Article
Geriatrics & Gerontology
Nauzley C. Abedini, Lois Downey, Ruth A. Engelberg, J. Randall Curtis, Rashmi K. Sharma
Summary: Older adults with serious illness and limited English proficiency have higher rates of end-of-life healthcare utilization compared to those without limited English proficiency. Further research is needed to identify the causes of these differences and develop linguistically- and culturally-appropriate interventions to improve end-of-life care in this population.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Health Care Sciences & Services
Natalia Ramirez, Kewei Shi, K. Robin Yabroff, Xuesong Han, Stacey A. Fedewa, Leticia M. Nogueira
Summary: This study investigates the association between limited English proficiency (LEP) and access to healthcare in adults. The results show that adults with LEP have worse access to care and are more likely to be overdue for preventive services compared to those without LEP. System-level interventions can improve equity in access to care for adults with LEP.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Jingchuan Guo, Sean Dickson, Lucas A. Berenbrok, Shangbin Tang, Utibe R. Essien, Inmaculada Hernandez
Summary: Using ArcGIS Network Analyst and a national transportation dataset, we calculated the driving distance to the closest health care facility for a representative sample of the U.S. population and found that Black residents have a longer driving distance than White residents. There were significant geographic variations in racial disparities in access to health care facilities, with concentrated disparities in the Southeast and a concentration of overall population >5 miles to the closest facility in the Midwest. This geographic variation highlights the importance of using spatially explicit data in designing equitable health care facility establishments.
FRONTIERS IN PUBLIC HEALTH
(2023)
Review
Obstetrics & Gynecology
Tia Y. Brodeur, Daniel Grow, Navid Esfandiari
Summary: Infertility has a high prevalence globally, especially in developed nations due to delayed childbearing. Patients in low-resource and rural areas face barriers in accessing specialized gynecological and reproductive endocrinology care. Innovations in assisted reproductive technology and telehealth can improve patient access to fertility care, and collaboration between local gynecologists and infertility specialists is beneficial.
REPRODUCTIVE SCIENCES
(2022)
Article
Psychology, Developmental
Jorge V. Verlenden, Benjamin Zablotsky, Marshalyn Yeargin-Allsopp, Georgina Peacock
Summary: This study examines patterns of healthcare utilization and barriers to receipt of care for young adults with disability. The findings show that young adults with disability are more likely to have had an emergency room visit in the past year, have a usual source of care when sick, delay medical care due to cost, and have unmet medical needs.
JOURNAL OF ADOLESCENT HEALTH
(2022)
Article
Computer Science, Information Systems
Jorge Alberto Rodriguez, Jean-Pierre Charles, David W. Bates, Courtney Lyles, Bonnie Southworth, Lipika Samal
Summary: The 21st Century Cures Act and the rise of telemedicine have brought attention to patient portals, but disparities in portal use still exist due to limited digital literacy. To address the digital disparities in primary care, we implemented a digital health navigator program to support portal use among patients with type II diabetes. Through our pilot, we successfully enrolled 121 patients (30.9%) onto the portal. Our overall portal enrollment for clinic patients with type II diabetes increased for Hispanic/Latinx patients from 30% to 42% and Black patients from 49% to 61%. By using the Consolidated Framework for Implementation Research, other clinics can implement a digital health navigator program to promote patient portal use.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Health Care Sciences & Services
Michael Shayne Gallaway, Teresa Aseret-Manygoats, Wayne Tormala
Summary: This study examines social indicators associated with access, use, and barriers to seeking healthcare services among people living in Arizona. The findings reveal that a significant percentage of Arizona adults lack healthcare coverage, a personal doctor, and face barriers due to medical costs when seeking care.
Review
Endocrinology & Metabolism
Marshall H. Chin
Summary: In order to reduce healthcare disparities, clinicians need to commit to advancing health equity, create a culture of equity, implement practical interventions, and consider their roles in addressing social determinants of health. Advancing health equity requires a combination of science and art, evidence-based roadmaps and stories, judgment, and passion for serving humanity.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2021)
Article
Geriatrics & Gerontology
David H. Sommerfeld, Elise Trott Jaramillo, Erik Lujan, Emily Haozous, Cathleen E. Willging
Summary: The study explored factors influencing health care use among American Indian elders through concept mapping, revealing the need for actions across multiple domains to improve their access and utilization of health care. This includes health system navigation services, workforce improvements, and tribal, state, and federal policy changes.
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
(2021)
Article
Neurosciences
Caroline Pearson, Alex Hartzman, Dianne Munevar, Megan Feeney, Rachel Dolhun, Veronica Todaro, Sheera Rosenfeld, Allison Willis, James C. Beck
Summary: It is important to understand how people with Parkinson's disease (PD) in the US utilize the healthcare system. A study analyzed the healthcare utilization patterns of PD patients enrolled in Medicare in 2019 and found significant disparities in care. Many patients did not see a neurologist or receive recommended therapy services, indicating the need for further research on barriers to accessing PD-related health care.
