A5064328748- HIV/AIDS Research and Interventions
- Mental Health and Patient Involvement
- Geriatric Care and Nursing Homes
- HIV, Drug Use, Sexual Risk
- Patient Satisfaction in Healthcare
- Mobile Health and mHealth Applications
- Health Policy Implementation Science
- HIV-related health complications and treatments
- Health Systems, Economic Evaluations, Quality of Life
- Acute Ischemic Stroke Management
- Hospital Admissions and Outcomes
- Telemedicine and Telehealth Implementation
- Clinical practice guidelines implementation
- Patient-Provider Communication in Healthcare
- Pregnancy and Medication Impact
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Diabetes Management and Education
- Global Health Care Issues
- Chronic Disease Management Strategies
- Vaccine Coverage and Hesitancy
- Economic and Environmental Valuation
- Influenza Virus Research Studies
- Technology Use by Older Adults
- Palliative Care and End-of-Life Issues
Icahn School of Medicine at Mount Sinai
2020-2024
City University of New York
2017-2024
James J. Peters VA Medical Center
2021-2024
United States Department of Veterans Affairs
2020-2024
Veterans Health Administration
2020-2024
Geriatric Research Education and Clinical Center
2021-2023
The University of Texas at Austin
2021
Massachusetts General Hospital
2021
Global Brain Health Institute
2021
University of California, San Francisco
2021
Abstract Background Older persons living with HIV (PLWH) need routine healthcare to manage and other comorbidities. This mixed methods study investigated digital equity, constituted as access, use quality, of specialty telehealth services for PLWH > 50 years during the initial wave COVID-19 pandemic when transitioned remote care. Methods A survey closed open-ended questions was administered 80 English ( N = 63) Spanish 17) speaking receiving care at an Academic Medical Center 50) or a...
The Centers for Medicare & Medicaid Services (CMS) announced the Acute Hospital Care at Home (AHCaH) waiver program in November 2020 to help expand hospital capacity cope with COVID-19 pandemic. AHCaH waived 24/7 on-site nursing requirement and enabled hospitals obtain full hospital-level diagnosis-related group (DRG) reimbursement providing Hospital-at-Home (HaH) care. This study sought describe implementation processes strategies national level identify challenges facilitators launching or...
Abstract Background The aim of the present study was to explore perceptions and strategies health care providers regarding diabetes self‐management support for patients with low literacy ( LHL ), compare their needs type 2 diabetes. This serves as a problem analysis systematic intervention development improve among . Methods qualitative used in‐depth interviews general practitioners (n = 4), nurse 5), 31). results guided patient interviews. In addition, we observed 10 practice consultations....
The growing homebound population may particularly benefit from video telehealth. However, some patients do not have the ability or resources to successfully use this modality. This report presents experience of a large urban home-based primary care program disseminating cellular-enabled tablets with basic instruction subset its who would otherwise had engage in Program goals included: increasing number able encounters and leveraging technology help achieve greater equity. While 123 received...
The financial and capacity pressures facing healthcare systems call for new strategies to deliver high-quality, efficient services. 'Coproduction' is a concept gaining recognition as an approach create patient partnerships that enable better functioning systems. Yet, this framing obscures coproduction's 'everyday unavoidable' character, already part of service delivery. This paper aims understand these everyday unavoidable dimensions coproduced services by drawing upon thematic process...
The field of health research appears increasingly open to qualitative approaches. We celebrate the rise in and mixed methods publications marked presence researchers academic centres research. However, we note enduring tensions between conceptual methodological approaches those a quantitative paradigm, generally more familiar practitioners, policymakers often other researchers. In some instances, qualitatively-oriented investigations continue conflict with expectations within provide...
Most of the research on health care user “quality care” perspectives seeks discrete and measurable indicators to advance quality improvement (QI) goals. This lacks sufficiently grounded query about meaning for users, how context influences their ideas experiences. We studied this between 2010 2011, repeatedly interviewing shadowing 45 individuals in three New York’s hospital-based outpatient HIV settings during routine visits. found participants using common terminology, but across cohort...
