Journal of general internal medicine
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Adverse childhood experiences (ACEs) and positive childhood experiences (PCEs) impact adult health. However, differences in ACEs, PCEs, and mental health have not been extensively studied among Asian Americans. ⋯ Second generation Asian Americans are more likely to experience more ACEs, fewer PCEs, and poorer mental health as a result. Our study indicates that physicians should screen for childhood experiences and leverage trauma-informed care among Asian American subpopulations.
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Home telehealth (HT) services have rapidly expanded in the Veterans Health Administration (VHA), but little is known about the real-world impact of the expansion of these services on utilization. ⋯ Expanding HT or remote monitoring services may lead to additional needs being identified for patients, including increased access to in-person care, such as ED or hospital services.
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Inadequate access to behavioral health services disproportionately impacts marginalized populations who live in disadvantaged areas. To reduce this gap, programs dedicated to optimizing behavioral health education and training must focus their efforts to enroll providers who practice in these disadvantaged areas. ⋯ The TNT program strategy for recruiting PCPs from high medical need geographical areas is associated with bringing primary care psychiatry education to areas considered underserved and disadvantaged. Equipping PCPs practicing in underserved areas with enhanced knowledge and skills in behavioral medicine has the potential to significantly improve the existing access gap in disadvantaged communities.
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Incarcerated individuals in carceral facilities demonstrate an elevated prevalence of chronic disease conditions which are likely to persist post-release. Healthcare providers may not be trained on how exposure to incarceration may influence patient health outcomes and patient-provider communication. ⋯ Healthcare workers recognized incarceration as a detrimental health exposure. However, providers reported low levels of confidence in understanding and addressing the unique needs of patients who experienced incarceration. Findings support the need for further training regarding how to address the needs of formerly incarcerated patients, which would support efforts towards achieving equitable healthcare.
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Editorial
Mentorship for Non-academic, Mid-Career Hospitalist Physicians: The Journey Taken Less Often.
Mentorship plays a crucial role in the professional development of hospitalists by offering guidance, support, and opportunities for career advancement. Multiple studies have reported that mentorship significantly contributes to improving job performance and cultivating happiness in medicine. Further, mentorship also leads to increased confidence in decision-making, and enhanced work-life balance. ⋯ By fostering a culture of mentorship, healthcare institutions can better retain talent, improve patient care, and ensure sustained career satisfaction among hospitalists. This article delves into the importance of mentorship, its empowering benefits, and strategies tailored to the specific needs of mid-career hospitalists working in non-academic institutions. Further, we advocate for integrating robust mentorship as a strategic initiative to bolster the professional trajectory of this vital group within the healthcare system.