En mayo de este año, la Revista Panamericana de Salud Pública dedicó un número especial a promover el proceso más reciente de reforma de salud en Ecuador como un caso exitoso en la región. En el artículo editorial, la directora de la Organización Panamericana de la Salud (OPS), Carissa Etienne,...
We compared uropathogen antibiotic susceptibility across age groups of ambulatory
pediatric patients. For Escherichia coli (n=5,099) and other Gram-negative rods (n=626), significant
differences (p<0.05) existed across age groups for ampicillin, cefazolin, and
trimethoprim/sulfamethoxazole susceptibility. In E. coli, differences in
trimethoprim/sulfamethoxazole susceptibility varied from 79% in children under 2 to 88%...
American Indians and Alaska Natives (AIAN) have more negative sexual and reproductive health outcomes than non-Hispanic whites. Little is known, however, about the factors that lead to sexual and reproductive health disparities for AIANs, including the role of sexual and reproductive health services (SRHS).
Logistic regression analyses were performed on...
Children with developmental disabilities (DD), particularly autism spectrum disorder (ASD), may use complementary health approaches (CHA), including some modalities that can be unsafe, inefficacious, and/or costly. Still, the prevalence of CHA use among US children with DD is not known and their reasons for use are not well understood. By...
One in four Ecuadorians do not have access to health services; while more than two-thirds have no health insurance and insufficient resources to pay for the health care services they might require. The following three studies examined utilization of health care services using Andersen’s Health Care Utilization Behavior Theory. Secondary...
Native Americans in southwest Oregon are a heterogenous
group comprising one-quarter of the state's total Indian
population. Despite their notable size, Native Americans in
this six county area are either ineligible for, or inaccessible
to, federally sponsored Indian health facilities available
to Native peoples elsewhere. Research was conducted
over an...
Cultural competence is a topic that concerns social scientists and medical anthropologists who pay attention to demographic changes and health disparities. This study demonstrates practical approaches to developing cultural competence in medical education by using factors from the social environment to develop protocols for action. With current concerns in domestic...
Several states, including Oregon, Massachusetts and California, have been the focus of major health reform efforts in recent years. Oregon utilized a citizen-led commission to generate policy recommendations that led to the enactment of health reform legislation in 2009. This commission helped to create momentum and provide political cover for...
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The Advocacy Coalition Framework and Health Care Reform
Surveys of both patients and health care providers have indicated strong interest, up to 95%, in favor of advance directives, which are legal documents that express patients' healthcare treatment decisions. Despite the widespread support for advance directives, actual completion rates are very low, ranging from 4% to 20% for the...
Background: Prenatal care (PNC) is an important preventive health service that can influence the health of the four million women who give birth annually in the United States, and the health their infants. Despite efforts to increase women’s access to PNC services, significant disparities in PNC utilization and maternal/child health...