77 results match your criteria: "City University of New York at Hunter College[Affiliation]"
Disparate Use of Diagnostic Modalities for Patients With Limited English Proficiency and Neurologic Disorders.
Neurol Clin Pract
April 2025
Department of Neurology (AS), Massachusetts General Hospital, Harvard Medical School, Boston; Department of Public Health Sciences (RBAB), University of North Carolina at Charlotte; Disparities Research Unit, Department of Medicine, Massachusetts General Hospital; Department of Psychiatry, Harvard Medical School; Harvard Medical School (DH, SW), Boston; and City University of New York at Hunter College (DH, SW).
Background And Objectives: Limited English proficiency (LEP) impairs health access-including outpatient specialty care-and quality care, i.e., inappropriate use of diagnostic tests.
View Article and Find Full Text PDFCross-Sectional Evaluation of State-Level Protections, Medical Debt, and Deferred Care Among Sexual and Gender Minority People.
J Gen Intern Med
January 2025
Section of General Internal Medicine, Boston University School of Medicine, Boston, MA, USA.
Background: Millions of Americans have medical debt and/or defer care due to cost. Few studies have examined the association of such health-related financial problems with sexual orientation or gender identity, and whether state-level policies protecting sexual and gender minority (SGM) people affect disparities in such problems.
Objective: To examine the relationships between SGM status, state-level SGM protections, and health-related financial problems.
Taxpayers' Share of US Prescription Drug and Insulin Costs: a Cross-Sectional Study.
J Gen Intern Med
October 2024
City University of New York at Hunter College, New York, NY, USA.
Article Synopsis
- Drug prices significantly impact government budgets through direct spending on public programs like Medicare and Medicaid, and indirect costs via private insurance subsidies for public employees.
- The Senate parliamentarian's ruling prevents extending price controls from the Inflation Reduction Act to private insurers, arguing their costs don't affect the federal budget.
- In 2019, direct government spending on outpatient retail prescription drugs reached $154.85 billion, with indirect spending through private insurers totaling $53.59 billion, highlighting the substantial financial burden of drug costs on government entities.
Age of Emergence of Disparities in Asthma Prevalence and Morbidity among US Children.
Ann Am Thorac Soc
October 2024
City University of New York at Hunter College, New York, United States.
Article Synopsis
- Early-life exposures can increase asthma risk, but their role in racial and socioeconomic disparities in asthma is not fully understood.
- The study analyzes data from three surveys to assess how asthma prevalence, diagnosis age, and hospitalization rates differ based on race, ethnicity, and socioeconomic status among US children.
- Results indicate that Black children experience higher asthma prevalence and hospitalization rates early in life compared to White children, though disparities in prevalence decrease as children age, particularly in adolescence.
Health, Access to Care, and Financial Barriers to Care Among People Incarcerated in US Prisons.
JAMA Intern Med
October 2024
Department of Medicine, Cambridge Health Alliance, Cambridge, Massachusetts.
Importance: Decades-old data indicate that people imprisoned in the US have poor access to health care despite their constitutional right to care. Most prisons impose co-payments for at least some medical visits. No recent national studies have assessed access to care or whether co-pays are associated with worse access.
View Article and Find Full Text PDFMedicare Advantage: High Costs and Poor Protection.
Ann Intern Med
July 2024
City University of New York at Hunter College, New York, New York; and Harvard Medical School, Boston, Massachusetts.
Administration's Share of Personnel in Veterans Health Administration and Private Sector Care.
JAMA Netw Open
January 2024
School of Urban Public Health, City University of New York at Hunter College, New York, New York.
Importance: Health care administrative overhead is greater in the US than some other nations but has not been assessed in the Veterans Health Administration (VHA).
Objective: To compare administrative staffing patterns in the VHA and private (non-VHA) sectors.
Design, Setting, And Participants: This cross-sectional study was conducted using US employment data from 2019, prior to pandemic-related disruptions in health care staffing, and was carried out between January 14 and August 10, 2023.
Amputation Rates and Associated Social Determinants of Health in the Most Populous US Counties.
JAMA Surg
January 2024
Division of Vascular Surgery, Cambridge Health Alliance, Cambridge, Massachusetts.
Importance: Social Determinants of Health (SDOH) have been found to be associated with health outcome disparities in patients with peripheral artery disease (PAD). However, the association of specific components of SDOH and amputation has not been well described.
Objective: To evaluate whether individual components of SDOH and race are associated with amputation rates in the most populous counties of the US.
Alleviating Medical Debt in the United States.
N Engl J Med
September 2023
From the Department of Medicine, Brigham and Women's Hospital (N.U.), and Harvard Medical School (N.U., S.W., D.U.H.), Boston, and Cambridge Health Alliance, Cambridge (S.W., D.U.H.) - all in Massachusetts; and City University of New York at Hunter College, New York (S.W., D.U.H.).
COVID-19 Risk by Workers' Occupation and Industry in the United States, 2020‒2021.
Am J Public Health
June 2023
Adam Gaffney and Danny McCormick are with the Department of Medicine, Cambridge Health Alliance, Cambridge, MA, and Harvard Medical School, Boston, MA. David Himmelstein and Steffie Woolhandler are with City University of New York at Hunter College, New York, NY; Department of Medicine, Cambridge Health Alliance; Harvard Medical School; and Public Citizen Health Research Group, Washington, DC.
