Access to Medical Care is Not the Problem: Low-Income Status and Health Care Needs Among HIV-Positive African-American Women in Urban North Carolina

2011 ◽  
Vol 70 (4) ◽  
pp. 416-426 ◽  
Author(s):  
Alyson O'Daniel
Keyword(s):  
Health Care ◽  
North Carolina ◽  
African American ◽  
African American Women ◽  
Low Income ◽  
Hiv Positive ◽  
Health Care Needs ◽  
Care Needs ◽  
Income Status ◽  
Access To Medical Care

scholarly journals UNDERSTANDING DEMENTIA PREVALENCE AND HEALTH CARE USE PATTERNS IN RURAL NORTH CAROLINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S904-S905
Author(s):  
Amanda N Grant ◽  
Tsai-Ling Liu ◽  
Nigel L Rozario ◽  
Deanna A Mangieri ◽  
Jennifer M Woodward ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
North Carolina ◽  
Health Care Use ◽  
Health Care Needs ◽  
Care Needs ◽  
Dementia Prevalence ◽  
Care Services ◽  
Dementia Patients ◽  
Acute Care Services

Abstract Rural and remote communities have limited access to high quality dementia care, prompting a need for innovative solutions to meet the health care needs of affected older adults. As part of a study aimed at implementing a telehealth intervention for primary care patients with dementia in two rural North Carolina counties, we examined baseline dementia prevalence and compared health care use between patients with and without dementia. Electronic health records from January 2018 to December 2018 were examined for 2,288 patients aged 65 or older. A zero-inflated Poisson regression model was used to compare healthcare use between patients with and without dementia adjusting for patients’ demographic and clinical characteristics. Dementia prevalence was 8.7% based on diagnosis codes. Most patients with dementia were women (70%), not married (55%), Medicare-insured (78%), and had more comorbidities (mean: 2±2) than non-dementia patients. Dementia patients had a significantly higher number of primary care visits, emergency department visits, inpatient visits, and preventable hospitalizations than patients without dementia (risk ratio = 1.1, 1.8, 2.18, and 1.3, respectively; all P< 0.05). Dementia burden was higher among women and use of acute care services by patients with dementia in this rural setting was higher than patients without the disease, similar to urban settings. These findings suggest opportunities to improve care coordination and access to resources to help reduce the need for acute care services among patients with dementia and can help tailor interventions to address the health care needs of this group.

Behavioral and mental health problems in low-income children with special health care needs

2004 ◽  
Vol 18 (3) ◽  
pp. 79-87 ◽  
Author(s):  
Janie Canty-Mitchell ◽  
Joan K Austin ◽  
Kim Jaffee ◽  
Rong Amy Qi ◽  
Nancy Swigonski
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Low Income ◽  
Mental Health Problems ◽  
Special Health Care Needs ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Low Income Children ◽  
Special Health

scholarly journals Perceptions and Health Care Needs of HIV-Positive Mothers in India

2009 ◽  
Vol 3 (2) ◽  
pp. 93-94
Author(s):  
Adeline Nyamathi ◽  
Beena Thomas ◽  
Barbara Greengold ◽  
Soumya Swaminathan
Keyword(s):  
Health Care ◽  
Hiv Positive ◽  
Health Care Needs ◽  
Care Needs ◽  
Hiv Positive Mothers

scholarly journals Perceptions and Health Care Needs of HIV-Positive Mothers in India

2009 ◽  
Vol 3 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Adeline Nyamathi ◽  
Beena Thomas ◽  
Barbara Greengold ◽  
Soumya Swaminathan
Keyword(s):  
Health Care ◽  
Hiv Positive ◽  
Health Care Needs ◽  
Care Needs ◽  
Hiv Positive Mothers
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