04 May 2010 ~ Comments Off on Health disparities in transplantation: focus on the complexity and challenge of renal transplantation in African Americans

Health disparities in transplantation: focus on the complexity and challenge of renal transplantation in African Americans

The field of renal transplantation has grown exponentially as a result of a greater understanding of the immune system and the advent of numerous immunosuppressive agents. Although African Americans and whites have benefited from these advances, equivalent long-term success eludes African Americans who are disadvantaged in gaining access to renal transplantation. This review summarizes the […]

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04 May 2010 ~ Comments Off on Evaluating innovations in maternity care: methodological approaches to a baseline postal survey

Evaluating innovations in maternity care: methodological approaches to a baseline postal survey

BACKGROUND: A network of four public maternity hospitals in Melbourne, Australia, has implemented a range of initiatives aimed at improving maternity care. Comprehensive evaluation aims to determine whether or not the maternity service enhancement strategies have led to improvements in women’s views and experiences of care. This paper discusses the baseline survey study design and […]

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04 May 2010 ~ Comments Off on The impact of socioeconomic status on health disparities in the United States

The impact of socioeconomic status on health disparities in the United States

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04 May 2010 ~ Comments Off on The Social Support and Family Health Study: a randomised controlled trial and economic evaluation of two alternative forms of postnatal support for mothers living in disadvantaged inner-city areas

The Social Support and Family Health Study: a randomised controlled trial and economic evaluation of two alternative forms of postnatal support for mothers living in disadvantaged inner-city areas

OBJECTIVES: To determine whether increased postnatal support could influence maternal and child health outcomes. DESIGN: This was a randomised controlled trial comparing maternal and child health outcomes for women offered either of the support interventions with those for control women receiving standard services only. Outcome data were collected through questionnaires distributed 12 and 18 months […]

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04 May 2010 ~ Comments Off on Explaining racial disparities in coronary outcomes in women.[comment]

Explaining racial disparities in coronary outcomes in women.[comment]

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04 May 2010 ~ Comments Off on Disparities and discrimination in health care: an introduction

Disparities and discrimination in health care: an introduction

Racial disparities in health care and health outcomes are a disturbing feature of the American health care system. Efforts to reduce or ameliorate these disparities must be informed by an understanding of the factors that underlie and contribute to them. The papers in this issue are based on a recent conference that was held at […]

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04 May 2010 ~ Comments Off on Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication.[see comment]

Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication.[see comment]

BACKGROUND: Dramatic changes have occurred in mental health treatments during the past decade. Data on recent treatment patterns are needed to estimate the unmet need for services. OBJECTIVE: To provide data on patterns and predictors of 12-month mental health treatment in the United States from the recently completed National Comorbidity Survey Replication. DESIGN AND SETTING: […]

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04 May 2010 ~ Comments Off on Examining healthcare disparities in a disease management population

Examining healthcare disparities in a disease management population

OBJECTIVES: To examine whether racial disparities in healthcare exist in a heart failure population and to estimate the impact of disease management (DM) on any identified disparities. STUDY DESIGN: Before-after cohort study. PATIENTS AND METHODS: A total of 2619 high-risk heart failure patients (2129 whites and 490 blacks) who participated in a DM program for […]

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04 May 2010 ~ Comments Off on Stress urinary incontinence surgery in the United States

Stress urinary incontinence surgery in the United States

OBJECTIVE: To describe the prevalence, regional rates and demographic characteristics, morbidity, and mortality of stress urinary incontinence surgeries in the United States. METHODS: We used data from the 1998 National Hospital Discharge Survey and the 1998 National Census to calculate rates of surgeries for stress urinary incontinence by age, race, and region of the United […]

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04 May 2010 ~ Comments Off on Differences between African Americans and whites in the outcome of heart failure: Evidence for a greater functional decline in African Americans

Differences between African Americans and whites in the outcome of heart failure: Evidence for a greater functional decline in African Americans

BACKGROUND: National statistics indicate that African Americans are disproportionately affected by mortality and hospitalizations resulting from heart failure when compared with other racial/ethnic groups. This might, in part, reflect a poorer course of heart failure among African Americans. METHODS: We conducted a prospective cohort study of 316 white and 82 African American consecutive patients aged […]

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