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Journal articles on the topic 'Newton County Rural Health Services Association'

Author: Grafiati

Published: 27 July 2024

Last updated: 31 July 2025

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1

Fang, Hai, Haijun Zhang, Arturo Vargas Bustamante, et al. "Regional Disparities, Economic Development, and Neonatal Mortality and Hospital Delivery in China." JAMA Network Open 7, no. 11 (2024): e2443423. http://dx.doi.org/10.1001/jamanetworkopen.2024.43423.

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ImportanceA negative association between neonatal mortality and hospital delivery has been found in some low- and lower-middle-income countries but not in rural settings characterized by poor quality of maternal and child health care.ObjectiveTo examine the association between neonatal mortality and hospital delivery in China across urban and rural regions, regional disparities, and varying levels of economic development.Design, Setting, and ParticipantsThis retrospective cohort study used county-level data from 2008 to 2020 from the National Maternal &amp;amp; Child Health Statistics acro

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Ibworo, Vincent O., Dickens Omondi, and Bernard Guyah. "Client’s satisfaction with maternal child health services in tier three public health facilities, Kisumu county, Kenya." International Journal of Health, Medicine and Nursing Practice 2, no. 1 (2020): 19–30. http://dx.doi.org/10.47941/ijhmnp.402.

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Purpose: The declaration of free maternal and child Health services by the government of Kenya was meant to address some of the systemic service access challenges and increase the number of clients using MNCH services, consequently reducing maternal and neonatal deaths. However, persistent poor maternal and child health indicators in Kenya even with free MNCH services as evident in Kisumu County portends considerable concern hence the reason for this study. There was need to identify factors or factor combinations that affect MNCH service quality in Kisumu County.Methodology: This was a descri

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Kasaya, Gertrude, John Kariuki, and Joseph Muchiri. "An Evaluation of the Effect of Introduction of Mobile Phone Use in Ante-Natal Care (ANC) in Ikolomani Sub County, Kakamega County, Kenya." African Journal of Empirical Research 6, no. 1 (2025): 369–81. https://doi.org/10.51867/ajernet.6.1.32.

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Mobile phone technology has revolutionized communication, making information and services more accessible, and fostering innovations in healthcare, particularly in maternal and child health (MCH). Timely interventions in healthcare can significantly improve outcomes for mothers and newborns. However, maternal and neonatal mortality rates remain high worldwide, with approximately 830 maternal deaths daily due to pregnancy or delivery complications. Almost all maternal deaths occur in developing countries, with rural and poorer mothers at greater risk. Additionally, around 2.8 million newborn de

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Tanvia, Lubana, M. Ershadul Haque, and Wasimul Bari. "Rural-urban disparity in uptaking skilled antenatal care visits by pregnant women in Bangladesh: Zero and One Inflated Poisson regression model." PLOS ONE 20, no. 1 (2025): e0318341. https://doi.org/10.1371/journal.pone.0318341.

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Background Utilization of maternal health care services, specifically, antenatal care services from skilled health providers have been given utmost priority in low- and middle-income countries over years with a view of mitigating complications during pregnancy as well as safeguarding the health and survival of both mother and newborn. However, there is a general tendency of pregnant mothers in Bangladesh of receiving skilled antenatal care (SANC) service once, or even never which refrains us to ensure World Health Organization (WHO) recommended eight plus SANC visits, additionally, to meet Sus

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Beatty, Kate, Megan Heffernan, Nathan Hale, and Michael Meit. "Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016." American Journal of Public Health 110, no. 9 (2020): 1293–99. http://dx.doi.org/10.2105/ajph.2020.305757.

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Objectives. To investigate differences in funding and service delivery between rural and urban local health departments (LHDs) in the United States. Methods. In this repeated cross-sectional study, we examined rural–urban differences in funding and service provision among LHDs over time using 2010 and 2016 National Association of County and City Health Officials data. Results. Local revenue among urban LHDs (41.2%) was higher than that in large rural (31.3%) and small rural LHDs (31.2%; P < .05). Small (20.9%) and large rural LHDs (19.8%) reported greater reliance on revenue from Center for

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Yeo, Hyesu, and Elisa Childs. "ACCESS TO HOSPITAL-BASED PALLIATIVE CARE SERVICES FOR OLDER ADULTS IN IOWA." Innovation in Aging 6, Supplement_1 (2022): 686. http://dx.doi.org/10.1093/geroni/igac059.2519.

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Abstract Background U.S. Medicare covers many palliative services; however, Iowa’s rurality and high rate of older adults (OAs) aged 65 or over make it unclear whether older Iowans have equitable service access. Hospital-based palliative care services (HBPCSs) include curative treatment, whereas other providers of palliative care may not. Thus, this study only examined OAs’ geographic access to HBPCSs in Iowa. Methods This study used the American Hospital Association and U.S. Census Bureau estimate in 2017. The geographical distribution of hospitals and HBPCSs was examined using a county-level

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Ng, B. "Innovative practice. applying academic psychosmatic medicine in rural California." European Psychiatry 26, S2 (2011): 390. http://dx.doi.org/10.1016/s0924-9338(11)72098-3.

