Matching Items (16)

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Addressing the Pediatric Asthma Cluster in South and Central Phoenix

Description

Objective: To explain the origins of the pediatric asthma cluster present in south and central phoenix, and propose potential solutions to combat this cluster. Methods: A comprehensive literature review of

Objective: To explain the origins of the pediatric asthma cluster present in south and central phoenix, and propose potential solutions to combat this cluster. Methods: A comprehensive literature review of the different factors that contribute to asthma starting at a national level and working down to the Maricopa county level was conducted. Afterwards a literature review of past pediatric asthma intervention case studies was conducted. The results of both literature reviews were synthesized in regards to applicability in south and central phoenix. Results: A combined targeted intervention in health care delivery, patient/clinician education, and housing status/infrastructure could yield promising results in regards to combatting the pediatric asthma cluster in south and central phoenix.

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Created

Date Created
  • 2018-05

Barriers to Healthcare Access within Native American Populations

Description

Introduction: Health disparities for the Native American population in the United States have been well documented for years. Native Americans face many barriers to healthcare access, including low socioeconomic status,

Introduction: Health disparities for the Native American population in the United States have been well documented for years. Native Americans face many barriers to healthcare access, including low socioeconomic status, historical trauma, and lack of access to healthcare facilities. Barriers to healthcare and challenges associated with achieving optimal health among Native Americans contribute to health disparities within these populations. If these barriers are to be overcome, they must be understood and addressed. Purpose: The purpose of this review was to identify barriers to healthcare access for Native American populations as well as strategies to address barriers. Method: A preliminary scan of several online databases was conducted. Key terms used in the search included American Indians, Native American, healthcare, healthcare access, health disparities, barriers, and intervention. Articles were selected based on relevance, and data from each chosen article were extracted and categorized. Results: The initial search resulted in 272 articles of potential interest. Based on the abstract review, 32 were deemed relevant, and full text reviews were completed. Based on the full text review, an additional 10 articles were excluded, resulting in a final review of 22 articles. The articles addressed barriers related to various health conditions: cancer treatment, drug or alcohol use, maternal and child health, historical trauma, diabetes and chronic illnesses, and oral health. Conclusion: Native Americans face several barriers to healthcare access that are associated with social, physical, and mental health disparities. Successful efforts to address these barriers include patient-centered, culturally-competent interventions. Others include interventions which focus on community involvement.

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Created

Date Created
  • 2017-12

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Pediatric Dental Health Care Utilization Among AHCCCS Recipients

Description

Arizona children covered by AHCCCS experience increased poor oral health outcomes in comparison to their higher-income counterparts despite receiving comprehensive dental service coverage under the state Medicaid program. The dental

Arizona children covered by AHCCCS experience increased poor oral health outcomes in comparison to their higher-income counterparts despite receiving comprehensive dental service coverage under the state Medicaid program. The dental health disparities consistently present among this population allude that other barriers are in place preventing pediatric AHCCCS recipients from accessing guaranteed dental care. This thesis addresses the gaps faced by AHCCCS recipients in utilizing dental insurance coverage on behalf of provider availability in proximity and time. A “secret shopper” study was executed to reveal the accessibility barriers experienced by AHCCCS patients in comparison to privately insured patients and the adequacy of AHCCCS contracted providers in maintaining availability for this population. Based on the collected data, AHCCCS patients generally experience increased lengths of time until the next available appointment in comparison to the privately insured, suggesting that despite AHCCCS contracting, there are not currently adequate protective standards ensuring that child AHCCCS patients receive equitable opportunity for good dental health. Furthermore, this study revealed the significant obstructions to accessing dental care for rural Arizonans covered by AHCCCS, as four separate counties were notably found to not have a single AHCCCS provider. State policy must evolve to better support this demographic in achieving equitable oral health, working towards the relief of social determinants oppressing the wellbeing of lower-income families regarding distance to contracted practices and provider availability for the population of AHCCCS recipients.

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Created

Date Created
  • 2020-05

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Evaluating the cultural competency of Family Check-Up 4 Health and the role of cross-sector collaboration in eliminating perceived barriers

Description

FCU4Health is an adaption of an evidence-based program to address the pediatric obesity epidemic in the United States. Qualitative interviews were conducted with nine program providers to understand possible cultural

FCU4Health is an adaption of an evidence-based program to address the pediatric obesity epidemic in the United States. Qualitative interviews were conducted with nine program providers to understand possible cultural variation in family engagement with the program. Interviews were coded to develop a scheme that identifies themes among the coordinators’ experiences through a grounded theory approach, narrowing the scope of topics discussed to create a specific theoretical framework that integrates categories of coordinator experiences. Results showed that the prioritization of what families’ needs are and what resources/parenting modules coordinators utilize followed Maslow's hierarchy of needs, putting child health and safety at the forefront. Barriers to family engagement with the program and with coordinator recommendations are largely cross-cultural and socioeconomic in nature due to not having enough time to follow-through with work/family obligations. However, there were some specific cultural groups such as Latino multigenerational families and immigration status that did pose similar barriers across multiple families that allowed for more generalized themes for those particular cultural groups. Other individualized case studies presented by coordinators showed nuances in barriers to resource utilization between cultural groups at the familial level. In addition, multiple coordinators stated that their most successful resources in engaging families have come with resources that have collaborations with other organizations. In order to address the barriers to accessing health-related services for low-income families that are disproportionately individuals of minority cultural groups, it is vital to have cross-sector collaboration as a mindset towards finding effective and all-encompassing resources for these vulnerable individuals. The non-profit, public, and private sector each have unique strengths that can contribute to reducing health disparities for those suffering with pediatric obesity.

