Publications by authors named "Marcee Wilder"
Article Synopsis
- The study assesses the challenges and feasibility of recruiting patients in the emergency department (ED) for research purposes over a period from June 2018 to September 2023.
- Research coordinators invested nearly 2817 hours into this process, resulting in a 31.94% enrollment rate from 485 approached patients, influenced by factors like financial limits and the COVID-19 pandemic.
- The findings indicate that with proper staffing and funding, emergency patient recruitment is viable, highlighting the need for standardized assessments to improve future research in the ED.
Introduction: Sustained asymptomatic hypertension in ED patients is a powerful predictor of chronic uncontrolled hypertension. In this study, we assess the feasibility of using a storyboard video and communicating real-time cardiovascular imaging results on blood pressure control and primary care engagement.
Methods: This was a prospective observational exploratory sub-study.
Background: Individuals reside within communities influenced by various social determinants impacting health, which may harmonize or conflict at individual and neighborhood levels. While some experience concordant circumstances, discordance is prevalent, yet poorly understood due to the lack of a universally accepted method for quantifying it. This paper proposes a methodology to address this gap.
View Article and Find Full Text PDFIntroduction: Little attention has been paid to the influence of individually measured social determinants of health on cancer screening tests in the Medicaid population.
Methods: Analysis was conducted on 2015-2020 claims data from a subgroup of Medicaid enrollees from the District of Columbia Medicaid Cohort Study (N=8,943) who were eligible for colorectal (n=2,131), breast (n=1,156), and cervical cancer (n= 5,068) screening. Participants were grouped into four distinct social determinants of health groups on the basis of their responses to social determinants of health questionnaire.
Unlabelled: Policy Points Social determinants of health are an important predictor of future health care costs. Medicaid must partner with other sectors to address the underlying causes of its beneficiaries' poor health and high health care spending.
Context: Social determinants of health are an important predictor of future health care costs but little is known about their impact on Medicaid spending.
Relationship Between Social Determinants of Health and Antihypertensive Medication Adherence in a Medicaid Cohort.
Circ Cardiovasc Qual Outcomes
February 2022
Article Synopsis
- The study investigates how social determinants of health (SDH) impact medication adherence among Medicaid beneficiaries with hypertension, using data from a cohort of 3,044 individuals.
- Participants were categorized into four social risk groups, and the analysis revealed significant differences in medication adherence based on various SDH factors like food insecurity and smoking status.
- Findings indicate that those in higher social risk groups had notably lower adherence to antihypertensive medications, suggesting that social risks play a crucial role in health management for this population.
Study Objective: We evaluate the relationship between social determinants of health and emergency department (ED) visits in the Medicaid Cohort of the District of Columbia.
Methods: We conducted a retrospective cohort analysis of 8,943 adult Medicaid beneficiaries who completed a social determinants of health survey at study enrollment. We merged the social determinants of health data with participants' Medicaid claims data for up to 24 months before enrollment.
Background: Medication adherence (MA) is critical to successful chronic disease management. It is not clear how social determinants of health (SDH) impact MA. We conducted a systematic review and meta-analysis to summarize the evidence on the relationship between SDH and MA.
View Article and Find Full Text PDFObjective: To develop distinct social risk profiles based on social determinants of health (SDH) information and to determine whether these social risk groups varied in terms of health, health care utilization, and costs.
Methods: We prospectively enrolled 8943 beneficiaries insured by the District of Columbia Medicaid program between September 2017 and December 2018. Participants completed a SDH survey and we obtained their Medicaid claims data for a 2-year period before study enrollment.
Racial disparities in the treatment of acute overdose in the emergency department.
Clin Toxicol (Phila)
December 2018
Objectives: Racial and ethnic disparities in the United States continue to exist in many disciplines of medicine, extending to care in the Emergency Department (ED). We sought to examine the relationship between patient race/ethnicity and use of either antidotal therapy or gastrointestinal decontamination for individuals presenting to the ED for acute drug overdose.
Methods: We completed a secondary analysis of a prospective cohort of patients with suspected acute overdose presenting to two urban tertiary care hospitals between 2009 and 2014.