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BackgroundImperial County is designated as medically underserved and one of the poorest counties in CA. Our practice started in 1994 and serves the gap between the County Mental Health Services (CMHS) that treats the severely and chronically ill and the general medical community that faces the unmet need of specialty care for “less” severe patients.MethodsA plan was started to provide both psychiatric care and liaison activities. The community has 2 community general hospitals. Contracts were established with CMHS and private insurers to assure coverage of services. The plan was extended to di

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Waddington, Keir. "Resistance and Prevention: Rural local government and the fight against tuberculosis." Modern British History 35, no. 2 (2024): 180–98. http://dx.doi.org/10.1093/tcbh/hwae034.

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Abstract With Wales considered ‘the blackest spot on the tuberculosis map’ of Britain, the Welsh National Memorial Association (WNMA) was founded in 1910 with the aim to rid Wales of the disease within a generation. Although the Association’s vision of a national health service was lauded by contemporaries as providing a model for England, as the WNMA took over the running of tuberculosis services from local authorities, it met with resistance from county and rural district councils. This essay explores this resistance. In placing the views and work of county and rural district councils at the

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Pendergrast, Claire. "SOCIO-SPATIAL DETERMINANTS OF COMMUNITY-BASED LONG-TERM CARE AVAILABILITY IN RURAL COUNTIES." Innovation in Aging 8, Supplement_1 (2024): 556–57. https://doi.org/10.1093/geroni/igae098.1819.

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Abstract Community-based long-term care services are critical resources to support aging in place in communities across the country. These services may be especially important to rural older adults’ health and independence, as declining numbers of working-age adults in rural communities may reduce access to informal family supports. This study examines the spatial distribution of two forms of community-based long-term care in rural U.S. counties: aging and disability services organizations and home health agencies. Using data from the American Community Survey (ACS) and the National Neighborho

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Lile, Ashley, Michael Gieske, Serena Phillips, et al. "Leveraging a geographic information system (GIS) to identify lung cancer care disparities and opportunities in rural Appalachia." JCO Oncology Practice 20, no. 10_suppl (2024): 78. http://dx.doi.org/10.1200/op.2024.20.10_suppl.78.

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78 Background: The Rural Appalachian Lung Cancer Screening Initiative is led by the Association of Cancer Care Centers (ACCC) and patient advocacy partners. Recognized by the White House Cancer Moonshot, this initiative seeks to improve lung cancer screening rates by partnering with health systems in rural Appalachia to develop and implement interventions. An 11-county region bordering West Virginia, Virginia, and Kentucky has significantly higher mortality and lung cancer incidence rates than the national rates of 35.0 and 54.0 per 100,000 people, respectively (Table 1). This region was ident

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Cendoma, Phil, Kristine Ria Hearld, Devdutt Upadhye, Robert J. Landry, and Amy Landry. "Service mix and financial performance in rural hospitals: A contingency theory perspective." Health Care Management Review 49, no. 3 (2024): 220–28. http://dx.doi.org/10.1097/hmr.0000000000000407.

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Background Rural hospitals are increasingly at risk of closure. Closure reduces the availability of hospital care in rural areas, resulting in a disparity in health between rural and urban citizens, and it has broader economic impacts on rural communities as rural hospitals are often large employers and are vital to recruiting new businesses to a community. To combat the risk of closure, rural hospitals have sought partnerships to bolster financial performance, which often results in a closure of services valuable to the community, such as obstetrics and certain diagnostic services, which are

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Alalwan, Abdullah A. "Influenza Vaccine Utilization: A Comparison between Urban and Rural Counties in Florida." Vaccines 10, no. 5 (2022): 669. http://dx.doi.org/10.3390/vaccines10050669.

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(1) Background: The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) recommend that every person aged six months and over receive the influenza vaccine every year. Previous studies indicate that rural-area residents have less access to preventative health care services. This study aims to examine the variation in influenza vaccine use among rural and urban counties in Florida. (2) Methods: The study studied 24,116 participants from the Behavioral Risk Factor Surveillance System database. The study included only patients who live in Florida. We performed

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Telonidis, Jacqueline, Christopher Hernandez, Randall Rupper, et al. "INTERAGENCY COLLABORATION TO SUPPORT CAREGIVERS IN RURAL COMMUNITIES." Innovation in Aging 8, Supplement_1 (2024): 679. https://doi.org/10.1093/geroni/igae098.2218.

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Abstract The Utah Geriatric Education Consortium (UGEC) is a Health Resources and Services Administration (HRSA) Geriatrics Workforce Enhancement Program committed to providing age- and dementia-friendly education to primary care and geriatrics workforces and supporting caregivers of people with dementia. We partnered with three rural, multi-county Area Agencies on Aging (AAA) to design and implement hybrid dementia caregiver conferences. Other partners included the Utah Chapter of the Alzheimer’s Association, Utah Department of Health and Human Services, VA Salt Lake City Healthcare System Ge

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Marita, Enock Oburi, Richard Gichuki, Elda Watulo, Sylla Thiam, and Sarah Karanja. "Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya." Journal of Infection in Developing Countries 15, no. 07 (2021): 897–903. http://dx.doi.org/10.3855/jidc.13565.