Contributors

Created

Date Created
  • 2020-05

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A Quantitative Review and Analysis over the Quality of Care and Biases Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ+) Community Receive in Healthcare

Description

Populations in the United States and globally struggle to receive equal and affordable access to healthcare, this is no secret. However there are several minority and underprivileged groups within the

Populations in the United States and globally struggle to receive equal and affordable access to healthcare, this is no secret. However there are several minority and underprivileged groups within the population that experience disproportionate quality of healthcare when compared to their cis-gendered heterosexual counterparts.
Individuals that align and identify themselves as part of the Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ+) Community, often face discrimination and bias from within the healthcare system that prevent them from receiving adequate patient knowledge, tailored and beneficial healthcare, as well as social support when seeking treatment for conditions that may at times, be more persistent within the community. Examples of these holes within the healthcare system include a lack of culturally competent and appropriate care for those in the community, access to affordable treatments, and other unique health needs.
Consequently, as a minority group these members face social and environmental factors that contribute to their overall wellbeing and health, and therefore training and education need to be implemented for future and current healthcare providers to assess, recognize and acknowledge these varying factors and how they contribute to a patient’s overall wellbeing.

Contributors

Agent

Created

Date Created
  • 2020-05

An exploratory study of COVID-19 risk perceptions, preventative behaviors, and intent to vaccinate among Latinos.

Description

In late 2019, COVID-19, a new disease caused by a novel (or new) coronavirus began to take over the lives of many people. This study centers on how members of

In late 2019, COVID-19, a new disease caused by a novel (or new) coronavirus began to take over the lives of many people. This study centers on how members of the Latinx community have been affected by COVID-19. Both quantitative and qualitative data were utilized to analyze the perceived risk of infection, preventative behaviors, and acceptability of the COVID-19 vaccine for individuals that identify as Latinx. Analysis of the survey and interview analysis found the majority of participants expressed abiding by recommended measures and becoming hypervigilant about their activities, and their desire to get vaccinated against COVID-19 when they are eligible. Individuals who did not express the desire to be vaccinated mentioned worries including side effects, costs, safety, and efficacy of the vaccine. Results from this research could aid in the creation of public health initiatives in order to increase the uptake of the vaccine tailored for the Latinx community.

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Created

Date Created
  • 2021-05

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Cultural Competence in the Medical Education Cycle

Description

Mentions of diversity have become an essential part of every university and medical school’s mission statement. Yet, with such an emphasis on diversity, there is an evident absence of<br/>cultural competence

Mentions of diversity have become an essential part of every university and medical school’s mission statement. Yet, with such an emphasis on diversity, there is an evident absence of<br/>cultural competence education in the curricula of medical education. There is no clear answer of<br/>what is expected of physicians and no direct transitions for the different stages of medical<br/>training when it comes to cultural competence education. This is a vital issue, as there is a close<br/>relationship between the quality of patient care, patient adherence, and medical providers’ levels<br/>of cultural competence. This research analyzes the extent that cultural competence is taught at<br/>various points of the medical education cycle through a data analysis of an IRB approved<br/>questionnaire given to students within the medical education cycle and their value versus<br/>exposure of cultural competence.

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Created

Date Created
  • 2021-05

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Understanding Asthma Disparities Among Black Americans: Analyzing the Causes an Exploring Possible Solutions

Description

There is a higher incidence of asthma, worse outcomes, and a higher burden of disease in Black Americans compared to white Americans. This thesis aims to understand asthma disparities in

There is a higher incidence of asthma, worse outcomes, and a higher burden of disease in Black Americans compared to white Americans. This thesis aims to understand asthma disparities in the Black population by analyzing a variety of social determinants of health and genetic factors that may contribute to these racial health disparities. Based on the evidence collected, a variety of interventions are discussed that explore potential solutions to address the critical issue.

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Created

Date Created
  • 2021-05

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Racial Disparities in Maternal Mortality: A Review of the Literature

Description

The rising national maternal mortality rate has brought international attention to the United State's maternal healthcare crisis. This literature review consolidates and compares academic research on the best practices for lowering maternal mortality rates and reducing racial disparities in healthcare.

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Created

Date Created
  • 2021-05

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Factors Influencing Patient Satisfaction in the Dental Clinics of the Underserved Communities: A Systematic Literature Review

Description

The purpose of this study is to explore the possible factors that influence how patients rate their dentists in the underserved communities and how commonly each factors are mentioned in

The purpose of this study is to explore the possible factors that influence how patients rate their dentists in the underserved communities and how commonly each factors are mentioned in the articles found from the systematic review. PubMed was used to search the articles with the keywords categorized into 5 different groups, they were: dental/oral, underserved, patient satisfaction, services provided and America. The search resulted in 123 articles and after critical appraisal and review, 19 full text articles were determined to be fully relevant to this project. A table of summarized results from the articles was created and factors of satisfaction from the articles were translated into a category which then was categorize into broader category based on relatedness. Sub-categories that were mentioned at least five times in the articles were cost, insurance acceptance, communication, interpersonal skills, number of treatments, fear/worry/anxiety and pain. According to the findings, quality in terms of interaction and interpersonal relationship between patients and the dentists was most mentioned compared to other factors when it comes to patient satisfaction. Other factors mentioned were external factors, pain, continuity, access, cost, technical qualities, efficiency, convenience, availability and environment. The purpose of this study has been met. The results in this project suggest that dentists in underserved communities could focus on changing the way they deliver their service if they want to improve patient retention and satisfaction.

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Agent

Created

Date Created
  • 2016-05