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A recently published study in the August issue of Archives of Internal Medicine reveals that there are significant gaps between what doctors think their patients know and what patients say they know. The findings are based on a survey of 89 patients and 43 physicians conducted between October 2008 and June 2009 at Waterbury Hospital affiliated with Yale School of Medicine. Researchers found that some of the discrepancies relate to basic information. For example, two-thirds of physicians thought patients knew their names. But only 18 percent of patients could correctly say their names.
A colleague of mine, Cheryl, has been trying to help a solo physician address a thorny issue. Through the use of 'How's Your Health', an amazing Web-based suite of health and practice tools, the physician realized that many of her patients struggled with maintaining an adequate income. Cheryl went looking for some ideas for the physician, and she came across this: Health Providers Against Poverty, an Ontario-based group that has a toolkit to help primary care professionals address poverty issues.
The October 19 edition of iHealthBeat is reporting that National Coordinator for Health IT David Blumenthal and HHS Deputy Assistant Secretary for Minority Health Garth Graham have asked health IT vendors for their help in preventing a "digital divide" involving health care providers who serve minority communities. Blumenthal and Graham called on these vendors to make sure they target such health care providers in their marketing and sales campaigns.
For many with multiple sclerosis, the disease wreaks havoc with emotional well being, and according to a new study, minorities might especially be at risk for developing depressive symptoms.
At a time when access to prompt treatment might affect survival, a large new study finds that African-American and Hispanic women newly diagnosed with breast cancer often face delays in care of more than a month.
In 2000, a black, working-aged resident of a poor neighborhood significantly was more likely to die than a white American — a situation that essentially remained unchanged from 20 years earlier.
According to American Medical News, the U.S. health system is demonstrating better performance on most measures of health care quality, but it's failing to improve access to care or cut racial and ethnic health disparities.
Latinos benefit from antidepressants like everybody else — only they do not use them nearly as often. The trick is getting past some cultural barriers.
A new study finds that African-American and Asian/Pacific Islander women have double the risk that others do of becoming depressed before giving birth.
Media campaigns that offer positive encouragement can have an impact on getting African-Americans to quit, a new study finds.
Health centers and birth hospitals serving largely minority populations could do more to promote and encourage recommended breastfeeding, according to a new study of Philadelphia safety-net health clinics.
A new study finds that young bisexual and lesbian women are less likely to get Pap tests than straight women, while young bisexual women face a higher risk of being diagnosed with sexually transmitted diseases.
African-Americans have fewer incidences of thyroid cancer but have a more advanced form of the disease once they receive a diagnosis — and are more likely to die from it, according to a new study.
Young Asian/Pacific Islander women born in California have higher risks of breast cancer than young white women, and some groups, including Filipinas, might have higher risks than African-Americans.
A new study suggests there has been some improvement in reducing the gap in stroke hospitalization between white and minority patients.
Barriers that hinder young African-American, Hispanic and poor women from completing a series of three vaccinations to prevent human papillomavirus infection (HPV) also leave them at higher risk for cervical cancer and death.
The harassment, discrimination and negative feelings about homosexuality that black gay and bisexual men often experience can contribute significantly to mental health disorders such as depression and anxiety, a small new study finds.
New research shows that physicians who say they are fluent in a second language may be overestimating their actual skills.
Ethnic differences in appointment keeping may be an important factor in poor health outcomes among some minority patients with diabetes, according to a new study.
Public health researchers have long attributed the disparity in colonoscopy rates between whites and minorities to a lack of health insurance or access to doctors. Now, a new study in the journal Health Services Research suggests the reasons for the differences are more complex.
Mexican women in the United States are less likely to get mammograms than white women, black women and other Latinas, according to a new study in the journal Cancer Epidemiology, Biomarkers & Prevention.
