scholarly journals Accurate Measurement In California’s Safety-Net Health Systems Has Gaps And Barriers

2018 ◽  
Vol 37 (11) ◽  
pp. 1760-1769
Author(s):  
Elaine C. Khoong ◽  
Roy Cherian ◽  
Natalie A. Rivadeneira ◽  
Gato Gourley ◽  
Jinoos Yazdany ◽  
...  
Keyword(s):  
Health Systems ◽  
Safety Net

scholarly journals The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Dean Schillinger ◽  
Danielle McNamara ◽  
Scott Crossley ◽  
Courtney Lyles ◽  
Howard H. Moffet ◽  
...  
Keyword(s):  
Health Systems ◽  
Computational Linguistics ◽  
Online Communication ◽  
Safety Net ◽  
Literacy Skills ◽  
Patient Portals ◽  
Healthcare Organizations ◽  
Linguistic Complexity ◽  
Secure Messaging ◽  
Linguistic Divide

Health systems are heavily promoting patient portals. However, limited health literacy (HL) can restrict online communication via secure messaging (SM) because patients’ literacy skills must be sufficient to convey and comprehend content while clinicians must encourage and elicit communication from patients and match patients’ literacy level. This paper describes the Employing Computational Linguistics to Improve Patient-Provider Secure Email (ECLIPPSE) study, an interdisciplinary effort bringing together scientists in communication, computational linguistics, and health services to employ computational linguistic methods to (1) create a novel Linguistic Complexity Profile (LCP) to characterize communications of patients and clinicians and demonstrate its validity and (2) examine whether providers accommodate communication needs of patients with limited HL by tailoring their SM responses. We will study >5 million SMs generated by >150,000 ethnically diverse type 2 diabetes patients and >9000 clinicians from two settings: an integrated delivery system and a public (safety net) system. Finally, we will then create an LCP-based automated aid that delivers real-time feedback to clinicians to reduce the linguistic complexity of their SMs. This research will support health systems’ journeys to become health literate healthcare organizations and reduce HL-related disparities in diabetes care.

scholarly journals What Is COVID-19 Teaching Us About Community Health Systems? A Reflection From a Rapid Community-Led Mutual Aid Response in Cape Town, South Africa

2020 ◽  
Author(s):  
Manya van Ryneveld ◽  
Eleanor Whyle ◽  
Leanne Brady
Keyword(s):  
Community Health ◽  
Health Systems ◽  
Cape Town ◽  
Safety Net ◽  
Community Action ◽  
Community Response ◽  
The State ◽  
System Response ◽  
Mutual Aid ◽  
Community Health Systems

The coronavirus disease 2019 (COVID-19) pandemic has exposed the wide gaps in South Africa’s formal social safety net, with the country’s high levels of inequality, unemployment and poor public infrastructure combining to produce devastating consequences for a vast majority in the country living through lockdown. In Cape Town, a movement of self-organising, neighbourhood-level community action networks (CANs) has contributed significantly to the community-based response to COVID-19 and the ensuing epidemiological and social challenges it has wrought. This article describes and explains the organising principles that inform this community response, with the view to reflect on the possibilities and limits of such movements as they interface with the state and its top-down ways of working, often producing contradictions and complexities. This presents an opportunity for recognising and understanding the power of informal networks and collective action in community health systems in times of unprecedented crisis, and brings into focus the importance of finding ways to engage with the state and its formal health system response that do not jeopardise this potential.

scholarly journals Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net

2019 ◽  
Vol 26 (12) ◽  
pp. 1525-1535 ◽  
Author(s):  
Alejandra Casillas ◽  
Giselle Perez-Aguilar ◽  
Anshu Abhat ◽  
Griselda Gutierrez ◽  
Tanya T Olmos-Ochoa ◽  
...  
Keyword(s):  
Los Angeles ◽  
Technology Acceptance ◽  
Health Systems ◽  
Safety Net ◽  
Patient Portal ◽  
Annual Household Income ◽  
Patient Centered ◽  
Spanish Speaking ◽  
English Speaking ◽  
Education Support

