Nadereh Pourat
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View article: Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Services Administration
Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Services Administration Open
Federally qualified health center patients reported endoscopic CRC screening more commonly than stool-based screening, and barriers to access such as distance to the health center and English proficiency were impactful. Increasing CRC scre…
View article: Sustainability of California's Whole Person Care pilots integrating medical and social services for Medicaid enrollees via newly developed Medicaid benefits
Sustainability of California's Whole Person Care pilots integrating medical and social services for Medicaid enrollees via newly developed Medicaid benefits Open
Objective To assess multi‐level factors influencing the sustainability of 26 social care pilots integrating medical and social services for Medicaid enrollees across California in newly developed Medicaid benefits. Study Setting and Design…
View article: Collaboration strategies for bridging health, behavioral health, and social services in California's Medi‐Cal Whole Person Care Pilot Program
Collaboration strategies for bridging health, behavioral health, and social services in California's Medi‐Cal Whole Person Care Pilot Program Open
Objective To identify collaboration strategies used to integrate health, behavioral health, and social services for Medicaid members in California's Medi‐Cal Whole Person Care Pilot program (WPC). Data Sources and Study Setting WPC was a s…
View article: Enhancing the diversity and productivity of scientists in aging research: Contributions of the Resource Centers for Minority Aging Research, 2018–2023
Enhancing the diversity and productivity of scientists in aging research: Contributions of the Resource Centers for Minority Aging Research, 2018–2023 Open
The Resource Centers for Minority Aging Research (RCMAR) is a flagship education, training, and development program of the National Institute of Health (NIH), and the National Institute on Aging (NIA) focused on increasing the number and d…
View article: Program Implementation Strategies Associated With Reduced Acute Care Utilization for Medicaid Beneficiaries in California’s Whole Person Care Pilot Program
Program Implementation Strategies Associated With Reduced Acute Care Utilization for Medicaid Beneficiaries in California’s Whole Person Care Pilot Program Open
Public health care policymakers and payers are increasingly investing in efforts to address patients’ health-related social needs (HRSNs) as a strategy for improving health while controlling or reducing costs. However, evidence regarding t…
View article: Improving The Oral Health Care Capacity Of Federally Qualified Health Centers
Improving The Oral Health Care Capacity Of Federally Qualified Health Centers Open
Despite efforts that increased dental visits at federally qualified health centers (FQHCs) by 65 percent between 2007 and 2014, only 21 percent of FQHC patients received dental services in 2015-not altogether surprising, given that most su…
View article: Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California
Persistent effects of legal status on healthcare access and outcomes: findings from a state-wide representative cross-sectional survey in California Open
Background To examine how legal status and past undocumented status are associated with healthcare access and health outcomes. Methods Data were collected between 2018 and 2020 as a follow-on, cross-sectional survey to the California Healt…
View article: Factors Related to Receipt of Help for Alcohol Use: Extending the Focus of Treatment to the Continuum of Unhealthy Alcohol Use
Factors Related to Receipt of Help for Alcohol Use: Extending the Focus of Treatment to the Continuum of Unhealthy Alcohol Use Open
Background: Unhealthy alcohol use is one of the leading preventable causes of mortality in the U.S. Despite evidence of the growing burden of alcohol-associated mortality and disease, treatment is severely underutilized. Prior literature h…
View article: Beyond “Chilling Effects”
Beyond “Chilling Effects” Open
Objectives: Immigration enforcement policies are associated with immigrants’ barriers to health care. Current evidence suggests that enforcement creates a “chilling effect” in which immigrants avoid care due to fear of encountering enforce…
View article: Easy to use and validated predictive models to identify beneficiaries experiencing homelessness in Medicaid administrative data
Easy to use and validated predictive models to identify beneficiaries experiencing homelessness in Medicaid administrative data Open
Objective To develop easy to use and validated predictive models to identify beneficiaries experiencing homelessness from administrative data. Data Sources We pooled enrollment and claims data from enrollees of the California Whole Person …
View article: Measuring Behavioral Health Integration in Primary Care
Measuring Behavioral Health Integration in Primary Care Open
Behavioral health integration (BHI) within primary care settings is shown to improve outcomes. However, achieving BHI requires identifying best practices and a reliable tool that can be used to measure existing levels and progress toward B…