A new study finds that decreasing the disparities in rates of type 2 diabetes among Whites, Blacks and Hispanics could eliminate some racial and ethnic disparities in the development of cognitive impairment or dementia. Prior research has shown that type 2 diabetes is a risk factor for all forms of major cognitive impairment, including Alzheimer’s disease, according to a study in Ethnicity & Disease.
A study in the Journal of Health and Social Behavior suggests that immigrants who learn English while maintaining their native language could also maintain strong mental and physical health.
New research into "health care deserts" finds that primary-care physicians are especially hard to find in predominantly Black and/or low-income Hispanic metropolitan neighborhoods.
Physicians have great influence over whether minorities and women participate in cancer clinical trials, according to a new literature review.
Negative perceptions about generic drugs are more widespread among ethnic minorities than among whites, finds a new study in Ethnicity & Disease.
You and your doctor need accurate information from each other. Open communication with your doctor is one of the most important factors in getting and staying healthy.
People with disabilities, while making up just 17 percent of the working-age adult population, account for almost 40 percent of all emergency department (ED) visits, finds a new study in Health Services Research.
It turns out Japan has much to teach us about improving health…In many ways, Japan scores much higher than the U.S. when it comes to the health of its population.
Low-income Americans are more likely to be satisfied with the care they receive at federally qualified health centers (FQHC) than at mainstream health care providers, reveals a new study in the Journal of Health Care for the Poor and Underserved.
Recent health behavior research news stories: Friendships Are Good for Our Health | Obesity Lowers Quality of Life in Boys | Health Centers Have High Satisfaction Rates | Diabetes + Depression Increases Risk of Death
Brought to you by CFAH’s Health Behavior News Service: Depressed teens have rocky twenties | Gym benefits, yes. Extra costs, no thanks | Church goers look to ministry for health advice | Just say no to smoking in public housing
Black women with breast cancer are more likely than Hispanic or white women to experience delays in the initiation of chemotherapy or radiation after surgery, finds a new study in Health Services Research
This week in health news: Trauma care disparities persist for blacks | Calorie info on menus starts to have an effect | Soda in schools may lead black students to drink more | “Eat Fresh”? Not necessarily
Nursing homes with higher proportions of Black residents do worse financially and deliver lower-quality care than nursing homes with few or no Black residents, finds a new study in Health Services Research
Black and Hispanic children with asthma are less likely than White children to use long-term asthma control medications, finds a new study in Health Services Research
This week in health news: Using shame to promote weight loss doesn’t work | Black nursing homes face challenges | Hispanic and Black children not getting the right asthma meds | Electronic health records not widespread
Blacks and Latinos receive less adequate mental health care than Whites, finds a new study in Health Services Research
This week in health news: Men opt for PSA test, despite guidelines | Obesity an added burden for people with disabilities | Minorities not getting mental health care | Economic downturns affect preventive care
A survey of stores in a predominantly black, low income area of Philadelphia found that nearly 80 percent received low ratings for the availability of healthy food, finds a new study in the American Journal of Preventive Medicine
A new study in the American Journal of Health Promotion
finds that the lifestyle of veterans both pre- and post-deployment influences their post-deployment wellness.
What would you think if your doctor handed you a prescription that recommended filing your tax returns or applying for food stamps instead of the usual medicines for high blood pressure or diabetes...
Blacks, Hispanics and Asians are less likely than non-Hispanic Whites to visit a health care professional, even with health insurance, finds a recent study in the Journal of Health Care for the Poor and Underserved
At Home/Chez Soi, a Canadian program for the mentally ill, is built on the concept that providing housing is the first order of business. An approach that reinforces the truism that good health is more than swallowing the latest wonder drug.
African Americans with high blood pressure who reported experiencing racial discrimination had lower rates of adherence to their blood pressure medication, finds a new study in the American Journal of Public Health
Age at immigration and citizenship status may have health implications for immigrants, finds a new study in the Journal of Health and Social Behavior
Residents of Massachusetts saw small gains in health status following the enactment of a state-wide health insurance mandate in 2006, finds a new study in the Milbank Quarterly
The poor and minorities tend to suffer from poor sleep and chronic disease more often, but sleep does not appear to be a root cause of disease disparity, finds a new study in Ethnicity & Disease
Medical offices have a lot of staff but one common goal—helping you, the patient. Here are some of the people you may meet during your doctor’s appointment.
