The effect of metropolitan-area mortgage delinquency on health behaviors, access to health services, and self-rated health in the United States, 2003–2010

2016 ◽  
Vol 161 ◽  
pp. 74-82 ◽  
Author(s):  
Thomas J. Charters ◽  
Sam Harper ◽  
Erin C. Strumpf ◽  
S.V. Subramanian ◽  
Mariana Arcaya ◽  
...  
Keyword(s):  
United States ◽  
Health Services ◽  
Health Behaviors ◽  
Metropolitan Area ◽  
The United States ◽  
Access To Health Services ◽  
Self Rated Health ◽  
Access To Health

scholarly journals Telemedicine adoption issues in the United States and Brazil: Perception of healthcare professionals

2020 ◽  
Vol 26 (4) ◽  
pp. 2344-2361 ◽  
Author(s):  
Edimara Luciano ◽  
M Adam Mahmood ◽  
Parand Mansouri Rad
Keyword(s):  
United States ◽  
Health Services ◽  
Rural Areas ◽  
Healthcare Professionals ◽  
Critical Role ◽  
The United States ◽  
Security And Privacy ◽  
Access To Health Services ◽  
Security Breaches ◽  
Access To Health

Telemedicine has recently garnered more attention from healthcare professionals because it provides access to health services to patients in rural areas while making patient healthcare information more vulnerable to security breaches. The objective of this research is to identify factors that play a critical role in possible adoption of telemedicine in the United States and Brazil. A model with eight hypotheses was used to establish a research framework. A survey was conducted involving healthcare professionals in the aforementioned countries. The results show that telemedicine adoption is influenced by policies and culture in both countries and influenced by security and privacy in the United States. It can be inferred from the research that perceptions of the American and Brazilian healthcare professionals are similar in telemedicine issues covered in this research. These healthcare professionals, however, disagree on how patients’ privacy should be preserved in the two countries.

scholarly journals Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
James H. Price ◽  
Jagdish Khubchandani ◽  
Molly McKinney ◽  
Robert Braun
Keyword(s):  
United States ◽  
Health Disparities ◽  
Health Services ◽  
Chronic Diseases ◽  
Access To Health Care ◽  
Ethnic Disparities ◽  
The United States ◽  
Access To Health Services ◽  
Access To Health ◽  
Racial Ethnic

Racial/ethnic minorities are 1.5 to 2.0 times more likely than whites to have most of the major chronic diseases. Chronic diseases are also more common in the poor than the nonpoor and this association is frequently mediated by race/ethnicity. Specifically, children are disproportionately affected by racial/ethnic health disparities. Between 1960 and 2005 the percentage of children with a chronic disease in the United States almost quadrupled with racial/ethnic minority youth having higher likelihood for these diseases. The most common major chronic diseases of youth in the United States are asthma, diabetes mellitus, obesity, hypertension, dental disease, attention-deficit/hyperactivity disorder, mental illness, cancers, sickle-cell anemia, cystic fibrosis, and a variety of genetic and other birth defects. This review will focus on the psychosocial rather than biological factors that play important roles in the etiology and subsequent solutions to these health disparities because they should be avoidable and they are inherently unjust. Finally, this review examines access to health services by focusing on health insurance and dental insurance coverage and access to school health services.

Projection of pediatric manpower requirements

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 323-324
Author(s):  
Robert D. Burnett ◽  
Mary Kaye Willian ◽  
Richard W. Olmsted
Keyword(s):  
United States ◽  
Health Care ◽  
Medical School ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Physician Shortage ◽  
Access To Health Services ◽  
Access To Health ◽  
The 1960S

In the 1960s, predictions were made that the United States faced a "physician shortage."1,2 On the basis of these predictions, federal legislation subsidized the establishment of new medical schools and the expansion of those in existence. From 1968 to 1974, the number of medical school graduates rose from 7,973 to 11,613.3 Nevertheless, problems of availability of, and access to, health services remain. Mere increase in number of physicians is not the solution to the problem of health care delivery in the United States; in fact, there is concern that we now face an oversupply of physicians.4 The recently published Carnegie report recommends that only "one" new medical school be established.5

scholarly journals Ventanillas de Salud: Defeating challenges in healthcare access for Mexican immigrants in the United States