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Introduction: Kenya adopted the World Health Organization’s recommendation of community case management of malaria (CCMM) in 2012. Trained community health volunteers (CHVs) provide CCMM but information on quality of services is limited. This study aimed to establish determinants of quality of service of CCMM conducted by CHVs. Methodology: A cross-sectional survey was conducted in November 2016 in Bungoma County, Kenya. Data were collected through observing CHVs perform routine CCMM and through interviews of CHVs using structured questionnaires. A ≥ 75% score was considered as quality p

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Wang, Fei, E.-Shien Chang, and Phoebe Tran. "COMPARING PHYSICAL HEALTH CHALLENGES OF RURAL AND URBAN CAREGIVERS OF PEOPLE WITH DEMENTIA IN THE UNITED STATES." Innovation in Aging 8, Supplement_1 (2024): 20. https://doi.org/10.1093/geroni/igae098.0060.

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Abstract Increased dependence on informal caregiving and limited access to healthcare services in rural U.S. communities may contribute to worse physical health in rural informal caregivers of persons with dementia (PWD) relative to urban counterparts. We used nationally representative 2020-2022 Behavioral Risk Factor Surveillance Systems surveys to examine the association between rural/urban residence and poor physical health days in caregivers of PWD (N=17405). Self-reported physical health within previous month was categorized as follows: 0 poor physical health days (PPHD), 1-13 PPHD, 14+ P

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Desai, Atman, Kimon Bekelis, Wenyan Zhao, Perry A. Ball, and Kadir Erkmen. "Association of a higher density of specialist neuroscience providers with fewer deaths from stroke in the United States population." Journal of Neurosurgery 118, no. 2 (2013): 431–36. http://dx.doi.org/10.3171/2012.10.jns12518.

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Object Stroke is a leading cause of death and disability. Given that neurologists and neurosurgeons have special expertise in this area, the authors hypothesized that the density of neuroscience providers is associated with reduced mortality rates from stroke across US counties. Methods This is a retrospective review of the Area Resource File 2009–2010, a national county-level health information database maintained by the US Department of Health and Human Services. The primary outcome variable was the 3-year (2004–2006) average in cerebrovascular disease deaths per million population for each

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Lin, Vivian, Sasha DiVall, Mengyuan Cheng, and Nasim Ferdows. "COMPARING STROKE MORTALITY TRENDS IN RURAL AND URBAN AREAS DURING AND BEFORE THE COVID-19 PANDEMIC." Innovation in Aging 8, Supplement_1 (2024): 1232. https://doi.org/10.1093/geroni/igae098.3942.

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Abstract COVID-19 has undeniably disrupted healthcare services, with many individuals advised to avoid hospital visits unless necessary. However, timely treatment following a stroke is critical to minimize damage or fatality, raising concerns about how these disruptions may have affected stroke outcomes. This study explores the association between COVID-19 and stroke mortality rates across different ruralities across a three-year period (2018-2020). Using data from the CDC WONDER database and County Health Rankings, we examined stroke mortality trends, adjusting for county-level characteristic

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Henkel, Paul, and Marketa Marvanova. "Pharmacists’ Utilization of Information Sources Related to Community and Population Needs in the Upper Midwest and Associations with Continuing Professional Education." Pharmacy 7, no. 3 (2019): 125. http://dx.doi.org/10.3390/pharmacy7030125.

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Background: To investigate information sources utilized in pharmacists’ assessment of population-based health needs and/or community changes; and the association between information sources utilized and reported completion of continuing professional education topics. Methods: In 2017; licensed pharmacists (n = 1124) in North Dakota; South Dakota; Minnesota; Iowa; and Nebraska completed a questionnaire on continuing professional education and information sources on population-based health needs and community changes. Data were entered; cleaned and imported into Stata 11.1. Census Bureau county-

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Belay, Denekew Bitew, Seniat Mulat, Nigussie Adam Birhan, and Ding-Geng Chen. "Bivariate multilevel modeling of antenatal care contacts and place of delivery among reproductive-aged women in Ethiopia." PLOS ONE 20, no. 2 (2025): e0316795. https://doi.org/10.1371/journal.pone.0316795.

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Background Antenatal care (ANC) contacts, along with enhanced health facilities for delivery, are essential components of maternal and child healthcare, as these significantly contribute to both mothers and their newborn child’s health. Antennal care contacts primarily help women maintain normal pregnancies by detecting pre-existing conditions and preventing complications that may arise during childbirth. This study intended to determine possible factors that affect both ANC contact and place of delivery among women in Ethiopia. Methods The 2019 Ethiopian Mini Demographic and Health Survey dat

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Hailegebireal, Aklilu Habte, and Aiggan Tamene Kitila. "Geographical variation and predictors of missing essential newborn care items during the immediate postpartum period in Ethiopia: Spatial and multilevel count analyses." PLOS ONE 19, no. 9 (2024): e0308104. http://dx.doi.org/10.1371/journal.pone.0308104.

