A5057378775- Primary Care and Health Outcomes
- Global Health Workforce Issues
- Patient-Provider Communication in Healthcare
- Diabetes Management and Education
- LGBTQ Health, Identity, and Policy
- Cultural Competency in Health Care
- Public Health Policies and Education
- Medication Adherence and Compliance
- Healthcare Policy and Management
- Pharmaceutical Practices and Patient Outcomes
- Racial and Ethnic Identity Research
- Global Maternal and Child Health
- Chronic Disease Management Strategies
- Patient Dignity and Privacy
- Ethics in medical practice
- Indigenous Health, Education, and Rights
- Family Support in Illness
- Health Policy Implementation Science
Case Western Reserve University
2024
University School
2024
Massachusetts General Hospital
2020-2021
Partners In Health
2020
Harvard Global Health Institute
2017
Empowerment Program
2017
Harvard University
2017
Cambridge Health Alliance
2017
Understanding barriers to care for transgender people with cancer is necessary increase oncologic access. Little has been published regarding the experiences of cancer. We sought explore these experiences, assess care, and elucidate potential solutions.Using an interpretive descriptive approach, we conducted two group interviews who had diagnosed one physicians treat patients Two investigators independently analyzed verbatim transcripts and, together, refined themes, resolving disagreements...
Navajo Nation Community Health Representatives (CHR) are trained community health workers (CHWs) who provide crucial services for patients and families. The success of the CHRs' interventions depends on interactions between CHRs their clients. This research investigates culturally specific factors that build sustain CHR-client interaction.In-depth interviews were conducted with 16 Nation. Interviews transcribed coded according to relevant themes. Code summaries organized into a narrative...
Racial identity is a complex idea, particularly for American Indian and Alaska Native (AI/AN) populations.The idea of single AI/AN race developed from European-American view phenotypic cultural differences.It continues to have significant consequences populations within the clinical-medical context.For clinicians, using this flawed category in medical decision making poses ethical challenges has implications patient autonomy justice.This article briefly traces development an race, concerns...
Strengthening Community Health Worker systems has been recognized to improve access chronic disease prevention and management efforts in low-resource communities. The Outreach Patient Empowerment (COPE) Program is a Native non-profit organization with formal partnerships both the Navajo Nation Representative (CHR) clinical facilities serving Nation. COPE works better integrate CHRs into local health care system through training, strengthening coordination, standardized culturally appropriate...
To evaluate the role of primary care healthcare delivery on survival for American Indian patients with diabetes in southwest United States.Data from admitted to Gallup Medical Center between 2009 and 2016 were analyzed using a log-rank test Cox Proportional Hazards analyses.Of 2661 included analysis, 286 died during study period. Having visited provider year prior first admission period was protective against all-cause mortality unadjusted analysis (HR (95% CI)=0.47 (0.31, 0.73)), after...
American Indian/Alaska Native (AI/AN) communities continue to experience health disparities and poor outcomes, which are influenced by social determinants of health. The theory settler colonialism provides a framework for understanding the structures that affect resulting disparities. Western biomedicine medical education have been implicated in perpetuating colonialism, as result Indigenous educators leaders called increased structural affecting populations. One important method is through...
e18532 Background: Little is known about the training needs of allied health professionals who provide reproductive counseling and other support services to sexual gender minority (SGM) adolescent young adult (AYA) people with cancer. Methods: A 28-item electronic survey 4 qualitative items was distributed 601 had participated in a focused on AYA Open-ended questions invited respondents describe personal experiences, reservations, suggestions for improving SGM cancer care. Using an...