Read Books Online and Download eBooks, EPub, PDF, Mobi, Kindle, Text Full Free.
Improving Health Outcomes Among Native Americans With Diabetes And Cardiovascular Disease
Download Improving Health Outcomes Among Native Americans With Diabetes And Cardiovascular Disease full books in PDF, epub, and Kindle. Read online Improving Health Outcomes Among Native Americans With Diabetes And Cardiovascular Disease ebook anywhere anytime directly on your device. Fast Download speed and no annoying ads. We cannot guarantee that every ebooks is available!
Book Synopsis Improving Health Outcomes Among Native Americans with Diabetes and Cardiovascular Disease by : Joan Marie O'Connell
Download or read book Improving Health Outcomes Among Native Americans with Diabetes and Cardiovascular Disease written by Joan Marie O'Connell and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: American Indians and Alaska Natives (AI/ANs) experience disparities in diabetes-related morbidity and mortality. The Indian Health Service (IHS) and Tribal health programs provide education, case management, and advanced practice pharmacy (ECP) services for patients with diabetes to improve health outcomes. OBJECTIVE: The purpose of this study was to evaluate patient outcomes associated with the use of ECP services by AI/AN adults with diabetes by comparing the outcomes of ECP users with those of nonusers. METHODS: We analyzed fiscal year (FY) 2011-2013 data for AI/AN adults with diabetes from the IHS Improving Health Care Delivery Data Project, which includes data on nearly 30% of the IHS service population. The diabetes and cardiovascular disease (CVD) measures were used to create 3 study cohorts: all adults with diabetes; and 2 subgroups, adults with diabetes without CVD and adults with both diabetes and CVD. The analyses were conducted for each study cohort. Using an observational study design and propensity score models that employed inverse probability weighting, to control for the nonrandom assignment of patients to the treatment group, we evaluated FY2013 outcomes for patients who used ECP services during FY2012, controlling for baseline characteristics in FY2011. The outcomes for ECP users were compared with those for patients who obtained usual care (ie, patients who did not use ECP services), using multivariable regressions. Baseline characteristics included age, sex, health coverage, and health status measures. Other characteristics included in the propensity model were drive times to ECP services and county-level measures of educational attainment and household income from the American Community Survey. Health outcomes included high hemoglobin A1c (HbA1c), systolic blood pressure (SBP), and low-density lipoprotein cholesterol (LDL-C) levels; onset of CVD and end-stage renal disease (ESRD) among those who did not have those conditions; and use of hospital emergency and inpatient services. RESULTS: The study population included 28 578 adults with diabetes. During FY2012, 41.0% of adults with diabetes had ≥1 ECP visits. ECP use, compared with no use, among adults with diabetes was associated with lower odds of high SBP (odds ratio [OR], 0.85; 95% CI, 0.79-0.93; P
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309452961 Total Pages :583 pages Book Rating :4.3/5 (94 download)
Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Book Synopsis Changing Numbers, Changing Needs by : Committee on Population
Download or read book Changing Numbers, Changing Needs written by Committee on Population and published by National Academies Press. This book was released on 1996-09-25 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native population--their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
Book Synopsis U.S. Health in International Perspective by : National Research Council
Download or read book U.S. Health in International Perspective written by National Research Council and published by National Academies Press. This book was released on 2013-04-12 with total page 421 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.