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Background Essential Newborn care (ENC) is a High-quality universal newborn health care devised by the World Health Organization for the provision of prompt interventions rendered to newborns during the postpartum period. Even though conducting comprehensive studies could provide a data-driven approach to tackling barriers to service adoption, there was a dearth of studies in Ethiopia that assess the geographical variation and predictors of missing ENC. Hence, this study aimed to identify geographical, individual, and community-level predictors of missing ENC messages at the national level. Me

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Shalowitz, David I., Peiyin Hung, Whitney E. Zahnd, and Jan Eberth. "Pre-pandemic geographic access to hospital-based telehealth for cancer care in the United States." PLOS ONE 18, no. 1 (2023): e0281071. http://dx.doi.org/10.1371/journal.pone.0281071.

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Importance Little is known about US hospitals’ capacity to ensure equitable provision of cancer care through telehealth. Objective To conduct a national analysis of hospitals’ provision of telehealth and oncologic services prior to the SARS-CoV-2 pandemic, along with geographic and sociodemographic correlates of access. Design, setting, and participants Retrospective cross-sectional analysis with Geographic Information Systems mapping of 1) 2019 American Hospital Association (AHA) Annual Hospital Survey and IT Supplement, 2) 2013 Urban Influence Codes (UIC) from the United States Department of

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Shakib, Shaminul H., Bert B. Little, Seyed M. Karimi, and Michael Goldsby. "COVID-19 Mortality Among Hospitalized Medicaid Patients in Kentucky (2020–2021): A Geospatial Study of Social, Medical, and Environmental Risk Factors." Atmosphere 16, no. 6 (2025): 684. https://doi.org/10.3390/atmos16060684.

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(1) Background: Geospatial associations for COVID-19 mortality were estimated using a cohort of 28,128 hospitalized Medicaid patients identified from the 2020–2021 Kentucky Health Facility and Services administrative claims data. (2) Methods: County-level patient information (age, sex, chronic obstructive pulmonary disease [COPD], and mechanical ventilation use [96 hrs. plus]); social deprivation index (SDI) scores; physician and nurse rates per 100,000; and annual average particulate matter 2.5 (PM2.5) were used as the predictors. Ordinary least-squares (OLS) regression and multiscale geograp

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Bauer, Cici, Kehe Zhang, Qian Xiao, Jiachen Lu, Young-Rock Hong, and Ryan Suk. "County-Level Social Vulnerability and Breast, Cervical, and Colorectal Cancer Screening Rates in the US, 2018." JAMA Network Open 5, no. 9 (2022): e2233429. http://dx.doi.org/10.1001/jamanetworkopen.2022.33429.

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ImportanceArea-level factors have been identified as important social determinants of health (SDoH) that impact many health-related outcomes. Less is known about how the social vulnerability index (SVI), as a scalable composite score, can multidimensionally explain the population-based cancer screening program uptake at a county level.ObjectiveTo examine the geographic variation of US Preventive Services Task Force (USPSTF)–recommended breast, cervical, and colorectal cancer screening rates and the association between county-level SVI and the 3 screening rates.Design, Setting, and Participants

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Srinivas, Megan L., Eileen Yang, Weiming Tang, and Joseph Tucker. "1535. Impact of Defunding Family Planning Health Centers on Gonorrhea and Chlamydia Cases in Iowa: A Spatiotemporal Analysis." Open Forum Infectious Diseases 7, Supplement_1 (2020): S768. http://dx.doi.org/10.1093/ofid/ofaa439.1715.

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Abstract Background Fifteen states have defunded family planning health centers (FPHCs), causing thousands to be left without health services. This has accelerated in the COVID-19 era. FPHCs provide low-income individuals in rural areas with essential primary care services, including sexually transmitted infection prevention, testing, and treatment. The purpose of this analysis is to use spatiotemporal methods to examine the impact of FPHC closures in Iowa on the reported number of gonorrhea and chlamydia cases at the county level. Methods This analysis investigates the association between FPH

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Lebensburger, Hannah, Julie Kanter, and Donna Murdaugh. "Identifying Access to Mental Healthcare Services for Pediatric Patients Living with Sickle Cell Disease." Blood 144, Supplement 1 (2024): 395. https://doi.org/10.1182/blood-2024-206271.

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Introduction: Pediatric patients living with sickle cell disease (SCD) are at increased risk for secondary mood disorders and are in need of access to mental healthcare. It is critical to identify whether pediatric patients with SCD, who disproportionally live in the Southeast United States, have access to quality mental healthcare. The current study assessed access to mental healthcare services and resources based on local community. Methods: This single-center study was developed as part of the Miree Leadership Project through Altamont High School in Birmingham, Alabama. A list of currently

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Gitonga, Eliphas, Jackim Nyamari, Peterson Warutere, and Anthony Wanyoro. "Influence of short message service reminders on utilisation of focused antenatal care among women in rural Kenya: a randomised controlled trial." African Journal of Midwifery and Women's Health 15, no. 2 (2021): 1–11. http://dx.doi.org/10.12968/ajmw.2020.0014.

