Journal of health care for the poor and underserved
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J Health Care Poor Underserved · May 2011
Improving medical care for detained immigrants: a call for a legislative solution.
Health care services provided to detained immigrants are inadequate to provide for the needs of this population. We analyzed the medical care policies and procedures for immigrants in detention, government reports on detainee medical care, and available mortality and morbidity data. ⋯ We suggest that a federal legislative solution is one essential component to address this issue and improve medical care. Principles to be embodied in a legislative proposal necessary to address the inadequacies in the current system are presented.
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J Health Care Poor Underserved · Feb 2011
Determinants of usual source of care disparities among African American and Caribbean Black men: findings from the National Survey of American Life.
The Aday-Andersen model was used as a framework for investigating the contribution of immigration status (i.e., nativity and acculturation), socioeconomic factors, health care access, health status, and health insurance to usual source of health care (USOC) in a nationally representative sample of African American (n=551) and Caribbean Black men (n=1,217). ⋯ Health care reform policies aimed solely at increasing health insurance may not uniformly eliminate USOC disparities disfavoring U.S. and foreign-born non-Hispanic Black men.
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J Health Care Poor Underserved · Feb 2011
Creating an effective and efficient publicly sponsored health care delivery system.
An effective and efficient publicly sponsored health care delivery system can increase access to care, improve health care outcomes, and reduce spending. A publicly sponsored health care delivery system can be created by integrating services that are already federally subsidized: community health centers (CHCs), public and safety-net hospitals, and residency training programs. The Patient Protection and Affordable Care Act includes measures that support primary care generally and CHCs in particular. A publicly sponsored health care delivery system combining primary care based in CHCs with safety-net hospitals and the specialists that serve them could also benefit from incentives in the Patient Protection and Affordable Care Act for the creation of accountable care organizations, and reimbursement based on quality and cost control.
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J Health Care Poor Underserved · Nov 2010
Comparative StudyProblematic hospital experiences among adult patients with sickle cell disease.
Adults with sickle cell disease (SCD) have often reported difficulties obtaining care during vaso-occlusive crisis (VOC) in qualitative studies. ⋯ Further research is needed to determine the consequences of and potential interventions to improve these poor experiences.