This quality improvement study assesses the frequency of standardized screenings tied to performance metrics within a national network of federally qualified health centers.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8204254 | PMC |
| http://dx.doi.org/10.1001/jamainternmed.2021.2503 | DOI Listing |
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Perceptions of Medically Complex Patients Enrolled in an Ambulatory Intensive Care Unit at a Healthcare-for-the-Homeless Clinic.
J Am Board Fam Med
December 2024
From the Division of General Internal Medicine and Geriatrics, Addiction Medicine Section, Oregon Health & Science University, Portland, OR (BC, STE, MD, CN, PTK); Central City Concern, Portland OR (BC, AG, MD); Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland OR (EH, STE, SS); School of Medicine, Oregon Health & Science University, Portland OR (AG, CN); School of Social Work, Portland State University, Portland OR (CN); School of Public Health, Oregon Health & Science University and Portland State University, Portland OR (PTK); Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD (SS).
Background: There is great interest in intensive primary care interventions to address high utilization among medically and socially complex patients. How patients experience these interventions has received less attention.
Objective: To better understand patients' experience of intensive primary care, we interviewed patients receiving care from the Streamlined Unified Meaningfully Managed Interdisciplinary Team (SUMMIT), an ambulatory intensive care intervention at an urban federally qualified health center.
Characteristics and Outcomes of Over a Million Patients with Inflammatory Bowel Disease in Seven Countries: Multinational Cohort Study and Open Data Resource.
Dig Dis Sci
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OHDSI Collaborators, Observational Health Data Sciences and Informatics (OHDSI), New York, NY, USA.
Background And Aims: Observational healthcare data are an important tool for delineating patients' inflammatory bowel disease (IBD) journey in real-world settings. However, studies that characterize IBD cohorts typically rely on a single resource, apply diverse eligibility criteria, and extract variable sets of attributes, making comparison between cohorts challenging. We aim to longitudinally describe and compare IBD patient cohorts across multiple geographic regions, employing unified data and analysis framework.
View Article and Find Full Text PDFCritical Anti-Racist Discourse Analysis Applied to Federally Qualified Health Center Policy.
Health Promot Pract
December 2024
Cherokee Health Systems, Knoxville, TN, USA.
Federally Qualified Health Centers (FQHCs) seek to improve health equity for marginalized and historically disenfranchised communities. However, FQHC policies are not necessarily designed to be explicitly anti-racist. This can result in institutional racism shaping and influencing policy.
View Article and Find Full Text PDFLeft in the lurch: a junior doctor's scathing critique of the Nigerian healthcare system.
Pan Afr Med J
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Department of Medicine, Federal Medical Centre, Jabi, Abuja, Nigeria.
This reflective article examines the profound challenges faced by junior doctors in Nigeria, focusing on the pervasive lack of support from senior colleagues and the systemic failures within the healthcare system. Drawing from personal experiences, the narrative highlights how newly qualified doctors are often "left in the lurch", thrust into demanding roles with insufficient guidance, training, and resources. The consequences of this abandonment are explored, not only in terms of the personal and professional toll on junior doctors but also in the broader context of patient care and the overall efficacy of the healthcare system.
View Article and Find Full Text PDFThe "Mammograms Available Due to Resources and Education" (MADRE) Study: Rationale and Design.
Contemp Clin Trials
December 2024
University of Illinois at Chicago, 601 S Morgan St, Chicago, IL 60607, USA.
Background: Latinas suffer disproportionately from breast cancer, partially due to lower uptake of guideline-concordant breast cancer screening. We describe the design of a study to compare two approaches addressing this important public health problem.
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