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Patients' and providers' perceptions of asthma and asthma care: a qualitative study
TLDR
A strong need for patient educational interventions around asthma as well as education for providers around cost, insurance coverage and patient-centered communication is indicated. Expand
Using Geographic Information Systems (GIS) to Understand a Community's Primary Care Needs
TLDR
Applying GIS to commonly available community- and patient-level data can rapidly identify areas most in need of increased access to primary care services and form a Multiple Attribute Primary Care Targeting Strategy. Expand
Geographic Information Systems (GIS) Demonstrating Primary Care Needs for a Transitioning Hispanic Community
TLDR
Using the Multiple Attribute Primary Care Targeting Strategy process, Charlotte, NC was able to identify geographic areas within the community where many Hispanic immigrants face barriers to accessing appropriate primary care services and can subsequently be targeted for interventions that improve access to primary care and reduce emergency department use. Expand
Comparing traditional and participatory dissemination of a shared decision making intervention (ADAPT-NC): a cluster randomized trial
TLDR
This 3-year study explores the ideal framework for rapid dissemination of an evidence-based SDM toolkit for asthma management using a facilitator-led participatory approach to dissemination (FLOW), a novel method of participatory dissemination involving key principles of community-based participatory research, and a more typical "lunch and learn" dissemination method. Expand
Evaluation of a Pilot Asthma Care Program for Electronic Communication between School Health and a Healthcare System's Electronic Medical Record
TLDR
Findings suggest a collaborative model of care that is enhanced through electronic communication via the EMR could positively impact the health of children with asthma or other chronic illnesses. Expand
Adapting community based participatory research (CBPR) methods to the implementation of an asthma shared decision making intervention in ambulatory practices
TLDR
The participatory approach used to adapt and implement an evidence-based asthma SDM intervention into primary care practices was central to the successful implementation of aSDM intervention in multiple practices with diverse patient populations. Expand
Results from a pragmatic prospective cohort study: Shared decision making improves outcomes for children with asthma
TLDR
The evidence-based SDM intervention implemented in this study was associated with improved asthma outcomes for pediatric patients but not adult patients in a real world clinical setting. Expand
A trans-disciplinary approach to the evaluation of social determinants of health in a hispanic population
TLDR
This study examines multiple social determinates that can cause health disparities including low neighborhood wealth, weak social networks, inadequate public infrastructure, the presence of hazardous materials in or near a neighborhood, and the lack of access to primary care services to reduce health disparities in disadvantaged communities such as newly arrived Hispanic immigrants. Expand
Asthma dissemination around patient-centered treatments in North Carolina (ADAPT-NC): a cluster randomized control trial evaluating dissemination of an evidence-based shared decision-making
TLDR
Facilitator-led dissemination was associated with a significantly higher proportion of patients sharing equally in decision-making with the provider compared to a traditional lunch-and-learn approach, and these results offer support for the use of structured approaches such as facilitator- led dissemination of complex interventions into primary care practices. Expand
Evaluating Primary Care Delivery Systems for an Uninsured Hispanic Immigrant Population
TLDR
Using participatory methods, 4 systems of primary care delivery for an uninsured Hispanic population were evaluated and best practices were identified: improved proximity to services, enhanced bilingual services, affordable services, and integrated services. Expand
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