Clinical preventive service use disparities among subgroups of people with disabilities: A scoping review

2014 ◽  
Vol 7 (4) ◽  
pp. 373-393 ◽  
Author(s):  
Jana J. Peterson-Besse ◽  
Megan S. O'Brien ◽  
Emily S. Walsh ◽  
Amalia Monroe-Gulick ◽  
Glen White ◽  
...  
Medical Care ◽  
2000 ◽  
Vol 38 (2) ◽  
pp. 187-194 ◽  
Author(s):  
Sharon A. Bloom ◽  
Jeffrey R. Harris ◽  
Betsy L. Thompson ◽  
Faruque Ahmed ◽  
Joseph Thompson

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 83
Author(s):  
Kisook Kim

Postmenopausal women experiencing health transitions can improve health-related quality of life through clinical health service use. The aim of this study was to investigate the factors affecting clinical preventive service use, focusing on a multi-dimensional approach among middle-aged postmenopausal women. This descriptive study is a secondary analysis of the seventh Korea National Health and Nutrition Examination Survey (KNHANESⅦ-1) in 2016. Among the 8150 participants, our analysis included 771 naturally menopausal women aged 40–65. National health insurance (OR = 1.659, 95% CI = 1.080–2.550), private health insurance (OR = 2.877, 95% CI = 1.665–4.971), needs for health service (OR = 2.363, 95% CI = 1.332–4.195), cardiovascular disease (OR = 1.570, 95% CI = 1.009–2.445), hospital admission (OR = 3.054, 95% CI = 1.298–7.184), smoking (OR = 0.262, 95% CI = 0.144–0.477), drinking (OR = 0.573, 95% CI = 0.335–0.979), and depression (OR = 0.535, 95% CI = 0.340–0.841) were associated with clinical preventive service use among middle-aged postmenopausal women. To promote clinical preventive service use among postmenopausal women, policies promoting health behavior expansion should be introduced and should consider the predictive variables revealed by this study.


2019 ◽  
Author(s):  
Hae-Ra Han ◽  
Kelly T Gleason ◽  
Chun-An Sun ◽  
Hailey N Miller ◽  
Soo Jin Kang ◽  
...  

BACKGROUND With the advent of electronic health record (EHR) systems, there is increasing attention on the EHR system with regard to its use in facilitating patients to play active roles in their care via secure patient portals. However, there is no systematic review to comprehensively address patient portal interventions and patient outcomes. OBJECTIVE This study aimed to synthesize evidence with regard to the characteristics and psychobehavioral and clinical outcomes of patient portal interventions. METHODS In November 2018, we conducted searches in 3 electronic databases, including PubMed, EMBASE, and Cumulative Index to Nursing and Allied Health Literature, and a total of 24 articles met the eligibility criteria. RESULTS All but 3 studies were conducted in the United States. The types of study designs varied, and samples predominantly involved non-Hispanic white and highly educated patients with sizes ranging from 50 to 22,703. Most of the portal interventions used tailored alerts or educational resources tailored to the patient’s condition. Patient portal interventions lead to improvements in a wide range of psychobehavioral outcomes, such as health knowledge, self-efficacy, decision making, medication adherence, and preventive service use. Effects of patient portal interventions on clinical outcomes including blood pressure, glucose, cholesterol, and weight loss were mixed. CONCLUSIONS Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes. Understanding the role of patient portals as an effective intervention strategy is an essential step to encourage patients to be actively engaged in their health care.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 644-644
Author(s):  
Susan Stark ◽  
Marian Keglovits ◽  
Sandra Espín Tello

Abstract A lack of evidence-based interventions for people aging with long-term physical disabilities exists. To examine the exclusion of people with disabilities in behavioral clinical trials, a scoping review was conducted. ClinicalTrials.gov was searched for interventional behavioral studies from the United States completed from 2008–2018, with results focused on adults (18–64) and older adults (65+). In total, 158 clinical trials were included. In 129 articles, health conditions were excluded 697 times. Seventy-one clinical trials excluded at least one health condition with strong justification, 11 with poor justification, and 115 without justification. There is strong evidence that people with disabilities are excluded from behavioral clinical trials, often without justification. To help close this gap, our presentation will discuss how translational research strategies, focused on adapting existing EB behavioral trials, can be used to increase the availability of interventions that address the needs of individuals aging with and into long-term disabilities. Part of a symposium sponsored by the Lifelong Disabilities Interest Group.


Author(s):  
Tiago S. Jesus ◽  
Sureshkumar Kamalakannan ◽  
Sutanuka Bhattacharjya ◽  
Yelena Bogdanova ◽  
Juan Carlos Arango-Lasprilla ◽  
...  

2018 ◽  
Vol 54 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Bobbi Jo H. Yarborough ◽  
Nancy A. Perrin ◽  
Scott P. Stumbo ◽  
John Muench ◽  
Carla A. Green

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