2020 ◽  
Vol 21 ◽  
Author(s):  
Valeria Marina Valle ◽  
Wilma Laura Gandoy Vázquez ◽  
Karla Angélica Valenzuela Moreno
Keyword(s):  
United States ◽  
Mexican Immigrants ◽  
Healthcare Access ◽  
Healthcare Services ◽  
The United States ◽  
Access To Health Services ◽  
Government Officials ◽  
Access To Health ◽  
Mexican Government

The 2010 Affordable Care Act (ACA) improved access to healthcare in the United States. However, immigrants —especially those undocumented— still faced difficulties, which have increased during the Trump administration. In order to bring access to health services to its nationals, the Mexican government has implemented the Health Windows Program (Ventanillas de Salud, or VDS). The article reviews changes in the U.S. healthcare system from the ACA to date, and assesses the role of VDS. The methodology is qualitative, consisting of a literature review, interviews with community leaders and Mexican government officials, and questionnaires sent to four VDS: Arizona, Florida, Idaho and Texas. Results show that VDS provide reliable and affordable access to basic healthcare services, and detection of chronic and non-communicable diseases, especially within undocumented immigrants. Public policy recommendations are offered based on these findings. Limitations of the study include the data collected, which is non-representative of all VDS.

Social Determinants of Shingles Vaccination in the United States

2021 ◽  
Author(s):  
Eric M Vogelsang ◽  
Andrea N Polonijo
Keyword(s):  
United States ◽  
Older Adults ◽  
Health Behaviors ◽  
The United States ◽  
Vaccine Uptake ◽  
Behavioral Risk ◽  
Sociodemographic Characteristics ◽  
Lower Odds ◽  
Logistic Regression Models ◽  
Self Rated Health

Abstract Objective Only about one-third of older adults in the United States are vaccinated against shingles, contributing to approximately one million shingles cases annually. This study examines how sociodemographic characteristics, health behaviors, and self-rated health are associated with shingles vaccine uptake. Method Data come from the 2017 wave of the Behavioral Risk Factor Surveillance System survey, using a subset of older adults aged 60-plus (N=208,301). Logistic regression models test (1) for associations between individual-level sociodemographic characteristics and vaccine uptake and (2) whether health behaviors and self-rated health moderate these associations. Results Black and Hispanic older adults have almost 50% lower odds of shingles vaccination, compared to non-Hispanic Whites. Abstaining from alcohol, being employed, living with children, and having poor self-rated health are also associated with lower uptake. Unmarried (vs. married) individuals have lower odds of vaccination that are explained by broad differences in health behavior. Discussion Our study contributes to understanding how shingles vaccination coverage systematically differs among social groups. In doing so, it provides guidance for public health interventions to increase uptake. This line of research is increasingly salient in a world facing novel virus threats and anti-vaccine social movements.

scholarly journals Addressing the New Normal in Health Care Using an Interprofessional Model of Care Coordination

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 325-325
Author(s):  
Sam Cotton ◽  
Anna Faul ◽  
Pamela Yankeelov
Keyword(s):  
Health Behaviors ◽  
The United States ◽  
Access To Health Services ◽  
Model Of Care ◽  
System Failures ◽  
Glucose Levels ◽  
Individual Health ◽  
Access To Health ◽  
Remote Patient ◽  
Improve Patient

