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- Creators: Dean, W.P. Carey School of Business
Description
Homelessness is a pervasive in American society. The causes of homelessness are complex, but health and homelessness are inextricably linked. Student-run free clinics care for underserved populations, including people experiencing homelessness, but they have multiple agendas—to provide care but also to give students hands-on experience. It is plausible that these two agendas may compete and give patients sub-par quality of care.
This study examines patient care in the SHOW free clinic in Phoenix, Arizona, which serves adults experiencing homelessness. This study asks two questions: First, do clinicians in Phoenix’s SHOW free clinic discuss with patients how to pay for and where to access follow-up services and medications? Second, how do the backgrounds of patients, measured by scales based on the Gelberg-Anderson behavioral model for vulnerable populations, correlate with patient outcomes, including number of unmet needs in clinic, patient satisfaction with care, and patient perceived health status? To answer these questions, structured surveys were administered to SHOW clinic patients at the end of their visits. Results were analyzed using Pearson’s correlations and odds ratios. 21 patients completed the survey over four weeks in February-March 2017. We did not identify any statistically significant correlations between predisposing factors such as severity/duration of homelessness, mental health history, ethnicity, or LGBTQ status and quality of care outcomes. Twenty nine percent of surveyed patients reported having one or more unmet needs following their SHOW clinic visit suggesting an important area for future research. The results from this study indicate that measuring unmet needs is a feasible alternative to patient satisfaction surveys for assessing quality of care in student-run free clinics for homeless populations.
This study examines patient care in the SHOW free clinic in Phoenix, Arizona, which serves adults experiencing homelessness. This study asks two questions: First, do clinicians in Phoenix’s SHOW free clinic discuss with patients how to pay for and where to access follow-up services and medications? Second, how do the backgrounds of patients, measured by scales based on the Gelberg-Anderson behavioral model for vulnerable populations, correlate with patient outcomes, including number of unmet needs in clinic, patient satisfaction with care, and patient perceived health status? To answer these questions, structured surveys were administered to SHOW clinic patients at the end of their visits. Results were analyzed using Pearson’s correlations and odds ratios. 21 patients completed the survey over four weeks in February-March 2017. We did not identify any statistically significant correlations between predisposing factors such as severity/duration of homelessness, mental health history, ethnicity, or LGBTQ status and quality of care outcomes. Twenty nine percent of surveyed patients reported having one or more unmet needs following their SHOW clinic visit suggesting an important area for future research. The results from this study indicate that measuring unmet needs is a feasible alternative to patient satisfaction surveys for assessing quality of care in student-run free clinics for homeless populations.
ContributorsWilson, Ethan Sinead (Author) / Jehn, Megan (Thesis director) / Harrell, Susan (Committee member) / School of Human Evolution and Social Change (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
This thesis uses the Foucauldian model of the biopolitical state to explain the regulation of refugee women’s bodies who have undergone female genital cutting/mutilation (FGC/M). The main theoretical framework for this thesis is inspired by Dr. Khiara Bridges’ work: Reproducing Race: An Ethnography of Pregnancy as a Site of Racialization (2011). Her book explains how “material and societal conditions appear to affirm the veracity of race” (Bridges, 2011, 10). She describes pregnancy as a “racially salient event” that inevitably engages racial politics. In her book, she illustrates how the material body is the primary sign of racial difference (Bridges, 2011, 47). I argue that race and culture are inscribed in the body, and FGC/M is a physical representation of that inscription. As a result, a physical representation of racialization opens women with FGC/M to far more scrutiny and regulation. I define the United States and France as biopolitical states whose values and agendas regulate and police bodies to behave according to their norms. The value set that underlies the United States is predicated on principles of sovereignty, federalism, and an emphasis on a Puritanical work ethic where an individual must earn their benefits from the state. In France, however, there is less stigma surrounding social welfare but there is forced cultural assimilation that results in a singular, secular French identity. These value systems then inform the tools to police behavior. The tools, or systems, I have identified for this thesis are the adoption of human rights instruments into domestic law, refugee policy, healthcare systems, and regulation of women’s reproductive health. All of these macro-level systems then inform individual patient-provider relationships since those interactions are not independent of these systems. I argue that refugee women who have undergone FGC/M deviate from these prescribed norms and thus are subjugated to overwhelming biopolitical regulation.
ContributorsRamakumar, Asha Anjali (Author) / Reddy, Swapna (Thesis director) / Switzer, Heather (Committee member) / College of Health Solutions (Contributor) / Dean, W.P. Carey School of Business (Contributor) / School of Social Transformation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Over the past seven years, the Student Health Outreach for Wellness (SHOW) Community Initiative has served vulnerable populations in Maricopa County through a volunteer workforce of providers, graduate health professional students, and undergraduates from all three of Arizona’s public universities. With an interprofessional volunteer base, SHOW has managed to transition its health education and screenings from a clinic-based setting to community-based settings. These new clinical outreach programs within SHOW present unique challenges to maintaining the integrity of interprofessional, team-based care, and new evaluative tools are needed to provide feedback for improvement. Now, as a pioneer site for the National Center for Interprofessional Practice and Education, SHOW must continue to conduct internal research to evaluate their innovative model of care. For this project, the four core competency domains for interprofessional collaborative practice were used to outline proposals for the implementation of several new evaluative measures: the Assessment for Collaborative Environments (ACE-15), the Interprofessional Collaborative Competencies Attainment Survey (ICCAS), patient satisfaction surveys, and critical incident reporting. These tools and protocols are necessary to solidify SHOW as a national model for interprofessional education and practice.