Book Synopsis Medicine Ways by : Clifford E. Trafzer
Download or read book Medicine Ways written by Clifford E. Trafzer and published by AltaMira Press. This book was released on 2001-03-14 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: Improving the dire health problems faced by many Native American communities is central to their cultural, political, and economic well being. However, it is still too often the case that both theoretical studies and applied programs fail to account for Native American perspectives on the range of factors that actually contribute to these problems in the first place. The authors in Medicine Ways examine the ways people from a multitude of indigenous communities think about and practice health care within historical and socio-cultural contexts. Cultural and physical survival are inseparable for Native Americans. Chapters explore biomedically-identified diseases, such as cancer and diabetes, as well as Native-identified problems, including historical and contemporary experiences such as forced evacuation, assimilation, boarding school, poverty and a slew of federal and state policies and initiatives. They also explore applied solutions that are based in community prerogatives and worldviews, whether they be indigenous, Christian, biomedical, or some combination of all three. Medicine Ways is an important volume for scholars and students in Native American studies, medical anthropology, and sociology as well as for health practitioners and professionals working in and for tribes. Visit the UCLA American Indian Studies Center web site
Book Synopsis American Indian Health Disparities in the 21st Century by : Cornelius M. Dyke
Download or read book American Indian Health Disparities in the 21st Century written by Cornelius M. Dyke and published by Cambridge Scholars Publishing. This book was released on 2021-09-22 with total page 145 pages. Available in PDF, EPUB and Kindle. Book excerpt: Equity in health care is a basic human right, yet disparities in health and wellness exist across racial lines. Despite the fact that disparities in Indigenous People’s health are particularly dramatic, they are less well understood. This volume focuses on the American Indian, in whom disparities in health are particularly severe. In a disease-specific format, health disparities in the American Indian are identified and discussed, with an emphasis on causes and solutions. Edited by experts in healthcare disparities, one of whom is a member of the Oglala Lakota Tribe, this book focuses attention on the historically overlooked and underappreciated problem of inadequate healthcare for the American Indian and has relevance for Indigenous People’s health around the world. Of interest to all concerned with equity and inclusiveness in healthcare, it will be essential reading for physicians, public health workers, academics, and Indigenous People worldwide.
Book Synopsis Evidence-based Health Promotion by : Ina Simnett
Download or read book Evidence-based Health Promotion written by Ina Simnett and published by Wiley-Blackwell. This book was released on 1999-03-12 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume will challenge those involved with health promotion to think more broadly about what 'doing the right thing' and 'doing things right' mean, and to use this thinking to inform their practice. It is, therefore, essential reading for those who are involved in health promotion as part of their practice, health-promotion specialists, managers responsible for purchasing or providing services, and students.
Book Synopsis Diabetes Nutrition Education for Native Americans by : Elsha Drummond
Download or read book Diabetes Nutrition Education for Native Americans written by Elsha Drummond and published by . This book was released on 2021 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Type II diabetes is a chronic disease that remains a leading cause of morbidity and mortality in the United States. On the national, state, and local levels, the Native American population has continued to experience higher type II diabetes rates than any other racial or ethnic group. In Utah, the overall health status of Native Americans is poorer than other Utahns. Normalization of blood glucose levels through nutrition management is a fundamental aspect of type II diabetes care. The project site, located in Salt Lake City, serves many Native American patients with type II diabetes; however, nutritional education resources are lacking. EBP Framework: Kurt Lewin's Change Theory and The Model for Evidence-Based Practice Change by Rosswurm and Larrabee served as the framework for this quality improvement project. Methods: This project's main objective was to evaluate the effectivenesss of an educational intervention focused on nutrition management of Native American patients with type II diabetes among providers at a single inner-city clinic. Once IRB approval was obtained, a provider in-service occurred. Project participants were comprised of a convenience sample of providers working at the clinic. A pre-survey post-survey design was used to measure the project outcomes. Findings/Results: This project measured the provider's awareness and confidence in providing nutrition education for Native American patients with type II diabetes before and after a educational intervention. The project results suggested that an educational intervention aimed at increasing healthcare providers' awareness and cofidence in using culturally congruent evidence-based tools for nutrition management of diabetes had a significant impact. Conclusion/Recommendations: Implementing an educational intervention increased provder's awareness and confidence in providing culturally congruent nutrition education for the Native American patient with type II diabetes; therefore, it can be concluded that provided with evidence-based nutrition information, providers will induce favorable behavior changes in patients. Such dietary changes can improve the control of type II diabetes and reduce associated comorbidities. It is recommended that clinics serving Native American patients implement ongoing provider education related to culturally congruent nutrition management of type II diabetes.
Book Synopsis Critical Perspectives on Racial and Ethnic Differences in Health in Late Life by : National Research Council
Download or read book Critical Perspectives on Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-10-16 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Book Synopsis American Indian Health by : Everett R. Rhoades
Download or read book American Indian Health written by Everett R. Rhoades and published by JHU Press. This book was released on 2003-05-22 with total page 769 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disease processes among American Indians and Alaska Natives often have distinct manifestations that need to be considered by clinicians and health policy makers involved with these populations. Equally important, all aspects of Indian life—including health—are governed by the special relationship between Indian tribes and the U.S. federal government. For American Indian Health, Everett R. Rhoades has gathered a distinguished group of scholars and practitioners to present a comprehensive assessment of the health of American Indian peoples today and the delivery of health services to them.