Abstract There has been significant discourse surrounding the widespread system failures within healthcare during COVID-19. Older, frailer, and poorer persons across the United States have been the most impacted by the pandemic. Given this, our FlourishCare team, received funding through the COVID Cares Act, as part of our Geriatric Workforce Enhancement Program (GWEP) grant, to create innovative programming for individuals that were the most impacted by the pandemic. Remote patient monitoring (RPM) is one intervention been shown as an effective way to assist persons in managing their conditions. Patients from our Optimal Aging Clinic were identified as struggling with hypertension, diabetes and/or COPD. Interprofessional teams of nursing and social work learners were assigned to work with patients. The kits contain all of the necessary technology and a virtual app platform that allows a patient to check their heart rate, blood pressure, oxygen levels, and glucose levels. This information was then disseminated to the team coordinating the patient’s care. The sample was mostly female (88%), African American (64%) and retired (70%). The mean age was 60 (SD=4), and 40% had less than a high school diploma. After 3 months in the program, we saw a significant improvement across all determinants of health, with a particular overall change in access to health services and individual health behaviors. This study showed the importance of providing patients with access to technology and the support of an interprofessional team can improve patient outcomes, lead to improvements in individual health behaviors and improve health literacy.

1984 Update on the World Economic Crisis and the Children: A United States Case Study

1985 ◽  
Vol 15 (3) ◽  
pp. 431-450 ◽  
Author(s):  
C. Arden Miller ◽  
Elizabeth J. Coulter ◽  
Amy Fine ◽  
Sharon Adams-Taylor ◽  
Lisbeth B. Schorr
Keyword(s):  
United States ◽  
Health Status ◽  
Health Services ◽  
Well Being ◽  
The United States ◽  
Current Data ◽  
Access To Health Services ◽  
Health Trends ◽  
Welfare Benefits ◽  
The Impact

A previously published report by these authors on the impact in the United States of recession on children's health emphasized four points: 1) available monitoring systems are not adequate for reporting on the health of children in a timely fashion; 2) the monitoring of maternal and child health must emphasize data on population subgroups, i.e., minorities, the poor and those hardest hit by recession; 3) the health of poor children is adversely affected and their numbers dramatically increased during the recession of 1981–82; and 4) comparisons between the recession of 1974–75 and that of 1981–82 suggest that expansion of health services and social support systems during the recession of 1974–75 had a cushioning effect that protected the health of children, while the curtailment of many of these programs during the 1981–82 recession is associated with adverse health trends, especially among the most vulnerable population subgroups. Data on these issues are appreciably better now than they were nine months ago, thus further validating the points made above. As with the previous report, officially released current data are abundant for economic indicators (even for early 1984), but are sparse for health status indicators. The previous report also observed that the health status of children is influenced by interdependent and interlocking factors that include economic well-being and access to health services and social supports. A new analysis attempts to unlock those relationships and measure the impact of lost welfare benefits, implemented as a result of the Omnibus Reconciliation Act of 1981 (OBRA), and the separate impact of the serious recession of 1981–82. That analysis shows the poverty rate for children increased by 7.6 percentage points between 1981 and 1982. Approximately 60 percent of the increase is attributable to the recession and 40 percent to social policy changes effected after 1981.

A Multi-Disciplinary Approach to Establishing a Community Wellness Program

2017 ◽  
Vol 6 (4) ◽  
pp. 329-334
Author(s):  
Royal E. Wohl ◽  
Park Lockwood ◽  
Kathy Ure
Keyword(s):  
Chronic Disease ◽  
Health Services ◽  
Low Income ◽  
The United States ◽  
Multiple Chronic Conditions ◽  
Access To Health Services ◽  
Wellness Program ◽  
Access To Health ◽  
Disease Condition ◽  
Community Wellness

Chronic disease is a leading cause of morbidity and mortality in the United States. One-half of U.S. adults have at least one chronic disease condition and 25% have multiple chronic conditions that can lead to a restriction in an ability to do basic daily living activities. Low-income adults have a high incidence of chronic disease that increases with aging due to ongoing psychological stress, higher risk exposure, less healthy living conditions, and limited access to health services. Community-based wellness programs, in collaboration with academic institutions, can serve this population by providing access to health services, quality educational and activity-based experiences, and continual assessment and support. Using a multidisciplinary approach, the expertise of numerous faculty, students, and staff can be used to help mitigate a myriad of health conditions presented by this population. This article shares one university’s creation, development, and delivery of an on-campus, multidisciplinary community wellness program for low-income adults.

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