NPJ PARKINSONS DISEASE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Scott J. Adams, Shenzhen Yao, Prosanta Mondal, Hyun Lim, Ivar Mendez, Paul Babyn
Summary: This study found significant disparities in obstetrical ultrasound utilization among patients in remote geographic areas, Indigenous peoples, and patients in low income neighborhoods. Addressing the barriers faced by these demographic groups in accessing ultrasound imaging is critical to ensure health equity.
ACADEMIC RADIOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Felician Andrew Kitole, Robert Michael Lihawa, Thobias Edward Nsindagi, Felister Y. Tibamanya
Summary: This study aims to explore the challenges of achieving universal health coverage by 2030 in most developing countries and examines the impact of health insurance on healthcare utilization in Tanzania. The findings highlight significant intervention factors including education, income, age, residence, household size, insurance, and distance to healthcare facilities that can improve healthcare utilization behavior among households in Tanzania.
Article
Health Care Sciences & Services
Bright Opoku Ahinkorah, Edward Kwabena Ameyaw, Abdul-Aziz Seidu, Emmanuel Kolawole Odusina, Mpho Keetile, Sanni Yaya
Summary: This study highlights the role of barriers to healthcare access in antenatal care utilization in sub-Saharan African countries, recommending that governmental and non-governmental organizations ensure policies geared towards improving the quality of antenatal care and promoting good interaction between health care seekers and providers are integrated in the health system.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Pediatrics
Jordan Tyris, Jonathan Rodean, John Kulesa, Gabrina Dixon, Priti Bhansali, Tamara Gayle, Damilola Akani, Matthew Magyar, Nisha Tamaskar, Kavita Parikh
Summary: This study examined associations between social risks and health care utilization among children with asthma. The results showed that social risks were prevalent and associated with increased health care utilization.
ACADEMIC PEDIATRICS
(2022)
Article
Clinical Neurology
Jay B. B. Lusk, Cassie Ford, Amy G. G. Clark, Melissa A. A. Greiner, Kim Johnson, Margarethe Goetz, Brystana G. G. Kaufman, Sneha Mantri, Ying Xian, Richard O'Brien, Emily C. C. O'Brien
Summary: Racial disparities in neurodegenerative disease incidence narrowed between 2014 and 2017. Black patients had a higher risk of hospitalization, more days in skilled nursing facilities, less days in hospice facilities, less likely to receive therapy services or dementia medications, and Parkinson's disease medications compared to White patients. Effective system-level approaches are needed to promote health equity in NDD diagnosis, treatment, and outcomes.
ALZHEIMERS & DEMENTIA
(2022)
Article
Ophthalmology
Dena Ballouz, Juno Cho, Maria A. Woodward, Angela R. Elam, David C. Musch, Jason Zhang, Sayoko E. Moroi, Leroy Johnson, Jean Cederna, Paula A. Newman-Casey
Summary: Community-engaged research (CER) helps researchers identify community-specific barriers and facilitators for program implementation. Broadly applicable barriers such as Cost, Transportation, and Trust, as well as community-specific barriers like Language and Convenience/Access, were identified.
JOURNAL OF GLAUCOMA
(2021)
Article
Ophthalmology
Paula A. Newman-Casey, David C. Musch, Leslie M. Niziol, Angela R. Elam, Jason Zhang, Sayoko E. Moroi, Leroy Johnson, Martha Kershaw, Jinan Saadine, Suzanne Winter, Maria A. Woodward
Summary: The MI-SIGHT program utilizes community engagement, telemedicine, and health coaching to enhance glaucoma screening in underserved communities, and will be evaluated in two community clinics to improve detection rates, visual acuity, and quality of life for patients with glaucoma.
JOURNAL OF GLAUCOMA
(2021)
Article
Ophthalmology
Brian Stagg, Eduardo B. Mariottoni, Samuel Berchuck, Alessandro Jammal, Angela R. Elam, Rachel Hess, Kensaku Kawamoto, Benjamin Haaland, Felipe A. Medeiros
Summary: Black patients exhibited greater variability in longitudinal visual field testing compared to white patients, with socioeconomic status playing a significant role. This difference in variability resulted in delayed detection of glaucoma progression, highlighting potential racial disparities in outcomes.
