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As studies examining the effectiveness of food security interventions collectively are sparse, this review examined the most effective community-based and system-level interventions that have increased nutritious food consumption across food-insecure populations. Following PRISMA-guidelines, 22 articles included were classified into six categories: Educational and Behavioral Programs; Fresh Fruit and Vegetable Programs; Summer Electronic Benefits Transfer; Discounted Food Options; Emergency Food Assistance Programs; and Multicomponent Programs. This review concludes that future considerations for positively impacting food security and nutritious food intake should give attention to community and system-level multicomponent interventions that address the specific social and economic barriers facing the target population. [ABSTRACT FROM AUTHOR]

Introduction: Healthcare providers and systems increasingly utilize telehealth modalities to address barriers and challenges for healthcare delivery. Specialties, such as psychiatry, are testing asynchronous methods for telehealth delivery. The National Quality Forum (NQF) developed a framework with which to assess the quality of telemedicine according to measures and measure concepts within four domains. This review assesses existing asynchronous telepsychiatry (ATP) research according to the telehealth domains established by NQF, evaluates the prevalence and quality of ATP, and identifies the areas in which more research must be conducted.Methods: A systematic review of ATP methods was conducted according to PRISMA guidelines. Studies were categorized according to NQF telehealth domains and subdomains to further examine study outcomes.Results: The review initially identified 205 studies that were narrowed down to a final sample of 11 articles. Of the final articles, most studies addressed the effectiveness of ATP or users' experience with ATP.Discussion: The initial investigation of published ATP literature suggests promising results. ATP studies suggest that these services improve access to care, can be feasibly implemented by the clinical team, maintain patient/family satisfaction, and potentially reduce the cost of services. The limited sample of published literature necessitates further study of the practice in order to assess ATP according to the quality domains identified by NQF, especially access to care for patients and caregivers, the financial costs incurred by both providers and patients, and barriers to uptake. [ABSTRACT FROM AUTHOR]

A community orientation strategy may be a socially responsible way for hospitals to simultaneously improve financial performance and community health, in accordance with the Affordable Care Act. Using data from the AHA Annual Survey, AHRF, and CMS Cost Reports, this study examined the association between hospital community orientation and three measures of financial performance, and whether that relationship differs for some types of hospitals. The analysis revealed that hospital community orientation was positively associated with total margin and that not-for-profit hospitals engaging in higher levels of community orientation experienced lower operating margins, on average, relative to for-profit hospitals. [ABSTRACT FROM AUTHOR]