No description available.

<p> The overall purpose of this study was to determine causal associations and factors between the health of children and the neighborhoods, environments, and level of social economic status from which they live and mature. This study looked at the environment of the children inside and outside of the home and the place that social capital has within a child's health. It also looked at how family and social economic status are vital to the wellbeing of children. Findings in this study prove that an environment of poverty is correlated significantly with ill health in children. The loss of social capital and the physical environment of the home showed a significant correlation to the health of the child. The main limitation to the study is the bias of publications. Also, additional research and study of the topic are recommended. </p>

<p> Research has shown that patients with limited-English proficiency experience lower quality health care, have more difficulty communicating with their physician and more likely to need a translator which potentially lead to significant adverse health outcomes. The objective of this study was to demonstrate that patients with limited-English proficiency face more barriers which create equity and disparity in understanding their physician as compared to their English-speaking counterparts.</p><p> Secondary data analysis was performed using the California Health Interview Survey (CHIS) 2011-2012. The CHIS is a population-based random-digit dial telephone survey conducted every two years of California's population. The survey consists of extensive questions in a variety of health related topics. For purposes of this study, specific questions were selected for statistical analysis.</p><p> All the literature and data analyses strongly supported that patients with limited-English proficiency are more likely to face barriers in obtaining quality care throughout the health continuum.</p>

<p> The purpose of this study was to determine what factors in clinical performance can negatively impact Medicare reimbursement for acute-care hospitals. Secondary data from Medicare.gov Hospital Compare website was used, specifically using results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), communication with doctors, communication with nurses, responsiveness of hospital staff, pain management, communication about medications, cleanliness of hospital, and quietness at night of hospital. The goal is to receive a response of "Always" to receive Medicare reimbursement.</p><p> A comparative analysis was used to compare the survey results from 194 acute-care hospitals among nine California counties. San Diego County had a consistent "Always" response in all 10 HCAHPS categories. One limitation was the inability to correlate total population with high or low HCAHPS scores. For further study, selecting specific demographics of each county to determine who is more likely to complete an HCAHPS survey.</p>

<p> Health care disparities have been well document to exist in various demographics. Specifically, there are differences in the access to and quality of healthcare between ethnic and racial groups. Congestive Heart Failure (CHF) is a debilitating chronic condition that affects the underinsured population more often than the insured. The present study sought to identify associations with the diagnosis of CHF between race, ethnicity, and insurance type.</p><p> Data sets retrieved from the 2010 National Ambulatory Medical Care Survey were utilized to run statistical analysis and identify correlations between the dependent variable and independent variables. A chi-square test was performed to determine the significance of the results. The sample population selected was cross tabulated to identify associations between the variables. The findings suggest that significant differences exist in the diagnosis of CHF between race, ethnicity, and insurance type. The results support past research, which found that racial, ethnic, and socioeconomic disparities exist in health care. </p>

<p> Two key issues in healthcare today are the over-utilization of emergency departments (ED) and the lack of preventative care participation. Successful preventative care can help to reduce ED utilization and harmful behaviors such as drinking and smoking.</p><p> Exposing patients to the benefits of preventative or primary care benefits could start in the ED. This report sought relationships between ED utilization for personal health and smoking cigarettes or drinking alcohol in a 12 month period. This study utilized the CHIS 2011-2012 data set to find such a relationship. A relationship was found between smoking and drinking during a 12 month period and visiting the ED for personal health.</p><p> This report identifies an opportunity for improvement within health benefit utilization. Smokers and drinkers can be exposed to cessation programs in the ED, while also helping to encourage patients to better utilize primary and preventative services.</p>

<p> This study analyzes the effect of payor mix in the adoption of Electronic Health Records (EHR) among physicians in the United States and whether or not this adoption has been incentivized by the Medicare and Medicaid incentive programs. The study predicted that payor mix influenced adoption and that practices with higher percentage of patient care revenue coming from Medicare and Medicaid would present higher levels of adoption. It also predicted that physicians planning to apply for Medicare and Medicaid incentive programs are more likely to adopt this technology. The Statistical Package for Social Services was utilized to analyze the 2010 National Ambulatory Medical Care Survey data using Chi Square statistics. The results of this study showed a significant relationship between payor mix and EHR adoption and incentive payments and EHR adoption. The findings of this study are valuable for medical practices, EHR vendors, hospitals and government entities to strategize on additional incentives and financial assistance programs that foster meaningful adoption and improve healthcare outcomes.</p>

<p> The purpose of this study is to review how much time and resources were spent on having pharmacy missing doses and analyze the pharmacy process of filling a missing dose request. Data is extracted from the VistA and Omnicell program at the Veterans Affairs Long Beach Healthcare System (VALBHS). One hypothesis is that waste exists in the system and the other hypothesis is that time on hand (waiting) was the biggest waste. The first hypothesis is supported, while the second hypothesis lacked evidence and, therefore, is not supported. Potential solutions and issues surrounding the usage of Lean and Six Sigma are discussed.</p>

No description available.

<p> Every day, India sees the addition of 5,000 new cases of diabetes to its current diabetic population of 65 million people. This number is projected to cross the 100 million mark in 15 years. The emerging pandemic scale of diabetes growth is straining India's already-overburdened public healthcare resources. India is home to several well-established native and adapted foreign traditions of medicine that are widely practiced. These traditions include Ayurveda, yoga and naturopathy, unani, siddha, and homeopathy. The modern and traditional medicine approaches are extensively used as independent systems. The purpose of this qualitative research case study was to evaluate the use of an integrative approach to address the multiple challenges posed by diabetes in India. The research design for the case study was based on the theoretical framework of participatory action research. The research questions evaluated how the modern and traditional medicine systems can be jointly used to contain the spread, scale, and immensity of diabetes in India and examined the barriers and challenges in combining various systems of medicine. Data were collected from interviews with 30 modern and traditional medical practitioners and 6 policy makers identified through a stratified purposeful sampling process. The transcribed data were coded thematically and objectively analyzed. The trustworthiness of interpretations was bolstered with triangulation through records from notes and observations. In evaluating the feasibility of a synergistic and integrative approach, the study filled a gap in scholarly literature. The study contributes to social change by adding to the existing body of knowledge available to physicians and patients in preventing and containing the diabetes pandemic.</p>