Abstract Objectives Driven by beneficial patient-centered outcomes associated with patient portal use and the Affordable Care Act, portal implementation has expanded into safety nets—health systems that offer access to care to a large share of uninsured, Medicaid, and other vulnerable populations. However, little attention has been paid to the factors that affect portal accessibility by the vulnerable patients served by these health systems—including those who are limited English proficient (LEP). Materials and Methods The Los Angeles County Department of Health Services (LAC DHS), the second-largest safety net system in the nation, launched its first patient portal, and one of the few bilingual English-Spanish interfaces in existence, in March of 2015. To explore portal awareness and perceptions, we conducted focus groups with LAC DHS patients, in English and Spanish (LEP). The Technology Acceptance Model was used to guide thematic analysis of focus group data. Results Of the 46 participants, 37 were patients and 9 were caretakers; 23 were English-speaking and 23 Spanish-speaking LEP. All patients had diabetes or hypertension. Over half had an annual household income <$10 000, yet 78% of English-speaking and 65% of Spanish-speaking LEP participants reported at-home Internet access. Participants’ discussion centered around 3 major thematic narratives: (1) participants’ awareness or attitudes about the LAC DHS portal; (2) role of culture, language, or community with regard to portal accessibility and utility; and (3) perceived needs for successful portal implementation. Conclusions Safety net participants identified concrete benefits to the portal and emphasized the need for portal engagement that offered accessible education, support, and resources in clinical and community settings. The portal offers an additional opportunity to engage the patient and family with trusted and validated health information, and should be further developed in this capacity. This study provides a better understanding of preferred improvements of patient portal engagement that guide broader health technology efforts to address electronic health disparities.

Antiviral Therapy Reduces Risk of Cirrhosis in Noncirrhotic HBV Patients Among 4 Urban Safety-Net Health Systems

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Robert J. Wong ◽  
Mamta K. Jain ◽  
George Therapondos ◽  
Bolin Niu ◽  
Onkar Kshirsagar ◽  
...  
Keyword(s):  
Antiviral Therapy ◽  
Health Systems ◽  
Safety Net ◽  
Urban Safety

scholarly journals 227 Transferred & Delayed Care of Colorectal Cancer in a Safety-Net Hospital System: A Comparison of Two Health Systems

2010 ◽  
Vol 138 (5) ◽  
pp. S-43
Author(s):  
Jessica Shah ◽  
Ali Siddiqui ◽  
Mimi Chang ◽  
Don C. Rockey
Keyword(s):  
Colorectal Cancer ◽  
Health Systems ◽  
Safety Net ◽  
Hospital System ◽  
System A ◽  
Safety Net Hospital

scholarly journals A Root Cause Analysis of Barriers to Timely Colonoscopy in California Safety-Net Health Systems

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anjana E. Sharma ◽  
Helena C. Lyson ◽  
Roy Cherian ◽  
Ma Somsouk ◽  
Dean Schillinger ◽  
...  
Keyword(s):  
Health Systems ◽  
Root Cause Analysis ◽  
Safety Net ◽  
Cause Analysis ◽  
Root Cause

Warfarin Monitoring in Safety-Net Health Systems: Analysis by Race/Ethnicity and Language Preference

2022 ◽  
Author(s):  
Anjana E. Sharma ◽  
Elaine C. Khoong ◽  
Natalie Rivadeneira ◽  
Maribel Sierra ◽  
Margaret C. Fang ◽  
...  
Keyword(s):  
Health Systems ◽  
Systems Analysis ◽  
Safety Net ◽  
Language Preference ◽  
Race Ethnicity

scholarly journals Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

2008 ◽  
Vol 70 (1) ◽  
pp. 102-110 ◽  
Author(s):  
Urmimala Sarkar ◽  
John D. Piette ◽  
Ralph Gonzales ◽  
Daniel Lessler ◽  
Lisa D. Chew ◽  
...  
Keyword(s):  
Health Systems ◽  
Safety Net ◽  
Self Management ◽  
Management Support ◽  
Diabetes Patients

Specialty Care Access in the Safety Net—the Role of Public Hospitals and Health Systems

2017 ◽  
Vol 28 (1) ◽  
pp. 566-581 ◽  
Author(s):  
Lena K. Makaroun ◽  
Chelsea Bowman ◽  
Kevin Duan ◽  
Nathan Handley ◽  
Daniel J. Wheeler ◽  
...  
Keyword(s):  
Health Systems ◽  
Safety Net ◽  
Specialty Care ◽  
Public Hospitals ◽  
Care Access
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