PAST-DUE (Prevention and Social Determinants: Disparities and Utilization in Latino Elders)
逾期(预防和社会决定因素:拉丁裔老年人的差异和利用)
基本信息
- 批准号:10451513
- 负责人:
- 金额:$ 43.59万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2018
- 资助国家:美国
- 起止时间:2018-09-30 至 2023-05-31
- 项目状态:已结题
- 来源:
- 关键词:AccountingAddressAdultAffectAgeAmericanAmericasAreaCardiovascular systemCharacteristicsClinicClinicalCommunitiesCommunity Health NetworksDataData LinkagesData SetDatabasesDemographic FactorsEconomic FactorsEconomicsElderlyElectronic Health RecordEnvironmental Risk FactorFoundationsGoalsGuidelinesHealthHealth PersonnelHealth ServicesHealthcareHispanicImmunizationIncomeIndividualInsuranceInterventionKnowledgeLanguageLatinoLatino PopulationLinkLiteratureLow incomeMigrantNeighborhood Health CenterNot Hispanic or LatinoOlder PopulationPatient CarePatientsPatterns of CarePoliciesPolicy MakerPopulationPopulation ResearchPreventionPrevention MeasuresPreventive carePreventive healthcarePreventive screeningPreventive serviceProcessProviderPublic HealthRecommendationResearchRiskRisk AssessmentRisk ReductionScreening for cancerServicesSurveysTimeUnited StatesVulnerable PopulationsWorkagedbarrier to carebasebuilt environmentcardiovascular disorder preventioncare seekingcare systemscohortdata resourcedensityethnic minorityethnic minority populationevidence baseevidence based guidelinesfracture riskhealth care servicehealth care service utilizationhealth datahealthcare communityimprovedinnovationlongitudinal analysislongitudinal datasetnovelolder patientpatient orientedpatient-level barrierspoint of carepoor communitiespopulation basedpreferenceracial and ethnicresponsescreeningsegregationservice uptakeservice utilizationsocial determinantssocial factorssocial health determinantssuccessuptake
项目摘要
Project Summary/Abstract
Americans aged 60 and over underutilize recommended preventive healthcare. Older
Latino-Americans underutilize preventive services to an even greater degree than non-Hispanic
whites, but the factors that drive this disparity most heavily are poorly understood. Some
evidence in the health services literature suggests that social determinants of health (individual-
and community-level economic, social, and environmental factors) affect utilization of preventive
health care. It is uncertain, however, which specific services may be most underused by older
Latinos, and which social determinants are most strongly associated with this group's utilization.
The dearth of knowledge about social determinants and preventive service utilization in
older Latinos is due, at least in part, to the lack of comprehensive data on ambulatory health
care utilization linked to data on individual- and community-level social determinants of health.
This project will assess disparities in preventive service use between older Latinos and older
non-Hispanic Whites, and identify the factors underlying those disparities. To do so, we will
leverage a unique data resource from a large, national network of community health centers
with shared electronic health record data that is linked to community-level social determinants of
health data. This large, longitudinal dataset contains unprecedented data linkages which will let
us assess disparities, evaluate which social determinants affect utilization and disparities, and
determine which of these may do so most significantly over time; in so doing, we will address an
important knowledge gap. Understanding the factors (individual or community) that most heavily
impact preventive service use is crucial to the prioritization of population-based interventions to
improve preventive screening.
Understanding the relative impact of social determinants of health on preventive service
use in older Latinos will enable action/intervention in three ways: 1. It will enable more informed
policy decisions to improve public health and wellness in older Americans. 2. It will facilitate
strategic partnerships between healthcare providers and community agencies poised to
intervene in social factors in the lives of older Americans. 3. It will help clinical providers
understand their patients' barriers to care utilization, and further point-of-care efforts to address
these barriers that influence their older patients' utilization of recommended health care
services.
项目总结/摘要
60岁及以上的美国人未充分利用推荐的预防性医疗保健。老年
拉美裔美国人对预防服务的利用不足程度甚至超过非西班牙裔美国人
白人,但造成这种差距最严重的因素知之甚少。一些
卫生服务文献中的证据表明,健康的社会决定因素(个人-
以及社区一级的经济、社会和环境因素)影响预防性药物的使用。
保健然而,目前尚不确定哪些特定服务可能是老年人最未充分利用的
拉丁美洲人,以及哪些社会决定因素与这一群体的利用率最密切相关。
缺乏关于社会决定因素和预防性服务利用的知识,
拉丁美洲老年人的死亡率至少部分是由于缺乏关于流动健康的全面数据
与个人和社区一级健康的社会决定因素有关的护理利用情况。
该项目将评估老年拉美人和老年人在预防服务使用方面的差异。
非西班牙裔白人,并确定这些差异背后的因素。为此,我们将
利用来自大型全国性社区卫生中心网络的独特数据资源
共享的电子健康记录数据与社区一级的社会决定因素有关,
健康数据。这个大型的纵向数据集包含了前所未有的数据链接,
我们评估差距,评估哪些社会决定因素影响利用率和差距,
确定其中哪些可能会随着时间的推移最显着;在这样做的时候,我们将解决一个
重要的知识差距。了解最重要的因素(个人或社区)
影响预防服务的使用是至关重要的,以人口为基础的干预措施的优先次序,
改进预防性筛查。
了解健康的社会决定因素对预防服务的相对影响
在老年拉丁美洲人中使用将使行动/干预在三个方面:1。它将使更多的知情
改善美国老年人公共卫生和健康的政策决定。2.它将促进
医疗保健提供者和社区机构之间的战略伙伴关系,
干预美国老年人生活中的社会因素。3.它将帮助临床提供者
了解他们的病人的障碍,以照顾利用,并进一步点的护理工作,以解决
这些障碍影响了老年患者对推荐医疗保健的利用
服务
项目成果
期刊论文数量(6)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Ethnicity, Language, and HIV Screening in Older Adult Safety-Net Patients.
