Burden of Chronic Conditions among Patients from Free Clinics: A Retrospective Chart Review of 2015.

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 factors were investigated. RESULTS:In 2015, 3,196 adult patients with chronic conditions were managed in four free clinics. Many of these patients were women (60.8%) and Hispanic (44.7%); the group had a mean age of 47.9 years (SD=14.1) and a median income of $14,400. The top five prevalent conditions were hypertension (33.6%), hyperlipidemia (20.7%), diabetes (14%), major depression (11.7%), and arthritis (8.7%). In the multivariable analysis, clinic site, age, marital status, employment status, and household size were significantly associated with the Disease Burden Index. DISCUSSION:Public health prevention programs should focus on uninsured patients of free clinics who are mainly low-income, sicker, and unemployed, and often women and Hispanics.

authors

Rahman S,Mirza AS,Stenback J,Green S,Mayers Y,Iranmanesh E,Pribish A,Islam S,Woodard L

doi

10.1353/hpu.2018.0076

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

1011-1026

issue

3

eissn

1049-2089

issn

1548-6869

pii

S1548686918300147

journal_volume

29

pub_type

杂志文章
  • Do hospitals that serve a high percentage of Medicaid patients perform well on evidence-based guidelines for colon cancer care?

    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

    authors: Rhoads KF,Ngo JV,Ma Y,Huang L,Welton ML,Dudley RA

    更新日期:2013-08-01 00:00:00

  • Rurality and Health in the United States: Do Our Measures and Methods Capture Our Intent?

    abstract::Rural status in the United States can be objectively measured using multiple designations within different geographic extents, often considering both population density and proximity to urban areas. However, these measurements are often incomplete for assessing the relationship between rural status and health and are ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0008

    authors: Zahnd WE,Mueller-Luckey GS,Fogleman AJ,Jenkins WD

    更新日期:2019-01-01 00:00:00

  • Condom-use patterns among women who live in public housing developments in Ponce, Puerto Rico.

    abstract::Abstract:Background. Understanding condom-use patterns and the reasons that women have for choosing not to use condoms with their sexual partners, (both steady and non-steady), is important to the development and implementation of targeted, culturally appropriate interventions that can promote condom u...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0160

    authors: Norman LR,Garriga CA,Cintron L

    更新日期:2011-01-01 00:00:00

  • Urban, low-income, African American light smokers: perceptions of cessation counseling.

    abstract::Nine focus groups (N = 57), which included a demographic survey, were conducted to evaluate urban, low-income, African American light smokers' experiences of cessation counseling. Chi-squared and independent t-tests were run to analyze survey data. Participants with a self-reported co-morbidity were more likely than p...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0146

    authors: Warren JR,Catona D

    更新日期:2013-08-01 00:00:00

  • Race/ethnicity and the socioeconomic status gradient in women's cancer screening utilization: a case of diminishing returns?

    abstract::Using three years (2006, 2008, 2010) of nationally representative data from the Behavioral Risk Factor Surveillance System, I assessed the socioeconomic status (SES) gradient for odds of receiving a mammogram in the past two years and a Pap test in the past three years among White, Black, Hispanic, and Asian women liv...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0050

    authors: Monnat SM

    更新日期:2014-02-01 00:00:00

  • Access to and Disparities in Care among Migrant and Seasonal Farm Workers (MSFWs) at U.S. Health Centers.

    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

    authors: Hu R,Shi L,Lee DC,Haile GP

    更新日期:2016-01-01 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

  • Best Practices for Community-Engaged Research with Pacific Islander Communities in the US and USAPI: A Scoping Review.

    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

    authors: McElfish PA,Yeary K,Sinclair IA,Steelman S,Esquivel MK,Aitaoto N,Kaholokula K,Purvis RS,Ayers BL

    更新日期:2019-01-01 00:00:00

  • Evaluation Activities and Influences at the Intersection of Medical and Social Services.

    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

    authors: Gottlieb L,Ackerman S,Wing H,Adler N

    更新日期:2017-01-01 00:00:00

  • Cardiovascular risk in African American women attending historically Black colleges and universities: the role of dietary patterns and food preferences.

    abstract::There is a lack of data on the dietary patterns and food preferences of African American women attending historically Black colleges and universities (HBCUs). African American women have higher death rates from cardiovascular disease than White women, and the initiating events of cardiovascular disease often begin in ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0933

    authors: Brown SC,Geiselman PJ,Broussard T

    更新日期:2010-11-01 00:00:00

  • What Is the Potential of Community Paramedicine to Fill Rural Health Care Gaps?

    abstract::Community paramedicine (CP) uses emergency medical services (EMS) providers to help rural communities increase access to primary care and public health services. This study examined goals, activities, and outcomes of 31 rural-serving CP programs through structured interviews of program leaders and document review. Com...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0192

    authors: Patterson DG,Coulthard C,Garberson LA,Wingrove G,Larson EH

    更新日期:2016-01-01 00:00:00

  • A community-based pilot study of a diabetes pharmacist intervention in Latinos: impact on weight and hemoglobin A1c.

    abstract::Type 2 diabetes disproportionately affects Latinos increasing their risk of diabetes-related complications. This study used a randomized controlled design with a community-based approach to evaluate the impact of a culturally tailored pharmacist intervention on clinical outcomes in Latino diabetics. The intervention i...

