National Healthcare Quality and Disparities Report
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大象APPResearch Studies
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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.
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1 to 3 of 3 Research Studies DisplayedMcKenna KJ, Fiori KP, Chambers EC
Children with chronic health conditions and social needs: investigating outcomes to drive health system improvements.
Researchers used logistic regression to evaluate chronic health conditions diagnoses in this cross-sectional study of pediatric patients screened for social needs in an urban health system. Results indicated that children with autism/developmental delay were most likely to have a social need; children with autism/developmental delay, anxiety/depression, and asthma were most likely to report specific social needs. The researchers concluded that health systems should screen for these needs to improve health outcomes.
AHRQ-authored; HS026396.
Citation: McKenna KJ, Fiori KP, Chambers EC .
Children with chronic health conditions and social needs: investigating outcomes to drive health system improvements.
Clin Pediatr 2024 Dec; 63(12):1698-707. doi: 10.1177/00099228241241896.
Keywords: Children/Adolescents, Chronic Conditions, Social Determinants of Health, Health Systems, Outcomes
Lock LJ, Channa R, Brennan MB
Effect of health system on the association of rurality and level of disadvantage with receipt of diabetic eye screening.
The goal of this retrospective cohort study was to determine the role of level of disadvantage in diabetic eye screening to explain the effect of health systems on rural and urban disparities. Researchers used an all-payer, statewide claims database to include adult Wisconsin residents with diabetes who had claims billed throughout the baseline and measurement years. Results indicated that patients from urban underserved clinics were more likely to receive screening than those from rural underserved clinics; similar findings emerged for both Medicare and non-Medicare subgroups. The researchers concluded that health systems, especially those that serve urban underserved populations, have an opportunity to increase screening rates by leveraging health system-level interventions and supporting patients in overcoming barriers.
AHRQ-funded; HS026279.
Citation: Lock LJ, Channa R, Brennan MB .
Effect of health system on the association of rurality and level of disadvantage with receipt of diabetic eye screening.
BMJ Open Diabetes Res Care 2022 Dec;10(6):e003174. doi: 10.1136/bmjdrc-2022-003174..
Keywords: Rural Health, Access to Care, Screening, Diabetes, Eye Disease and Health, Disparities, Chronic Conditions, Health Systems
Sutherland BL, Pecanac K, Bartels CM
Expect delays: poor connections between rural and urban health systems challenge
Rural Americans with diabetic foot ulcers (DFUs) face a 50% increased risk of major amputation compared to their urban counterparts. In this study, the investigators sought to identify health system barriers contributing to this disparity. The investigators concluded that poor connections across rural and urban healthcare systems were described as the primary health system barrier driving the rural disparity in major amputations.
AHRQ-funded; HS026279.
Citation: Sutherland BL, Pecanac K, Bartels CM .
Expect delays: poor connections between rural and urban health systems challenge
J Foot Ankle Res 2020 Jun 16;13(1):32. doi: 10.1186/s13047-020-00395-y..
Keywords: Rural Health, Health Systems, Disparities, Diabetes, Chronic Conditions, Healthcare Delivery
