The Health Care Workforce in Los Angeles County and New York City: A Comparison and Analysis

2002 ◽  
Vol 32 (2) ◽  
pp. 299-313 ◽  
Author(s):  
Howard S. Berliner ◽  
Christine T. Kovner ◽  
Cordelia Reimers
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Los Angeles ◽  
Health System ◽  
York City ◽  
Los Angeles County ◽  
Health Workers ◽  
The United States ◽  
Health Care Workforce

New York City and Los Angeles County have the largest health systems in the United States, but they differ significantly in structure. This study compares and analyzes the structural and workforce differences between the two. The health system in New York City is centered around its large hospitals, and as a result New York employs many more health workers than Los Angeles County, where the health system is centered around physician groups. Health care is a significant contributor to the economy of both areas, but a larger contributor to the economy in New York City.

A Tale of Two Global Cities: The State of Asian Americans in Los Angeles and New York

2012 ◽  
Vol 10 (2) ◽  
pp. 1-22
Author(s):  
Howard Shih ◽  
Melany De La Cruz-Viesca
Keyword(s):  
United States ◽  
New York ◽  
New York City ◽  
Los Angeles ◽  
Asian Americans ◽  
Asian American ◽  
York City ◽  
Los Angeles County ◽  
The United States ◽  
Metro Area

At the national level, the Asian American population has grown more than any other major race group. According to the 2010 Census, the Los Angeles metro area had 2,199,186 Asians, making it the home to the largest Asian population in the United States. Following close behind was the New York City metro area with 2,008,906 Asians. Over a quarter of the 14.7 million Asian Americans reside in either of the two greater metropolitan regions, where they comprise around a tenth of the total population in each metropolis. We begin with a brief historical overview of immigration legislation that has both invited and excluded Asian Americans, as a means of understanding how Asian Americans have been perceived over time. We will also compare some key characteristics of Asian American populations in Los Angeles County, New York City, the Balance of LA Combined Statistical Area (CSA) (excluding Los Angeles County), and the Balance of NYC CSA (excluding New York City), and the Balance of the United States. The paper will cover: (1) demographic trends and patterns (2) economic status (3) political engagement and incorporation, and (4) residential settlement patterns. We close with a discussion of how these demographic changes have contributed to Asian Americans rapid social, economic, and political upward mobility in the last decade, at a time when the global restructuring of the economy has blurred nation-state boundaries that once existed and migration from Asia to the United States has become more complex, particularly over the past two decades.

Abstract P125: The First Year of Pre-Hospital Triage for Emergent Large Vessel Stroke Across a Large New York City Health System

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Brian D Kim ◽  
Jacob Morey ◽  
Naoum Fares Marayati ◽  
Danielle Wheelwright ◽  
Tara L Roche ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Los Angeles ◽  
Health System ◽  
York City ◽  
Large Vessel ◽  
Access Time ◽  
Hospital Arrival ◽  
Arterial Access ◽  
Triage Protocol

Introduction: On April 1 2019, New York City EMS began a triage protocol using a modified Los Angeles Motor Scale (S-LAMS for addition of speech) to identify potential endovascular thrombectomy (EVT) eligible patients in the field (S-LAMS 4-6 with last known well (LKW) <5 hours). These patients are routed to the nearest thrombectomy capable center, driving past potentially closer primary stroke centers. Methods: Patients brought by EMS to a large multicenter health system across NYC for the year following April 1, 2019 were extracted from a prospectively collected stroke database. S-LAMS triage positive (STP) patients were assessed for diagnostic accuracy and treatment times. They were compared with a cohort that underwent EVT during the same period, but triaged as S-LAMS triage negative (STN). Results: STP patients (N=145) were 56.6% women, mean age of 70, median baseline mRS of 0, S-LAMS score of 5, and arrival NIHSS of 13. Stroke was diagnosed in 110 (75.8%) patients, 32 intracerebral hemorrhage and 78 ischemic. Of the ischemic, 45 were large vessel occlusion stroke (ELVO) and 34 underwent EVT (PPV of 0.31 for ELVO). STN patients (N=65) with LKW of < 5 hours were brought by EMS and underwent EVT; 34 were brought directly to EVT capable centers, and 36 required transfer for EVT. Mean time to hospital arrival from EMS scene arrival was significantly longer for STP patients than STN patients (38 vs. 29 minutes, p<0.01). Mean ambulance travel time was significantly longer for STP patients than STN patients (10 vs. 7 minutes, p<0.01). Mean tPA administration time from EMS scene arrival was not significantly different between STP (N=41) and STN patients (N=40) (90 vs. 91 minutes, p=0.89). Mean arterial access time for EVT from EMS scene arrival was significantly shorter for STP patients than STN patients (137 vs. 200 minutes, p<0.01). Conclusions: Pre-hospital stroke triage using the streamlined S-LAMS scale is comparable with other pre-hospital scales in predictive value for ELVO. While pre-hospital evaluation and transport times are longer, they add minimal delay to the hospital arrival, do not affect tPA times, and improve times to EVT in a large, urban environment. Further analysis on effect of the triage protocol on patient outcomes is warranted.

scholarly journals Reform of the New York’s public health system in the context of rapid urban development (turn of the XIX – XX centuries)

2020 ◽  
pp. 1-10
Author(s):  
Evgeniya Vladimirovna Zhilina
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Health System ◽  
York City ◽  
Preventive Measures ◽  
Public Health System ◽  
The United States ◽  
Administrative Reforms ◽  
The City