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Background/aims The short message service is a part of mobile health, which is defined as medical and public health practices that are supported by mobile devices, such as mobile phones, personal digital assistants, and other wireless devices. Mobile health has documented positive outcomes on other health services, including focused antenatal care. The focused antenatal care model emphasises quality of care rather than quantity of antenatal visits, and the World Health Organization recommends a minimum of four targeted antenatal visits. This study examines the influence of short message servic

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McBain, Ryan K., Megan S. Schuler, Nabeel Qureshi, et al. "Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022." JAMA Network Open 6, no. 6 (2023): e2318045. http://dx.doi.org/10.1001/jamanetworkopen.2023.18045.

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ImportanceAlthough telehealth services expanded rapidly during the COVID-19 pandemic, the association between state policies and telehealth availability has been insufficiently characterized.ObjectiveTo investigate the associations between 4 state policies and telehealth availability at outpatient mental health treatment facilities throughout the US.Design, Setting, and ParticipantsThis cohort study measured whether mental health treatment facilities offered telehealth services each quarter from April 2019 through September 2022. The sample comprised facilities with outpatient services that we

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Onwudebe, Chinedu, Caitlin R. Aguirre, Ioannis Malagaris, Yong-Fang Kuo, and Monique R. Pappadis. "Contextual Determinants of Health Disparities in Utilization of Community-Based Rehabilitation Services Among Medicare Fee-for-Service Beneficiaries With Traumatic Brain Injury." Journal of Head Trauma Rehabilitation 40, no. 2 (2025): 76–85. https://doi.org/10.1097/htr.0000000000001026.

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Objective: To examine the association between contextual social determinants of health (SDoH) and receipt of first outpatient or home health (HH) rehabilitation visit after hospital discharge among older adults with traumatic brain injury (TBI) in Texas. Setting: Community following hospital discharge. Participants: 19 117 patients aged 66 and older hospitalized for a TBI from January 1, 2014, and discharged up to December 31, 2018, who returned home within 90 days from discharge. Design: Retrospective cohort study using 100% Texas Medicare claims data. Main Measures: Contextual-level SDoH (eg

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Smith, Karen L., Nicole E. Caston, Valerie Lawhon, et al. "Association of fear of COVID-19 with delays in care or treatment interruptions in patients with cancer." Journal of Clinical Oncology 39, no. 28_suppl (2021): 98. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.98.

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98 Background: Patients with cancer are at risk for severe COVID-19 and may be vulnerable to health care delays. Delays or interruptions in care may lead to adverse cancer outcomes. Little is known about the relationship between fear of COVID-19 and disruptions in cancer care delivery. Methods: This longitudinal survey was distributed to individuals with cancer who received services July 2019-April 2020 from Patient Advocate Foundation, a non-profit organization that provides case management and financial aid to patients with chronic illness. Data was collected twice - early pandemic (5/20/20-

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Mishra, Manoj K., Seela Aladuwaka, and Ram Alagan. "Abstract A017: The geospatial analysis of the socioeconomic status and its impact on prostate cancer prevalence in Alabama." Cancer Research 83, no. 2_Supplement_1 (2023): A017. http://dx.doi.org/10.1158/1538-7445.agca22-a017.

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Abstract Background: This study aims to understand the impact of Socioeconomic status (SES) and how it influences the aging population, increasing the risk of many diseases, including prostate cancer. The cancer prevalence in Alabama is high; prostate cancer rates are particularly high in the diverse male populations. Alabama's Black Belt rural counties are closely associated with socioeconomic and health disparities, and political oppression, among which social equity and socioeconomic status have been closely associated with prostate cancer incidence. This study explores prostate cancer occu

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Niranjan, Soumya J., William Opoku-Agyeman, Tara Bowman, Claudia M. Hardy, Monica L. Baskin, and Mark T. Dransfield. "Using community health advisors to increase lung cancer screening awareness in the Black Belt: A pilot study." Journal of Clinical Oncology 39, no. 28_suppl (2021): 117. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.117.

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117 Background: Disease stage at the time of diagnosis is the most important determinant of prognosis for lung cancer. Despite demonstrated effectiveness of lung cancer screening (LCS) in reducing lung cancer mortality, early detection continues to elude populations with the highest risk for lung cancer death. Consistent with the national rate, current screening rate in Alabama is dismal at 4.2%. While public awareness of LCS may be a likely cause there are no studies that have thoroughly evaluated current knowledge of LCS within the Deep South. Therefore, we measured (LCS) knowledge before an

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Lawhon, Valerie, Nicole E. Caston, Karen L. Smith, et al. "Fear of COVID-19: Effects on mental health in under-resourced patients with cancer." Journal of Clinical Oncology 39, no. 28_suppl (2021): 152. http://dx.doi.org/10.1200/jco.2020.39.28_suppl.152.

