reveal that Hispanics (English and Spanish-speaking) and ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0147

    authors: Watt TT,Martinez-Ramos G,Majumdar D

    更新日期:2012-11-01 00:00:00

  • Racial Disparities in PAD-Related Amputation Rates among Native Americans and non-Hispanic Whites: An HCUP Analysis.

    abstract:INTRODUCTION:This study analyzed the impact of sociodemographic characteristics, patient comorbidities, risk factors for critical limb ischemia and hospital characteristics on racial disparities in amputation rates for Native American patients with peripheral artery disease (PAD). METHODS:The study used the Healthcare...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0058

    authors: Rizzo JA,Chen J,Laurich C,Santos A,Martinsen BJ,Ryan MP,Kotlarz H,Gunnarsson C

    更新日期:2018-01-01 00:00:00

  • The pattern of association between U.S. economic indicators and infant mortality rates at the state level.

    abstract::This cross-sectional ecological study examines the pattern of association of state income and income inequality (measured by Gini coefficient) with state infant mortality rates (IMRs) in the U.S. Scatter plots and correlation coefficients were used to examine bivariate associations and bubble plots to examine three-wa...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0144

    authors: Kershenbaum A,Price J,Nagle NN,Erwin PC

    更新日期:2014-08-01 00:00:00

  • Later-stage cancer in relation to medically underserved areas in Connecticut.

    abstract::Health status indicators, including advanced stage at diagnosis of cancer, have been proposed as indicators of health care access and quality to be considered in revising the definition of medically underserved areas (MUAs). Using the population-based Connecticut Tumor Registry, "outlier" census tracts were defined as...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0802

    authors: Polednak AP

    更新日期:2000-08-01 00:00:00

  • Exploring the role of religiosity in hypertension management among African Americans.

    abstract::The role of religiosity in hypertension management among African Americans was studied. Data were collected from in-depth, personal interviews with 20 African Americans who had been diagnosed with hypertension for at least one year. A majority of the participants used their religious beliefs as protective, control, an...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0566

    authors: Brown CM

    更新日期:2000-02-01 00:00:00

  • Barriers to health care among Asian immigrants in the United States: a traditional review.

    abstract::Asian immigrants in the U.S. are far less likely to have health insurance or use health care services than both U.S.-born Asians and non-Hispanic Whites. Furthermore, Asian immigrants who access the U.S. health care system are less likely than non-Hispanic Whites to receive high-quality services. This paper reviews fo...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,评审

    doi:10.1353/hpu.2013.0019

    authors: Clough J,Lee S,Chae DH

    更新日期:2013-02-01 00:00:00

  • Nganampa Health Council Dental Program: Remote Dentistry in the Australian Desert--Partnership or Perish.

    abstract::The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0037

    authors: Wooley S

    更新日期:2016-02-01 00:00:00

  • Racial/ethnic heterogeneity in the socioeconomic patterning of CVD risk factors: in the United States: the multi-ethnic study of atherosclerosis.

    abstract::Many studies document racial variation, gender differences, and socioeconomic status (SES) patterning in cardiovascular disease (CVD) risk factors but few studies have investigated heterogeneity in SES differences by race/ethnicity or gender. Using data from the Multi-Ethnic Study of Atherosclerosis (N=6,814) and stra...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0001

    authors: Boykin S,Diez-Roux AV,Carnethon M,Shrager S,Ni H,Whitt-Glover M

    更新日期:2011-02-01 00:00:00

  • The cultural and social context of oral and pharyngeal cancer risk and control among Hispanics in New York.

    abstract::New York City (NYC) has one of the highest incidence and mortality rates of oral and pharyngeal cancer (OPC) for Hispanics of any major U.S. city. This qualitative assessment explores OPC awareness, attitudes, and screening practices among at-risk Hispanics, health care providers, and community leaders in a Hispanic n...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2007.0092

    authors: Cruz GD,Shulman LC,Kumar JV,Salazar CR

    更新日期:2007-11-01 00:00:00

  • The costs and adequacy of safety net access for the uninsured in Genesee County, Michigan.

    abstract::This commentary examines Genesee County (Flint) Michigan to explore whether a well-structured safety net system is able to provide low-income uninsured people adequate access to care at a reasonable cost. Genessee County is one of the more economically challenged communities in the country. This commentary explores th...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 评论,杂志文章

    doi:10.1353/hpu.2012.0025

    authors: Hall MA,Hamacher L,Johnson JM

    更新日期:2012-02-01 00:00:00

  • African American female drug users and HIV risk reduction challenges with criminal involvement.

    abstract::The main objectives of this paper are to examine the prevalence of criminal involvement among a sample of African American female drug users and to identify factors associated with that criminal involvement, where criminal involvement is defined as having been in jail or prison. Data were collected in Atlanta from 333...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2005.0117

    authors: Sterk CE,Theall K,Elifson KW

    更新日期:2005-11-01 00:00:00

  • Does the epidemiologic paradox hold in the presence of risk factors for low birth weight infants among Mexican-born women in Colorado?

    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

    authors: Romero CX,Duke JK,Dabelea D,Romero TE,Ogden LG

    更新日期:2012-05-01 00:00:00

  • Self-reported health among Cambodians in Lowell, Massachusetts.

    abstract::National health data reported for Asians in the aggregate present a picture of good health, but significant health disparities exist between Southeast Asian refugees, and Cambodians in particular, and the overall population of the U.S. To effectively address health disparities, ethnically specific data is needed. Data...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0089

    authors: Koch-Weser S,Liang SL,Grigg-Saito DC

    更新日期:2006-05-01 00:00:00

  • Colorectal cancer screening among Korean American immigrants: unraveling the influence of culture.

    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

    authors: Lee HY,Im H

    更新日期:2013-05-01 00:00:00