Assessing, characterizing and communicating healthcare barriers

2005 ◽  
Vol 67 (07) ◽  
Author(s):  
KJ Krobot ◽  
JS Kaufman ◽  
DB Christensen ◽  
JS Preisser ◽  
WC Miller ◽  
...  
Keyword(s):  
Healthcare Barriers

scholarly journals Conducting epigenetics research with refugees and asylum seekers: attending to the ethical challenges

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Faten Taki ◽  
Inmaculada de Melo-Martin
Keyword(s):  
Asylum Seekers ◽  
Evidence Base ◽  
Ethical Challenges ◽  
Physical And Mental Health ◽  
Healthcare Barriers ◽  
Humanitarian Action ◽  
Disease States ◽  
Conducting Research ◽  
Refugees And Asylum Seekers ◽  
Epigenetic Research

AbstractAn increase in global violence has forced the displacement of more than 70 million people, including 26 million refugees and 3.5 asylum seekers. Refugees and asylum seekers face serious socioeconomic and healthcare barriers and are therefore particularly vulnerable to physical and mental health risks, which are sometimes exacerbated by immigration policies and local social discriminations. Calls for a strong evidence base for humanitarian action have encouraged conducting research to address the barriers and needs of refugees and asylum seekers. Given the role of epigenetics factors to mediate the effect of psychological and environmental exposures, epigenetic modifications have been used as biomarkers for life adversity and disease states. Therefore, epigenetic research can be potentially beneficial to address some of the issues associated with refugees and asylum seekers. Here, we review the value of previous and ongoing epigenetic studies with traumatized populations, explore some of the ethical challenges associated with epigenetic research with refugees and asylees and offer suggestions to address or mitigate some of these challenges. Researchers have an ethical responsibility to implement strategies to minimize the harms and maximize the short and long-term benefits to refugee and asylee participants.

Trial of a New Diabetes Education Model: Closing the Gap in Health Disparity for People with Diabetes

2021 ◽  
pp. 193229682110014
Author(s):  
Thomas W. Martens ◽  
Janet S. Lima ◽  
Elizabeth A. Johnson ◽  
Jessica A. Conry ◽  
Jennifer J. Hoppe ◽  
...  
Keyword(s):  
Diabetes Care ◽  
Patient Population ◽  
Diabetes Education ◽  
Quality Measures ◽  
Healthcare Barriers ◽  
Clinic Setting ◽  
Closing The Gap ◽  
Education Model ◽  
Flexible Model ◽  
Improve Diabetes Care

Background: Quality measures relating to diabetes care in America have not improved between 2005 and 2016, and have plateaued even in areas that outperform national statistics. New approaches to diabetes care and education are needed and are especially important in reaching populations with significant barriers to optimized care. Methods: A pilot quality improvement study was created to optimize diabetes education in a clinic setting with a patient population with significant healthcare barriers. Certified Diabetes Care and Education Specialists (CDCES) were deployed in a team-based model with flexible scheduling and same-day education visits, outside of the traditional framework of diabetes education, specifically targeting practices with underperforming diabetes quality measures, in a clinic setting significantly impacted by social determinants of health. Results: A team-based and flexible diabetes education model decreased hemoglobin A1C for individuals participating in the project (and having a second A1C measured) by an average of −2.3%, improved Minnesota Diabetes Quality Measures (D5) for clinicians participating in the project by 5.8%, optimized use of CDCES, and reduced a high visit fail rate for diabetes education. Conclusions: Diabetes education provided in a team-based and flexible model may better meet patient needs and improve diabetes care metrics, in settings with a patient population with significant barriers.

scholarly journals Proposed multidimensional framework for understanding Chagas disease healthcare barriers in the United States

2019 ◽  
Vol 13 (9) ◽  
pp. e0007447 ◽  
Author(s):  
Colin Forsyth ◽  
Sheba Meymandi ◽  
Ilan Moss ◽  
Jason Cone ◽  
Rachel Cohen ◽  
...  
Keyword(s):  
United States ◽  
Chagas Disease ◽  
The United States ◽  
Healthcare Barriers

Use of Digital Technology to Provide or Enhance the Delivery of Interventions for Adolescents

2020 ◽  
pp. 335-347
Author(s):  
Deepa R. Camenga ◽  
Grace E. Kong
Keyword(s):  
Mental Health ◽  
Digital Technology ◽  
Serious Games ◽  
Critical Period ◽  
New Technologies ◽  
Mental Healthcare ◽  
Future Directions ◽  
Healthcare Barriers ◽  
Poor Access ◽  
Mental Healthcare Utilization

Adolescence is a critical period for the onset of mental health disorders, yet only about one-third of affected adolescents receive mental healthcare. Barriers to such care include poor access, stigma, and the lack of availability of proper resources to identify and treat mental health disease. Thus, the delivery of mental health services via new technologies may help mitigate some of these barriers. Digital technology–based interventions show promise for the treatment of various mental health conditions in adolescents. This chapter provides an overview of computer- and Internet-based therapeutic programs, texting programs using mobile phones, and serious games as they apply to a variety of conditions including depression/anxiety, eating disorders, and tobacco smoking, as well as mental healthcare utilization. The unique needs of adolescents are discussed in relation to the scaling of digital technologies and future directions for technology-enhanced mental healthcare.

Gay = STIs? Exploring gay and lesbian sexual health stereotypes and their implications for prejudice and discrimination

2021 ◽  
Author(s):  
Dylan R. Rice ◽  
Sa-kiera Tiarra Jolynn Hudson ◽  
Nicole E. Noll
Keyword(s):  
Sexual Health ◽  
Gay Men ◽  
Healthcare Providers ◽  
Disease Type ◽  
Gay And Lesbian ◽  
Lesbian Women ◽  
Sexually Transmitted ◽  
Healthcare Barriers ◽  
Disparate Treatment ◽  
Prejudice And Discrimination

Gay men and lesbian women face health inequities as well as disparate treatment from healthcare providers. Stereotypes surrounding sexual health might contribute to these disparities. In five studies (N=1858), we explored sexual health stereotypes about gay men and lesbian women and their implications in prejudice/discrimination. In Studies 1, 2A, and 2B, we found people explicitly associated gay men with promiscuity and sexually transmitted infections (STIs) more than lesbian women or straight men/women. Implicitly, both gay men and lesbian women were more associated with promiscuity and STIs than straight counterparts. In Studies 3A and 3B, we tested whether these associations have consequences—finding that people express more prejudice and discrimination towards gay men and lesbian women with STIs versus those with non-STIs or straight counterparts with either disease type. Taken together, the current research identifies some psychological factors that may underpin health disparities and healthcare barriers for gay and lesbian people.

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