ContributorsSmith, Julianna Marie (Author) / Harrell, Susan (Thesis director) / Saewert, Karen (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
The purpose of this analysis is to determine the economic impact that the distribution of the SolarSPELL digital library system to Peace Corps volunteers in Vanuatu will have on the citizens of Vanuatu by quantifying the potential for SolarSPELL and its health education content to reduce rates of certain illnesses and thereby reduce the demands on the Vanuatu healthcare system. The research was carried out by researching the most prominent non-communicable diseases in Vanuatu that could be affected by lifestyle changes as a result of exposure to the health education content on the SolarSPELL and determining the expected changes in rates of each non-communicable disease as well as the expected changes in the individual and hospital costs, the loss of income due to missed work, transport costs within Vanuatu, and international medical evacuation costs. Ultimately, these costs were collectively reduced by approximately 2.046% due to SolarSPELL intervention, a reduction of approximately $7,000. However, given the limited scope of available information within the healthcare system of Vanuatu, it can be inferred that the impact of the distribution of the SolarSPELL is likely significantly larger. Consequently, it is recommended that the Vanuatu Ministry of Health, the SolarSPELL team, and the Peace Corps implement policies to increase the volume of healthcare data collected in Vanuatu in order to assist in future analyses of the healthcare system.
ContributorsErspamer, Brett Thomas (Author) / Ross, Heather (Thesis director) / Silverman, Daniel (Committee member) / Dean, W.P. Carey School of Business (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
The purpose of this paper is to discuss the history of artificial intelligence (AI) and its future implications in the healthcare industry. Utilizing information from research and medical journals, this paper will examine the foundations of AI and the people and events that influenced its development. Further, the various subsets of AI and its use in contemporary life will be discussed. While the technological evolution of AI will be discussed, this paper is not a technical treatise on the inner workings of AI software and technology, rather, it is a basic history of the development of AI and its respective subsets, and a look at current and potential future applications of AI. This information will be applied to the healthcare industry to discuss the history of AI in this field, detailing how AI was developed to find innovative solutions to complex medical problems. Finally, future prospects of AI in the medical industry will be discussed, explaining potential applications of this technology as well as various challenges and implications.
ContributorsBrackney, Rachel Elizabeth (Author) / Van Orden, Joseph (Thesis director) / Darcy, David (Committee member) / Dean, W.P. Carey School of Business (Contributor) / Department of Management and Entrepreneurship (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Upon analyzing the literature that is available on refugee populations in conjunction with our personal experiences with these populations, we ultimately decided to develop a mobile app that targeted the source of the numerous disparities we saw. These disparities ranged from increased prevalence of chronic diseases to difficulty in going to doctor's appointments due to transportation challenges. We focused on the three areas of government assistance, clinical health, and general well-being through our mobile app, Refugee Aid Initiative. This mobile app is designed to provide refugee populations with the resources necessary to build healthier, happier, and more independent lives for themselves and their families. Here, we focus on not only highlighting resources that are available but also adding supplementary information that helps refugee populations fully take advantage of the resources that are available to them.
ContributorsElsabbagh, Zaid (Author) / Bcharah, George (Co-author) / Sellner, Erin (Thesis director) / Jakubczak, Laura (Committee member) / Barrett, The Honors College (Contributor) / Dean, W.P. Carey School of Business (Contributor) / School of Life Sciences (Contributor)
Created2022-05
Description
The United States healthcare system plays a very important role in everyone’s lives. Americans rely on the system for their overall health and well-being. It is imperative that all Americans have equal access to and quality of healthcare services and healthcare should not differentiate between minorities and nonminorities. The Hispanic population does not have or receive equitable healthcare in comparison to their nonHispanic white counterparts. Due to extreme gaps in quality of and access to care, Hispanics are at risk to endure worse health outcomes. This review dives into defining the necessary definitions of healthcare and racial disparities, looks at what causes these disparities and gaps in care, what outcomes are more prevalent in the Hispanic American population because of the inequities, what solutions are already in place to combat these issues and finally, what solutions need to be implemented at the administration level of healthcare organizations to better treat the Hispanic population in the ways in which they deserve.
ContributorsFaltz, Jaclyn (Author) / Don, Rachael (Thesis director) / Reddy, Swapna (Committee member) / Barrett, The Honors College (Contributor) / Dean, W.P. Carey School of Business (Contributor) / School of International Letters and Cultures (Contributor)
Created2022-05