Abstract：
:The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, the number of inpatient admissions and the number of intensive care unit (ICU) days in the last 90 days of life, hospice care ever used and hospice enrollment within the last 3 days of life. Medicare beneficiaries with lung cancer residing in rural, remote rural, and micropolitan areas had more ER visits in the last 90 days of life as compared to urban residents. Urban residents however, had more ICU days in the last 90 days of life and were more likely to have ever used hospice as compared to residents of rural, remote rural and micropolitan counties. Racial minority lung cancer patients had more ICU days, ER visits and inpatient days than non-Hispanic White patients, and also were less likely to have ever used hospice care or be enrolled in hospice in the last 3 days of life. Lung cancer patients with very low socioeconomic status (SES) were less likely to ever use hospice or be enrolled in hospice care in the last 3 days of life, as compared to those who had very high SES. Geographic, racial and socioeconomic disparities in end of life care call for targeted efforts to address access barriers for these groups of patients.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Nayar P,Qiu F,Watanabe-Galloway S,Boilesen E,Wang H,Lander L,Islam Mdoi
10.1007/s10900-014-9850-xsubject
Has Abstractpub_date
2014-10-01 00:00:00pages
1012-9issue
5eissn
0094-5145issn
1573-3610journal_volume
39pub_type
杂志文章abstract：:Consumer participation and influence were studied in one Health Systems Agency in the southeastern United States over a 20-month period (July 1976--February 1978). Consumer board members were found to be significantly less influential in agency decision making than were provider board members. This difference in influ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323009
更新日期：1981-04-01 00:00:00
abstract：:More than 58 million nonsmokers in the U.S. encounter secondhand smoke that leads to tobacco-related diseases and deaths every year, making voluntary household smoking bans an important public health goal. American Indians/Alaska Natives are rarely included in research related to household smoking bans. Further, most ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-0479-z
更新日期：2018-08-01 00:00:00
abstract：:This study compared the effects of a community-based lay home visiting initiative for pregnant adolescents, the Norfolk Resource Mothers Program, with the effects of a more traditional clinic-based program. The Resource Mothers Program (RMP) supports disadvantaged teens through the use of para-professional home visito...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02260520
更新日期：1994-02-01 00:00:00
abstract：:Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005-2010. We obtained county-le...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0064-7
更新日期：2016-02-01 00:00:00
abstract：:Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0396-6
更新日期：2018-02-01 00:00:00
abstract：:Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardiovascular disease among comm...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-007-9074-4
更新日期：2008-04-01 00:00:00
abstract：:HPV-related cancers can be prevented through HPV vaccination, however uptake and completion of the vaccination in the state of Georgia remains suboptimal. The research team conducted two online focus groups with members of the Georgia Cancer Control Consortium HPV Work Group in efforts to better understand the role th...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-00598-2
更新日期：2019-06-01 00:00:00
abstract：:The increasing number cases of coronavirus disease (COVID-19) infections in the general population in Indonesia raises questions concerning the public's knowledge and attitudes regarding this pandemic. To determine the correlation between the general public's knowledge and attitudes regarding the COVID-19 outbreak 1 m...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00866-0
更新日期：2021-02-01 00:00:00
abstract：:This study assessed the degree to which local health departments (LHDs) are preparing to replace retiring top executives. Questionnaires were sent to all 134 local health departments in Ohio. It is typical of many states in terms of the organization of LHDs. Ninety-two LHD top executives responded. The questionnaire a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-006-9044-2
更新日期：2007-06-01 00:00:00
abstract：:The purpose of this study was to assess factors that influence mammography use among volunteer community health workers (CHWs). Data trends indicate lower mammography rates among minority and low-income women. Although CHW interventions have been shown to promote mammography use among this population, training strateg...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9272-3
更新日期：2010-12-01 00:00:00
abstract：:In 2000, the government of Vietnam conducted the first assessment of its national peer education program for HIV prevention. Twenty (32%) of Vietnam's 61 provinces and urban areas had functioning peer education programs, and program coordinators of all 20 were interviewed regarding their programs. In addition, on-site...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1021321704417
更新日期：2003-02-01 00:00:00
abstract：:Hepatitis C (HCV) care cascades have been described in diverse clinical settings, patient populations and countries, highlighting the steps in HCV care where improvements can be made and resources allocated. However, more research is needed to examine barriers to HCV treatment in rural, underserved populations and in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00736-4
更新日期：2020-04-01 00:00:00
abstract：:Telephone interviews to obtain direct patient feedback about medical care can provide an important means for inducing behavior change of providers as part of an ongoing quality assurance program. This article reviews development of our telephone interview methodology and summarizes our experience with 1.110 patient in...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324055
更新日期：1980-10-01 00:00:00
abstract：:Despite availability of a safe, effective vaccination, uptake and completion rates of human papillomavirus (HPV) vaccination remain low in the United States. This is particularly true in the southeast, which also sees some of the highest rates of HPV-associated (HPVa) cancers. We aimed to identify areas in Alabama in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00690-1
更新日期：2019-12-01 00:00:00
