New York Community Health Centers' Population Health Activities: Findings from a Statewide Assessment

2017 ◽  
Vol 28 (2) ◽  
pp. 677-693
Author(s):  
Sean J. Haley ◽  
Jeff Barnes
Keyword(s):  
New York ◽  
Community Health ◽  
Population Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Statewide Assessment

scholarly journals Patient-Centered Practices for Engaging Transgender and Gender Diverse Patients in Clinical Research Studies

2020 ◽  
Author(s):  
Andrew Asquith ◽  
Lauren Sava ◽  
Alexander B. Harris ◽  
Asa E. Radix ◽  
Dana J. Pardee ◽  
...  
Keyword(s):  
New York ◽  
Clinical Research ◽  
Community Health ◽  
Community Health Centers ◽  
Underserved Populations ◽  
Health Centers ◽  
Barriers And Facilitators ◽  
Community Research ◽  
Gender Diverse ◽  
And Gender

Abstract Background: The purpose of this formative study was to assess barriers and facilitators to participation of transgender and gender diverse (TGD) patients in clinical research to solicit specific feedback on perceived acceptability and feasibility of research methods to inform creation of a multisite longitudinal cohort of primary care patients engaged in care at two community health centers.Method: Between September-November 2018, four focus groups (FGs) were convened at two community health centers in Boston, MA and New York, NY (N=28 participants across all 4 groups; 11 in Boston and 17 in New York). FG guides asked about patient outreach, acceptability of study methods and measures, and ideas for study retention. FGs were facilitated by TGD study staff, lasted approximately 90 min in duration, were audio recorded, and then transcribed verbatim by a professional transcription service. Thematic analyses were conducted by two independent analysts applying a constant comparison method. Consistency and consensus were achieved across code creation and application aided by Dedoose software.Results: Participants were a mean age of 33.9 years (SD 12.3; Range 18-66). Participants varied in gender identity with 4 (14.3%) male, 3 (10.7%) female, 8 (28.6%) transgender male, 10 (35.7%) transgender female, and 3 (10.7%) nonbinary. Eight (26.6%) were Latinx, 5 (17.9%) Black, 3 (10.7%) Asian, 3 (10.7%) another race, and 5 (17.9%) multiracial. Motivators and facilitators to participation were: research creating community, research led by TGD staff, compensation, research integrated into healthcare, research applicable to TGD and non-TGD people, and research helping TGD communities. Barriers were: being research/healthcare averse, not identifying as TGD, overlooking questioning individuals, research coming from a ‘cisgender lens”, distrust of how the research will be used, research not being accessible to TGD people, and research being exploitative.Conclusion: Though similarities emerged between the perspectives of TGD people and research citing perspectives of other underserved populations, there are barriers and facilitators to research which are unique to TGD populations. It is important for TGD people to be involved as collaborators in all aspects of research that concerns them.

scholarly journals 467. COVID-19 Infection in Persons Living with HIV in a Network of Community Health Centers in New York

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S335-S336
Author(s):  
Aisha S Khan ◽  
Christine A Kerr ◽  
Jenny Doyle ◽  
Sonia Punj ◽  
Julie Coleman ◽  
...  
Keyword(s):  
New York ◽  
Community Health ◽  
Community Health Centers ◽  
New York State ◽  
Antibody Test ◽  
Health Centers ◽  
River Health ◽  
York State ◽  
Persons Living With Hiv ◽  
Living With Hiv

Abstract Background COVID-19 infection amongst persons living with HIV (PLWH) at Federally Qualified Healthcare Centers (FQHC) is not yet well understood. FQHC patients are frequently impoverished and marginalized due to socioeconomic instability and structural inequities. The virus has a wide-ranging clinical presentation, and little is known about how it affects specific populations such as PLWH and whether specific patterns of immunocompromise confer increased risk. Patients in community health centers and those living with HIV are often underrepresented from clinical trials. Patients seen at FQHC’s are more likely to be uninsured or living in poverty, or of Black or Latinx racial and ethnic backgrounds. Sun River Health is a not-for-profit, New York State licensed Article 28 Diagnostic & Treatment Center and FQHC. Sun River Health provides HIV primary care and supportive services caring for more than 2,500 PLWH primarily concentrated in 16 sites throughout the region. This study is a retrospective analysis of a vulnerable community at the heart of this pandemic. Methods We gathered COVID-19 diagnosis related data from the clinic’s electronic medical record and the New York State Health Information Exchange (HIE). We did chart reviews on 122 PLWH who had positive COVID PCR or antibody test between March 10 2020 and June 10 2020. Data collected included presence of symptoms, presence of comorbidities, CD4 counts, Hospitalization rate, ICU admission, and number of deaths. Results 71.3% of cases occurred between the ages of 40-69 years. There were 85 cases (69.7%) in men and 37 cases (30.3%) in women. 54 cases (44.3%) occurred in African Americans, and 46 cases (37.7%) in Caucasians. 48 cases (39.3%) occurred in Latinx individuals, and 68 cases (55.7%) in Non-Hispanics. 91 cases (74.6%) were symptomatic and had either a positive COVID-19 PCR or antibody test. Symptomatic COVID-19 was present at higher rates in those with multiple predisposing comorbidities. 101 cases (82.8%) were virally suppressed. 89 cases (72.9%) were not hospitalized while 27 cases (22.1%) were hospitalized. Conclusion Most PLWH with COVID-19 were managed on an outpatient basis. PLWH with COVID-19 are not at a greater risk of severe disease or death as compared to HIV negative patients. Disclosures Christine A. Kerr, MD, Galileo Health (Employee, Shareholder)

