Perceived Community Commitment of Hospitals

Grande, David; Shea, Judy A.; Armstrong, Katrina

doi:10.1177/0046958013516585

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…Compliance and adherence to pharmacological therapies are the most difficult challenges for the health system. Patient distrust in the medical sector as well as in research has never been this high (Schenker et al, 2012;Shoff and Yang, 2012;Grande et al, 2013). From the patient's perspective, it has become almost normal to be told one thing on a Monday and the polar opposite on Friday.…”

Section: Current Challenges In the Management Of Well-beingmentioning

confidence: 99%

Quisquis Amat Valeat! (Whoever Loves, May He be Well) Why Love and Passion Are Important for the Well-Being of the Immune System

D’Acquisto

2019

Front. Educ.

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Quisquis amat valeat; pereat qui non-scit amare; bis tanti pereat, quisquis amare vetat"-(Whoever loves, may he be well; may he perish who does not know how to love; may he perish twice as much whoever forbids loving). This graffiti was found in the old city of Pompei. The author is unknown. Possibly a poet but quite possibly an ordinary citizen who in the spur of their passion wanted to share with everyone a pearl of wisdom. Amare in Latin is "to love" and, as in English, it is not just about sex or romance, but also about passion for a cause or an ideal. The Latins knew that to be in love, to have a passion, is to be healthy in the body and as well as in the mind. In this article, I hypothesize that the lack of passion and love in life is one of the main causes of modern diseases and specifically immune/inflammatory diseases. I will explore in layman terms the limitations of specifically focusing on controlling bodily functions without considering the social and emotional dimensions of one's life. Lastly, I will highlight the importance of cooperative research, engagement with the public and education as the way forward for a more effective and democratic model for new socially inclusive therapies.

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Section: Current Challenges In the Management Of Well-beingmentioning

confidence: 99%

Quisquis Amat Valeat! (Whoever Loves, May He be Well) Why Love and Passion Are Important for the Well-Being of the Immune System

D’Acquisto

2019

Front. Educ.

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Referrals and Black-White Coronary Heart Disease Treatment Disparities: A Qualitative Study of Primary Care Physician Perspectives

Qureshi,

Berry,

Damberg

et al. 2024

J GEN INTERN MED

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Background Black-White coronary heart disease (CHD) treatment disparities are well documented, especially regarding the use of high-quality hospitals. Physician referral networks may play a role. Objective To understand how primary care physicians (PCPs) make specialty referrals for CHD treatment and how referrals may contribute to treatment disparities. Design Qualitative study using semi-structured interviews and focus group discussions. Participants We purposively recruited 45 PCPs (50 invited, 90% response rate) in three metro areas with high Black-White segregation of cardiac care networks (New York City; Chicago; Atlanta). Approach We developed the focus group discussion guide from interviews and current literature. We conducted two focus groups per metro area via Zoom. Two expert team members independently coded the transcripts using inductive techniques and analyzed focus group content and themes using Dedoose. Key Results Most participants were male (62.2%), White (57.8%), and practiced for at least 23 years. We identified several recurrent themes for factors influencing cardiology referrals. The most frequently mentioned themes were heavy reliance on professional networks, specialist availability, timeliness, communication style, patient geographic and economic constraints, and patient preferences. PCPs used anecdotal and not data-driven evidence to assess hospital quality and viewed Black-White differences in high-quality hospital use as due to patient economic status and preferences or differences in hospital access and provider referral bias. Conclusion PCPs’ referral decisions for CHD treatment are primarily driven by access to specific professional networks and the socioeconomic circumstances of their patients. Nevertheless, PCPs strive to make the best available decisions, leaning into their networks and honoring patient preferences. While PCPs acknowledged existing disparities, they attributed them to patient and system factors rather than provider referral bias. Mitigating disparities will require interventions to improve minority-serving providers’ formal and informal connections with high-quality specialists and hospitals, address patient socioeconomic constraints, and train providers to recognize their potential biases and misconceptions.

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Contributions of Geography and Nongeographic Factors to the White‐Black Gap in Hospital Quality for Coronary Heart Disease: A Decomposition Analysis

Popescu

Huckfeldt

Pane

et al. 2019

JAHA

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BackgroundDifferences in hospital proximity and nongeographic factors affect disparities in hospital quality for heart disease, but their relative contributions are unknown. The current study quantifies the influences of these factors on the white‐black gap in high‐ and low‐quality hospital use for acute myocardial infarction (AMI) and coronary artery bypass grafting (CABG) surgery.Methods and ResultsWe used Medicare claims to identify fee‐for‐service Medicare beneficiaries aged 65 and older hospitalized during 2009–2011 with AMI (n=384 443) and CABG (n=71 411). Hospital quality was measured using publicly available AMI mortality rates. In national and regional analyses, we used conditional multinomial logit models to estimate the white‐black gap in high‐ and low‐quality hospital use and decompose the gap into geographic and nongeographic contributions. Overall, more whites used high‐quality hospitals for both conditions (34.8% versus 32.4% for AMI; 39.0% versus 29.9% for CABG; P<0.001), but after accounting for distance to hospitals, the white‐black gap was significant only for CABG (9.1%; P<0.001). The nongeographic component was significant for both conditions (3.4% for AMI and 7.7% for CABG; P<0.001) and accounted for nearly the entire gap for CABG. In contrast, hospital geographic proximity was not significant. In regional analyses, white beneficiaries had higher rates of high‐quality hospital use in the Northeast (CABG) and South (AMI and CABG), whereas black had higher rates of high‐quality hospital use in the Midwest (AMI).ConclusionsWhite‐black differences in high‐quality hospital use were significant for CABG and related to nongeographic factors. Interventions should consider health system and contextual reasons for these disparities.

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Perceived Community Commitment of Hospitals

Cited by 4 publications

References 23 publications

Quisquis Amat Valeat! (Whoever Loves, May He be Well) Why Love and Passion Are Important for the Well-Being of the Immune System

Quisquis Amat Valeat! (Whoever Loves, May He be Well) Why Love and Passion Are Important for the Well-Being of the Immune System

Referrals and Black-White Coronary Heart Disease Treatment Disparities: A Qualitative Study of Primary Care Physician Perspectives

Contributions of Geography and Nongeographic Factors to the White‐Black Gap in Hospital Quality for Coronary Heart Disease: A Decomposition Analysis

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