Objective To investigate variations in quality of acute stroke care and outcomes by day time admission London hyperacute units compared with the rest England. Design Prospective cohort study using anonymised patient-level data from Sentinel Stroke National Audit Programme. Setting Acute services Participants 68 239 patients a primary diagnosis admitted between January December 2014. Interventions Hub-and-spoke model for suspected performance standards designed to deliver uniform access...
Inhorn, M.C. and Wentzell, E.A. (eds) . Medical Anthropology at the Intersections: Histories, Activisms Futures Durham : Duke University Press , 2012 ( £16.99) (pbk) viii + 342 pp ISBN: 978-0-8223-5270-9 In 2009, those associated with medical anthropology assembled Yale to mark subdiscipline’s 50th anniversary. The conference convened plenaries by field’s luminaries, nine of which are now published in this volume, edited Marcia Inhorn Emily Wentzell (who also served as organizers). Reading...
<h3>Background:</h3> Older veterans in urban settings rely less on the Veterans Health Administration (VHA) health care, suggesting deficits of access and services for aging veterans. We aimed to identify reasons VHA non-VHA use across status older, urban-dwelling <h3>Methods:</h3> examined open-ended responses from 177 who were enrolled primary care at Bronx VA Medical Center, used prior 2 years, completed baseline interviews a coordination trial March 2016 August 2017. Using content...
Abstract Introduction The PROMISE study was launched in 2018 to assess and document the implementation of changes an existing HIV Care Coordination Programme (CCP) designed address persistent disparities care treatment engagement among persons with New York City. We evaluated provider endorsement features CCP understand drivers programme. Methods used a discrete choice experiment measure four attributes, including: (1) how helps medication adherence, (2) primary appointments, (3) issues...
Mixed methods research is increasingly valued, although little attention has been placed on how to execute such projects well achieve optimal publication for impact. Multiple publications from a single study allow scholars explicate findings that cannot be contained in article and which address different aspects of findings. This contributes the fields mixed by building their roots pragmatism, we argue calls effective studies resulting published proposes project management framework...
Objectives Seven-day working in hospitals is a current priority of international health research and policy. Previous has shown variability delivering evidence-based clinical interventions across different times day week. We aimed to identify factors influencing such variations London hyperacute stroke units (HASUs). Design Interview observation study explain patterns variation delivery outcomes care described quantitative partner paper (Melnychuk et al ). Setting Eight HASUs London....
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Academic funding bodies are increasingly measuring research impact using accountability and reward assessments. Scholars have argued that frameworks attempting to measure the use-value of knowledge production could end up influencing selection topics, limiting agendas, privileging linear over complex designs. Our article responds these concerns by calling upon insights from anthropology reconceptualise impact. We argue that, conduct socially beneficial studies, needs be turned a product an...
Abstract Integrating antiretroviral therapy (ART) into HIV care dramatically extended the lifespan for people living with (PWH). Improving health span requires understanding aging, HIV, associated comorbid conditions, and concurrent treatments. The 14th annual International Workshop on Aging October 26-27, 2023 included podium presentations on: Sarcopenia Biology, Pathophysiology, Prevention Treatment; Long-acting ART; Central Nervous System (CNS) Complications; Asymptomatic Neurocognitive...
Abstract Hospital at Home (HaH) delivers acute hospital-level care home as a substitute for traditional hospital care. Compared to care, HaH demonstrates better patient satisfaction and experience, lower readmission rates, costs of There has been limited research on equity issues in delivery. We explored program leaders’ views the policy landscape opportunities equitable delivery across US. conducted qualitative study using semi-structured interviews with healthcare leaders (1-4 per program)...
Abstract Hospital at Home (HaH), an alternative to hospital-based care, continues expand across the US. While caregiver role is of great interest, little known about their experiences. This first qualitative study, our knowledge, examining experiences with HaH in a national sample. Beginning October 2023 (and ongoing), we conducted semi-structured interviews caregivers via Zoom lasting 30-60 minutes, recruited through User’s Group, collaborative focused on implementation. analysis uses rapid...