The Influence of Public Health Care on Living Behavior Pattern of Chronic Disease High-risk Population

2021 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Chronic Disease ◽  
High Risk ◽  
Behavior Pattern ◽  
Public Health Care ◽  
High Risk Population ◽  
Risk Population

scholarly journals Personal Health Records for Patients with Chronic Disease

2014 ◽  
Vol 05 (02) ◽  
pp. 416-429 ◽  
Author(s):  
R. Rozenblum ◽  
A. Park ◽  
M. Dunn ◽  
D.W. Bates ◽  
S. Wells
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
High Risk ◽  
Health Care Organizations ◽  
Personal Health Records ◽  
Personal Health ◽  
High Risk Population ◽  
Record System ◽  
Health Records ◽  
Management Interventions

SummaryBackground: Personal health records (PHRs) connected to a physician’s electronic health record system hold substantial promise for supporting and engaging patients with chronic disease. Objectives: To explore how U.S. health care organizations are currently utilizing PHRs for chronic disease populations.Methods: A mixed methods study including semi-structured interviews and a questionnaire was conducted. A purposive sample was developed of health care organizations which were recognized as exemplars for PHRs and were high performers in national patient satisfaction surveys (H-CAHPS or CAHPS). Within each organization, participants were health IT leaders or those managing high-risk or chronic disease populations.Results: Interviews were conducted with 30 informants and completed questionnaires were received from 16 organizations (84% response rate). Most PHRs allowed patients to access health records and educational material, message their provider, renew prescriptions and request appointments. Patient generated data was increasingly being sought and combined with messaging, resulted in greater understanding of patient health and functioning outside of the clinic visit. However for chronic disease populations, there was little targeted involvement in PHR design and few tools to help interpret and manage their conditions beyond those offered for all. The PHR was largely uncoupled from high risk population management interventions and no clear framework for future PHR development emerged.Conclusion: This technology is currently underutilized and represents a major opportunity given the potential benefits of patient engagement and shared decision making. A coherent patient-centric PHR design and evaluation strategy is required to realize its potential and maximize this natural hub for multidisciplinary care co-ordination.Citation: Wells S, Rozenblum R, Park A, Dunn M, Bates DW. Personal health records for patients with chronic disease: A major opportunity. Appl Clin Inf 2014; 5: 416–429 http://dx.doi.org/10.4338/ACI-2014-01-RA-0002

Screen-and-treat colposcopy as public health strategy for cervical cancer early detection in high-risk population: The experience of the Centro de Estudios y Prevencion del Cancer (CEPREC) in indigenous population of Southern Mexico

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 5012-5012
Author(s):  
S. Marcial-Toledo ◽  
J. Cortes-Guzman ◽  
L. Chavez ◽  
C. Guzman-Patraca ◽  
S. Terrazas-Espitia ◽  
...  
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
High Risk ◽  
High Risk Population ◽  
Low Grade ◽  
Public Health Strategy ◽  
Southern Mexico ◽  
Risk Population ◽  
Screening Programs ◽  
Health Strategy

5012 Background: The incidence of cervical cancer in Mexico remains high, due to ineffective Papanicolau smear screening, social, educational, cultural and financial issues. Southern Mexico is a region with a high incidence of cervical cancer. CEPREC has designed educational, preventive and early cancer detection programs in that population (Onkologie 27:211). We propose screen-and-treat colposcopy for cervical cancer prevention as public health strategy in selected high-risk population. This study evaluates the feasibility and acceptability of this approach through an educational program. Methods: From 12/2002 to 12/2005, women living in Southern Mexico were educated about cervical cancer and its prevention and were offered colposcopy either in CEPREC facilities or in ambulatory clinics. Colposcopy diagnosis and cervical cytology were established according to the 1990 IFCPC criteria and the 2001 Bethesda System, respectively. A cone biopsy was indicated in patients diagnosed as having human papilloma virus (HPV), cervical intraepithelial neoplasia (CIN 1, CIN 2, CIN 3), or carcinoma. Patients diagnosed as having HPV, CIN 2 and CIN 3 were treated by large loop excision of the transformation zone under local anesthesia. Results: 8281 women (median age 39 years, range: 14–87) were evaluated. 5645 (68%) of them underwent colposcopy in ambulatory clinics. 1171 (14%) women were illiterates and the highest education level was 9 years in 4881 (59%). Median age at first intercourse and first Papanicolau smear were 19 and 29 years, respectively. 4251 (51%) women had vaginal symptoms before colposcopy. Abnormal colposcopy (HPV, CIN 1, CIN 2 or CIN 3), was diagnosed in 1073 (13%) patients and 9 (<1%) had carcinoma. 238 (22%) of them were treated on site. Low-Grade (n = 190) (80%), and high-grade squamous intraepithelial lesions (n = 48) (20%), were diagnosed in those patients. Conclusions: Screen-and-treat colposcopy is a feasible public health strategy with high acceptability in selected high-risk population and could be an alternative to cytology-based screening programs. No significant financial relationships to disclose.

