A Texting Intervention in Latino Families to Reduce ED Use: A Randomized Trial

DeCamp, Lisa Ross; Godage, Sashini K.; Araujo, Doris Valenzuela; Cortez, Jose Dominguez; Wu, Linxuan; Psoter, Kevin J.; Quintanilla, Kassandra; Rodriguez, Tatiahna Rivera; Polk, Sarah

doi:10.1542/peds.2019-1405

Cited by 23 publications

(23 citation statements)

References 54 publications

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“…We identified 24 relevant publications: 376 – 399 20 observational studies 376 – 395 ; one interventional study 399 ; and three commentary publications. 396 – 398 All observational publications investigated ED utilization in immigrant vs non-immigrant groups, with some specifically assessing Latino populations.…”

Section: Resultsmentioning

confidence: 99%

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A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.

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Section: Resultsmentioning

confidence: 99%

“… 376 , 386 The single interventional study assessed a texting-based intervention of Latino families as a means to reduce ED utilization while increasing well-care and vaccine adherence. 399 …”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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“…Given that access to insurance is more challenging for families facing language and information barriers, low health literacy, or discrimination (DeCamp et al, 2020; Han et al, 2015; Ngui & Flores, 2006; Son et al, 2018; Stuber & Bradley, 2005; Yin et al, 2009), we also stratify the model across poverty groups (<100% FPL, 100%–199% FPL, 200%–399 % FPL, 400%+ FPL), race/ethnicity (with categories of White non-Hispanic, Black non-Hispanic, Hispanic, or other non-Hispanic race), and family composition (single parent vs. two-parent household).…”

Section: Methods and Datamentioning

confidence: 99%

Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs

Rennane

Dick

2022

Med Care Res Rev

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We analyze how Medicaid automatic enrollment policies for children with special health care needs (CSHCN) who are enrolled in Supplemental Security Income (SSI) reduce disparities in health insurance coverage and caregiving burden. Using the 2009–2010 National Survey of Children with Special Health Care Needs, we implement a difference-in-differences regression model comparing insurance enrollment rates between CSHCN receiving SSI and CSHCN not receiving SSI, in states with and without automatic enrollment policies. We find that Medicaid automatic enrollment has a meaningful impact on insurance enrollment for low-income CSHCN who participate in SSI and can be an effective method for mitigating disparities in insurance coverage (reducing uninsurance by 38%). Medicaid automatic enrollment also reduces caregiver burden among socioeconomically disadvantaged families with CSHCN. The effects of these policies are largest families who might be on the margin of eligibility or who face high administrative burden.

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“…For example, providing electronic tablets and health literacy information increased health knowledge, 31 and text messaging interventions are associated with reduced pediatric emergency room utilization and increased influenza vaccine uptake among infants of Spanish-speaking caregivers. 32 As noted previously, bridging the digital divide will likely require multiple HIT strategies by health care organizations to meet the needs of patients with limited English proficiency. 28 Limitations of this study include that, as a qualitative study, it contributes to understanding of the particular experiences of a specific group of people.…”

Section: Article In Pressmentioning

confidence: 99%

Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use

Flower

Wurzelmann

Tucker

et al. 2021

Academic Pediatrics

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Background and Objective Children of Spanish-speaking caregivers face multiple barriers to care in academic medical centers. This study identified barriers and facilitators of health care, and described use of health information technology in order to guide interventions and optimize services. Methods In-depth, audiotaped interviews were conducted with monolingual Spanish-speaking caregivers (N=28) of children receiving care in academic medical center clinics using a structured interview guide. Interviews were transcribed in Spanish, and key themes were identified using thematic analysis. Illustrative quotes for each theme were translated into English. Results Language-specific barriers included: arrival/registration occurring in English, lack of bilingual personnel, heavy reliance on interpreters, long wait times, and challenging phone communication. Non-language-specific barriers included: medical center size and complexity, distance to services, lack of convenient and coordinated appointments, missing work/school, and financial barriers including insurance coverage or lack of citizenship. Caregivers identified interpreters, bilingual physicians and staff, and written materials in Spanish as facilitators of care. Most caregivers had internet access and expressed interest in health information technology, including patient portals, to communicate about their children's health. Conclusions Caregivers of Spanish-speaking children encounter many language-specific barriers, which are compounded by non-language-specific barriers arising from complex health systems and social needs. Caregivers with limited resources described working hard to meet children's complex health care needs despite these barriers. Most caregivers had internet access and interest in patient portals. Academic medical centers may need multifaceted interventions that improve the availability of bilingual staff and interpreters and also address caregivers' social and informational needs.

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A Texting Intervention in Latino Families to Reduce ED Use: A Randomized Trial

Cited by 23 publications

References 54 publications

A Scoping Review of Current Social Emergency Medicine Research

A Scoping Review of Current Social Emergency Medicine Research

Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs

Spanish-Speaking Parents’ Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use

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