Journal of Health Care for the Poor and Underserved Journal of Health Care for the Poor and Underserved RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

What Patients Want in a Transgender Center: Building a Patient-Centered Program
This study shares how our organization assessed patients' perceptions of health care organizations that provide gender-affirming care. Building on qualitative interview data, we distributed an online survey via a lesbian-gaybisexual-transgender-queer research firm. The survey was completed by 314 transgender individuals residing in 37 U.S. states and territories. Most respondents (69%) reported negative experiences seeking health care. Patients would travel long distances for competent providers and were more willing to seek care from an institution actively working to change a formerly negative reputation. Patients descri...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Helene F Hedian Paula M Neira Devin Coon Joshua Schwarz Joseph Cofrancesco Brandyn D Lau Source Type: research

Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders
This study uses qualitative interviews with professionals providing navigation services to American Indian Elders in a Southwestern state to understand the skills, experiences, and challenges involved in delivering this support. We conducted semi-structured interviews with 16 professionals providing navigation support to AI Elders between November 2018 and August 2020 and used a constant comparative approach to identify themes. Participants' descriptions of their work centered on the themes of (1) respect for Elders; (2) wide-ranging responsibilities; (3) acting as a trusted communicator; (4) developing trust; and (5) chal...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Elise Trott Jaramillo Emily A Haozous Hannah Brechtel Cathleen E Willging Source Type: research

"We're Trained to Survive.": Veterans' Experiences Seeking Food Assistance
CONCLUSIONS: Opportunities to help veterans include (1) addressing contributing circumstances, (2) improving identification, (3) sharing knowledge of resources, and (4) reexamining sufficiency of food assistance programs.PMID:38661870 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Nipa Kamdar Trenton Haltom Gabriella Epshteyn Chasity Wohlford John Smith Caitlin Celardo Gala True Source Type: research

Factors that Affect Patient Wait Times at a Free Clinic
J Health Care Poor Underserved. 2024;35(1):285-298.ABSTRACTFree clinics may present long wait times. A retrospective chart review was conducted at a free clinic to understand contributing factors. Three wait times (total visit time, lobby wait time, and triage time) were analyzed across 349 patients. Variables included in the models were the total number of patients, providers, and volunteers; interpreter services; social work involvement; medical complexity; new vs. returning patient; scheduled vs. walk-in appointment; transportation provision; medical volunteer training level; and on-site medications and labs. Data analy...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Eric Min Ziniya Shah Tricia Keller Madeline Howarth Chinwe Ekeocha Robert Cooper Summit H Shah Source Type: research

Immigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use
J Health Care Poor Underserved. 2024;35(1):299-315.ABSTRACTChildren in immigrant families (CIF) constitute 25% of all children in the United States. Known barriers to accessing and navigating the health care system for immigrants (i.e., poverty, fear, limited English proficiency, lack of insurance) lead to decreased medical home establishment among CIF, although the ways in which these obstacles affect medical home access are less studied. With a focus on Congolese, Afghan, Syrian/Iraqi, and Central American immigrants, key informant interviews and focus groups were conducted to identify mothers' perceptions of and experie...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Tricia Francisco Wagner Allison Olmsted Kimberly Kay Lopez Karla Fredricks Source Type: research

Vaccine Attitudes and Uptake Among Latino Residents of a Former COVID-19 Hotspot
This study uses spatial, survey, and qualitative data to understand attitudes towards vaccine uptake among PWC Latinos. A quantitative analysis (n=266) estimates the association for vaccine acceptance among Latinos. Next, qualitative interviews with Latinos (n=37) examine vaccine attitudes. Finally, a spatial analysis identifies clusters of social vulnerability and low vaccine uptake in PWC and adjacent counties. Our findings show that a substantial proportion of PWC Latinos had low vaccination rates as of December 2022, two years after the vaccine's release. Side effects and safety and approval concerns were cited in both...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Carol Cleaveland Taylor Anderson Kimberly McNally Amira A Roess Source Type: research

Latinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization
This study examined mental health needs and risk factors associated with service use among Latinx high school students in two cities in the United States. We explored how socioeconomic characteristics, school location, youth and parental nativity, and self-perceived clinical needs were associated with the odds of youths seeing a mental health provider. Data were collected from 306 Latinx youths during the 2018-19 school year. Most youths (78%) self-reported symptoms of anxiety, trauma, or depression above the clinical range. None of these clinical needs predicted service utilization. Youth experiencing less economic hardsh...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Natalia Giraldo-Santiago Arlene Bjugstad Jodi Berger Cardoso Tzuan A Chen Kalina Brabeck Ruth M L ópez Source Type: research