- DOI:10.1016/j.amepre.2023.01.019
- 发表时间:2023-02
- 期刊:
- 影响因子:5.5
- 作者:J. Lucas;M. Marino;Roopradha Datta;Briana Chan;J. Heintzman
- 通讯作者:J. Lucas;M. Marino;Roopradha Datta;Briana Chan;J. Heintzman
Screening for Hepatitis C Among Community Health Center Patients by Ethnicity and Language Preference.
- DOI:10.1016/j.focus.2023.100077
- 发表时间:2023-06
- 期刊:
- 影响因子:0
- 作者:Chan, Brian L;Ezekiel-Herrera, David;Bailey, Steffani R;Marino, Miguel;Lucas, Jennifer A;Giebultowicz, Sophia;Cottrell, Erika;Carroll, Joe;Heintzman, John
- 通讯作者:Heintzman, John
Smoking-Cessation Assistance Among Older Adults by Ethnicity/Language Preference.
- DOI:10.1016/j.amepre.2022.03.024
- 发表时间:2022-09
- 期刊:
- 影响因子:5.5
- 作者:Bailey, Steffani R.;Hwang, Jun;Marino, Miguel;Quinones, Ana R.;Lucas, Jennifer A.;Chan, Brian L.;Heintzman, John D.
- 通讯作者:Heintzman, John D.
Influenza and pneumococcal vaccination delivery in older Hispanic populations in the United States.
- DOI:10.1111/jgs.17589
- 发表时间:2022-03
- 期刊:
- 影响因子:6.3
- 作者:Heintzman, John;Hwang, Jun;Quinones, Ana R.;Guzman, Cirila Estela Vasquez;Bailey, Steffani R.;Lucas, Jennifer;Giebultowicz, Sophia;Chan, Brian;Marino, Miguel
- 通讯作者:Marino, Miguel
Diabetes Screening and Monitoring Among Older Mexican-Origin Populations in the U.S.
美国墨西哥裔老年人群的糖尿病筛查和监测
- DOI:10.2337/dc21-2483
- 发表时间:2022
- 期刊:
- 影响因子:16.2
- 作者:Datta,Roopradha;Lucas,JenniferA;Marino,Miguel;Aceves,Benjamin;Ezekiel-Herrera,David;VasquezGuzman,CirilaEstela;Giebultowicz,Sophia;Chung-Bridges,Katherine;Kaufmann,Jorge;Bazemore,Andrew;Heintzman,John
- 通讯作者:Heintzman,John
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John Heintzman其他文献
John Heintzman的其他文献
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{{ truncateString('John Heintzman', 18)}}的其他基金
FRONTIERS: Foreign-Born Latinos Cancer Screening
前沿:外国出生的拉丁裔癌症筛查
- 批准号:
10365891 - 财政年份:2022
- 资助金额:
$ 43.59万 - 项目类别:
FRONTIERS: Foreign-Born Latinos Cancer Screening
前沿:外国出生的拉丁裔癌症筛查
- 批准号:
10625255 - 财政年份:2022
- 资助金额:
$ 43.59万 - 项目类别:
FOCUS: Foreign Born Latinos Cardiovascular Screening
焦点:外国出生的拉丁裔心血管筛查
- 批准号:
10372236 - 财政年份:2020
- 资助金额:
$ 43.59万 - 项目类别:
FOCUS: Foreign Born Latinos Cardiovascular Screening
焦点:外国出生的拉丁裔心血管筛查
- 批准号:
10246198 - 财政年份:2020
- 资助金额:
$ 43.59万 - 项目类别:
FOCUS: Foreign Born Latinos Cardiovascular Screening
焦点:外国出生的拉丁裔心血管筛查
- 批准号:
10595597 - 财政年份:2020
- 资助金额:
$ 43.59万 - 项目类别:
PAST-DUE (Prevention and Social Determinants: Disparities and Utilization in Latino Elders)
逾期(预防和社会决定因素:拉丁裔老年人的差异和利用)
- 批准号:
10179262 - 财政年份:2018
- 资助金额:
$ 43.59万 - 项目类别:
BACKGROUND: Bettering Asthma Care in Kids - Geographic Social Determinants Data to Understand Disparities
背景:改善儿童哮喘护理 - 地理社会决定因素数据以了解差异
- 批准号:
10199747 - 财政年份:2017
- 资助金额:
$ 43.59万 - 项目类别:
BACKGROUND: Bettering Asthma Care in Kids - Geographic Social Determinants Data to Understand Disparities
背景:改善儿童哮喘护理 - 地理社会决定因素数据以了解差异
- 批准号:
9445277 - 财政年份:2017
- 资助金额:
$ 43.59万 - 项目类别:
The Primary Care Medical Home and Preventive Service Use in Latino Immigrants
拉丁裔移民的初级保健医疗之家和预防服务的使用
- 批准号:
8699196 - 财政年份:2013
- 资助金额:
$ 43.59万 - 项目类别:
The Primary Care Medical Home and Preventive Service Use in Latino Immigrants
拉丁裔移民的初级保健医疗之家和预防服务的使用
- 批准号:
8509207 - 财政年份:2013
- 资助金额:
$ 43.59万 - 项目类别:
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