REPORT
These proceedings summarize the topics and findings discussed at a July 2011 workshop convened to examine how trends in four areas — the economy, demographics, the workplace, and lifestyles — will affect the poor and vulnerable in America in the coming decade. The authors also present the results of the workshop's assumption-based planning exercise.
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In interviews conducted for this study, Cambodian refugees reported exceedingly poor health when compared to the general population of Asian immigrants.
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Community-based participatory research promotes community engagement in improving depression care.
REPORT
The Louisiana Disaster Case Management Pilot was funded to help people still affected by the 2005 hurricanes access needed services and more permanent housing. This report describes the challenges that hindered implementation. In light of these challenges, researchers recommend that future efforts establish better ways to identify and locate affected residents, consider needs and vulnerabilities in planning, and ensure continuity of…
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Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.
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This pilot study suggests that a practice-based intervention can increase referral to Alzheimer's Association chapters and improve quality of dementia care.
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Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments
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Community members emphasized healthcare access challenges; unmet needs of specific vulnerable populations; and opportunities, resources, and community adaptations to improve healthcare access.
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This study found that a dramatic increase between 2001 and 2005 in the number of uninsured children with special health care needs who were eligible for SCHIP.
REPORT
Experiences from Hurricanes Katrina and Rita showed that current emergency preparedness plans are inadequate to address the unique issues of special needs populations. This toolkit distills the most relevant emergency preparedness strategies, practices, and resources for these populations. It includes a Web-based Geographic Information Systems tool to identify and enumerate those with special needs in communities across the United States.
REPORT
This dissertation consists of three stand-alone essays that focus on the economics of preserving health among vulnerable population, specifically chronic ill and elderly population.
JOURNAL ARTICLE
Describes results of a survey that investigates whether groups traditionally most vulnerable to disasters would be more likely than others to perceive population-level risk as high, worry more about terrorism, and avoid activities because of terrorism concerns.
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High levels of unmet need persist for children with special health care needs in the face of substantial resources that have been committed to improving their care, including the integration of behavioral health into Medicaid managed care.
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Uses the Consumer Assessments of Healthcare Providers and Systems survey to examine the experiences of Hispanics enrolled in Medicare managed care. Hispanics face barriers to care; however, their experiences with care vary by language and region.
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Insurance gaps and delayed care are prevalent for low-income young adults who aged out of a public program for children with special health care needs, despite ongoing health problems. Greater transition support might improve access.
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Expanding opportunities for immigrants to obtain legal residency and citizenship may be the best option to offer them better access to health care. Factors that affect their access to health care include: socioeconomic background, immigration status, limited English proficiency, and more.
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More research with longitudinal data is necessary to sort out the causal direction of social context and ADM access outcomes, and whether policy interventions to change health sector market conditions can shift ADM treatment utilization.
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The Rapid Evaluation and Action for Community Health in Louisiana (REACH-LA) Phase I project used community-based participatory methods to engage community members in the design, conduct, and interpretation of the results. This brief report describes the findings from the Community Discussion Groups, which affords the most direct insight into grassroots community perspectives on health care needs in New Orleans after Hurricane Katrina.
COMMENTARY
Published commentary by RAND staff: Saving Money and Saving Lives in Nursing Homes, in Washingtonpost.com.
JOURNAL ARTICLE
Enrollment onto New York's SCHIP improved medical care for CSHCN.
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