Journal of women's health
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Journal of women's health · Jul 2019
The Impact of CenteringPregnancy Group Prenatal Care on Birth Outcomes in Medicaid Eligible Women.
Background: CenteringPregnancy group prenatal care (GPNC) has been shown to reduce rates of preterm birth (PTB). We evaluated the impact of GPNC on spontaneous PTB (sPTB) as a first step in exploring the possible mechanism by which GPNC may decrease rates of PTB. We also evaluated whether attending more than five GPNC sessions affected PTB risk and examined all differences by race/ethnicity. ⋯ Conclusion: Participation in GPNC demonstrated a decreased risk for sPTB, as well as other adverse birth outcomes. In addition, participation in more than five GPNC sessions demonstrated a decreased risk for adverse birth outcomes. Prospective longitudinal studies are needed to further explore mechanisms associated with these findings.
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Journal of women's health · Jul 2019
Lost Annual Productivity Costs Due to Uterine Cancer Deaths in the United States in 2014.
Background: An estimated 11,350 uterine cancer deaths are projected to occur in the United States in 2018. We constructed an economic model to estimate the annual productivity costs associated with uterine cancer death, for the year 2014. Materials and Methods: The model calculated the number of women who would be alive in 2014 if they had not died of uterine cancer, and the lost earnings resulting from early mortality. The age-stratified number of deaths from uterine cancer per year (1935-2014) was obtained from the National Center for Health Statistics. ⋯ The model estimated that 110,792 of these women would be alive in 2014 had they not died of uterine cancer; of these, 24,758 would have been part of the work force based on age and labor participation rate. The total productivity loss in 2014 due to uterine cancer was estimated at $1.35 billion. Conclusion: Uterine cancer deaths in the United States are associated with substantial indirect costs owing to lost earnings. Total productivity losses are more than half of the estimated annual direct costs of uterine cancer care.
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Journal of women's health · Jul 2019
The Relationship Between Physician/Nurse Gender and Patients' Correct Identification of Health Care Professional Roles in the Emergency Department.
Background: A 2006 study of emergency medicine (EM) patients found male physicians were more often recognized as doctors that were female physicians. We sought to identify gender awareness of EM physicians and nurses by patients to see whether there has been a reduction in gender bias during the past 12 years. Materials and Methods: Before emergency department (ED) discharge or hospital admission, a convenience sample of 150 patients in an urban academic ED was anonymously surveyed to determine their awareness of the role of the health personnel involved in their care. Results: Our patients recognized male attending physicians as physicians 75.7% of the time and female attending physicians as physicians 58.1% of the time (p < 0.01). No differences were observed for resident physicians. Patients recognized male nurses as nurses 77.1% of the time, and female nurses as nurses 91.1% of the time (p < 0.01). Conclusions: These data indicate that patients continue to exhibit gender bias in the recognition of lead physicians and nurses.