A5010135829- Healthcare Policy and Management
- Global Health Workforce Issues
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Diversity and Career in Medicine
- Urban, Neighborhood, and Segregation Studies
- Geriatric Care and Nursing Homes
- Medical Education and Admissions
- Public Health Policies and Education
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Global Cancer Incidence and Screening
- Migration, Aging, and Tourism Studies
- Healthcare Systems and Challenges
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Urban Transport and Accessibility
- Substance Abuse Treatment and Outcomes
- Intergenerational Family Dynamics and Caregiving
- Employment and Welfare Studies
- Health, Environment, Cognitive Aging
- Healthcare professionals’ stress and burnout
- Economic and Financial Impacts of Cancer
- Healthcare innovation and challenges
- Healthcare Quality and Management
University of California, Davis
2018-2025
University of California, Los Angeles
2010-2025
University of California, San Francisco
2013-2024
Stanford University
2024
SingHealth
2024
Brigham and Women's Hospital
2021
Lee University
2013-2016
UCLA Health
2007
Although substance use disorders (SUDs) are prevalent and associated with adverse consequences, treatment rates remain low. Unlike physical mental health problems, for SUDs is predominantly provided in a separate specialty sector more heavily financed by public sources. Medicaid expansion under the Patient Protection Affordable Care Act has potential to increase access but only if an infrastructure exists serve new enrollees.To examine availability of outpatient SUD facilities that accept...
The murder of George Floyd in 2020 spurred an outpouring calls for racial justice the United States, including within academic medicine. In response, health centers announced new antiracism initiatives and expanded their administrative positions related to diversity, equity, and/or inclusion (DEI).
This study examines the association of cognitive functioning with urban neighborhood socioeconomic disadvantage and racial/ethnic segregation for a U.S. national sample persons in late middle age, time life course when deficits begin to emerge. The key hypothesis is that effects on are not uniform but most pronounced among subgroups population defined by status race/ethnicity. Data from third wave Health Retirement Survey birth cohort 1931 1941, which was 55 65 years age 1996 (analytic N =...
This study examines associations between multiple urban neighborhood characteristics (socioeconomic disadvantage, affluence, and racial/ethnic composition) depressive symptoms among late middle aged persons compares findings to those previously obtained for age 70 years older. Survey data are from the Health Retirement Study (HRS), a U.S. national probability sample of noninstitutionalized 51 61 in 1992. Neighborhoods 1990 census tracts. Hierarchical linear regression is used estimate...
Medicaid is the largest payer of mental health (MH) care in United States, and this role will increase among states that opt into expansion. However, owing to dearth MH providers who accept Medicaid, expanded coverage may not access services. Facilities provide specialty outpatient services compose backbone community-based treatment infrastructure for enrollees. For expansion, it important understand which local communities face greatest barriers these facilities.To examine availability...
Mobile health monitoring via non-invasive wearable sensors is poised to advance telehealth for older adults and other vulnerable populations. Extreme heat environmental conditions raise serious challenges that warrant of real-time physiological data as people go about their normal activities. systems could be beneficial many communities, including elite athletes, military special forces, at-home geriatric monitoring. While some commercial monitors exist, they are bulky, require...
Importance Despite decades-long calls for increasing racial and ethnic diversity, the medical profession continues to exclude members of Black or African American, Hispanic Latinx, Indigenous groups. Objective To describe US school admissions leaders’ experiences with barriers advances in equity, inclusion. Design, Setting, Participants This qualitative study involved key-informant interviews 39 deans directors admission from 37 allopathic schools across range student body composition....
To estimate the impact of a U.S. inner-city medical education program on school graduates' intentions to practice in underserved communities.The authors conducted an analysis secondary data 1,088 students who graduated from either joint University California, Los Angeles/Charles R. Drew Medical Education Program (UCLA/Drew) or UCLA School Medicine between 1996 and 2002. Intention communities was measured using students' responses questionnaires administered at matriculation graduation for...
Policymakers have increasingly promoted health services integration to improve quality and efficiency. The US care safety net, which comprises providers of uninsured, Medicaid, other vulnerable patients, remains a largely fragmented collection providers. We interviewed leadership from net hospitals community centers in 5 cities (Boston, MA; Denver, CO; Los Angeles, CA; Minneapolis, MN; San Francisco, CA) throughout 2013 on their experiences with service integration. identify conflicts...
While the number of positions, committees, and projects described as "Diversity, Equity, Inclusion (DEI)" work has grown rapidly in recent years, there been little attention to theory, praxis, or lived experience this work. In perspective, we briefly summarize research concepts put forth by DEI leaders higher education more broadly, followed an analysis literature's application academic medicine. We then discuss ways which language obscures nature necessity scholarship evaluate extensive...
A large body of research has been dedicated to understanding the neighborhood conditions that impact health, which outcomes are affected, and how these associations vary by demographic socioeconomic individual characteristics. This literature focused mostly on neighborhoods in individuals reside, thus failing recognize residents across race/ethnicity class spend a non-trivial amount their time far from residential settings. To address this gap, we use mobile phone data company SafeGraph...
Several lawsuits have recently been filed against U.S. universities; the plaintiffs contend that considerations of race and ethnicity in admissions decisions discriminate Asian Americans. In prior cases brought by non-Latino whites, Supreme Court has upheld these considerations, arguing they are crucial to a compelling interest increase diversity. The dissenting opinion, however, concerns possibility such policies disadvantage Americans, who considered overrepresented higher education. Here,...
Policy Points Policymakers should invest in programs to support rural health systems, with a more targeted focus on spatial accessibility and racial ethnic equity, not only total supply or nearest facility measures. Health plan network adequacy standards address access second hospital care incorporate equity for Black Latinx communities. residents contend inequities care, which arise from fundamental structural allocation of economic opportunity communities color. Long-term policy solutions...
The authors declare no conflicts of interest.
Chronic pain and sleep disturbances significantly affect quality of life, particularly in older adults. Effective management often combines pharmacological non-pharmacological interventions. Art therapy has shown benefits reducing pain, promoting relaxation, improving emotional well-being. While traditional art is well-documented, virtual adaptations are less explored, especially geriatric populations. This report describes a 78-year-old woman with chronic linked to peripheral neuropathy,...
Residential segregation is associated geographic disparities in access to care, but its impact on local health care policy, including public hospitals, unknown. We examined the effects of racial residential U.S. urban hospital closures from 1987 2007, controlling for hospital, market, and policy characteristics. found that a high level moderated protective Black population composition, such segregation, combination with percentage poor residents, conferred higher likelihood closure. More...
Background Little is known about how a neighbourhood's unemployment history may set the stage for depressive symptomatology. This study examines effects of urban neighbourhood on current symptoms and subsequent symptom trajectories among residentially stable late middle age older adults. Contingent between individual-level employment status (ie, cross-level interactions) are also assessed. Methods Individual-level survey data from four waves (2000, 2002, 2004 2006) original cohort nationally...
Individuals who receive long-term services and supports (LTSS) are among the most costly participants in Medicare Medicaid programs.To compare health care expenditures users of home community-based (HCBS) versus those using extended nursing facility care.Retrospective cohort analysis California dually eligible adult beneficiaries initiated LTSS, identified as HCBS or care, 2006 2007.Propensity score matching for demographic, health, functional characteristics resulted a subsample 34,660 use....
To describe the perception of professional climate in health services and policy research (HSPR) efforts to advance diversity, equity, inclusion (DEI) HSPR workforce workplaces.
Recent developments highlight the need to advance discussion about Asian Americans' identities and status in medical profession their roles disrupting U.S. medicine's racialized hierarchy.