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2017 Writing Contest Undergraduate Winner: Pathways to Preventable Hospitalizations for Filipino Patients with Diabetes and Heart Disease in Hawai'i.
Malabed, Jhon Michael; Taira, Deborah A; Seto, Todd B; Braun, Kathryn L; Sentell, Tetine.
Afiliación
  • Malabed JM; Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JMM).
  • Taira DA; Daniel K. Inouye College of Pharmacy, University of Hawai'i at Hilo, Hilo HI (DT).
  • Seto TB; The Queen's Medical Center, Honolulu, HI; and Department of Internal Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (TBS).
  • Braun KL; Office of Public Health Studies, University of Hawai'i at Manoa, Honolulu, HI (KB, TS).
  • Sentell T; Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (JMM).
Hawaii J Med Public Health ; 77(7): 155-160, 2018 07.
Article en En | MEDLINE | ID: mdl-30009093
Filipinos are one of the fastest growing Asian ethnic groups in the United States, yet little is known about how to specifically address the varying health needs of the Filipino community with diabetes and heart disease. This is a problem because rates of potentially preventable hospitalizations (PPH) are high for Filipinos with these conditions. A PPH is a hospitalization that could potentially have been avoided with better access to quality primary care. Patients over 21 years of age with heart disease or diabetes and who were hospitalized at the Queen's Medical Center with a PPH were recruited to complete a face-to-face interview eliciting the patients' perspectives on key factors leading to this hospitalization (n=102). This study focused on a subset of Filipino patients (n=21). Two independent coders reviewed interviews to identify factors leading to their PPH. A majority of the Filipino respondents identified social vulnerabilities as the most common factor that led to their hospitalization, including financial challenges, limited social support, and life instability. Many respondents also noted challenges with the healthcare system as precipitating their hospitalization, including poor communication/coordination, management plan issues, and bad experience with their healthcare providers. Cultural and language barriers were also identified by Filipino patients as challenges leading to their hospitalizations. These findings emphasize the importance of considering patients' perspectives of the barriers they face inside and outside of healthcare facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Distinciones y Premios / Escritura / Asiático / Medicina Preventiva / Hospitalización Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Equity_inequality / Patient_preference Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Hawaii J Med Public Health Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Distinciones y Premios / Escritura / Asiático / Medicina Preventiva / Hospitalización Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Equity_inequality / Patient_preference Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Hawaii J Med Public Health Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos