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Condition: Stroke
Management: Uninsured

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Total 74 results found since Jan 2013.

UCLA volunteers at free clinic solve small problems for poor that could become catastrophic
It was a typical misunderstanding that could have led to disastrous consequences. The man had run out of medication to control his hypertension. But he couldn’t afford to get it refilled, or so he thought. So instead of picking up a simple, generic medication at Wal-Mart or Target for $4, the man decided to go without it and unknowingly put himself at risk for a stroke. All because he didn’t realize he could obtain the medication cheaply. Fortunately, he was one of hundreds who were treated by UCLA health care workers volunteering at the Care Harbor’s annual health clinic held Sept. 11-14 at the Los Angeles Sports Ar...
Source: UCLA Newsroom: Health Sciences - September 18, 2014 Category: Universities & Medical Training Source Type: news

BMI and Coronary Heart Disease Risk Among Low-Income and Underinsured Diabetic Patients.
CONCLUSIONS: Our study suggests that there is a positive association between BMI at baseline and during follow-up with the risk of CHD among patients with type 2 diabetes. We indicate a U-shaped association between BMI at the last visit and the risk of CHD among women with type 2 diabetes. PMID: 25249653 [PubMed - as supplied by publisher]
Source: Diabetes Care - September 23, 2014 Category: Endocrinology Authors: Li N, Katzmarzyk PT, Horswell R, Zhang Y, Li W, Zhao W, Wang Y, Johnson J, Hu G Tags: Diabetes Care Source Type: research

Health Insurance and Chronic Conditions in Low-Income Urban Whites
This study uses cross-sectional data on 491 low-income urban non-elderly non-Hispanic whites from the Exploring Health Disparities in Integrated Communities—Southwest Baltimore (EHDIC-SWB) study to examine the relationship between insurance status and chronic conditions (defined as participant report of ever being told by a doctor they had hypertension, diabetes, stroke, heart attack, anxiety or depression, asthma or emphysema, or cancer). In this sample, 45.8 % were uninsured, 28.3 % were publicly insured, and 25.9 % had private insurance. Insured participants had similar odds of having any chronic condition (odds ra...
Source: Journal of Urban Health - August 1, 2014 Category: Health Management Source Type: research

The Growing Gap in Hypertension Control Between Insured and Uninsured Adults: National Health and Nutrition Examination Survey 1988 to 2010 Epidemiology/Population
Hypertension awareness, treatment, and control are lower among uninsured than insured adults. Time trends in differences and underlying modifiable factors are important for informing strategies to improve health equity. National Health and Nutrition Examination Surveys 1988 to 1994, 1999 to 2004, and 2005 to 2010 data in adults aged 18 to 64 years were analyzed to explore this opportunity. The proportion of adults with hypertension who were uninsured increased from 12.3% in 1988 to 1994 to 17.4% in 2005 to 2010. In 1988 to 1994, hypertension awareness, treatment, and control to <140/<90 mm Hg (30.1% versus 26.5%; P=0...
Source: Hypertension - October 8, 2014 Category: Cardiology Authors: Egan, B. M., Li, J., Small, J., Nietert, P. J., Sinopoli, A. Tags: Cerebrovascular disease/stroke Epidemiology/Population Source Type: research

Blood pressure measurements at emergency department visits by adults: United States, 2007-2008.
Authors: Niska RW Abstract This brief shows that elevated BP readings are much more common at visits to the ED than at visits to outpatient primary care providers. Compared with the 27.0% prevalence found at visits to primary care providers, the combined visit prevalence of severely and moderately elevated BP in EDs is about 43.5%. Disproportionately affected subgroups include patients who are older, male, non-Hispanic black, Medicare beneficiaries, or uninsured.One reason that elevated BP may be observed more frequently in the ED than at visits to primary care providers is that adults in less than optimal general ...
Source: NCHS data brief - November 12, 2014 Category: American Health Tags: NCHS Data Brief Source Type: research

Many African Americans Still Only Dream of High Quality Health Care
Recently, AARP conducted a study to determine how perceptions of key social issues ranked in importance to African Americans age 50 and over. Ninety-one percent gave the answer "high quality health care." Eighty-nine percent gave the answer, "Access to high quality health care information." We were not surprised at the high percentage of either response. Why wouldn't the foremost issue on the minds of African Americans be the key issue that would prolong, enhance or save lives? Why wouldn't the dominant issue on the minds of Black people age 50 and over be their health; even more so than education, employment and access t...
Source: Healthy Living - The Huffington Post - February 16, 2015 Category: Consumer Health News Source Type: news

Obamacare Has Already Transformed How We Diagnose Diabetes
President Obama may be able add another feather to his cap, according to a study of newly diagnosed diabetes patients published in Diabetes Care this week. The study found a 23 percent increase in newly diagnosed diabetes patients in the 26 states (and the District of Columbia) that expanded Medicaid under the Affordable Care Act last year. In the 24 states that did not expand Medicaid, the increase in newly diagnosed diabetes patients was only 0.4 percent. “Clearly, expanding Medicaid has allowed those 26 states that did so to identify a large number of people who previously did not know they were living with diabetes...
Source: Healthy Living - The Huffington Post - March 26, 2015 Category: Consumer Health News Source Type: news

