A5005916537- Global Public Health Policies and Epidemiology
- Health Systems, Economic Evaluations, Quality of Life
- Global Maternal and Child Health
- Blood Pressure and Hypertension Studies
- Global Health and Epidemiology
- Health disparities and outcomes
- Lipoproteins and Cardiovascular Health
- Disaster Response and Management
- Healthcare cost, quality, practices
- Medication Adherence and Compliance
- HIV-related health complications and treatments
- Emergency and Acute Care Studies
- Health, psychology, and well-being
- Pharmaceutical Economics and Policy
- Pharmaceutical Practices and Patient Outcomes
- Cardiovascular Health and Risk Factors
- Trauma and Emergency Care Studies
- Mental Health Treatment and Access
- Tendon Structure and Treatment
- Leadership and Management in Organizations
- Usability and User Interface Design
- Health Literacy and Information Accessibility
- Organizational Learning and Leadership
- Pain Mechanisms and Treatments
- Policy Transfer and Learning
Icahn School of Medicine at Mount Sinai
2016-2024
Columbia University
2015-2020
Navrongo Health Research Centre
2019-2020
University of Ghana
2019-2020
Mount Sinai Health System
2017-2020
University of Kansas Medical Center
2014-2018
Oregon State University
2015-2017
University of California, San Francisco
2014-2016
Johns Hopkins University
2013
American University
2013
Background: Evidence to guide primary prevention in adults aged 75 years or older is limited. Objective: To project the population impact and cost-effectiveness of statin therapy older. Design: Forecasting study using Cardiovascular Disease Policy Model, a Markov model. Data Sources: Trial, cohort, nationally representative data sources. Target Population: U.S. 94 years. Time Horizon: 10 Perspective: Health care system. Intervention: Statins for based on low-density lipoprotein cholesterol...
Statins are effective in the primary prevention of atherosclerotic cardiovascular disease. The 2013 American College Cardiology/American Heart Association (ACC/AHA) guideline expands recommended statin use, but its cost-effectiveness has not been compared with other guidelines.We used Cardiovascular Disease Policy Model to estimate ACC/AHA relative current Adult Treatment Panel III guidelines, and universal use all men 45 74 years age women 55 over a 10-year horizon from 2016 2025....
Background Antiretroviral therapy scale-up in Sub-Saharan Africa has created a growing, aging HIV-positive population at risk for non-communicable diseases such as hypertension. However, the prevalence and factors hypertension this remain incompletely understood. Methods We measured blood pressure collected demographic data on over 65,000 adults attending multi-disease community health campaigns 20 rural Ugandan communities (SEARCH Study: NCT01864603). Our objectives were to determine (i)...
Background The importance of emergency medical care for the successful functioning health systems has been increasingly recognised. This study aimed to evaluate and trauma facilities in four districts province Sindh, Pakistan. Method We conducted a cross-sectional facility survey Sindh Pakistan using modified version WHO’s Guidelines essential . 93 public (81 primary facilities, nine secondary hospitals, three tertiary hospitals) 12 large private hospitals were surveyed. Interviews...
Background Cardiovascular disease (CVD) prevalence is high in Ghana—but awareness, prevention, and treatment sparse, particularly rural regions. The nurse-led Community-based Health Planning Services program offers general preventive primary care these areas, but overlooks CVD its risk factors. Methods We conducted in-depth interviews with 30 community members (CM) Navrongo, Ghana to understand their knowledge beliefs regarding the causes of potential role nurses rendering care. transcribed...
Abstract Background Hypertension is the leading risk factor for mortality worldwide and more common in sub-Saharan Africa than any other region. Work to date confirms that a lack of human material resources healthcare access contributes this gap. The ways which patients’ knowledge attitudes toward hypertension determine their engagement with adherence available care, however, remains unclear. Methods We conducted an exploratory, qualitative descriptive study assess awareness, knowledge,...
Hypertension (HTN) is the single leading risk factor for human mortality worldwide, and more prevalent in sub-Saharan Africa than any other region [1]-although resources HTN screening, treatment, control are few. Most regional pilot studies to leverage HIV programs have achieved blood pressure half of participants or fewer [2,3,4]. But this gap may be due inconsistent delivery services, rather ineffective underlying interventions.We sought evaluate consistency program within SEARCH study...
<ns5:p>The coronavirus disease 2019 (COVID-19) pandemic has exacerbated health disparities across ethnic and socioeconomic groups. Non-communicable diseases (NCDs) - such as hypertension, diabetes, obstructive lung – are key drivers of this widening gap, because they disproportionately afflict vulnerable populations.</ns5:p><ns5:p> Vulnerable populations with non-communicable diseases, in turn, affected by COVID-19 itself but also at increased risk poor outcomes from those underlying...
Cardiovascular Disease (CVD) is a growing cause of morbidity and mortality in Ghana, where rural primary health care provided mainly by the Community-based Health Planning Services (CHPS) initiative. CHPS locates nurses community-level clinics for basic curative preventive services provides home outreach services. But currently lacks capacity to screen or treat CVD its risk factors.In two districts, we conducted in-depth interviews with 21 10 nurse supervisors identify factors constraining...
Adult hypertension prevalence in Uganda is 27%, but only 8% are aware of their diagnosis, accordingly treatment and control levels limited. The private sector provides at least half care nationwide, little known about its effectiveness control. We analyzed clinical data from 39 235 outpatient visits among 17 777 adult patients July 2017 to August 2018 Uganda's largest hospital. calculated blood pressure screening rate every visit, prevalence, medication treatment, rates the 5 090 with two or...
Objective To (1) examine the burden of multiple chronic conditions (MCC) in an urban health system, and (2) propose a methodology to identify subpopulations interest based on diagnosis groups costs. Design Retrospective cross-sectional study. Setting Mount Sinai Health System, set all five boroughs New York City, USA. Participants 192 085 adult (18+) plan members capitated Medicaid contracts between Healthfirst managed care organisation System years 2012 2014. Methods We classified adults as...
Primary careEthical debate Vaccination against mumps, measles, and rubella: is there a case for deepening the debate?Complex issues relating to ethics, values, nature of evidence lie behind decision whether give MMR (mumps, rubella) vaccine.Tom Heller, general practitioner, uncomfortable with that vaccine safe.Together Dick an epidemiologist, Stephen Pattison, ethicist, he explores some processes involved in doctors' decisions about vaccinate. How safe vaccine? Tom HellerMy duties as...
Objectives: The prevalences of hypertension and depression in sub-Saharan Africa are substantial rising, despite limited data on their sociodemographic behavioral risk factors interactions. We undertook a cross-sectional study 4 communities the Upper East Region Ghana to identify persons with setting pilot intervention training local nurses health volunteers manage these conditions. Methods: quantified prevalence across key (age, sex, occupation, education, religion, ethnicity, community)...
State Medicaid programs and other state health agencies need to monitor evaluate changes in insurance coverage, access care, financing, the quality of care delivery. The availability new financial resources through Patient Protection Affordable Care Act is accompanied by raised expectations for such accountability. While often contract with universities on an ad hoc basis specific policy projects, fourteen states have established formal state-university partnerships so that their analytic...