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152 Background: Given the high risk of COVID-19 mortality, patients with cancer are not only vulnerable to physical consequences of COVID-19 infection, but also to adverse psychological outcomes, including fear of COVID-19. Without intervention, psychological distress in patients with cancer can lead to worsening symptoms, poor quality of life, and lower survival. We sought to evaluate the association between fear of COVID-19 and psychological distress for under-resourced patients with cancer during the pandemic. Methods: This observational, longitudinal survey study, fielded during early (May

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Muluk, Sruthi, Coleman Drake, Zhaojun Sun, Manisha Bhattacharya, Bruce Jacobs, and Lindsay M. Sabik. "Abstract A137: Drive time to physicians and outcomes for bladder cancer." Cancer Epidemiology, Biomarkers & Prevention 32, no. 12_Supplement (2023): A137. http://dx.doi.org/10.1158/1538-7755.disp23-a137.

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Abstract Introduction: Poor geographic access to cancer care providers can delay treatment and limit access to high quality care. Previous research has shown that for patients with bladder cancer, time to cystectomy and receipt of neoadjuvant chemotherapy are associated with improved survival. Travel burden may be an important barrier to timely guideline-concordant treatment and is particularly relevant for residents of rural areas, which are often medically underserved. This study examines the association between drive time to medical oncologists and urologists and clinical outcomes for muscl

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Lee, HaEun, Bernice Dahn, Joseph Sieka, et al. "The use of a mobile obstetric emergency system to improve obstetric referrals in Bong County, Liberia: A pre‐post study." International Journal of Gynecology & Obstetrics, October 3, 2023. http://dx.doi.org/10.1002/ijgo.15175.

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AbstractObjectiveLiberia experiences an unmet need for cesarean section with about 5% population coverage, lower than 9%–19% coverage associated with improved maternal and newborn outcomes. Delays in the referral process for comprehensive emergency obstetric and newborn care (CEmONC) services due to ineffective communication between a rural health facility (RHF) and a district hospital contribute to the low CS rate. This study examined the association between mobile obstetric emergency system (MORES) implementation and referral time for obstetric emergencies as well as maternal/newborn outcome

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Peng, Mingyao, Li Li, Xinyi Shi, and Zhonghua Wang. "Does integrated health management within a county medical consortium improve rural type 2 diabetic patients’ self-management behavior and quality of life? An empirical analysis from Eastern China." BMC Public Health 24, no. 1 (2024). http://dx.doi.org/10.1186/s12889-024-18885-0.

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Abstract Background Levels of self-management behaviors (SMB) and quality of life (QoL) are suboptimal in Chinese adults with type 2 diabetes (T2D), especially in rural China. Integrated health management within a county medical consortium, featuring multi-level teams of doctors, nurses, and other professionals offering follow-up services such as check-ups, assessments, treatment, and health education, is promising in improving this. This study aimed to assess the effect of integrated health management within a county medical consortium on the SMB and QoL of rural T2D patients in China. Method

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Zhu, Yidan, Yifei Zhao, Lixia Dou, et al. "The hospital management practices in Chinese county hospitals and its association with quality of care, efficiency and finance." BMC Health Services Research 21, no. 1 (2021). http://dx.doi.org/10.1186/s12913-021-06472-7.

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Abstract Background County hospitals as the backbone of the China’s healthcare system are providing services for over 70% of the total population. However, the hospital management practice (HMP) and its links with quality of care, efficiency and finance in these hospitals are unknown. Methods We did two cross-sectional surveys of HMP in 2013 and 2015 among 101 county hospitals across rural China. Three managing roles (hospital director, director of medical affairs office and director of cardiology) and a cardiologist were invited to the surveys. A novel HMP rating scale, with 100 as full score

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Zhang, Yike, Mengxiao Hu, Bowen Xiang, Haiyang Yu, and Qing Wang. "Urban–rural disparities in the association of nitrogen dioxide exposure with cardiovascular disease risk in China: effect size and economic burden." International Journal for Equity in Health 23, no. 1 (2024). http://dx.doi.org/10.1186/s12939-024-02117-3.

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Abstract Background Together with rapid urbanization, ambient nitrogen dioxide (NO2) exposure has become a growing health threat. However, little is known about the urban–rural disparities in the health implications of short-term NO2 exposure. This study aimed to compare the association between short-term NO2 exposure and hospitalization for cardiovascular disease (CVD) among urban and rural residents in Shandong Province, China. Then, this study further explored the urban–rural disparities in the economic burden attributed to NO2 and the explanation for the disparities. Methods Daily hospital

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Li, Zhong, Sayward E. Harrison, Xiaoming Li, and Peiyin Hung. "Telepsychiatry adoption across hospitals in the United States: a cross-sectional study." BMC Psychiatry 21, no. 1 (2021). http://dx.doi.org/10.1186/s12888-021-03180-8.