scholarly journals Temple Students Mount Response Against the COVID-19 Pandemic

CommonHealth ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 138-140
Author(s):  
Vittoria Boni ◽  
Schyler Edwards ◽  
Kurt Koehler ◽  
Michelle Liu ◽  
Theresa McShea ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
University Hospital ◽  
High Risk Population ◽  
Risk Population ◽  
Temple University ◽  
The North ◽  
Local Organizations ◽  
Medical Undergraduate

We are a group of medical, undergraduate, and public health students at Temple University doing our best to support the high-risk population in North Philadelphia during the global COVID-19 pandemic. Our aim is to make and distribute fabric masks to local organizations that support the North Philadelphia community and directly to patients that come to Temple University Hospital.

The University/Public Health Link in Reducing Infant Mortality in a High-Risk Population

1995 ◽  
Vol 11 (3) ◽  
pp. 34-38 ◽  
Author(s):  
Rachel M. Garber ◽  
Cindie Carroll-Pankhurst ◽  
Katherine Woods-Erwin ◽  
Edward A. Mortimer
Keyword(s):  
Public Health ◽  
High Risk ◽  
Infant Mortality ◽  
High Risk Population ◽  
Risk Population ◽  
The University

scholarly journals Seroprevalence of antibodies against SARS-CoV-2 among health care workers in a large Spanish reference hospital

2020 ◽  
Author(s):  
Alberto L Garcia-Basteiro ◽  
Gemma Moncunill ◽  
Marta Tortajada ◽  
Marta Vidal ◽  
Caterina Guinovart ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Workers ◽  
P Value ◽  
Nasopharyngeal Swab ◽  
High Risk Population ◽  
Risk Population ◽  
Care Workers ◽  
Asymptomatic Subjects ◽  
Cumulative Prevalence

AbstractBackgroundHealth care workers (HCW) are a high-risk population to acquire SARS-CoV-2 infection from patients or other fellow HCW. At the same time, they can be contagious to highly vulnerable individuals seeking health care. This study aims at estimating the seroprevalence of antibodies against SARS-CoV-2 and associated factors in HCW from a large referral hospital in Barcelona, Spain, one of the countries hardest hit by COVID-19 in the world.MethodsFrom 28 March to 9 April 2020, we recruited a random sample of 578 HCW from the human resources database of Hospital Clínic in Barcelona. We collected a nasopharyngeal swab for direct SARS-CoV-2 detection through real time reverse-transcriptase polymerase chain reaction (rRT-PCR), as well as blood for plasma antibody quantification. IgM, IgG and IgA antibodies to the receptor-binding domain of the spike protein were measured by Luminex. The cumulative prevalence of infection (past or current) was defined by a positive SARS-CoV-2 rRT-PCR and/or antibody seropositivity.ResultsOf the 578 total participants, 39 (6.7%, 95% CI: 4.8-9.1) had been previously diagnosed with COVID-19 by rRT-PCR, 14 (2.4%, 95% CI: 1.4-4.3) had a positive rRT-PCR at recruitment, and 54 (9.3%, 95% CI: 7.2-12.0) were seropositive for IgM and/or IgG and/or IgA against SARS-CoV-2. Of the 54 seropositive HCW, 21 (38.9%) had not been previously diagnosed with COVID-19, although 10 of them (47.6%) reported past COVID-19-compatible symptoms. The cumulative prevalence of SARS-CoV-2 infection was 11.2% (65/578, 95% CI: 8.9-14.1). Among those with evidence of past or current infection, 40.0% (26/65) had not been previously diagnosed with COVID-19, of which 46.2% (12/26) had history of COVID-19-compatible symptoms. The odds of being seropositive was higher in participants who reported any COVID-19 symptom (OR: 8.84, 95% CI: 4.41-17.73). IgM levels positively correlated with age (rho=0.36, p-value=0.031) and were higher in participants with more than 10 days since onset of symptoms (p-value=0.022), and IgA levels were higher in symptomatic than asymptomatic subjects (p-value=0.041).ConclusionsThe seroprevalence of antibodies against SARS-CoV-2 among HCW was lower than expected. Thus, being a high-risk population, we anticipate these estimates to be an upper limit to the seroprevalence of the general population. Forty per cent of those with past or present infection had not been previously diagnosed with COVID-19, which calls for active periodic rRT-PCR testing among all HCW to minimize potential risk of hospital-acquired SARS-CoV-2 infections.

Health care delivery failure for cervical cancer screening in a high risk population

2015 ◽  
Vol 137 ◽  
pp. 145
Author(s):  
K.M. Wishall ◽  
K.A. Brandt ◽  
M. Morin ◽  
M.L. Podolsky ◽  
S.D. Richard
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
High Risk ◽  
Cervical Cancer Screening ◽  
Health Care Delivery ◽  
Care Delivery ◽  
High Risk Population ◽  
Risk Population
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