In part six of our series, you'll find out what key pieces of information you need to know about your new doctor's office. Keep it handy with your personal health records or household files...
In the eighth and final part of our series, we explain who the various people are in your doctor's office, from nurse practitioners to lab technicians. Knowing their different roles can make your visit go more smoothly...
A new study in the American Journal of Preventive Medicine
finds that rural residents have experienced smaller gains in life expectancy than their urban counterparts and the gap continues to grow.
Depression rates are increasing in the U.S. and under-treatment is widespread, especially among certain groups including men, the poor, the elderly and ethnic minorities, finds a new study in General Hospital Psychiatry
People who identify as homosexual have several health disparities relative to their heterosexual peers, finds a new study in the American Journal of Preventive Medicine
The $800 bottle of meds in my bathroom cabinet is a powerfully expensive reminder of my (former) family physician's lapse in attention – and my own lapse in catching her error. She'd somehow accidentally doubled both the dosage and the number of times per day to take these meds. How is this even possible? Somebody is not paying attention...
Depression affects nearly one in ten Americans yet many people often go untreated. In fact, a recent study found that 70 percent of people surveyed with symptoms of depression received no treatment of any kind. Here's advice on how to get help...
Is it our job alone to look after our health? Or do employers, insurers, for-profit companies and the government also share some responsibility to keep us healthy? One person's nanny state is another's public health salvation. There is no shortage of examples of opposing perspectives...
Racial and sexual minorities, women, and obese people may face more health risks because of their disproportionate exposure to discrimination, according to a new report in the Journal of Health and Social Behavior
A few days before the recent deadline for Obamacare sign-ups, I visited with one of the exchange navigators in Colorado, a state that expanded its Medicaid program and is working hard to enroll uninsured residents. This visit got me thinking of the millions of other people who live in states where they can't get access to Obamacare because they are too poor and yet are also not eligible for Medicaid...
Black adults who reported feeling more financial strain also rated their health more poorly than those with less financial strain, finds a new study in the American Journal of Health Behavior
Minority patients with atrial fibrillation, a heart condition that increases the risk of stroke, were less likely to receive common treatments and more likely to die from the condition than their white counterparts, finds a new study in Ethnicity and Disease
How a person defines their own socioeconomic standing (SES) within their community can help predict their risk of cardiovascular disease, but only among Whites, not Blacks, finds a recent study in Ethnicity and Disease
Teaching people with diabetes how to control their blood glucose levels, not their doctors, helps them achieve better results, finds a new study in Ethnicity and Disease
Between half and one-third of smokers presented with corrective statements about the dangers of smoking indicated that some of the information was new to them and motivated them to quit, finds a new study in American Journal of Preventive Medicine
When I was discharged from the intensive care unit in cardiology, not one of the nurses, residents or cardiologists asked if I'd be able to afford the fistful of expensive new cardiac meds I'd been prescribed. Not one asked if there was anybody at home to help take care of me there, or if there was anybody at home who needed me to take care of them. Not one asked if I'd be returning to a high-stress job, or even if I had enough banked sick time or vacation days to take sufficient time off. Such real-life issues are simply not the concern of most of our health care providers...
I have offered before a few reasons for eligible patients to consider not getting screened for lung cancer. I concede, however, that reasonable people might conclude that the potential harms are outweighed by the benefit of reducing one's risk of dying by one-fifth. The next critical question that needs to be asked is: one-fifth of what?
What does it means to be an "engaged" patient in the VA system today? It seems you have to know a senator who will intervene on your behalf, to give your health care a priority higher than his other constituents. This is deeply discomforting, and I hate that I am treated in a health care system where even those who are most accountable for the quality of the care it provides (the institutional leaders) can't trust the institution or the professionals who work there to routinely and uniformly deliver excellent care...
