Elena Byhoff
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View article: The impact of food insecurity on chronic liver disease: A systematic review of the literature
The impact of food insecurity on chronic liver disease: A systematic review of the literature Open
Background: Chronic liver disease (CLD) poses a significant healthcare burden, with diet playing a crucial role in its management. Food insecurity, defined as limited or uncertain access to adequate food, may worsen liver disease outcomes …
View article: Perceptions of sources of transmission among hospital employees infected with severe acute respiratory coronavirus 2 (SARS-CoV-2) in an urban tertiary care hospital: a qualitative study to inform future pandemic management
Perceptions of sources of transmission among hospital employees infected with severe acute respiratory coronavirus 2 (SARS-CoV-2) in an urban tertiary care hospital: a qualitative study to inform future pandemic management Open
Objective: Hospital employees are at risk of severe acute respiratory coronavirus 2 (SARS-CoV-2) infection from patient, coworker, and community interactions. Understanding employees’ perspectives on transmission risks may inform hospital …
View article: Associations Between Patient/Caregiver Trust in Clinicians and Experiences of Healthcare-Based Discrimination
Associations Between Patient/Caregiver Trust in Clinicians and Experiences of Healthcare-Based Discrimination Open
Patients and caregivers reporting more healthcare-based discrimination were less likely to report high provider trust. Interventions to strengthen trust need structural antiracist components. Increased rapport with patients may be a potent…
View article: Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries
Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries Open
We sought to determine whether a country's social policy configuration—its welfare state regime—is associated with food insecurity risk. We conducted a cross-sectional study of 2017 U.N. Food and Agriculture Organization individual-level f…
View article: Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries
Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries Open
We sought to determine whether a country's social policy configuration—its welfare state regime—is associated with food insecurity risk. We conducted a cross-sectional study of 2017 U.N. Food and Agriculture Organization individual-level f…
View article: “More than just checking the box”: community-based organizations on their role in Medicaid redesigns
“More than just checking the box”: community-based organizations on their role in Medicaid redesigns Open
New York and Massachusetts 1115 Medicaid demonstration waivers aimed to prioritize social determinants of health and engage community-based organizations to improve health outcomes. This is an evaluation of community-based organizations' p…
View article: Designing an implementation strategy to increase health-related social needs screening: Applying the PRISM framework in a resource-limited clinical setting
Designing an implementation strategy to increase health-related social needs screening: Applying the PRISM framework in a resource-limited clinical setting Open
Despite growing acceptability of health-related social needs (HRSN) screening and increasing policy incentives for adoption, clinical implementation of HRSN screening remains low. HRSN screening has been particularly difficult for Communit…
View article: Mental Health Care Use by Ethnicity and Preferred Language in a National Cohort of Community Health Center Patients
Mental Health Care Use by Ethnicity and Preferred Language in a National Cohort of Community Health Center Patients Open
Among patients who were likely to receive specialty mental health services, Spanish-preferring patients had a significantly lower rate of mental health care use. Although overall access to mental health care is improving, unequal access to…
View article: Answering calls for rigorous health equity research: a cross-sectional study leveraging electronic health records for data disaggregation in Latinos
Answering calls for rigorous health equity research: a cross-sectional study leveraging electronic health records for data disaggregation in Latinos Open
Introduction Country of birth/nativity information may be crucial to understanding health equity in Latino populations and is routinely called for in health services literature assessing cardiovascular disease and risk, but is not thought …
View article: Sources of exposure and risk among employees infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in a large, urban, tertiary-care hospital in the United States
Sources of exposure and risk among employees infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) in a large, urban, tertiary-care hospital in the United States Open
Objective: Hospital employees are at risk of SARS-CoV-2 infection through transmission in 3 settings: (1) the community, (2) within the hospital from patient care, and (3) within the hospital from other employees. We evaluated probable sou…
View article: Healthcare-based food assistance programmes in the United States: a scoping review and typology
Healthcare-based food assistance programmes in the United States: a scoping review and typology Open
This scoping review aimed to identify the breadth of healthcare-based food assistance programmes in the United States and organize them into a typology of programmes to provide implementation guidance to aspiring food assistance programmer…
View article: When There Is Value in Asking: An Argument for Social Risk Screening in Clinical Practice
When There Is Value in Asking: An Argument for Social Risk Screening in Clinical Practice Open
Ideas and OpinionsAugust 2022When There Is Value in Asking: An Argument for Social Risk Screening in Clinical PracticeElena Byhoff, MD, MSc and Laura M. Gottlieb, MD, MPHElena Byhoff, MD, MScDepartment of Medicine, Tufts Medical Center, Bo…
View article: Association of Unmet Social Needs with Chronic Illness: A Cross-Sectional Study
Association of Unmet Social Needs with Chronic Illness: A Cross-Sectional Study Open
Screening for social needs during routine medical visits is increasingly common. To date, there are limited data on which social needs are most predictive of health outcomes. The aim of this study is to build a predictive model from integr…
View article: Implementing Health Related Social Needs Screening in an Outpatient Clinic
Implementing Health Related Social Needs Screening in an Outpatient Clinic Open
Introduction/Objectives: Health-related social needs (HRSN) screening efforts have reported high rates of identified social needs. Little is known if efforts to conduct HRSN screening in resource-constrained federally-qualified health cent…
View article: WITHDRAWN: Implementing Health Related Social Needs Screening in an Outpatient Clinic: A Cross-Sectional Study
WITHDRAWN: Implementing Health Related Social Needs Screening in an Outpatient Clinic: A Cross-Sectional Study Open
Background To date, health-related social needs (HRSN) screening implementation efforts have reported high rates of identified social needs. However, little is known about how screening processes may fail to leverage implementation strateg…
View article: Barriers to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) testing reported by healthcare workers during the first pandemic wave at an academic center in Boston, Massachusetts
Barriers to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) testing reported by healthcare workers during the first pandemic wave at an academic center in Boston, Massachusetts Open
Healthcare workers (HCWs) experience barriers to severe acute respiratory coronavirus virus 2 (SARS-CoV-2) testing specific to their perceptions of access, and employment factors. A survey was sent to all employees at one Boston hospital t…
View article: The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management
The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management Open
Objective: This study examined whether health insurance stability was associated with improved type 2 diabetes mellitus (DM) control and reduced racial/ethnic health disparities.Methods: We utilized electronic medical record data (2005-201…
View article: Money Moves the Mare: The Response of Community‐Based Organizations to Health Care's Embrace of Social Determinants
Money Moves the Mare: The Response of Community‐Based Organizations to Health Care's Embrace of Social Determinants Open
Policy Points Health policies that encourage health and social integration can induce community‐based organizations (CBOs) to adopt new ways of working from health care organizations, including their language, staffing patterns, and metric…
View article: Assessment of Social Risk Factors and Interest in Receiving Health Care–Based Social Assistance Among Adult Patients and Adult Caregivers of Pediatric Patients
Assessment of Social Risk Factors and Interest in Receiving Health Care–Based Social Assistance Among Adult Patients and Adult Caregivers of Pediatric Patients Open
In this study, multiple factors were associated with participants' interest in receiving social risk assistance. These findings may have implications for how and when social risk assistance is offered to patients. As the health care system…
View article: Social Health Surveillance: A Systematic Review
Social Health Surveillance: A Systematic Review Open
for increased attention to individuals' social context by the United States (U.S.) health service delivery system [1].The Committee recommended utilizing validated screening instruments, standardizing social risk terms, and facilitating in…