Publications by authors named "Katherine Peak"
Article Synopsis
- Multimorbidity, the presence of two or more chronic diseases, is a significant public health issue, especially among adults in socially deprived areas who face higher disease burdens and limited resources.
- A study analyzed electronic health record data from over 816,000 patients using mixed-effects Poisson regression to explore the link between social deprivation and chronic disease accumulation across the U.S.
- Results showed that people in more deprived areas had higher initial chronic disease counts, although they tended to accumulate additional diseases more slowly, highlighting the need to consider social factors in public health strategies.
Context: Minoritized populations experience higher rates of dementia and worse health outcomes than non-Hispanic white people, but they are vastly underrepresented in pragmatic clinical trials embedded in health care systems (ePCTs). Little guidance is available to consider health equity-relevant issues in ePCTs.
Objective: This report describes the development, structure, and content of a guidance document developed by the National Institute on Aging Imbedded Pragmatic AD/ADRD Clinical Trials (IMPACT) Collaboratory to help investigators systematically assess the integration of health equity into all aspects of ePCT design.
Background: Patients have varying levels of chronic conditions and health insurance patterns as they become Medicare age-eligible. Understanding these dynamics will inform policies and reforms that direct capacity and resources for primary care clinics to care for these aging patients. This study 1) determined changes in chronic condition rates following Medicare age eligibility among patients with different insurance patterns and 2) estimated the number of chronically ill patients who remain inadequately insured post-Medicare eligibility among patients receiving care in community health centers.
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- Inequities in brain health and dementia care persist, highlighting the need for affected populations to actively engage in clinical research for health equity.
- Implementing proven interventions within existing healthcare systems can effectively enhance dementia care and make better use of current resources.
- The development of embedded pragmatic controlled trials (ePCT) for nonpharmacological interventions requires careful planning, but there is a lack of criteria to evaluate their readiness for advancing health equity, necessitating further discussion and exploration.
Introduction: To improve dementia care delivery for persons across all backgrounds, it is imperative that health equity is integrated into pragmatic trials.
Methods: We reviewed 62 pragmatic trials of people with dementia published 2014 to 2019. We assessed health equity in the objectives; design, conduct, analysis; and reporting using PROGRESS-Plus which stands for Place of residence, Race/ethnicity, Occupation, Gender/sex, Religion, Education, Socioeconomic status, Social capital, and other factors such as age and disability.
Multimorbidity (≥2 chronic conditions) is a common and important marker of aging. To better understand racial differences in multimorbidity burden and associations with important health-related outcomes, we assessed differences in the contribution of chronic conditions to hospitalization, skilled nursing facility admission, and mortality among non-Hispanic Black and non-Hispanic White older adults in the United States. We used data from a nationally representative study, the National Health and Aging Trends Study, linked to Medicare claims from 2011-2015 (n = 4,871 respondents).
View Article and Find Full Text PDFBackground: Multimorbidity (≥ 2 chronic diseases) is associated with greater disability and higher treatment burden, as well as difficulty coordinating self-management tasks for adults with complex multimorbidity patterns. Comparatively little work has focused on assessing multimorbidity patterns among patients seeking care in community health centers (CHCs).
Objective: To identify and characterize prevalent multimorbidity patterns in a multi-state network of CHCs over a 5-year period.