The availability of alcohol, tobacco and other drug services for adults in New York State Community Health Centers

2019 ◽  
Vol 24 (3) ◽  
pp. 309-316 ◽  
Author(s):  
Sean J. Haley ◽  
Susan Moscou ◽  
Sharifa Murray ◽  
Traci Rieckmann ◽  
Kameron L. Wells
Keyword(s):  
New York ◽  
Community Health ◽  
Community Health Centers ◽  
New York State ◽  
Health Centers ◽  
York State

scholarly journals Differences in prevalence of community-associated MRSA and MSSA among U.S. and non-U.S. born populations in six New York Community Health Centers

2016 ◽  
Vol 14 (6) ◽  
pp. 551-560 ◽  
Author(s):  
N. Piper Jenks ◽  
M. Pardos de la Gandara ◽  
B.M. D'Orazio ◽  
J. Correa da Rosa ◽  
R.G. Kost ◽  
...  
Keyword(s):  
New York ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers

scholarly journals Patient-Centered Practices for Engaging Transgender and Gender Diverse Patients in Clinical Research Studies

2020 ◽  
Author(s):  
Andrew Asquith ◽  
Lauren Sava ◽  
Alexander B. Harris ◽  
Asa E. Radix ◽  
Dana J. Pardee ◽  
...  
Keyword(s):  
New York ◽  
Clinical Research ◽  
Community Health ◽  
Community Health Centers ◽  
Underserved Populations ◽  
Health Centers ◽  
Barriers And Facilitators ◽  
Community Research ◽  
Gender Diverse ◽  
And Gender

Abstract Background: The purpose of this formative study was to assess barriers and facilitators to participation of transgender and gender diverse (TGD) patients in clinical research to solicit specific feedback on perceived acceptability and feasibility of research methods to inform creation of a multisite longitudinal cohort of primary care patients engaged in care at two community health centers.Method: Between September-November 2018, four focus groups (FGs) were convened at two community health centers in Boston, MA and New York, NY (N=28 participants across all 4 groups; 11 in Boston and 17 in New York). FG guides asked about patient outreach, acceptability of study methods and measures, and ideas for study retention. FGs were facilitated by TGD study staff, lasted approximately 90 min in duration, were audio recorded, and then transcribed verbatim by a professional transcription service. Thematic analyses were conducted by two independent analysts applying a constant comparison method. Consistency and consensus were achieved across code creation and application aided by Dedoose software.Results: Participants were a mean age of 33.9 years (SD 12.3; Range 18-66). Participants varied in gender identity with 4 (14.3%) being male, 3 (10.7%) female, 8 (28.6%) transgender male, 10 (35.7%) transgender female, and 3 (10.7%) nonbinary. Eight (26.6%) were Latinx, 5 (17.9%) Black, 3 (10.7%) Asian, 3 (10.7%) another race, and 5 (17.9%) multiracial. Motivators and facilitators to participation were: research creating community, research led by TGD staff, compensation, research integrated into healthcare, research applicable to TGD and non-TGD people, and research helping TGD communities. Barriers were: being research/healthcare averse, not identifying as TGD, overlooking questioning individuals, research coming from a ‘cisgender lens”, distrust of how the research will be used, research not being accessible to TGD people, and research being exploitative.Conclusion: Though similarities emerged between the perspectives of TGD people and research citing perspectives of other underserved populations, there are barriers and facilitators to research which are unique to TGD populations. It is important for TGD people to be involved as collaborators in all aspects of research that concerns them.

scholarly journals Ten Sites, 10 Years, 10 Lessons: Scale-up of Routine HIV Testing at Community Health Centers in the Bronx, New York

2016 ◽  
Vol 131 (1_suppl) ◽  
pp. 53-62 ◽  
Author(s):  
Donna Futterman ◽  
Stephen Stafford ◽  
Paul Meissner ◽  
Michelle Lyle-Gassama ◽  
Arthur Blank ◽  
...  
Keyword(s):  
New York ◽  
Hiv Testing ◽  
Community Health ◽  
Community Health Centers ◽  
Scale Up ◽  
Health Centers ◽  
Routine Hiv Testing
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