    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.2014.0003

    authors: Castejón AM,Calderón JL,Perez A,Millar C,McLaughlin-Middlekauff J,Sangasubana N,Alvarez G,Arce L,Hardigan P,Rabionet SE

    更新日期:2013-11-01 00:00:00

  • Implementing the obesity care model at a community health center in Hawaii to address childhood obesity.

    abstract::Obesity, the most common chronic disease of childhood, is prevalent among economically disadvantaged children. The Chronic Care and Obesity Care Models are comprehensive health care strategies to improve outcomes by linking primary care best practices and community-based programs. Pediatric providers and community hea...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0108

    authors: Okihiro M,Pillen M,Ancog C,Inda C,Sehgal V

    更新日期:2013-01-01 00:00:00

  • Utilization and Cost Analysis of a Chronically Ill, Newly Insured Indigent Population.

    abstract::The Affordable Care Act expanded health insurance for low-income, uninsured individuals. Few longitudinal analyses have investigated how insurance expansion influences cost and utilization among adults with chronic conditions. This study conducted longitudinal analysis investigating time trends in utilization and cost...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2017.0119

    authors: Baek JD,Seidman RL,Finlayson TL

    更新日期:2017-01-01 00:00:00

  • How Should We Treat the Vulnerable?: Qualitative Study of Authoritative Ethics Documents.

    abstract::The aim of this study is to explore what actual guidance is provided by authoritative ethics documents regarding the recognition and protection of the vulnerable. The documents included in this analysis are the Belmont Report, the Declaration of Helsinki, The Council for International Organizations of Medical Sciences...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0154

    authors: Zagorac I

    更新日期:2016-01-01 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:2016-01-01 00:00:00

  • Racial and ethnic disparities in health: a view from the South Bronx.

    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. Finding...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0026

    authors: Kaplan SA,Calman NS,Golub M,Davis JH,Ruddock C,Billings J

    更新日期:2006-02-01 00:00:00

  • The influence of perceived discrimination on health-related quality of life in an East Coast American Indian tribe.

    abstract:OBJECTIVE:To examine the association of perceived discrimination and health-related quality of life using cross- sectional survey. METHODS:We measured perceived discrimination using a nine-item discrimination scale and measured health-related quality of life with the mental component summary (MCS) and physical compone...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0183

    authors: Johansson P,Muller CJ,Samos MW,Goldberg J

    更新日期:2013-11-01 00:00:00

  • Surveying Tenants of Permanent Supportive Housing in Skid Row about COVID-19.

    abstract::Permanent supportive housing (PSH) enrolls highly vulnerable homeless adults who experience early onset of geriatric conditions and require in-home support. Thus, there is potentially a high risk for COVID-19 within PSH, which may require tenants to take protective measures. This study reports on survey results collec...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2020.0120

    authors: Henwood BF,Redline B,Lahey J

    更新日期:2020-01-01 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

  • Preventive health counseling reported by uninsured women with limited access to care.

    abstract::Low-income women in the childbearing years are at an increasing risk of becoming uninsured as welfare reforms are enacted and women enter minimum-wage jobs without insurance benefits. This study contrasts preventive counseling reported by low-income uninsured mothers and mothers insured through Medicaid. Low-income wo...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0143

    authors: Nickel JT,Salsberry PJ,Polivka BJ,Kuthy RA,Loebs SF,Slack C,Shapiro N

    更新日期:1998-08-01 00:00:00

  • Racialized geography, corporate activity, and health disparities: tobacco industry targeting of inner cities.

    abstract::Industry has played a complex role in the rise of tobacco-related diseases in the United States. The tobacco industry's activities, including targeted marketing, are arguably among the most powerful corporate influences on health and health policy. We analyzed over 400 internal tobacco industry documents to explore ho...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,评审

    doi:10.1353/hpu.2007.0120

    authors: Yerger VB,Przewoznik J,Malone RE

    更新日期:2007-11-01 00:00:00

  • Poverty, residential segregation, and black/white mortality ratios in urban areas.

    abstract::Researchers speculate that in addition to poverty, residential patterns may contribute to black/white differences in mortality rates. But few have assessed the relationship. This study reports considerable variation in the black/white ratio of age-specific all-cause mortality rates (ages 15-24 to 65-74 years) from 198...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0094

    authors: Polednak AP

    更新日期:1993-01-01 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

  • Allocating HIV treatment to the adherent: a qualitative study of patient perceptions of their HIV care in the Dominican Republic.

    abstract:BACKGROUND:The Dominican Republic (DR) has provided free antiretrovirals (ARVs) since 2004. Little is known about adherence to ARV regimens in the DR. METHODS:We audio-recorded 53 HIV care visits at a hospital-based clinic in the DR, conducted post-visit interviews with each patient, and observed clinic policies and p...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0190

    authors: Brooks K,Laws MB,Wilson I

    更新日期:2014-11-01 00:00:00

  • Vision Problems in Homeless Children.

    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

    authors: Smith NL,Smith TJ,DeSantis D,Suhocki M,Fenske D

    更新日期:2015-08-01 00:00:00

  • Influenza immunization disparities in primary care offices--a comparative case study.

    abstract::Without insight into the primary care environment, further improvements in influenza immunization rates are unlikely. We conducted a comparative case study of family medicine offices during the 2003 influenza immunization season. Practice 1 (P1) served an urban African American population, practice 2 (P2) served a sub...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0084

    authors: Roemheld-Hamm B,Isaacson N,Winston C,Scott J,Hudson S,Crabtree B

    更新日期:2008-11-01 00:00:00

  • Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

    abstract::Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y.). Sociodemographic, health, and health care information were obtained via intake i...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0109

    authors: Northridge ME,Chakraborty B,Salehabadi SM,Metcalf SS,Kunzel C,Greenblatt AP,Borrell LN,Cheng B,Marshall SE,Lamster IB

    更新日期:2018-01-01 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

  • Shaping the Jail Inreach Project: program evaluation as a quality improvement measure to inform programmatic decision making and improve outcomes.

    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

    authors: Brown CA,Hickey JS,Buck DS

    更新日期:2013-05-01 00:00:00