Religiously Affiliated Healthcare Institutions

2021 ◽  
pp. 29-43
Author(s):  
Lori Freedman ◽  
Debra Stulberg
Keyword(s):  
United States ◽  
Medical Care ◽  
Moral Distress ◽  
The United States ◽  
Accurate Information ◽  
Religious Institutions ◽  
Best Interest ◽  
Religiously Affiliated ◽  
United States Healthcare ◽  
To Receive

Religious hospitals represent a large and growing share of the United States healthcare system. As these networks expand their reach, patients may face additional threats to their ability to receive care based on their own values. Physicians practicing in religious institutions—especially in Catholic hospitals—have experienced moral distress when prevented from providing medical care in accordance with the patient’s best interest, and many are surprised by the scope of restrictions under Catholic directives. Patients need accurate information about the care they can expect to receive in religious institutions. However, many lack awareness and knowledge of how to identify religious institutions and services available. This chapter addresses the history, clinical conflicts, bioethical concerns, and empiric literature about reproductive care in US religious healthcare institutions, focusing on Catholic health systems.

scholarly journals Physical Activity Health Communication for Adults With Mood Disorders in the United States

2019 ◽  
Vol 42 (2) ◽  
pp. 97-107
Author(s):  
Abiola O. Keller ◽  
Angela Ortiz
Keyword(s):  
Physical Activity ◽  
United States ◽  
Primary Care ◽  
Medical Care ◽  
Mood Disorders ◽  
The United States ◽  
National Hospital ◽  
Ambulatory Medical Care ◽  
To Receive ◽  
The Relationship

Using national representative data, this study sought to examine receipt of physical activity communication and counseling among adults with mood disorders in comparison to the general population in the United States. The sample consisted of adult primary-care visits in the National Hospital Ambulatory Medical Care and National Ambulatory Medical Care Surveys. Multivariable logistic regression was used to examine the relationship between mental health status and receipt of physical activity communication and counseling. Overall, less than 20% of visits included physical activity communication and counseling. Controlling for covariates, visits for adults with a mood disorder diagnosis were associated with an increased odds of including physical activity communication and counseling, odds ratio = 1.25, 95% confidence interval = [1.08, 1.45]. Although adults with mood disorders were more likely to receive physical activity communication and counseling, most primary-care visits for adults in the United States did not include physical activity communication and counseling.

The Challenge of Pluralism: Articulating a Rationale for Religiously Diverse Urban Roman Catholic Schools in the United States

2000 ◽  
Vol 1 (1) ◽  
pp. 64-88 ◽  
Author(s):  
Joseph M. O’Keefe
Keyword(s):  
United States ◽  
Catholic Schools ◽  
Roman Catholic ◽  
The United States ◽  
Religious Institutions ◽  
Racial Justice ◽  
Religiously Affiliated ◽  
Great Cost ◽  
International Audience ◽  
Religious Body

This essay explores the challenge of pluralism through an examination of religiously diverse urban Roman Catholic schools in the United States. Changes in student demographics have forced members of the sponsoring religious body to ask: Why should schools with a large number of non-Catholics be sponsored, often at great cost, by a church community with limited resources and expanding needs in other domains? Based on the belief that religious institutions must be seen in their particular historical, sociological and political context, the essay begins with a discussion of these issues. In that light, the author presents three rationales for continued support that emanate from the heart of contemporary Catholic thought: ecumenism, racial justice and solidarity. Finally, he offers reflections for a multi faith, international audience about the legitimation of religiously affiliated educational institutions.

scholarly journals A look at the first quarantined community in the United States: Response of religious communal organizations and implications for public health during the COVID-19 pandemic

2020 ◽  
Author(s):  
Sarah L. Weinberger-Litman ◽  
Leib Litman ◽  
Zohn Rosen ◽  
David H. Rosmarin ◽  
Cheskie Rosenzweig
Keyword(s):  
Public Health ◽  
United States ◽  
Jewish Community ◽  
Community Organizations ◽  
Well Being ◽  
The United States ◽  
Federal State ◽  
Accurate Information ◽  
Religious Institutions ◽  
Related Information

The current study examined anxiety and distress among members of the first community to be quarantined in the United States due to the COVID-19 pandemic. In addition to being historically significant, the current sample was unusual in that those quarantined were all members of a Modern Orthodox Jewish community and were connected via religious institutions at which exposure may have occurred. We sought to explore the community and religious factors unique to this sample, as they relate to the psychological and public health impact of quarantine. Community organizations were trusted more than any other source of COVID 19-related information, including federal, state, and other government agencies, including the CDC, WHO and media news sources. This was supported qualitatively with open-ended responses in which participants described the range of supports organized by community organizations. These included tangible needs (i.e. food delivery), social support, virtual religious services, and dissemination of COVID-19 related information. The overall levels of distress and anxiety were elevated and directly associated with what was reported to be largely inadequate and inconsistent health related information received from local departments of health. In addition, the majority of participants felt that perception of or concern about future stigma related to a COVID-19 diagnosis or association of COVID-19 with the Jewish community was high and also significantly predicted distress and anxiety. The current study demonstrates the ways in which religious institutions can play a vital role in promoting the well-being of their constituents. During this unprecedented pandemic, public health authorities have an opportunity to form partnerships with religious institutions in the common interests of promoting health, relaying accurate information and supporting the psychosocial needs of community members, as well as protecting communities against stigma and discrimination.