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Abstract Background Access to psychiatric care is critical for patients discharged from hospital psychiatric units to ensure continuity of care. When face-to-face follow-up is unavailable or undesirable, telepsychiatry becomes a promising alternative. This study aimed to investigate hospital- and county-level characteristics associated with telepsychiatry adoption. Methods Cross-sectional national data of 3475 acute care hospitals were derived from the 2017 American Hospital Association Annual Survey. Generalized linear regression models were used to identify characteristics associated with te

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Zeng, Xuejiao, Xiaoming Liu, Jinli Mahe, et al. "Sex Differences in the Relationship Between Emotional Support and Self-rated Health among Chinese Elderly." American Journal of Health Promotion, November 13, 2023. http://dx.doi.org/10.1177/08901171231212284.

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Purpose This study aimed to explore sex differences in the association between emotional support and self-rated health among the elderly. Design This was a cross-sectional survey based on the sub-project of China’s National Basic Public Health Service Project—Health Management Services for the Elderly. Setting Participants were recruited from ten rural townships in Jingyuan County, Gansu Province, Northwestern China. Subjects 1405 subjects aged 60 or above. Methods Emotional support (consisting of 5 items) and self-rated health (evaluated by EQ-VAS) were investigated in this study. Multiple li

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Morino, Gianfranco, Caleb Mike Mulongo, Paolo Cattaneo, et al. "Finding the missing many: improving Tuberculosis care in Kajiado county through active case finding and community approaches." BMC Public Health 24, no. 1 (2024). http://dx.doi.org/10.1186/s12889-023-17631-2.

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Abstract Background Tuberculosis related deaths remain a priority globally. Despite advancements in TB care, access to quality care remains inequitable to the disadvantage of those in rural and urban informal settlements. The Awareness, Traditions, and Innovation in combating Tuberculosis (ATI TB) project incorporated active case finding (ACF), use of GeneXpert technology and decentralized services to improve TB care in Kajiado County. This study sought to establish the impact of the project as well as implementation lessons learnt during its tenure in Kajiado County, Kenya. Methods This evalu

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Faith, Chesang Ngorett. "CONTEXT, PROCESS AND CONTENT DIMENSION TO FULL INTEGRATION OF ICT IN DELIVERY OF HEALTH CARE SERVICES IN SELECTED PUBLIC COUNTY HOSPITALS OF MACHAKOS, TURKANA AND NAIROBI COUNTIES IN KENYA." February 18, 2020. https://doi.org/10.5281/zenodo.3694820.

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The use of Information and Communication Technologies (ICTs) provide great potential for saving human lives by improving delivery of health care as it provides for easy access to patient medical information on a real-time basis and enables a seamless system of tracking and sharing of patient information from the time of admission, diagnostics, treatment, pharmaceutical and management of patient bills that captures all accruing expenses per patient. Despite heavy investment by the Kenya government in ICT infrastructures in the health care, the efficiency and benefits of ICT has not been achieve

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Fu, Rong, Zhi Huang, Yulan Lin, Xuwei Tang, Zhenquan Zheng, and Zhijian Hu. "Temporal-spatial distribution characteristics and associated socioeconomic factors of visiting frequency for rural patients with hypertension in Fujian Province, Southeast China." BMC Public Health 24, no. 1 (2024). http://dx.doi.org/10.1186/s12889-024-18113-9.

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Abstract Background Regular follow-up and medication can effectively reduce the risk of adverse outcomes for patients with hypertension. This study aimed to explore the temporal-spatial distribution characteristics and associated socioeconomic factors of visiting frequency for rural patients with hypertension in Fujian province from 2011 to 2016. Methods The medical records of patients with hypertension were abstracted from the database of New Rural Cooperative Medical Scheme. Geographically and temporally weighted regression model was used to analyze the associations between percentage of pat

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Jumper, W. Isaac, Carla L. Huston, Robert W. Wills, and David R. Wills. "Survey of veterinary involvement in management decisions on Mississippi cow-calf operations." Bovine Practitioner, February 1, 2021, 37–44. http://dx.doi.org/10.21423/bovine-vol55no1p37-44.

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The objective of this study was to describe veterinary involvement in management decisions on Mississippi cowcalf operations. Anonymous surveys were mailed to 1,275 members of the Mississippi Cattlemen’s Association. Multivariable logistic regression using manual forward variable selection was used to test demographic and management factors for association with veterinary involvement outcomes. Significance was defined at alpha=0.05. Three-hundred eight surveys (24%) were returned, with 292 (95%) respondents being active in cow-calf production. Fifty-three (18%) of 289 respondents were located

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Abdulsalam, Ruqoyat, Joan O'Connell, and Luohua Jiang. "Racial Differences in Inpatient Hospital Services Utilization and Expenditure between American Indian and Alaska Native and non‐Hispanic White Older Adults with Dementia." Alzheimer's & Dementia 19, S23 (2023). http://dx.doi.org/10.1002/alz.080571.

