Publications by authors named "L D Highfield"

Introduction: The focus on social determinants of health (SDOH) and their impact on health outcomes is evident in U.S. federal actions by Centers for Medicare & Medicaid Services and Office of National Coordinator for Health Information Technology.

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Article Synopsis
  • Minority populations in the U.S. are increasing, highlighting the need for ongoing analysis of cultural contexts in health disparities.
  • This study aimed to develop a Cultural Context Index (CCI) using geospatial data to assess social health determinants across diverse communities in 73,682 census tracts.
  • The findings indicate that areas with the greatest need for culturally competent health care have higher rates of poor physical and mental health, particularly in metropolitan regions with significant Black and Hispanic populations.
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Objective: Medication discrepancies between clinical systems may pose a patient safety hazard. In this paper, we identify challenges and quantify medication discrepancies across transitions of care.

Methods: We used structured clinical data and free-text hospital discharge summaries to compare active medications' lists at four time points: preadmission (outpatient), at-admission (inpatient), at-discharge (inpatient), and postdischarge (outpatient).

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