This article explores the factors for conducting administrative reforms in the United States in the area of public health. For detailed consideration, the author selected New York City as an example the largest metropolitan area that faced aggravation of social problems due to the shortcomings in the existing public health system. Rapid increase in the number of resident in the conditions of significant growth of population density led to proliferation of the dangerous infectious diseases, for elimination of which local authorities had to take prompt actions of state regulation, including creation of the new administrative branches. Special attention is given to the treatment of tuberculosis and preventive measures thereof, namely the importance of tracking all new cases. In studying public health system of New York City, the author applied interdisciplinary approach that ensured comprehensive and objective outlook upon the problems of poorest population groups of the city. Comparative-historical method was used juxtapose the situation in New York and typologically similar US metropolises. Chronological method allowed tracing the patterns in evolution of administrative innovations, and assessing them in a single historical perspective. The main conclusion consists in the statement that private medicine appeared to be insufficient due to the drastic changes of social conditions in the densely populated metropolises, as the constantly growing population of poor immigrant neighborhoods was capable of paying for medical services. At the same time, namely the residents of such ghettos were most vulnerable category of population from the standpoint of epidemiology. Taking preventive measures by the municipal authorities, which included mass vaccination and clearing New York streets from dirt and trash, became an effective way to alleviate the situation. The administrative reforms in the city significantly improved the situation, which laid the foundation for sweeping changes in the future.

Harlem Renaissance Women and 580 St. Nicholas Avenue

2017 ◽  
Author(s):  
Ethelene Whitmire
Keyword(s):  
New York ◽  
New York City ◽  
Los Angeles ◽  
York City ◽  
Harlem Renaissance ◽  
The United States ◽  
Office Worker ◽  
Pass Through ◽  
African American Artists ◽  
The Harlem Renaissance

This chapter looks at how Regina became part of the Harlem Renaissance upon her arrival in New York City. Events collided to put Regina at the forefront of the Harlem Renaissance, a cultural movement marked by increased literary, musical, and artistic creativity by African American artists who wanted to challenge the prevailing stereotypical representation of their image. Writers and artists came from all over the United States to participate. In Los Angeles, writer Wallace Thurman encouraged fellow post-office worker Arna Bontemps to go to Harlem. Opportunity editor Charles S. Johnson encouraged Zora Neale Hurston to move to New York City. All of these great thinkers, writers, and artists would pass through the 135th Street Branch, where Regina was assigned.

scholarly journals Where and Why Do Illicit Businesses Cluster? Comparing Sexually Oriented Massage Parlors in Los Angeles County and New York City

2019 ◽  
pp. 0739456X1985963 ◽  
Author(s):  
John J. Chin ◽  
Lois M. Takahashi ◽  
Douglas J. Wiebe
Keyword(s):  
New York ◽  
New York City ◽  
Los Angeles ◽  
York City ◽  
Los Angeles County ◽  
Land Uses ◽  
Massage Parlor ◽  
Local Regulation ◽  
Immigrant Populations ◽  
Geocoded Data

Immigrant-run sexually oriented massage parlors embody the intersection of important planning issues, including inequitable distribution of controversial land uses and economic functions of illicit businesses. We analyzed geocoded data from a ratings website to examine sexually oriented massage parlor clustering in Los Angeles County (LAC) and New York City (NYC). In LAC, clustering occurred in areas with more Asian and Hispanic residents. In NYC, clustering occurred mostly in Manhattan and was negatively associated with household size. Local regulation did not appear to affect clustering. Study findings hold lessons about both more effective regulation and enabling economic development in immigrant populations.

scholarly journals A Longitudinal and Geospatial Analysis of COVID-19 Tweets During the Early Outbreak Period in the United States

2020 ◽  
Author(s):  
Raphael Cuomo ◽  
Vidya Purushothaman ◽  
Jiawei Li ◽  
Mingxiang Cai ◽  
Timothy Mackey
Keyword(s):  
United States ◽  
New York ◽  
Social Media ◽  
New York City ◽  
Los Angeles ◽  
York City ◽  
The United States ◽  
Behavioral Strategies ◽  
Outbreak Period ◽  
Media Interaction

Abstract Introduction: Local rates of COVID-19 cases and deaths may not accurately convey the variability in community-level concern about COVID-19 during the early outbreak period in the United States. Social media interaction may elucidate communication about COVID-19 in this critical period, during which communities may have formulated initial conceptions pertaining to the perceived gravity of the disease and potential behavioral strategies for prevention.Methods: Scripts were written to obtain tweets related to COVID-19 from Twitter. Using manually-annotated tweets about symptom-related concerns from a prior study, a machine learning classifier was applied to obtain a subset of tweets about concerns relating to COVID-19. The longitudinal relationship between these social media posts and active COVID-19 cases was assessed using linear and exponential regression. Changes in the geospatial clustering of tweets was assessed for the top five most populous cities in the United States.Results: Social media posts relating to COVID-19 concerns appeared more predictive of active COVID-19 cases as temporal distance increased. The distribution of tweets in New York City and Phoenix appeared concentrated in city centers, whereas tweets from other cities were more residential. Tweets from New York City became more highly concentrated, but the opposite trend was observed in tweets from Los Angeles.Conclusion: Clustering of social media posts about COVID-19 revealed discrepancies across major US cities. General concern about the COVID-19 pandemic may moderate the relationship between behavioral/environmental factors and COVID-19 transmission. The degree and modality of this moderating effect may differ across US areas.

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