abstract：:Colorectal cancer (CRC) remains a leading cause of morbidity and mortality in the U.S. Disparities in access to care contribute to advanced CRC stage at diagnosis, and these disparities are most pronounced among underserved populations and ethnic minorities. We aim to evaluate race/ethnicity-specific disparities in CR...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0309-0
更新日期：2017-08-01 00:00:00
abstract：:Recently, the cholera outbreak in Haiti demonstrated just how unprepared the country is to rapidly isolate an outbreak of this magnitude, and its vulnerability to the COVID-19 pandemic. This communication briefly examines the health system in Haiti and its vulnerability toward the COVID-19 outbreak. ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00825-9
更新日期：2020-06-01 00:00:00
abstract：:Prevention of childhood obesity is a national priority. Parents influence young children's healthy lifestyles, so it is paradoxical that obesity interventions focus primarily on children. Evidence and theory suggest that including parents in interventions offers promise for effective childhood obesity prevention. This...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9573-9
更新日期：2013-02-01 00:00:00
abstract：:Universal health coverage requires an adequate health workforce, including community health workers (CHWs) to reach rural communities. To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community hea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0110-5
更新日期：2016-04-01 00:00:00
abstract：:To examine common reasons for utilization of health care services at a free homeless youth clinic. This is a retrospective chart review for visits over a 1 year period. Data on age, gender, and up to 3 chief complaints per visit were collected from the electronic medical record. Of the 744 clinical encounters, the mea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9789-3
更新日期：2014-06-01 00:00:00
abstract：:In a large-scale survey of rural consumers (n = 3,056), respondents were asked whether they would allow a nurse practitioner to perform each of 12 functions. The results indicate general acceptance of a broadly defined role for the nurse practitioner. Only two functions were not acceptable to a majority of the respond...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01666778
更新日期：1983-07-01 00:00:00
abstract：:Since the mid-1980s, clinicians working in community and migrant health centers formed clinical networks to provide administrative and clinical training, regular interaction with peers, and opportunities for participation in policy formulation. The subject of this article is the most developed of the regional clinical...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01702604
更新日期：1996-12-01 00:00:00
abstract：:Using a sample of 13,500 adolescents (53% female and 47% male) who participated in all four waves of the National Longitudinal Study of Adolescent Health, this study used multilevel regression to examine the influence of early structural community adversity (as measured by rates of community poverty, single-parent hea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9511-2
更新日期：2012-08-01 00:00:00
abstract：:Improved pneumococcal vaccine (PPV) immunization for seniors is a national goal of the Medicare program. This study examined whether adding a simple telephone follow-up to an existing mailed physician performance feedback under the Medicare program would increase the impact on billed pneumococcal immunizations. Medica...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1023/b:johe.0000016715.91811.4b
更新日期：2004-04-01 00:00:00
abstract：:Analysis of data obtained through a survey of 415 men in New Orleans, Louisiana, and Rochester, New York, indicates that the transfer of testicular self-examination (TSE) skills from the medical community to the public has been relatively ineffective. Only two of every 100 respondents reported monthly self-examination...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01341720
更新日期：1991-04-01 00:00:00
abstract：:During the past 20 years, suicide rates in the United States have risen consistently. The upward trend has been particularly pronounced for adolescents and males. The availability of a complete data set on all suicides that occurred between 1925 and 1979 in Sacramento County, California, allowed us to compare trends i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01318930
更新日期：1983-10-01 00:00:00
abstract：:Human papillomavirus (HPV) infection of the genital tract is one of the most common sexually transmitted diseases (STDs), and a subset of genital tract HPVs are etiologically associated with cervical cancer. The prevalence of HPV infection is highest among adolescents and young adults. This study was undertaken to exp...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1005192902137
更新日期：2000-02-01 00:00:00
abstract：:This study examines the living situation of elderly people in rural China whose children have left to work in other areas [the 'left behind' elderly (LBE)] and explores policy implications associated with their care. Based on survey data and interviews conducted in three villages in Jiangxi Province, China, we compare...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9864-4
更新日期：2014-08-01 00:00:00
abstract：:Community health workers (CHW) have historically served to link structurally vulnerable populations to broad support systems. Emerging evidence suggests that CHWs engage in various forms of advocacy to promote policy and systems change. We assessed the impact of CHW community advocacy on community change, defined as c...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0370-3
更新日期：2017-12-01 00:00:00
abstract：:Although successful utilization of medical and preventive care by members of the non-US born communities is an important public health concern, our knowledge regarding health practices of different ethnic subgroups is limited. In the present study, participants of the health fairs organized during South Asian cultural...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9449-4
更新日期：2012-04-01 00:00:00
abstract：:The medical inspection of immigrants arriving in the United States in the late nineteenth and early twentieth centuries was framed by a need to rapidly process large numbers of people. Scientific medicine, such as it was then, was subordinate to the existing immigration laws which reflected the influences of the power...
journal_title：Journal of community health
pub_type： 传,历史文章,杂志文章
doi：10.1007/s10900-008-9088-6
更新日期：2008-08-01 00:00:00
