Journal of general internal medicine
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Young Black and Latino men who have sex with men (YBLMSM) have the highest rates of new HIV infections in the USA and use PrEP at lower rates than White MSM. ⋯ Modifiable barriers for PrEP uptake and persistence were reported by most participants, with an emphasis on PrEP misinformation and the pervasiveness of intersectional stigma, providers' low awareness, and hesitant attitudes towards PrEP and barriers created by insurance companies. Supportive infrastructures for PrEP providers and patients are needed.
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Food access for patients remains a critical need for health systems to address given varying resource availability and inefficient coordination among health and food services. ⋯ Our findings suggest that centralized platforms can address household food insecurity by (1) streamlining partnerships between health systems and CBOs for food delivery and (2) facilitating the real-time coordination of resources among CBOs.
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Observational Study
Health-Related Social Needs: Which Patients Respond to Screening and Who Receives Resources?
Health systems are screening patients for health-related social needs (HRSN) but the optimal approach is unknown. ⋯ HRSN questionnaire responses may not accurately represent the needs of patients, especially when delivered solely via patient portal.
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Improving access to evidence-based psychotherapies (EBPs) is a Veterans Health Administration (VHA) priority. Cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based stress reduction (MBSR) are effective for chronic pain and several mental health conditions. We synthesized evidence on implementation strategies to increase EBP access and use. ⋯ PROSPERO registration number CRD42021252038.
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Health services research can benefit from frontline clinician input across all stages of research, yet their key perspectives are often not meaningfully engaged. ⋯ Investing in frontline clinicians as research collaborators is beneficial to clinicians themselves, the health systems that employ them, and those for which they care. Yet, there are multiple barriers to meaningful engagement.