To assess the risk of COVID-19 by occupation and industry in the United States. Using the 2020-2021 National Health Interview Survey, we estimated the risk of having had a diagnosis of COVID-19 by workers' industry and occupation, with and without adjustment for confounders. We also examined COVID-19 period prevalence by the number of workers in a household.
View Article and Find Full Text PDFCorporate Efforts to Adopt and Distort the Social Determinants of Health Framework.
Int J Soc Determinants Health Health Serv
July 2023
City University of New York at Hunter College, New York, NY, USA.
Over the past two centuries, progressive scholars have highlighted the health-harming effects of oppressive living and working conditions. Early studies delineated the roots of inequities in these social determinants of health in capitalist exploitation. Analyses in the 1970s and 1980s that adopted the social determinants of health framework emphasized the deleterious effects of poverty but rarely explored its origins in capitalist exploitation.
View Article and Find Full Text PDFChronic Illness in Children and Foregone Care Among Household Adults in the United States: A National Study.
Med Care
April 2023
Cambridge Health Alliance, Cambridge.
Article Synopsis
- Adults with children suffering from chronic illnesses like asthma and diabetes tend to experience higher financial strain and are more likely to delay or forego their own medical care compared to those without such children.
- The study analyzed data from the National Health Interview Survey, focusing on 93,264 adult-child dyads, and found significant associations between a child's chronic illness and the adult's access to healthcare.
- Recommendations include reducing out-of-pocket healthcare costs and improving health coverage to help alleviate the financial burdens on families managing chronic childhood illnesses.
Hospital Expenditures Under Global Budgeting and Single-Payer Financing: An Economic Analysis, 2021-2030.
Int J Soc Determinants Health Health Serv
October 2023
University of California San Francisco School of Medicine, San Francisco, California, USA.
U.S. hospitals provide large amounts of low-value care and devote inordinate resources to administration, while some hospitals leverage market power to realize large profits.
View Article and Find Full Text PDFAssessment of Immigrants' Premium and Tax Payments for Health Care and the Costs of Their Care.
JAMA Netw Open
November 2022
School of Urban Public Health, City University of New York at Hunter College, New York.
Importance: Some worry that immigrants burden the US economy and particularly the health care system. However, no analyses to date have assessed whether immigrants' payments for premiums and taxes that fund health care programs exceed third-party payers' expenditures on their behalf.
Objective: To assess immigrants' net financial contributions to US health care programs.
Importance: Cost barriers discourage many US residents from seeking medical care and many who obtain it experience financial hardship. However, little is known about the association between medical debt and social determinants of health (SDOH).
Objective: To determine the prevalence of and risk factors associated with medical debt and the association of medical debt with subsequent changes in the key SDOH of food and housing security.
Trends in Health Care Use Among Black and White Persons in the US, 1963-2019.
JAMA Netw Open
June 2022
City University of New York at Hunter College, New York, New York.
Importance: In the US, Black people receive less health care than White people. Data on long-term trends in these disparities, which provide historical context for interpreting contemporary inequalities, are lacking.
Objective: To assess trends in Black-White disparities in health care use since 1963.
Specialty Care Utilization Among Adults with Limited English Proficiency.
J Gen Intern Med
December 2022
Department of Medicine, Cambridge Health Alliance, Cambridge, MA, USA.
Background: People with limited English proficiency (LEP) face greater barriers to accessing medical care than those who are English proficient (EP). Language-related differences in the use of outpatient care across the full spectrum of physician specialties have not been studied.
Objective: To compare outpatient visit rates to physicians in 28 specialties by people with LEP vs EP.
COVID-19 Testing and Incidence Among Uninsured and Insured Individuals in 2020: a National Study.
J Gen Intern Med
April 2022
Cambridge Health Alliance, Cambridge, MA, USA.
Racial and Ethnic Inequities in Diabetes Pharmacotherapy: Black and Hispanic Patients Are Less Likely to Receive SGLT2is and GLP1as.
J Gen Intern Med
October 2022
Planned Parenthood South Texas, San Antonio, TX, USA.
Association of Uninsurance and VA Coverage with the Uptake and Equity of COVID-19 Vaccination: January-March 2021.
J Gen Intern Med
March 2022
Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA, 02139, USA.
Physician Burnout: Fix the Doctor or Fix the System?
Am J Med
April 2022
School of Public Urban Health, City University of New York at Hunter College, New York, NY; Lecturer, Harvard Medical School, Boston, Mass.
COVID-19-Related Care for Hispanic Elderly Adults With Limited English Proficiency.
Ann Intern Med
January 2022
Department of Medicine, Cambridge Health Alliance, Cambridge, and Harvard Medical School, Boston, Massachusetts.
Background: Enhancing primary care is a promising strategy for improving the efficiency of health care. Previous studies of primary care's effects on health expenditures have mostly relied on ecological analyses comparing region-wide expenditures rather than spending for individual patients.
Objective: To compare overall medical expenditures for individual patients enrolled vs.