Women's Access to Health Care and Health Care Utilization by Race and Ethnicity Ohio, 2004: Chart Book #3

2006 ◽  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Race And Ethnicity ◽  
Access To Health Care ◽  
Care Utilization ◽  
Access To Health

Antiracism in the Field of Neonatology: A Foundation and Concrete Approaches

NeoReviews ◽  
2022 ◽  
Vol 23 (1) ◽  
pp. e1-e12
Author(s):  
Diana Montoya-Williams ◽  
Yarden S. Fraiman ◽  
Michelle-Marie Peña ◽  
Heather H. Burris ◽  
DeWayne M. Pursley
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Race And Ethnicity ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Newborn Infants ◽  
Internalized Racism ◽  
Professional Careers ◽  
Access To Health ◽  
Different Levels

Neonatal patients and families from historically marginalized and discriminated communities have long been documented to have differential access to health care, disparate health care, and as a result, inequitable health outcomes. Fundamental to these processes is an understanding of what race and ethnicity represent for patients and how different levels of racism act as social determinants of health. The NICU presents a unique opportunity to intervene with regard to the detrimental ways in which structural, institutional, interpersonal, and internalized racism affect the health of newborn infants. The aim of this article is to provide neonatal clinicians with a foundational understanding of race, racism, and antiracism within medicine, as well as concrete ways in which health care professionals in the field of neonatology can contribute to antiracism and health equity in their professional careers.

scholarly journals Associations of Race and Ethnicity With Patient-Reported Outcomes and Health Care Utilization Among Older Adults Initiating a New Episode of Care for Back Pain

Spine ◽  
2018 ◽  
Vol 43 (14) ◽  
pp. 1007-1017 ◽  
Author(s):  
Carlo J. Milani ◽  
Sean D. Rundell ◽  
Jeffrey G. Jarvik ◽  
Janna Friedly ◽  
Patrick J. Heagerty ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Back Pain ◽  
Health Care Utilization ◽  
Race And Ethnicity ◽  
Patient Reported Outcomes ◽  
Care Utilization ◽  
Episode Of Care ◽  
Patient Reported

scholarly journals 0998 Health Care Utilization of Pediatric Sleep Disorders in Cerner Health Facts Database

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A379-A379
Author(s):  
B Al-Shawwa ◽  
E Glynn ◽  
M Hoffman ◽  
Z Ehsan ◽  
D Ingram
Keyword(s):  
Health Care ◽  
Circadian Rhythm ◽  
Health Care Utilization ◽  
Sleep Disorders ◽  
Movement Disorders ◽  
Access To Health Care ◽  
Care Utilization ◽  
Sleep Related Breathing Disorders ◽  
Breathing Disorders ◽  
Circadian Rhythm Disorders

Abstract Introduction This study was aimed to identify health care utilization of sleep disorders in pediatrics and adults by using Cerner health facts database. Methods Health facts database has unidentified health records from all the participating facilities that have Cerner as their electronic medical records software. There are 68.7 million patients in the data warehouse with about 506.9 million encounters in about 100 healthcare systems. Sleep disorders are mostly seen in outpatient settings and therefore this study included outpatient records between the years 2010 to 2017. Results There were 20.5 million patients with total of 127.4 million outpatient encounters. In pediatric patients (ages 0-18 years), healthcare utilization of major sleep diagnoses per 100,000 encounters showed sleep related breathing disorders are the most commonly seen followed by parasomnia, insomnia, sleep movement disorders, hypersomnolence then circadian rhythm disorders (820.1, 258.1, 181.6, 68.3, 48.1 and 16.2 per 100,000 encounters). However, for adult patients the ranking was: sleep related breathing disorders, insomnia, sleep related movement disorders, hypersomnolence, parasomnia then circadian rhythm disorders (1352.6, 511.6, 166.3, 79.1, 25.7 and 4.2 per 100,000 encounters). Further analysis for the age groups showed bimodal pattern for sleep related breathing disorders and sleep movement disorders with the highest utilization were between the ages of 2-11 year and 40-60 years. Adolescents (age 12-18 years) showed increase utilization in the areas of circadian rhythm disorders. Conclusion Patients with sleep disorders have relatively low health care utilization despite high prevalence of these sleep disorders in the general population. This may highlight underrecognized sleep problem or decreased access to health care. In addition, this study highlights the effect of age on different sleep disorders which may have an impact on allocating resources. Support None

scholarly journals Access to health care in developing countries: breaking down demand side barriers

2007 ◽  
Vol 23 (12) ◽  
pp. 2820-2834 ◽  
Author(s):  
Owen O'Donnell
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Developing World ◽  
Economic Incentives ◽  
Care Utilization ◽  
Demand Side ◽  
What Works ◽  
Access Problem ◽  
Access To Health ◽  
Policy Measures

Effective health care interventions are underutilized in the developing world, and income-related disparities in use are large. The evidence concerning this access problem is summarized and its demand side causes are identified. Broad strategies that have been proposed to tackle the access problem through changes in economic incentives are considered. It is argued that there is a need to go beyond the identification of broad strategies to the design and evaluation of specific policy measures. Only through experimentation and evaluation will we learn what works in raising health care utilization, particularly among the poor in the developing world.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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