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AbstractBackgroundWhile American Indian and Alaska Native (AI/AN) and non‐Hispanic white (White) adults are at high risks for dementia, little is known about hospital utilization and expenditures among AI/ANs and Whites with dementia. The goal of this study is to examine characteristics associated with inpatient hospital services utilization and expenditures among AI/AN and White older adults with dementia, to understand what factors contribute to differences in utilization and expenditures between the two populations.MethodWe analyzed data on demographic characteristics, health coverage, chro

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Li, Changwei, Ruiyuan Zhang, Luqi Shen, and Sangzhu Laba. "Abstract MP40: U-shaped Association Of Altitude With Prevalence Of Hypertension Among Tibetan Residents." Circulation 141, Suppl_1 (2020). http://dx.doi.org/10.1161/circ.141.suppl_1.mp40.

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Background: Tibet has a disproportionately higher prevalence of hypertension, compared to other regions of China. This may be related to long-term exposure to the high altitude. The aim of our study is to evaluate associations of altitudes with prevalence of hypertension among residents aged 15 years and older in Tibet, China. Method: A total of 11,407 Tibet residents in the 5 th National Health Services Survey (NHSS) in 2013-2015 were included in this study. Physician diagnosed hypertension was determined based on self-report. County level altitude was identified and assigned to all residents

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Johnston, Hartlee, and Albert M. Kopak. "A Prospective Study of Injection Drug Use and Jail Readmission in Two Western North Carolina Counties." North Carolina Medical Journal 84, no. 5 (2023). http://dx.doi.org/10.18043/001c.83928.

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Background Injection drug use among people admitted to rural jails has significant implications for both infectious disease transmission and incarceration patterns. This study examines the relationship between injection drug use, jail readmission, and detention duration to inform interventions designed specifically for this understudied correctional setting. Methods The Comprehensive Addiction and Psychological Evaluation-5 (CAAPE-5) was administered to a random sample of adults admitted to two county detention centers in Western North Carolina. Data regarding readmission and the length of det

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Dominguez-Bali, A., C. Dominguez-Bali, S. Kazi, and L. M. Rocca De Paula. "(056) WHAT IS PUSHING PHYSICIANS OUT AND THE NEGATIVE IMPACT ON WOMEN’S SEXUAL HEALTH IN SOUTH FLORIDA." Journal of Sexual Medicine 22, Supplement_1 (2025). https://doi.org/10.1093/jsxmed/qdaf068.052.

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Abstract Introduction Women’s sexual health is integral to overall health and well-being, encompassing reproductive planning, contraception, sexual dysfunction, sexually transmitted infections, menopause management, and preventative care. Neglect in this area has deeper implications, including increased rates of unintended pregnancies, dangerous abortion procedures (secondary to decreased options of treatment), untreated infections, higher maternal mortality, worsened mental health outcomes, and diminished quality of life. The U.S. is facing a severe physician shortage, including an estimated

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Wiggs, Alleigh, Andrew Cesmat, Thibaut Davy-Mendez, and Ross J. Simpson. "Abstract P101: The Association Between Residing in a Food Desert and Hypertension in Victims of Sudden Death." Circulation 149, Suppl_1 (2024). http://dx.doi.org/10.1161/circ.149.suppl_1.p101.

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Introduction: Sudden deaths, defined as unexpected deaths not attributable to suicide, trauma or cancer account for over 10% of deaths in adults aged 18-64 years. More evidence is needed to understand how socioeconomic factors interplay with physiological processes such as hypertension to contribute to sudden death. We hypothesized that residing in a food desert would be associated with hypertension and poor blood pressure (BP) control in people who died of sudden death. Methods: We screened Emergency Medical Services (EMS) records from 2013 to 2015 in Wake County, NC, which includes the capit

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Colvin, Neroli. "Resettlement as Rebirth: How Effective Are the Midwives?" M/C Journal 16, no. 5 (2013). http://dx.doi.org/10.5204/mcj.706.

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“Human beings are not born once and for all on the day their mothers give birth to them [...] life obliges them over and over again to give birth to themselves.” (Garcia Marquez 165) Introduction The refugee experience is, at heart, one of rebirth. Just as becoming a new, distinctive being—biological birth—necessarily involves the physical separation of mother and infant, so becoming a refugee entails separation from a "mother country." This mother country may or may not be a recognised nation state; the point is that the refugee transitions from physical connectedness to separation, from insi

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Purvis Lively, Cathy. "Adding a Correction Factor to the Allocation of Scarce Life-saving Resources in a Pandemic." Voices in Bioethics 8 (February 15, 2022). http://dx.doi.org/10.52214/vib.v8i.9075.

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Photo by Richard Catabay on Unsplash ABSTRACT COVID-19 exposed deep-rooted structural inequities. Allocation protocols developed during COVID-19 may cause furtherance of structural inequalities. In this essay, I specifically address the issue of structural inequities in the context of resource allocation during a period of crisis standard of care. In response to the increasing evidence of structural inequities during the pandemic, physicians and bioethicists Douglas White and Bernard Lo proposed incorporating a correction factor into resource allocation protocols. According to them, this would

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