Abstract:
:Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children's Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential confounders. Lack of a medical home was associated with disparities in the quality of care, more so than access disparities. Addressing health care disparities for Latino children requires particular attention to the unique needs of Latino children with parents who may experience language barriers during health care encounters.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
DeCamp LR,Choi H,Davis MMdoi
10.1353/hpu.2011.0113subject
Has Abstractpub_date
2011-11-01 00:00:00pages
1151-66issue
4eissn
1049-2089issn
1548-6869pii
S1548686911400036journal_volume
22pub_type
杂志文章abstract:BACKGROUND:Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations. METHODS:A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, de...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0066
更新日期:2011-08-01 00:00:00
abstract::The food environment is described by two measures: store-level (actual) and individual-level (perceived). Understanding the relationship between actual and perceived fruit and vegetable (F&V) nutrition environments is important as their association may influence F&V purchases and consumption. The study objective was t...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0109
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Direct-acting antivirals (DAA) have revolutionized the treatment of chronic hepatitis C virus (HCV) infection. OBJECTIVE:To evaluate the clinical effectiveness of DAA in a safety-net population. METHODS:Retrospective cohort study including patients who received at least one dose of DAA for chronic HCV infe...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0090
更新日期:2020-01-01 00:00:00
abstract::This paper reports the baseline data on the proportion of Hmong women (n=402), ages 18-65, in Sacramento, California who reported that they had a Pap test for the early detection of cervical cancer. We assessed the association between sociodemographic characteristics and Pap test receipt using chi-squared and multiple...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0338
更新日期:2010-08-01 00:00:00
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...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0251
更新日期:1990-01-01 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::This scoping review identifies the best practices of community-based participatory research with Pacific Islanders in the United States and United States Affiliated Pacific Islands. Eighty-four articles from January 2000 to December 2017 were included in the review. Best practices included the importance of engaging P...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.2019.0101
更新日期:2019-01-01 00:00:00
abstract::In this pilot study for evaluating equity in services at a hospital in rural Haiti, we investigated whether topography, walking time to dispensary, and presence of a mobile clinic were related to disparities in prenatal care utilization, using quantitative hospital record data on 100 women pregnant in 2002. We also as...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2008.0015
更新日期:2008-02-01 00:00:00
abstract::Public reporting of health care provider quality is intended to spark consumer informed decision-making, yet there is concern that it might exacerbate disparities. This study explores the extent to which people with chronic conditions are aware of and using comparative quality information (CQI) on hospitals and doctor...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0093
更新日期:2015-08-01 00:00:00
abstract::Many observers explain the prevalence of inadequate prenatal care in the United States by citing demographic or psychosocial factors. But few have evaluated the barriers faced by women with different health insurance status and socioeconomic backgrounds. In this study of 149 women at six hospitals in Minneapolis, insu...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0472
更新日期:1991-10-01 00:00:00
abstract::Prompt HIV diagnosis decreases the risk of HIV transmission and improves health outcomes. The study objective was to examine rates of delayed HIV diagnosis among non-Latino Black Caribbean immigrants in Florida. The sample included 39,008 Black HIV-positive individuals, aged 13 or older from the Caribbean and the main...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2018.0019
更新日期:2018-01-01 00:00:00
abstract::The Regional Coordinating Center for Hurricane Response (RCC) collaborated with the EXPORT Centers (Centers of Excellence in Partnerships for Community Outreach, Research on Health Disparities and Training) to rebuild, revitalize, and improve the health care infrastructure in the Gulf Coast states damaged by Hurricane...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0040
更新日期:2007-05-01 00:00:00
abstract::The Jail Inreach Project was initiated in 2007 as a pilot program by Healthcare for the Homeless-Houston, an FQHC serving homeless individuals in Harris County, Texas, as a collaborative effort with the Harris County Sheriff's Office and the Mental Health Mental Retardation Authority of Harris County. It addresses the...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0063
更新日期:2013-05-01 00:00:00
abstract::In the NIMHD-funded Health Disparities Research Center of Excellence at Meharry, faculty and scholars are trained to better address environmental health issues by integrating longitudinal, multi-systemic, spatially, and temporally referenced analytical methods. These methods include computational, multilevel, and spat...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0037
更新日期:2013-02-01 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
abstract::Rising malpractice insurance rates have led to a decrease in the number of physicians who provide rural obstetrical care. North Carolina has responded with the Rural Obstetrical Care Incentive (ROCI) Program, which provides up to $6,500 per year to physicians who provide obstetrical care to the rural poor in conjuncti...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0107
更新日期:1993-01-01 00:00:00
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
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Early education interventions have been forwarded as a means for reducing social disparities in income and health in adulthood. We explore whether a successful early education intervention, which occurred between 1985 and 1989, improved the employment rates, earnings and health of blacks relative to whites t...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1353/hpu.2011.0148
更新日期:2011-11-01 00:00:00
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
更新日期:2019-01-01 00:00:00
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
更新日期:2012-02-01 00:00:00
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
更新日期:2016-01-01 00:00:00
abstract::Until recently, few children with chronic illnesses such as sickle cell disease (SCD) lived past late adolescence. Substantial reductions in mortality mean a growing number of adolescents with SCD reach adulthood. Consensus among researchers and health care providers (HCP) from multiple disciplines is that critical at...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2004.0049
更新日期:2004-08-01 00:00:00
abstract::We describe data from a multi-center community-based survey of homeless veterans who were not accessing available primary care to identify reasons for not getting this care as well as for not seeking health care when it was needed. Overall, 185 homeless veterans were interviewed: The average age was 48.7 years (SD 10....
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1353/hpu.2015.0077
更新日期:2015-08-01 00:00:00
abstract::Despite a growing national interest in health care-based strategies focused on patients' social determinants of health (SDH), little has been compiled about the impacts of SDH interventions undertaken in clinical settings. To understand better what is known in this area and incentives and barriers to related research,...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0089
更新日期:2017-01-01 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::Substance use disorder is a common cause of morbidity and mortality in the United States. Comprehensive harm reduction programs have emerged as a public health strategy to help those with substance use disorder. At this time little is known about the population of people who use comprehensive harm reduction programs. ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0130
更新日期:2020-01-01 00:00:00
abstract::This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data suggest the clinic prevents health care delays and lowers emergenc...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0069
更新日期:2007-08-01 00:00:00
abstract::This study evaluates the factors associated with utilization of generic drug discount program (GDDP) among federally qualified health center (FQHC) patients in Houston, Texas. A survey to determine awareness and use of GDDP was administered to 304 patients at three FQHCs in Houston, Texas. Patients at FQHCs treated wi...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0069
更新日期:2012-05-01 00:00:00
abstract:INTRODUCTION:There is limited research about the poor and uninsured patients who visit free clinics. METHODS:We conducted a retrospective chart review of uninsured adult patients in four free clinics seen between January and December 2015. Prevalence of chronic conditions and their association with socioeconomic facto...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2018.0076
更新日期:2018-01-01 00:00:00
abstract::This cross-sectional study examined the relationship between patients' assessment of patient-centered medical home (PCMH) characteristics and patient experiences at a federally qualified health center. The survey was based on the Consumer Assessment of Health care Providers and Systems (CAHPS) instrument. Patient-cent...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0100
更新日期:2020-01-01 00:00:00