03 December 2010 ~ 0 Comments

STATE USES OF HOSPITAL DISCHARGE DATABASES TO REDUCE RACIAL AND ETHNIC DISPARITIES

Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850

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04 May 2010 ~ Comments Off on Using peer recruitment and OraSure to increase HIV testing

Using peer recruitment and OraSure to increase HIV testing

We describe a community-based pilot study to boost HIV testing in a minority community through social network recruitment and a noninvasive HIV testing methodology. Over an 11-month period, the number of test takers at the intervention site increased by 71.7%, and the proportions of test takers with risk factors similar to those of peer recruiters […]

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04 May 2010 ~ Comments Off on Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group

Self-reported prevalence and health correlates of functional limitation among Massachusetts elderly Puerto Ricans, Dominicans, and non-Hispanic white neighborhood comparison group

BACKGROUND: Limited data suggest that Puerto Ricans experience greater disability than other ethnic groups, but few studies have examined the factors associated with this apparent difference. METHODS: We describe the prevalence of functional limitation and disability in a representative sample of Puerto Rican and Dominican elders in Massachusetts, and in a neighborhood comparison group of […]

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04 May 2010 ~ Comments Off on Do patient assessments of primary care differ by patient ethnicity?[see comment]

Do patient assessments of primary care differ by patient ethnicity?[see comment]

OBJECTIVE: To determine if patient assessments (reports and ratings) of primary care differ by patient ethnicity. DATA SOURCES/STUDY DESIGN: A self-administered patient survey of 6,092 Massachusetts employees measured seven defining characteristics of primary care: (1) access (financial, organizational); (2) continuity (longitudinal, visit based); (3) comprehensiveness (knowledge of patient, preventive counseling); (4) integration; (5) clinical interaction […]

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04 May 2010 ~ Comments Off on Conducting interdisciplinary research to promote healthy and safe employment in health care: promises and pitfalls.[see comment][erratum appears in Public Health Rep. 2004 Jul-Aug;119(4):387]

Conducting interdisciplinary research to promote healthy and safe employment in health care: promises and pitfalls.[see comment][erratum appears in Public Health Rep. 2004 Jul-Aug;119(4):387]

Due to the complexity of human health, emphasis is increasingly being placed on the need for and conduct of multidisciplinary and/or interdisciplinary health research. Yet many academic and research organizations–and the discipline-specific associations and journals–may not yet be prepared to adopt changes necessary to optimally support interdisciplinary work. This article presents an ongoing interdisciplinary research […]

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04 May 2010 ~ Comments Off on Variations in asthma care by race/ethnicity among children enrolled in a state Medicaid program

Variations in asthma care by race/ethnicity among children enrolled in a state Medicaid program

OBJECTIVE: To examine differences in the process of care for Medicaid-enrolled white, Hispanic, and black children with asthma. DESIGN: Retrospective cohort study using Medicaid claims data to analyze the process of asthma care in 1994, including all white (non-Hispanic), black (non-Hispanic), and Hispanic children (aged 2-18 years) with asthma in the non-health maintenance organization portion […]

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04 May 2010 ~ Comments Off on Managed care and the quality of substance abuse treatment

Managed care and the quality of substance abuse treatment

BACKGROUND: In the US, the spiraling costs of substance abuse and mental health treatment caused many state Medicaid agencies to adopt managed behavioral health care (MBHC) plans during the 1990s. Although research suggests that these plans have successfully reduced public sector spending, their impact on the quality of substance abuse treatment has not been established. […]

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04 May 2010 ~ Comments Off on Racial differences in the use of lumbar spine radiographs: results from the Veterans Health Study

Racial differences in the use of lumbar spine radiographs: results from the Veterans Health Study

STUDY DESIGN: We analyzed data from the Veterans Health Study, a longitudinal study of male patients receiving VA ambulatory care. OBJECTIVE: To determine whether clinical differences and/or race account for disparities between white and nonwhite patients in the use of lumbar spine radiographs. SUMMARY AND BACKGROUND DATA: Four hundred one patients with low back pain […]

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04 May 2010 ~ Comments Off on Switching doctors: predictors of voluntary disenrollment from a primary physician’s practice.[see comment]

Switching doctors: predictors of voluntary disenrollment from a primary physician’s practice.[see comment]

BACKGROUND: Our objective was to evaluate 8 interpersonal and structural features of care as predictors of patients’ voluntary disenrollment from their primary care physician’s practice. METHODS: We performed a longitudinal observational study in which participants completed a validated questionnaire at baseline (1996) and follow-up (1999). The questionnaire measured 4 elements of the quality of physician-patient […]

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04 May 2010 ~ Comments Off on Views and preferences of low-literate Hispanics regarding diabetes education: results of formative research

Views and preferences of low-literate Hispanics regarding diabetes education: results of formative research

Hispanics are twice as likely as non-Hispanic Whites to have diabetes and are also at higher risk for diabetes-related complications and poorer outcomes. The prevalence of diabetes is inversely related to educational status. Low literacy is common, especially among older Hispanics. Little literature exists on formative research to create diabetes education materials for this audience. […]

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