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3 results on '"Jeremiah Cross"'

1. 'I wanted to participate in my own care': Evaluation of a Patient Navigation Program

Author

Elizabeth A. Samuels, Lauren Kelley, Timothy Pham, Jeremiah Cross, Juan Carmona, Peter Ellis, Darcey Cobbs-Lomax, Gail D’Onofrio, and Roberta Capp

Subjects
Medicine, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Introduction: Patient navigation programs can help people overcome barriers to outpatient care. Patient experiences with these programs are not well understood. The goal of this study was to understand patient experiences and satisfaction with an emergency department (ED)-initiated patient navigation (ED-PN) intervention for US Medicaid-enrolled frequent ED users. Methods: We conducted a mixed-methods evaluation of patient experiences and satisfaction with an ED-PN program for patients who visited the ED more than four times in the prior year. Participants were Medicaid-enrolled, English- or Spanish-speaking, New Haven-CT residents over the age of 18. Pre-post ED-PN intervention surveys and post-ED-PN individual interviews were conducted. We analyzed baseline and follow-up survey responses as proportions of total responses. Interviews were coded by multiple readers, and interview themes were identified by consensus. Results: A total of 49 participants received ED-PN. Of those, 80% (39/49) completed the post-intervention survey. After receiving ED-PN, participants reported high satisfaction, fewer barriers to medical care, and increased confidence in their ability to coordinate and manage their medical care. Interviews were conducted until thematic saturation was reached. Four main themes emerged from 11 interviews: 1) PNs were perceived as effective navigators and advocates; 2) health-related social needs were frequent drivers of and barriers to healthcare; 3) primary care utilization depended on clinic accessibility and quality of relationships with providers and staff; and 4) the ED was viewed as providing convenient, comprehensive care for urgent needs. Conclusions: Medicaid-enrolled frequent ED users receiving ED-PN had high satisfaction and reported improved ability to manage their health conditions.

Published
2020
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2. 'I wanted to participate in my own care': Evaluation of a Patient Navigation Program

Author

Lauren Kelley, Gail D'Onofrio, Jeremiah Cross, Darcey Cobbs-Lomax, Elizabeth A. Samuels, Peter Ellis, Timothy Pham, Juan Carmona, and Roberta Capp

Subjects
Male, medicine.medical_specialty, Patient Communication, media_common.quotation_subject, MEDLINE, lcsh:Medicine, Primary care, Health Services Accessibility, Patient satisfaction, Ambulatory care, Surveys and Questionnaires, Intervention (counseling), Health care, medicine, Humans, Patient Navigation, Quality (business), Patient Reported Outcome Measures, media_common, Original Research, Medicaid, business.industry, lcsh:R, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Professional-Patient Relations, General Medicine, Emergency department, lcsh:RC86-88.9, Middle Aged, Patient Acceptance of Health Care, United States, Patient Satisfaction, Family medicine, Emergency Medicine, Female, Patient Care, Emergency Service, Hospital, business
Abstract

Introduction Patient navigation programs can help people overcome barriers to outpatient care. Patient experiences with these programs are not well understood. The goal of this study was to understand patient experiences and satisfaction with an emergency department (ED)-initiated patient navigation (ED-PN) intervention for US Medicaid-enrolled frequent ED users. Methods We conducted a mixed-methods evaluation of patient experiences and satisfaction with an ED-PN program for patients who visited the ED more than four times in the prior year. Participants were Medicaid-enrolled, English- or Spanish-speaking, New Haven-CT residents over the age of 18. Pre-post ED-PN intervention surveys and post-ED-PN individual interviews were conducted. We analyzed baseline and follow-up survey responses as proportions of total responses. Interviews were coded by multiple readers, and interview themes were identified by consensus. Results A total of 49 participants received ED-PN. Of those, 80% (39/49) completed the post-intervention survey. After receiving ED-PN, participants reported high satisfaction, fewer barriers to medical care, and increased confidence in their ability to coordinate and manage their medical care. Interviews were conducted until thematic saturation was reached. Four main themes emerged from 11 interviews: 1) PNs were perceived as effective navigators and advocates; 2) health-related social needs were frequent drivers of and barriers to healthcare; 3) primary care utilization depended on clinic accessibility and quality of relationships with providers and staff; and 4) the ED was viewed as providing convenient, comprehensive care for urgent needs. Conclusions Medicaid-enrolled frequent ED users receiving ED-PN had high satisfaction and reported improved ability to manage their health conditions.

Published
2021

3. Association Between the Liaison Committee on Medical Education’s Diversity Standards and Changes in Percentage of Medical Student Sex, Race, and Ethnicity

Author

Dowin Boatright, Jeremiah Cross, Mayur M. Desai, Cary P. Gross, Elizabeth A. Samuels, Laura D. Cramer, and Darin Latimore

Subjects
Liaison committee, Male, medicine.medical_specialty, Students, Medical, 020205 medical informatics, media_common.quotation_subject, Ethnic group, 02 engineering and technology, 03 medical and health sciences, Race (biology), 0302 clinical medicine, 0202 electrical engineering, electronic engineering, information engineering, medicine, Research Letter, Ethnicity, Humans, 030212 general & internal medicine, Sex Distribution, Association (psychology), Students medical, media_common, Accreditation, business.industry, Racial Groups, Racial group, General Medicine, United States, Family medicine, Female, business, Diversity (politics)
Abstract

This study examines the change in matriculant sex, race, and ethnicity in US medical schools after the 2009 implementation of diversity standards from the Liaison Committee on Medical Education (LCME) meant to broaden diversity among qualified applicants.

Published
2018

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