scholarly journals Patterns and Predictors of Depression Treatment among Older Adults with Parkinson’s Disease and Depression in Ambulatory Care Settings in the United States

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Sandipan Bhattacharjee ◽  
Nina Vadiei ◽  
Lisa Goldstone ◽  
Ziyad Alrabiah ◽  
Scott J. Sherman
Keyword(s):  
United States ◽  
Older Adults ◽  
Medical Care ◽  
Odds Ratio ◽  
The United States ◽  
Depression Treatment ◽  
Care Survey ◽  
Ambulatory Medical Care ◽  
To Receive ◽  
Predictors Of Depression

Little is known regarding depression treatment patterns and predictors among older adults with comorbid Parkinson's disease and depression (dPD) in the United States (US). The objective of this study was to assess the patterns and predictors of depression treatment among older adults with dPD in the US. We adopted a cross-sectional study design by pooling multiple-year data (2005–2011) from the National Ambulatory Medical Care Survey (NAMCS) and the outpatient department of the National Hospital Ambulatory Medical Care Survey (NHAMCS). The final study sample consisted of visits by older adults with dPD. Depression treatment was defined as antidepressant use with or without psychotherapy. To identify predictors of depression treatment, multivariate logistic regression analysis was conducted adjusting for predisposing, enabling, and need factors. Individuals with dPD and polypharmacy were 74% more likely to receive depression treatment (odds ratio = 1.743, 95% CI 1.376–2.209), while dPD subjects with comorbid chronic conditions were 44% less likely (odds ratio = 0.559, 95% CI 0.396–0.790) to receive depression treatment. Approximately six out of ten older adults with PD and depression received depression treatment. Treatment options for dPD are underutilized in routine clinical practice, and further research should explore how overall medical complexity presents a barrier to depression treatment.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

Millennial Missionaries

2019 ◽  
Author(s):  
Katherine Dugan
Keyword(s):  
United States ◽  
Religious Identity ◽  
The United States ◽  
College Campuses ◽  
Religious Institutions ◽  
Gender Essentialism ◽  
Craft Beer ◽  
Catholic University ◽  
Religious Piety ◽  
Religious Landscape

This book is an ethnography of millennial-generation Catholic missionaries. The Fellowship of Catholic University Students (FOCUS) began hiring young adults to evangelize students on college campuses in 1998. Since then, FOCUS missionaries have developed a style of Catholic evangelization that navigates between strict and savvy interpretations of Catholic teaching in contemporary US youth culture. The Catholicism that FOCUS missionaries embrace and promote grew up with them and amid their middle-class American norms—missionaries own iPhones, drink craft beer, and create March Madness brackets. Born in the 1990s, millennial missionaries in their skinny jeans and devotional tattoos, large-framed glasses and scapulars embody an attractive style of Catholicism. They love saints and have memorized the “Tantum Ergo,” are fluent in college-student slang, but reject hook-up culture in favor of gender essentialism dictated by papal teachings. Missionaries rely on their social capital to make Catholicism cool. Many of their peers have been characterized as defectors from religious institutions. Yet, underneath the rise of “nones” is a story of increased religious piety. This book studies religion in the United States from the perspective of proud Catholic millennials. As they navigate their Catholic and US identities, these missionaries propose Catholicism as uniquely able to overcome perceived threats of secularism, relativism, and modernity. How, why, and with what implications is this Catholicism enacted? These questions, which point to power struggles between US culture and religious identity, drive this book. Through their prayers and evangelization efforts, missionaries are reshaping Catholic identity and shifting the religious landscape of the United States.

Industry Payments to Plastic Surgeons: What Has Changed Over the Last Six-Years Following Implementation of the Physician Payment Sunshine Act?

2021 ◽  
Author(s):  
Rowland W Pettit ◽  
Jordan Kaplan ◽  
Matthew M Delancy ◽  
Edward Reece ◽  
Sebastian Winocour ◽  
...  
Keyword(s):  
United States ◽  
User Interface ◽  
Stock Options ◽  
Data Interpretation ◽  
The United States ◽  
Inclusion Criteria ◽  
Physician Payment ◽  
The Past ◽  
To Receive ◽  
Open Payments

Abstract Background The Open Payments Program, as designated by the Physician Payments Sunshine Act is the single largest repository of industry payments made to licensed physicians within the United States. Though sizeable in its dataset, the database and user interface are limited in their ability to permit expansive data interpretation and summarization. Objectives We sought to comprehensively compare industry payments made to plastic surgeons with payments made to all surgeons and all physicians to elucidate industry relationships since implementation. Methods The Open Payments Database was queried between 2014 and 2019, and inclusion criteria were applied. These data were evaluated in aggregate and for yearly totals, payment type, and geographic distribution. Results 61,000,728 unique payments totaling $11,815,248,549 were identified over the six-year study period. 9,089 plastic surgeons, 121,151 surgeons, and 796,260 total physicians received these payments. Plastic surgeons annually received significantly less payment than all surgeons (p=0.0005). However, plastic surgeons did not receive significantly more payment than all physicians (p = 0.0840). Cash and cash equivalents proved to be the most common form of payment; Stock and stock options were least commonly transferred. Plastic surgeons in Tennessee received the most in payments between 2014-2019 (mean $ 76,420.75). California had the greatest number of plastic surgeons to receive payments (1,452 surgeons). Conclusions Plastic surgeons received more in industry payments than the average of all physicians but received less than all surgeons. The most common payment was cash transactions. Over the past six years, geographic trends in industry payments have remained stable.

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