BRITISH JOURNAL OF OPHTHALMOLOGY
(2022)
Article
Ophthalmology
Angela R. Elam, David Sidhom, Peter Ugoh, Chris A. Andrews, Lindsey B. De Lott, Maria A. Woodward, Paul P. Lee, Paula Anne Newman-Casey
Summary: Disparities were found in how patients accessed eye care during the COVID-19 pandemic, with older patients more likely to receive in-person care and non-White patients less likely to access care. There were significant variations in neighborhood median household income by race, with Black individuals having the lowest estimated mean income.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2022)
Article
Ophthalmology
Patrice M. Hicks, Angela R. Elam, Maria A. Woodward, Paula-Anne Newman-Casey, Afua Asare, Dennis Akrobetu, Divakar Gupta, Brian C. Stagg
Summary: Patients in racial and ethnic minority groups with eye diseases are less likely to feel respected by healthcare professionals compared to non-Hispanic White patients. However, asking about opinions and beliefs, regardless of race or ethnicity, is associated with patients feeling that they are treated with respect.
JAMA OPHTHALMOLOGY
(2022)
Editorial Material
Ophthalmology
Angela R. Elam, Kristen H. Nwanyanwu, Adrienne W. Scott
Summary: This viewpoint emphasizes the importance of ophthalmologists actively engaging with their communities to address eye care disparities.
JAMA OPHTHALMOLOGY
(2022)
Editorial Material
Ophthalmology
Angela R. Elam, Victoria L. Tseng, Anne L. Coleman
Article
Ophthalmology
Angela R. Elam, Victoria L. Tseng, Tannia M. Rodriguez, Elise Mike, Alexis K. Warren, Anne L. Coleman
Article
Ophthalmology
Patrice M. Hicks, Maria A. Woodward, Leslie M. Niziol, Ming-Chen Lu, Linda Kang, Brian C. Stagg, Otana Jakpor, Angela R. Elam, Paula Anne Newman-Casey
Summary: Redlining was a discriminatory housing policy in the US that led to decreased home ownership and wealth accumulation among Black individuals and neighborhoods. This study found that neighborhoods historically graded for redlining had higher rates of visual impairment and blindness.
Article
Ophthalmology
Angela R. Elam, Ire Mobolaji, Kathryn Flaharty, Leslie M. Niziol, Maria A. Woodward, Jason Zhang, David C. Musch, Leroy Johnson, Martha Kershaw, Amanda K. Bicket, Jinan Saaddine, Denise John, Paula Anne Newman-Casey
Summary: The study aims to assess the effectiveness of adding community-based recruitment to clinic-based recruitment in engaging participants in a glaucoma detection program. The results show that recruiting from the community outside the medical clinics significantly increased program participation. Among the participants, 55.0% were recruited at the free clinic and 45.0% were recruited at the federally qualified health center.
OPHTHALMOLOGY GLAUCOMA
(2023)
Article
Ophthalmology
Paula Anne Newman-Casey, Leslie M. Niziol, Angela R. Elam, Amanda K. Bicket, Olivia Killeen, Denise John, Sarah Dougherty Wood, David C. Musch, Jason Zhang, Leroy Johnson, Martha Kershaw, Maria A. Woodward
Summary: The MI-SIGHT program aims to engage people at high risk of glaucoma and assesses first-year outcomes and costs. Telemedicine eye disease detection programs effectively identify high rates of pathology in low-income community clinics.
AMERICAN JOURNAL OF OPHTHALMOLOGY
(2023)
Meeting Abstract
Ophthalmology
Patrice Hicks, Paula Anne Newman-Casey, Leslie Niziol, Ming-Chen Lu, Linda Kang, Brian Craig Stagg, Otana Jakpor, Angela Elam, Maria A. Woodward
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE
(2022)
Meeting Abstract
Ophthalmology
Katie Flaharty, Ming-Chen Lu, Leslie Niziol, Joah Aliancy, Patrice Hicks, Juno Cho, Maria A. Woodward, Angela Elam, Jason Zhang, Leroy Johnson, Martha Kershaw, David Musch, Amanda Kiely Bicket, Denise John, Paula Anne Newman-Casey
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE
(2022)
Article
Ophthalmology
David J. Miller, Leslie M. Niziol, Angela R. Elam, Michele Heisler, Paul P. Lee, Kenneth Resnicow, David C. Musch, Deborah Darnley-Fisch, Jamie Mitchell, Paula Anne Newman-Casey
Summary: The purpose of this study was to investigate whether demographic, clinical, or psychosocial factors moderate the change in medication adherence in the SEE program for patients with glaucoma. The results showed that lower income, fewer glaucoma medications, and increased glaucoma-related distress were associated with greater improvements in medication adherence through the SEE program. These findings indicate that the SEE program can enhance glaucoma self-management even among patients with social and psychological barriers to medication adherence.
OPHTHALMOLOGY GLAUCOMA
(2022)