Book Synopsis The Evidence Base for Diabetes Care by : William Herman
Download or read book The Evidence Base for Diabetes Care written by William Herman and published by John Wiley & Sons. This book was released on 2009-12-22 with total page 509 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its second edition, The Evidence Base for Diabetes Care has been fully revised and updated to incorporate new evidence from clinical trials. The aim of the book remains the same – to provide treatment recommendations based on the latest research and ensure patients with diabetes receive the best possible care. Designed to be user-friendly, the evidence is displayed in clear tables with accompanying critiques including grading of evidence where appropriate. As well as summarizing the current evidence available for diabetes prevention and care, the contributors highlight areas where evidence is lacking and where studies are underway. This book is an invaluable source of evidence-based information distilled into guidance for clinical practice.
Book Synopsis Hispanics and the Future of America by : National Research Council
Download or read book Hispanics and the Future of America written by National Research Council and published by National Academies Press. This book was released on 2006-02-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.
Book Synopsis Women and Health Research by : Anna C. Mastroianni
Download or read book Women and Health Research written by Anna C. Mastroianni and published by . This book was released on 1994 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Regional Differences in Indian Health by :
Download or read book Regional Differences in Indian Health written by and published by . This book was released on 1993 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Health of Native Americans by : T. Kue Young
Download or read book The Health of Native Americans written by T. Kue Young and published by Oxford University Press, USA. This book was released on 1994 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: The etiology and pathogenesis of different diseases are discussed, and genetic and environmental risk factors are considered. The book also compares the incidence of disease among Native Americans and non-Native Americans, examines variations among Native Americans belonging to different geographical, cultural and linguistic groups, and reviews control and prevention strategies. On a broader level, the purpose of this book is to integrate the approaches of anthropology and epidemiology in order to demonstrate the interaction of biology and culture on disease causation, distribution, and control.
Book Synopsis Broken Promises: Evaluating the Native American Health Care System by : U. S. Commission on Civil Rights
Download or read book Broken Promises: Evaluating the Native American Health Care System written by U. S. Commission on Civil Rights and published by CreateSpace. This book was released on 2013-02-15 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans.
Book Synopsis Speaking of Health by : Institute of Medicine
Download or read book Speaking of Health written by Institute of Medicine and published by National Academies Press. This book was released on 2002-12-11 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: We are what we eat. That old expression seems particularly poignant every time we have our blood drawn for a routine physical to check our cholesterol levels. And, it's not just what we eat that affects our health. Whole ranges of behaviors ultimately make a difference in how we feel and how we maintain our health. Lifestyle choices have enormous impact on our health and well being. But, how do we communicate the language of good health so that it is uniformly received-and accepted-by people from different cultures and backgrounds? Take, for example, the case of a 66 year old Latina. She has been told by her doctor that she should have a mammogram. But her sense of fatalism tells her that it is better not to know if anything is wrong. To know that something is wrong will cause her distress and this may well lead to even more health problems. Before she leaves her doctor's office she has decided not to have a mammogram-that is until her doctor points out that having a mammogram is a way to take care of herself so that she can continue to take care of her family. In this way, the decision to have a mammogram feels like a positive step. Public health communicators and health professionals face dilemmas like this every day. Speaking of Health looks at the challenges of delivering important messages to different audiences. Using case studies in the areas of diabetes, mammography, and mass communication campaigns, it examines the ways in which messages must be adapted to the unique informational needs of their audiences if they are to have any real impact. Speaking of Health looks at basic theories of communication and behavior change and focuses on where they apply and where they don't. By suggesting creative strategies and guidelines for speaking to diverse audiences now and in the future, the Institute of Medicine seeks to take health communication into the 21st century. In an age where we are inundated by multiple messages every day, this book will be a critical tool for all who are interested in communicating with diverse communities about health issues.
