Publications by authors named "D J Spence"

Objective: The objective of this study was to explore the experiences of distressed people calling helplines regarding offer and uptake of financial services after cancer diagnosis.

Methods: Cancer patients and caregivers reported whether they had discussed then used financial services and perceptions surrounding service uptake. Associations between being offered services and demographic, clinical and financial characteristics were explored.

View Article and Find Full Text PDF

Objective: To evaluate the Ohio Diabetes Quality Improvement Project (QIP) equity aim to reduce the percentage of Non-Hispanic Black (NHB) and Hispanic patients with A1C >9% by ≥20% over 2 years.

Research Design And Methods: The Ohio Department of Medicaid, Ohio Colleges of Medicine Government Resource Center, Ohio Medicaid managed care plans, and seven medical schools in Ohio formed the Diabetes QIP collaborative using the collective impact model to improve diabetes outcomes and equity in 20 practices across 11 health systems. The quality improvement (QI) strategies included data audit and feedback, peer-to-peer learning, QI coaching/practice facilitation, and subject matter expert consultation through coaching calls, monthly webinars, and annual virtual learning sessions.

View Article and Find Full Text PDF

Context: LGBTQIA+ people worldwide experience discrimination, violence, and stigma that lead to poor health outcomes. Policy plays a crucial role in ensuring health equity and safety for LGBTQIA+ communities. Given Lancet Commissions' substantial impact on health policy across domains, we aimed to determine how LGBTQIA+ communities and their care needs are incorporated throughout Lancet Commission reports and recommendations.

View Article and Find Full Text PDF

We report an intra-cavity frequency doubled diamond Raman laser operating at 607 nm. A z-fold cavity design was configured to prevent back reflections into the fiber amplifier, which avoided the use of isolators in the pump beam path. A maximum output power of 60 W was generated in two output beams at an optical conversion efficiency of 28% from the 1045 nm pump.

View Article and Find Full Text PDF

Pickleball is the fastest growing sport in the United States. People of all ages participate in the sport, with the most being aged 35 years or older. Pickleball is a paddle and racket sport with a smaller court size, lighter racket, and similar rules as tennis.

View Article and Find Full Text PDF