scholarly journals Conceptual models of psychological distress among low-income patients in an inner-city primary care clinic

2003 ◽  
Vol 18 (6) ◽  
pp. 475-477 ◽  
Author(s):  
Alison Karasz ◽  
Galit Sacajiu ◽  
Nerina Garcia
Keyword(s):  
Primary Care ◽  
Psychological Distress ◽  
Inner City ◽  
Low Income ◽  
Conceptual Models ◽  
Primary Care Clinic ◽  
Care Clinic

Using Touch-Screen Technology to Assess Smoking in a Low-Income Primary Care Clinic: A Pilot Study

2011 ◽  
Vol 46 (14) ◽  
pp. 1750-1754 ◽  
Author(s):  
Philip H. Smith ◽  
Gregory G. Homish ◽  
Christopher Barrick ◽  
Nancy L. Grier
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Low Income ◽  
Primary Care Clinic ◽  
Touch Screen ◽  
Care Clinic

scholarly journals Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic

2007 ◽  
Vol 16 (4) ◽  
pp. 244-247 ◽  
Author(s):  
C. R Taylor ◽  
J. T Hepworth ◽  
P. I Buerhaus ◽  
R. Dittus ◽  
T. Speroff
Keyword(s):  
Primary Care ◽  
Resource Management ◽  
Inner City ◽  
Patient Outcomes ◽  
Diabetes Care ◽  
Primary Care Clinic ◽  
Crew Resource Management ◽  
Care Clinic

Pregnant Hispanic Women: A Mental Health Study

1992 ◽  
Vol 73 (9) ◽  
pp. 515-521 ◽  
Author(s):  
Luis H. Zayas ◽  
Nancy A. Busch-Rossnagel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Low Income ◽  
Mental Health Problems ◽  
Hispanic Women ◽  
Primary Care Clinic ◽  
Health Study ◽  
Community Based ◽  
Care Clinic ◽  
Mental Health Study

By most accounts, pregnant Hispanic women are a population at risk for perinatal health and mental health problems. In this article, the authors report on a pilot study of the mental health status of 86 low-income, pregnant Hispanics. Three cases drawn from a community-based, primary care clinic demonstrate how Hispanic women may appear in the clinical setting and how interventions can be designed.

scholarly journals Experiences and Beliefs of Low‐Income Patients with Hypertension in Louisiana and Mississippi during the COVID‐19 Pandemic

2020 ◽  
Author(s):  
Katherine T. Mills ◽  
Erin Peacock ◽  
Jing Chen ◽  
Amanda Zimmerman ◽  
Hua He ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Primary Care Clinic ◽  
Treatment Strategies ◽  
Pressure Control ◽  
Healthcare Services ◽  
Poverty Level ◽  
Antihypertensive Medications ◽  
Patient Centered ◽  
Care Clinic

Abstract Background The coronavirus disease 2019 (COVID‐19) pandemic disproportionately affects individuals with hypertension and health disparities. Methods and Results We assessed experiences and beliefs of low‐income and minority patients with hypertension during the COVID‐19 pandemic. Participants (N=587) from the Implementation of Multifaceted Patient‐Centered Treatment Strategies for Intensive Blood Pressure Control (IMPACTS‐BP) study completed a telephone survey in May and June of 2020. Participants were 65.1% Black, 59.7% female, and 57.7% reported an income below the federal poverty level. Overall, 2.7% tested positive and 15.3% lost a family member or friend to COVID‐19. These experiences were significantly more common in Black (3.9% and 19.4%, respectively) than in non‐Black participants (0.5% and 7.8%, respectively). Further, 14.5% lost a job and 15.9% reported food shortages during the pandemic. Most participants complied with stay‐at‐home orders (98.3%), social distancing (97.8%), and always wearing a mask outside their home (74.6%). Participants also reported high access to needed healthcare (94.7%) and prescription medications (97.6%). Further, 95.7% of respondents reported that they continued to take their regular dosage of antihypertensive medications. Among the 44.5% of participants receiving a healthcare appointment by telehealth, 96.6% got the help they needed, and 80.8% reported that the appointment quality was as good as or better than in‐person visits. Finally, 88.9% were willing to return to their primary care clinic. Conclusions These data suggest that low‐income patients, especially Black patients, were negatively impacted by COVID‐19. However, most patients were able to access needed healthcare services and were willing to return to their primary care clinic for hypertension management.

Peer-led Group Sessions to Improve Healthful Eating and Physical Activity in a Low-income Primary Care Clinic Population

2018 ◽  
Author(s):  
Kristen A. Copeland ◽  
Courtney Brown ◽  
Zana Percy ◽  
Alisa Balestra ◽  
Robert Siegel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Low Income ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Group Sessions ◽  
Clinic Population

Bipolar Depression in a Low-Income Primary Care Clinic

2005 ◽  
Vol 162 (11) ◽  
pp. 2146-2151 ◽  
Author(s):  
Mark Olfson ◽  
Amar K. Das ◽  
Marc J. Gameroff ◽  
Daniel Pilowsky ◽  
Adriana Feder ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Bipolar Depression ◽  
Primary Care Clinic ◽  
Care Clinic

Determinants of adherence to antihypertensive treatment among patients attending a primary care clinic with limited medical armamentarium in Delhi, India: A qualitative study

2020 ◽  
pp. 174239532095941
Author(s):  
Saurav Basu ◽  
Kajok Engtipi ◽  
Rajesh Kumar
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Care Center ◽  
Primary Care Clinic ◽  
Care Facility ◽  
Pressure Control ◽  
Organ Damage ◽  
Uncontrolled Hypertension ◽  
Primary Care Center ◽  
Care Clinic

Objective To determine perspectives on reasons for non-adherence to antihypertensive therapy and its socioeconomic determinants among patients attending a primary care center in a low-income area in Delhi, India. Methods We conducted in-depth interviews with a total of 30 patients having hypertension at a primary care facility located in a low-income urban area in Delhi. Results All the participants were aware that hypertension was a serious illness, and medication intake was necessary throughout life to prevent uncontrolled hypertension. All participants in varying quantities practiced salt restriction, but the consumption of fresh fruit and vegetables was low primarily due to economic reasons. The participants were unable to differentiate the concept of exercise from physical activity. Medication adherence was suboptimal, and significant reasons for non-adherence were forgetfulness, carelessness and running out of drug stocks. Blood pressure control was also suboptimal in a majority of the participants, but combination therapy was restricted due to limited medical armamentarium at the clinic. Laboratory investigations for monitoring target end-organ damage were either delayed or not conducted in most participants. Discussion Hypertensive patients undergoing treatment at primary care facilities often report suboptimal medical adherence and treatment outcomes, with socioeconomic causes being a major driver of non-adherence.

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