The basic social medical insurance is associated with clinical outcomes in the patients with ST-elevation myocardial infarction: a retrospective study from Shanghai, China.
CONCLUSION: These results demonstrate that BSMI is closely associated with the major adverse events-free survival rate at 36-month follow-up in the STEMI patients under the current policies in Shanghai, China. PMID: 25013371 [PubMed - indexed for MEDLINE]
Source: International Journal of Medical Sciences - June 3, 2015 Category: Biomedical Science Tags: Int J Med Sci Source Type: research

The Quality Of Health Care You Receive Likely Depends On Your Skin Color
Unequal health care continues to be a serious problem for black Americans. More than a decade after the Institute of Medicine issued a landmark report showing that minority patients were less likely to receive the same quality health care as white patients, racial and ethnic disparities continue to plague the U.S. health care system. That report, which was published in 2002, indicated that even when both groups had similar insurance or the same ability to pay for care, black patients received inferior treatment to white patients. This still hold true, according to our investigation into dozens of studies about black health...
Source: Healthy Living - The Huffington Post - June 29, 2015 Category: Consumer Health News Source Type: news

Cannabis to concussion
This issue of Neurology® Clinical Practice features thought-provoking articles on disparate topics. Gardner et al. (p. 285) tackle chronic traumatic encephalopathy, describing clinical and pathologic features in 14 self-referred symptomatic former professional football players. Harold Adams (p. 296) details the controversy surrounding treatment of patients who awaken with stroke symptoms whose time of onset cannot be established. Borsook and Dodick (p. 317) make a passionate plea to recognize the disabling nature of migraine. While it is not clear whether challenges to the Affordable Care Act will result in large numbe...
Source: Nature Clinical Practice - August 17, 2015 Category: Neurology Tags: From the Editor ' s Desk Source Type: research

Abstract 206: Impact of Inpatient Evaluation of Health Literacy on Outcomes in Post-MI Patients Session Title: Abstract Poster Session II
Conclusion: Routine hospital health literacy screening did not improve risk of MACE. Selective health literacy screening was associated with lower 1-year readmission risk compared with hospitals that never screened. Studies are needed to elicit how inpatient health literacy screening can improve patient transition of care.
Source: Circulation: Cardiovascular Quality and Outcomes - February 26, 2016 Category: Cardiology Authors: Rymer, J., McCoy, L., Anstrom, K., Fonarow, G., Peterson, E., Wang, T. Tags: Session Title: Abstract Poster Session II Source Type: research

Association of health insurance status and receipt of health care among US adults with self-reported hypertension
Hypertension is a major risk factor for heart disease and stroke; yet only half of the 70 million US adults with hypertension have it under control. Previous studies have shown that adults with hypertension and health insurance were more likely to have controlled blood pressure than those without health insurance. However, less is known about hypertension management among those classified as underinsured (i.e., those with health insurance, but with financial difficulty in paying for health care).
Source: Journal of the American Society of Hypertension - March 31, 2016 Category: Cardiology Authors: Jing Fang, Guixiang Zhao, Guijing Wang, Carma Ayala, Fleetwood Loustalot Source Type: research

Profile of the Older Population Living in Miami-Dade County, Florida: An Observational Study
This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n = 935). One consenting adult answered the questionnaire on behalf of household members. The mean age of the respondent (60% females) was 60 years. Overall, respon...
Source: Medicine - May 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Latin American, Caribbean health systems need more investment as populations age
The health systems of six Latin American and Caribbean countries have made substantial progress toward universal coverage — providing free or subsidized healthcare to the majority of their populations — but continue to face challenges managing more complex health needs such as those related to cardiovascular disease, cancer, stroke and depression, a new study from the UCLA Fielding School of Public Health and the Inter-American Development Bank finds. Though the health systems in Brazil, Colombia, El Salvador, Jamaica, Mexico and Panama have considerable strengths, citizens still reported gaps in the way primary care i...
Source: UCLA Newsroom: Health Sciences - August 8, 2016 Category: Universities & Medical Training Source Type: news

Differences in Use of High-quality and Low-quality Hospitals Among Working-age Individuals by Insurance Type
Background: Research suggests that individuals with Medicaid or no insurance receive fewer evidence-based treatments and have worse outcomes than those with private insurance for a broad range of conditions. These differences may be due to patients’ receiving care in hospitals of different quality. Research Design: We used the Healthcare Cost and Utilization Project State Inpatient Databases 2009–2010 data to identify patients aged 18–64 years with private insurance, Medicaid, or no insurance who were hospitalized with acute myocardial infarction, heart failure, pneumonia, stroke, or gastrointestinal hemorrhage. Mul...
Source: Medical Care - January 16, 2017 Category: Health Management Tags: Original Articles Source Type: research