Diverse, vulnerable populations, especially Latinos, have low colon cancer screening rates. These groups are disproportionately affected by the many patient, provider, and system-level barriers that inhibit colon cancer screening. Latinos, the nation’s largest and fastest growing racial/ethnic minority group, face additional language and cultural barriers. Reducing disparities in colon cancer screening among vulnerable populations is… Read more »
The Patient-Centered Medical Home (PCMH) model involves complete primary care practice redesign with the ultimate goal of improving the quality of patient care and at reduced cost. Detailed information regarding the practice level costs of performing transformative activities is needed to help the growing number of practices and practice organizations as they navigate this process…. Read more »
Every year, almost two million episodes of pneumonia are suffered by nursing home (NH) residents across the United States, resulting in more deaths than from any other infection. Further, NH residents acquire pneumonia at a rate 6-10 times higher than older adults in the community, indicating that characteristics of these individuals and/or the NH setting… Read more »
Understanding how empathy can be developed in medical education is an important component of advancing humanistic medicine. Two recent reviews of changes in empathy among medical students and residents reached disparate conclusions. In a systematic review, Neumann and colleagues (2011) determined that empathy declines during medical training as students engage more with patients. Colliver et… Read more »
Integration of Patient Reported Outcomes Measures Into Pain Management Practices for Patients With Hemophilia
More than 100 million people in the United States suffer from pain each year, at an estimated cost of $600 billion for pain treatments and lost productivity. 1) Deaths due to opioid pain medications are rising at an alarming rate. 2) Patients with hemophilia are particularly afflicted by pain, with more than half of adults… Read more »
Adequate Health Insurance for Children with Autism: Evidence and Implications for Defining Essential Benefits
The long-term goal of this research is to improve access to care and outcomes for children with autism. We hypothesize that having combined coverage will be associated with greater insurance adequacy and increase the breadth and amount of service use particularly for mental health services.
Patients with advanced cancer need supportive and palliative care in addition to cancer-specific treatments, to overcome pain, reduce psychological and spiritual distress, and meet practical needs. African Americans are more likely to have advanced cancer, yet less often get effective pain management, cancer communication, or supportive care. To overcome barriers for African Americans with cancer,… Read more »
The intent of this evaluation project is to conduct an assessment of the costs and effectiveness of recovery-oriented PACT in promoting community living, reducing hospitalizations, and reducing criminal justice involvement among persons with severe mental illness.
Project ALMA focuses on promoting emotional health and reducing mental health stressors for Latinas.
The goal of Project CONNECT, an initiative funded by EXPORT, is to increase the number of African Americans involved in clinical research.
Project GRACE focuses on reducing the spread of HIV in African American communities.
Project EAST is a community-academic partnership that spans eight NC counties and leverages the expertise of a multi-county Community Advisory Board.
Incorporating Comparative Effectiveness Research Tools to Examine the Effect of a Reimbursement Policy Change on Local Public Health Service Outcomes
Examines the consequences of a recent dramatic reduction of Medicaid reimbursement funding for a program that since the late 1980s has provided evidence-based case management, maternity outreach and postpartum services to low-income women and their children, and contributed to improved birth outcomes in these at-risk populations.
Through a subcontract with SAIC-Frederick, this project will further develop, refine and evaluate the National Community Cancer Centers Program (NCCCP) Clinical Trials Best Practice Matrix Tool for broader use in the NCI community cancer research program beyond the NCCCP.
Padres Efectivos (Parent Activation): Skills Latina Mothers use to get Healthcare for Their Children
The long-term goal of this research is to improve the mental health care and outcomes of Latino children with mental health needs.