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04 May 2010 ~ Comments Off on Eliminating health disparities associated with long-term care to promote graceful aging in place

Eliminating health disparities associated with long-term care to promote graceful aging in place

The aging of the population in the United States along with the high prevalence of chronic diseases among them requires that a system of care be developed that will permit seniors to age gracefully in place even when in ill health. Such a system will encourage healthy lifestyles, provide expert coordination of care, involve friends […]

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04 May 2010 ~ Comments Off on Trends in childhood asthma: prevalence, health care utilization, and mortality

Trends in childhood asthma: prevalence, health care utilization, and mortality

OBJECTIVES: Our objective was to use national data to produce a comprehensive description of trends in childhood asthma prevalence, health care utilization, and mortality to assess changes in the disease burden among US children. METHODS: Five data sources from the National Center for Health Statistics were used to describe trends in asthma for children aged […]

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04 May 2010 ~ Comments Off on Racial disparities in kidney health: the puzzle to solve.[comment]

Racial disparities in kidney health: the puzzle to solve.[comment]

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04 May 2010 ~ Comments Off on State-specific prevalence of selected chronic disease-related characteristics–Behavioral Risk Factor Surveillance System, 2001

State-specific prevalence of selected chronic disease-related characteristics–Behavioral Risk Factor Surveillance System, 2001

PROBLEM: High-risk behaviors and lack of preventive care are associated with higher rates of morbidity and mortality in the United States. Without continued monitoring of these factors, state health departments would have difficulty tracking and evaluating progress toward Healthy People 2010 and their own state objectives. Monitoring chronic disease-related behaviors is also key to developing […]

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04 May 2010 ~ Comments Off on Correlates of controlled hypertension in indigent, inner-city hypertensive patients

Correlates of controlled hypertension in indigent, inner-city hypertensive patients

OBJECTIVE: To identify correlates of controlled hypertension in a largely minority population of treated hypertensive patients. DESIGN: Case-control study. SETTING: Urban, public hospital. PATIENTS: A consecutive sample of patients who were aware of their diagnosis of hypertension for at least 1 month and had previously filled an antihypertensive prescription. Control patients had a systolic blood […]

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04 May 2010 ~ Comments Off on Access for pregnant women on Medicaid: variation by race and ethnicity

Access for pregnant women on Medicaid: variation by race and ethnicity

Disparities in early and adequate prenatal care and infant/maternal outcomes still exist between white and nonwhite populations. Although Medicaid expansions were intended to improve outcomes, eligible women often delay enrollment and access barriers remain. This study examines racial disparities among pregnant women in Florida, Georgia, New Jersey, and Texas. The disproportionate location of minorities enrolled […]

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04 May 2010 ~ Comments Off on Socioeconomic disparities in health: pathways and policies. Inequality in education, income, and occupation exacerbates the gaps between the health “haves” and “have-nots.”

Socioeconomic disparities in health: pathways and policies. Inequality in education, income, and occupation exacerbates the gaps between the health “haves” and “have-nots.”

Socioeconomic status (SES) underlies three major determinants of health: health care, environmental exposure, and health behavior. In addition, chronic stress associated with lower SES may also increase morbidity and mortality. Reducing SES disparities in health will require policy initiatives addressing the components of socioeconomic status (income, education, and occupation) as well as the pathways by […]

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04 May 2010 ~ Comments Off on Medical decision-making and healthcare disparities: The physician’s role

Medical decision-making and healthcare disparities: The physician’s role

Widespread disparities in US healthcare have been documented with attendant speculation about their causes, including the potential role of the physician as a healthcare decision-maker. However, the current evidence on physician decision-making is inadequate to draw firm conclusions on how it relates to healthcare inequalities. In this article, we review the available evidence on physician […]

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04 May 2010 ~ Comments Off on Beyond rhetoric: what we need to know to eliminate disparities

Beyond rhetoric: what we need to know to eliminate disparities

Racial and ethnic disparities in health care are well documented and can be discussed in 3 broad categories: health system factors, patient-level factors, and patient/provider interaction. Clinicians and others working in health care and related fields are knowledgeable about disparities in health, but the general US population is not. Racial/ethnic disparities are most striking in […]

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26 March 2010 ~ 0 Comments

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