493 The Prevalence of Advanced Colorectal Neoplasia (ACN) is Lower Among Average-Risk Blacks Than Whites Undergoing Screening Colonoscopy in a Safety Net Health Care System

2012 ◽  
Vol 142 (5) ◽  
pp. S-106
Author(s):  
Paul C. Schroy ◽  
Alison Coe ◽  
Clara A. Chen ◽  
Timothy Heeren
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Colorectal Neoplasia ◽  
Safety Net ◽  
Screening Colonoscopy ◽  
Average Risk ◽  
Advanced Colorectal Neoplasia ◽  
Care System

scholarly journals The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System

2019 ◽  
Vol 32 (3) ◽  
pp. 362-374 ◽  
Author(s):  
Thomas F. Northrup ◽  
Kelley Carroll ◽  
Robert Suchting ◽  
Yolanda R. Villarreal ◽  
Mohammad Zare ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Safety Net ◽  
Opioid Prescribing ◽  
Urban Safety ◽  
The Impact ◽  
Care System

Monitoring Health Care System Performance in Iowa

1997 ◽  
Vol 10 (1-2) ◽  
pp. 107-112
Author(s):  
J. E. Rohrer ◽  
M. Vaughan
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Ambulatory Care ◽  
Health Care System ◽  
System Performance ◽  
Hospital Admissions ◽  
High Rate ◽  
Average Risk ◽  
Care System ◽  
Ambulatory Care Sensitive

Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.

scholarly journals Clinical characteristics of antimitochondrial antibody-positive patients at a safety net health care system in Arizona

2017 ◽  
Vol 4 (1) ◽  
pp. e000158 ◽  
Author(s):  
Susanna Tan ◽  
Napatkamon Ayutyanont ◽  
Bikash Bhattarai ◽  
Zohreh Movahedi ◽  
Lakshmi Jayaram ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Clinical Characteristics ◽  
Safety Net ◽  
Antimitochondrial Antibody ◽  
Care System

scholarly journals Tu1011 – Characteristics of Individuals Undergoing Fit for Colorectal Cancer Screening in a Midwest Urban Safety Net Health Care System

2019 ◽  
Vol 156 (6) ◽  
pp. S-945-S-946
Author(s):  
Abbinaya Elangovan ◽  
Jacob M. Skeans ◽  
David Kaelber ◽  
Gregory S. Cooper ◽  
Dalbir S. Sandhu
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care System ◽  
Safety Net ◽  
Urban Safety ◽  
Care System

Colonoscopy Completion in a Large Safety Net Health Care System

2008 ◽  
Vol 6 (4) ◽  
pp. 438-442 ◽  
Author(s):  
Elina S. Kazarian ◽  
Fernando S. Carreira ◽  
Neil W. Toribara ◽  
Thomas D. Denberg
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Safety Net ◽  
Care System

scholarly journals Factors Influencing Colorectal Cancer Screening Participation

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Z. Gimeno García
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Population Based ◽  
Average Risk ◽  
Major Health Problem ◽  
Crc Screening ◽  
Screening Uptake ◽  
Factors Influencing ◽  
Care System

Colorectal cancer (CRC) is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income) and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening). Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system) have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

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