A Review of Disparities in Outcomes of Hospitalized Patients with Limited English Proficiency: The Importance of Nursing Resources
J Health Care Poor Underserved. 2024;35(1):359-374.ABSTRACTLanguage barriers significantly affect communication between patients and health care staff and are associated with receipt of lower-quality care. Registered nurses are well positioned members of the health care team to reduce and eliminate disparities for patients with limited English proficiency (LEP). Current evidence recommends nurses use interpreters or translation devices to overcome language barriers; however, these recommendations fail to recognize that structural system-level factors, such as unsupportive work environments and poor nurse-to-patient staffin...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Kathy Sliwinski Ann Kutney-Lee Matthew D McHugh Karen B Lasater Source Type: research

Why the Indian Health Care Improvement Act Has Failed to Effectively Fund Workforce Development for the Indian Health Service
J Health Care Poor Underserved. 2024;35(1):375-384.ABSTRACTThe Indian Health Service (IHS) faces severe workforce shortages due to underfunding and underdevelopment of clinical training programs. Unlike other direct federal health care systems that have implemented clinical training paradigms as central parts of their success, the IHS has no formalized process for developing such programs internally or in partnership with academic institutions. While the Indian Health Care Improvement Act (IHCIA) authorizes mechanisms by which the IHS can support overall workforce development, a critical portion of the act (U.S. Code 1616p...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Michael A Sundberg Loretta Christensen Allison Kelliher Matthew L Tobey Michael Toedt Mary J Owen Source Type: research

Implementing a Teaching Rural Mobile Health Clinic: Challenges and Adaptations
J Health Care Poor Underserved. 2024;35(1):385-390.ABSTRACTIn 2022, Penn State College of Medicine launched the LION Mobile Clinic, a teaching mobile health clinic offering preventive health services in rural Snow Shoe, Pennsylvania. We outline four challenges the clinic team faced in implementation, along with adaptations made to tailor the model to Snow Shoe's needs and opportunities.PMID:38661877 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Kristina Brant Joel E Segel Michael P McShane Danielle Rhubart Jennifer Kowalkowski Hazel Velasco Palacios Jorden Jackson Source Type: research

35th Anniversary and Black History Month
J Health Care Poor Underserved. 2024;35(1):vii-viii.NO ABSTRACTPMID:38661852 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Virginia M Brennan Source Type: research

The Diaspora Human Genomics Institute Launches the < em > Together for Change < /em > Initiative: A Transformative, Historic Partnership to Ensure Health Equity in a Time of Unprecedented Technological Advancements
J Health Care Poor Underserved. 2024;35(1):ix-xiv.ABSTRACTHuman subjects research and drug and device development currently base their findings largely on the genetic data of the non-Hispanic White population, excluding People of Color. This practice puts People of Color at a distinct and potentially deadly disadvantage in being treated for sickness, disability, and disease, as seen during the COVID-19 pandemic. Major disparities exist in all chronic health conditions, including cancer. Data show that less than 2% of genetic information being studied today originates from people of African ancestry. If genomic datasets do ...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: James E K Hildreth Anil Shanker Source Type: research

Minority Health: Past, Present, and Future
J Health Care Poor Underserved. 2024;35(1):xv-xxxii.NO ABSTRACTPMID:38661854 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Rueben C Warren Source Type: research

HIV Viral Suppression Among Psychiatric Inpatients with Schizophrenia in San Francisco: A Retrospective Cohort Study
J Health Care Poor Underserved. 2024;35(1):1-7.ABSTRACTPeople with schizophrenia are at increased risk for contracting HIV and face higher mortality rates compared with the general population. Viral suppression is key to HIV care, yet little is known about this metric among people with HIV and schizophrenia. A chart review was conducted among people with HIV/AIDS and schizophrenia living in San Francisco who had received inpatient mental health services between 2010 and 2016. Demographic, laboratory, medication, encounter, and discharge data were collected, and were compared with all people living with HIV in San Francisco...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Nicholas S Riano Paul Wesson Eric Vittinghoff Francine Cournos James Dilley Christina Mangurian Source Type: research

Advocating for Policy Change: Examples Emerging From a Medical-Legal Partnership in Primary Care
This study consisted of a document review and thematic analysis, triangulated with data from interviews with legal team members and health providers. We defined policy advocacy as actions associated with attempts to change policy or legislation. The medical-legal partnership engaged in seven distinct cases of policy advocacy: disability support form requirements, changing workplace review, challenging barriers to citizenship, housing, publicly funded medication program (pharma care), safe injection sites, and the need for increased social assistance. Actions taken included presentations at conferences and submissions of br...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Nishwa Shah Kim Radford Steve Durant Rami Shoucri Jennifer Stone Navindra Persaud Andrew D Pinto Source Type: research