A5068170688- Criminal Justice and Corrections Analysis
- HIV, Drug Use, Sexual Risk
- Viral Infections and Outbreaks Research
- HIV/AIDS Research and Interventions
- Vaccine Coverage and Hesitancy
- Opioid Use Disorder Treatment
- Family and Patient Care in Intensive Care Units
- Global Health Workforce Issues
- Antimicrobial Resistance in Staphylococcus
- Cystic Fibrosis Research Advances
- Ethics and Legal Issues in Pediatric Healthcare
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Infectious Aortic and Vascular Conditions
- Health Policy Implementation Science
- COVID-19 and healthcare impacts
- Plant Pathogenic Bacteria Studies
- Pharmaceutical Practices and Patient Outcomes
- Antibiotic Resistance in Bacteria
- Frailty in Older Adults
- Ethics in Clinical Research
- Child and Adolescent Health
- Infective Endocarditis Diagnosis and Management
- Social Capital and Networks
Tufts Medical Center
2022-2023
University of Manchester
2005
Ending the HIV epidemic requires increased testing, diagnosis, and linkage to care. In past 10 years, rates of have among people with substance use disorder (SUD). testing is recommended during hospitalization. Despite rising infections recommendations, remains suboptimal. This study sought detect differences in by race ethnicity who drugs (PWUD) admitted Tufts Medical Center (TuftsMC). a retrospective review hospitalized PWUD from January 1, 2017 December 31, 2020. were identified through...
Background Increased HIV testing is essential to ending the epidemic. People who inject drugs (PWID) are among highest risk for infection. Previous research at Tufts Medical Center identified low rates in hospitalized PWID. Our team aimed identify and overcome barriers inpatient screening of PWID using implementation science methods. Methods Stakeholders were engaged gather perspectives on facilitators testing. A care bundle was developed implemented, which included (1) screening; (2)...
In the absence of adequate harm reduction opportunities, people who inject drugs (PWID) are at increased risk for serious infections. Infectious diseases guidelines recommend extended periods intravenous antibiotic treatment through peripherally inserted central catheters (PICCs), but PWID often deemed unsuitable this treatment. We conducted semi-structured interviews and focus groups to understand perspectives opinions patients clinicians on use PICCs PWID. approached (doctors, nurses, PICC...
Compared to the general population, individuals incarcerated in jails and prisons are more vulnerable infection mortality from communicable diseases, such as COVID-19 influenza. However, vaccination rates among well staff who work remain disproportionately low. Healthcare administrators working have first-hand experience about barriers vaccine provision, but their perspectives infrequently collected analyzed.We reached out Health Services Administrators (HSAs) all 14 Massachusetts (MA)...
This report highlights the need for action and discusses key considerations paediatric elective care, using examples from two surgical hubs in Greater Manchester that have taken different approaches to incorporate children into their model.
Introduction At the height of Covid-19 pandemic, healthcare Trusts were stretched to capacity, utilising existing Intensive Care Units (ICU) and general wards treat severely ill patients in respiratory distress. Current design guidance infrastructure has had accommodate these new needs, with little flexibility within current system cope. However, facilities clinical teams have confronted this challenge, doing a crucial job brilliantly whilst difficult circumstances. Objectives The pandemic...
Abstract Background COVID-19 shut down trial courts across the country, prolonging case resolution of charged, detained, and incarcerated people. We report on implementation rapid testing at Trial Courts in Massachusetts (MA), focusing outcomes adoption acceptability. Methods Guided by Expert Recommendations Implementing Change (ERIC) framework, we chose six strategies to guide implementation. After assembling a group stakeholders, including representatives Court, Department Public Health...
Despite national guidelines on infectious disease testing and vaccination in prisons, there is heterogeneity the implementation of these practices jails. We sought to better understand perspectives opt-out for diseases jails by interviewing a broad group stakeholders involved vaccination, testing, treatment Massachusetts
Abstract The medical intake process is usually the first clinical interaction that people have after being incarcerated. In many states, vital person conducting this assessment a nurse. project, nursing forms from Massachusetts jails were analyzed for offer of 15 different screening and preventative services (e.g., HIV testing). Then, Health Services Administrators (HSAs) at asked to review comment on assessment. average agreement rate between project team members HSAs was 73%. Twelve 14 had...
Abstract Background Despite national guidelines on infectious disease testing and vaccination in prisons, there is heterogeneity operationalization. Previous literature has shown that using the “opt-out approach” to diseases increases equitable access. Although opt-out endorsed by guidelines, little research acceptability from key stakeholders jail healthcare. Additionally, perspectives approach are unknown. Interview Themes quotes came out of semi-structured qualitative interviews. Methods...
Abstract Background Vaccination is one of the main mitigation strategies to protect people from COVID19 mortality. People incarcerated in jails experienced disparate rates infection compared community, thus operationalization vaccine delivery was prioritized several states, including Massachusetts (MA). The goal this project track ordering MA and compare numbers types vaccines ordered by those with specific attention Centers for Disease Control Prevention’s (CDC) guidelines vaccines. Methods...