Abstract:
:As a response to rising health care costs and substantial cuts in state funding for correctional health care in Texas, we developed and applied a process framework for systematically prioritizing the provision of inpatient hospital services to prisoners. Specifically, all inpatient services provided from September 2009 through August 2011 at the University of Texas Medical Branch/Texas Department of Criminal Justice Hospital were sorted according to levels of care consistent with those previously defined by the Oregon Department of Corrections and the Federal Bureau of Prisons. Nearly all inpatient services (94%) were deemed medically mandatory (Level 1) or medically necessary (Level 2). These services must be funded to ensure an adequate level of care, and capitated-funding mechanisms may not be sufficiently flexible to cover their costs. Correctional health care systems may adapt the framework used here to inform state policymakers regarding provision of inpatient services and funding requirements.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Schneider BC,Harzke AJ,Ivanitskaya L,Murray OJdoi
10.1353/hpu.2014.0077subject
Has Abstractpub_date
2014-05-01 00:00:00pages
863-76issue
2eissn
1049-2089issn
1548-6869pii
S1548686914200313journal_volume
25pub_type
杂志文章abstract:BACKGROUND:Prophylactic treatment of latent tuberculosis infection (LTBI) is necessary for controlling TB in low-incidence settings. However, treatment is often limited by poor completion rates. METHODS:At a community health center serving low-income Hispanics, treatment completion among patients accepting 12 weekly d...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.2015.0126
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To examine how the safety net in Michigan is responding to the health care needs of their uninsured population with diabetes and/or mental illness. METHODS:We used a multiple-site case study design. Data were collected through interviews of key informants in five Michigan communities. Analytic patterns and t...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0100
更新日期:2009-02-01 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::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
更新日期:2000-02-01 00:00:00
abstract::This integrative literature review evaluates the construct validity and potential for bias of commonly used postpartum depression screening tools in women with low socioeconomic status. Multiple search strategies were applied to identify literature addressing the validity of the Beck Depression Inventory, Center for E...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.2012.0163
更新日期:2012-11-01 00:00:00
abstract::Previous studies show that many physicians do not accept new patients with Medicaid coverage, but no study has examined Medicaid enrollees' actual experience of provider refusal of their coverage and its implications. Using the 2012 National Health Interview Survey, we estimate provider refusal of health insurance cov...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0096
更新日期:2016-01-01 00:00:00
abstract::Reducing the cancer incidence and mortality rates of underserved populations will require multidisciplinary efforts involving diverse teams of investigators. We describe a collaborative program between a National Cancer Institute-designated cancer center and a minority-serving institution. The organizations worked tog...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0167
更新日期:2013-11-01 00:00:00
abstract::This study explores ways in which welfare reforms have affected utilization of four health services (physician visits, hospital care, prescription medication, and dentist visits) and the impact of health insurance on these services. A secondary data analysis of a nationally representative sample of 1,259 non-elderly a...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0048
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:Previous work suggests hospitals serving high percentages of patients with Medicaid are associated with worse colon cancer survival. It is unclear if practice patterns in these settings explain differential outcomes. HYPOTHESIS:High Medicaid hospitals (HMH) have lower compliance with evidence-based care pro...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0122
更新日期:2013-08-01 00:00:00
abstract::Young women in Jamaica face significant risk for HIV and other STIs. A clearer understanding of the factors associated with sexual experience and unprotected intercourse is needed. Data were collected from 330 adolescent females aged 13 to 17 recruited through community based organizations in Kingston, Jamaica, from 2...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0023
更新日期:2013-02-01 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::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::Abstract:U.S. health disparities are real, pervasive, and persistent, despite dramatic improvements in civil rights and economic opportunity for racial and ethnic minority and lower socioeconomic groups in the United States. Change is possible, however. Disparities vary widely from one community to ano...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0084
更新日期:2012-05-01 00:00:00
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
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:To assess the quality of asthma care within the paediatric population who attended health centres in Kingston & St. Andrew (KSA) and compare this quality to Global Initiative for Asthma (GINA) guidelines. METHODS AND MATERIALS:Data were collected from 257 dockets of children aged 2-17 years old with asthma ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0028
更新日期:2019-01-01 00:00:00
abstract::This study was designed to identify determinants of breast and cervical cancer screening among rural, low-income Hispanic women using migrant health clinics in eastern Washington state. Five hundred and twelve foreign-born Hispanic women were interviewed. Odds ratios and 95 percent confidence intervals generated via l...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究
doi:10.1353/hpu.2010.0465
更新日期:1996-11-01 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::Although population-based studies report lower rates of cancer screening among racial/ethnic minorities than among Whites in the U.S., few studies have examined predictors of screening among low-income Hispanic, Black, and Chinese primary care patients. We examined utilization of mammography, Pap smear, digital rectal...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2008.0001
更新日期:2008-02-01 00:00:00
abstract::During the 1992 presidential campaign, Governor Clinton promised, if elected, to provide leadership from the Oval Office for sweeping, comprehensive reform of the U.S. health-care system to benefit all Americans. The President's ambitious blueprint, as outlined on September 22, 1993, falls short of this pledge. For th...
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::The documented high incidence of mental health disorders among individuals in substance abuse treatment argues for the importance of studying the provision of mental health services to this population. This survey documents how the Linkage Programs assembled an array of mental health services based on the assessed hea...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究
doi:10.1353/hpu.2010.0377
更新日期:1995-01-01 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: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: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::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: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 objectives of this study were: 1) to evaluate the acceptance, effectiveness, and sustainability of a promotora (community health worker) pilot program to improve hypertension control among medically underserved Mexican Americans of the El Paso, Texas area, and 2) to demonstrate improvements in clinical measures 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.0.0209
更新日期:2009-11-01 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::Despite substantial asthma prevalence and morbidity, children from Spanish-speaking families are at high risk of inadequate maintenance therapy. The reasons for this remain unclear. The objective of this study was to compare patterns of asthma morbidity and access to care of children with asthma from Spanish-speaking ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0005
更新日期:2005-02-01 00:00:00
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
更新日期:2000-08-01 00:00:00
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
更新日期:2005-11-01 00:00:00