Adults tend to engage in less leisure-time physical activity after changes in both lifestyle and physical status, finds a new study in the American Journal of Preventive Medicine
Socioeconomic adversity during childhood increases the likelihood of both depression and higher body mass index (BMI) in early adolescence, which can worsen and lead to illness for young adults, according to a new report in the Journal of Adolescent Health
For ages we've all known that the U.S. health insurance system works splendidly for those who have good employer-provided coverage, slide smoothly into Medicare when the time comes and seldom get sick. But evidence is beginning to trickle in that this seamless pathway for some people who've signed up for Obamacare insurance may be more illusory than real...
Blacks and Whites living in an integrated, low-income urban area had similar rates of treatment and management of hypertension, or high blood pressure, finds a new study in Ethnicity & Disease
A new study in General Hospital Psychiatry
confirms that Blacks with depression plus another chronic medical condition, such as Type 2 diabetes or high blood pressure, do not receive adequate mental health treatment.
Receiving bad health news can spark great upheaval. It is a time when nothing is certain and the future looks dark. The new, free app 'AfterShock: Facing a Serious Diagnosis' offers a basic roadmap through the first few days and weeks, providing concise information and trusted resources to help you regain a bit of control during this turbulent time...
Blacks with a family history of untreated mental health disorders are less likely to seek treatment, even when they rate their own mental health as poor, finds a new study in the Journal of Health and Social Behavior
Recently the Department of Health and Human Services proposed that most of the federal health exchange policyholders be automatically re-enrolled next year in the same policy offered by the same company. That's right, no shopping around...
A new study in the Journal of Adolescent Health finds that the sexual risk behaviors of young Hispanic people living in the U.S. vary considerably with their degree of acculturation.
Financial hardship, or feeling that one can’t make ends meet, may be more predictive of health risk behaviors than actual income levels for people with low-incomes, finds a recent study in the American Journal of Health Promotion
"Reality is the leading cause of stress among those in touch with it," Lily Tomlin once quipped. So it's no surprise, then, that one-half of the people in the U.S. have had a major stressful event or experience in the last year. And health tops the list...
The use of social networking sites like Facebook may have implications for accessing online health information, finds a new longitudinal study from the Journal of Health Communication
A new cross-sectional study in American Journal of Preventive Medicine
finds that only half of adults in the U.S. were screened for diabetes within the last three years, less than what is recommended by the American Diabetes Association (ADA).
A new study in the American Journal of Preventive Medicine
finds that foreign-born adult U.S. residents, who make up about 13 percent of the population, receive vaccinations at significantly lower rates than U.S.-born adults. This gap in care puts them at greater risk of exposure to several vaccine-preventable diseases.
About 18 million Americans age 65 and older require help with routine daily activities like bathing, handling medications or meals, finds a new study in Milbank Quarterly. The research shows a growing need for improved services and support for older Americans, their spouses, their children and other "informal caregivers."
Young sexual minority women, including those identifying as lesbian, gay, bisexual and transgender (LGBT), were found to have higher elevated odds of adverse health conditions than heterosexual young women. They also have lower odds of receiving a physical or dental examination, according to a new study in the American Journal of Preventive Medicine
New research in General Hospital Psychiatry
finds that homelessness, cocaine use, being on Medicare, having a personality disorder or having liver disease appears to be a predictor of frequent ED use by people with a psychiatric illness.
The first blog post I wrote about a Canadian doctor who was "diagnosing poverty" received more than 3,000 hits. I wanted to circle back to see whether or not the program had taken root. Indeed it has. "It's been a wildfire effect," Dr. Gary Bloch told me. Why can't the U.S. follow suit?...
The way medical doctors initially assess, treat and refer racial and ethnic minority patients may contribute to known disparities in their use of mental health services, according to a new study in Health Services Research