View article: Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States
Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States Open
Aims. To explore whether there are racial/ethnic differences in diabetes management and outcomes among adult health center (HC) patients with type 2 diabetes. Methods. We analyzed data from the 2014 Heal…
View article: Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States
Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States Open
Aim To explore whether there are racial/ethnic differences in diabetes management and outcomes among adult health center (HC) patients with type 2 diabetes. Methods We analyzed data from the 2014 Health Center Patient Survey, a national sa…
View article: Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States
Ensuring Equitable Care in Diabetes Management Among Patients of Health Resources & Services Administration–Funded Health Centers in the United States Open
Aims. To explore whether there are racial/ethnic differences in diabetes management and outcomes among adult health center (HC) patients with type 2 diabetes. Methods. We analyzed data from the 2014 Heal…
View article: Differential associations of homelessness with emergency department visits and hospitalizations by race, ethnicity, and gender
Differential associations of homelessness with emergency department visits and hospitalizations by race, ethnicity, and gender Open
Objective To investigate the differential associations of homelessness with emergency department (ED) visits and hospitalizations by race, ethnicity, and gender. Data Sources California Medicaid enrollment and claims. Study Design We ident…
View article: Overview of Ten Child Mental Health Clinical Outcome Measures: Testing of Psychometric Properties with Diverse Client Populations in the U.S.
Overview of Ten Child Mental Health Clinical Outcome Measures: Testing of Psychometric Properties with Diverse Client Populations in the U.S. Open
View article: Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations
Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations Open
Recognizing that social factors influence patient health outcomes and utilization, health systems have developed interventions to address patients' social needs. Care coordination across the health care and social service sectors is a dist…
View article: Mental Health Staffing at HRSA-Funded Health Centers May Improve Access to Care
Mental Health Staffing at HRSA-Funded Health Centers May Improve Access to Care Open
Colocating mental health staff at health centers increases the probability of patients' access to such treatment on site as well as from off-site providers.
View article: Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey of experiences with ambulatory healthcare for Asians and non-Hispanic Whites in the United States
Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey of experiences with ambulatory healthcare for Asians and non-Hispanic Whites in the United States Open
Background Differences in experiences of care reported by Asian Americans (Asians) compared to non-Hispanic Whites (Whites) may be due to lack of measurement invariance. Methods We evaluated the three-factor structure and the equivalence o…
View article: Additional file 1 of Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey of experiences with ambulatory healthcare for Asians and non-Hispanic Whites in the United States
Additional file 1 of Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey of experiences with ambulatory healthcare for Asians and non-Hispanic Whites in the United States Open
Additional file 1: Online Supplemental Material Table 1. Recycled predictions from main effects only model and the model with the interaction terms. Online Supplemental Material Table 2. Generalized ordinal logistic regression. Online Supp…
View article: Assessing clinical quality performance and staffing capacity differences between urban and rural Health Resources and Services Administration-funded health centers in the United States: A cross sectional study
Assessing clinical quality performance and staffing capacity differences between urban and rural Health Resources and Services Administration-funded health centers in the United States: A cross sectional study Open
Background In the United States, there are nearly 1,400 Health Resources and Services Administration-funded health centers (HCs) serving low-income and underserved populations and more than 600 of these HCs are located in rural areas. Disp…
View article: Examining trends in substance use disorder capacity and service delivery by Health Resources and Services Administration-funded health centers: A time series regression analysis
Examining trends in substance use disorder capacity and service delivery by Health Resources and Services Administration-funded health centers: A time series regression analysis Open
Background The opioid epidemic and subsequent mortality is a national concern in the U.S. The burden of this problem is disproportionately high among low-income and uninsured populations who are more likely to experience unmet need for sub…
View article: Evaluating inpatient adverse outcomes under California's Delivery System Reform Incentive Payment Program
Evaluating inpatient adverse outcomes under California's Delivery System Reform Incentive Payment Program Open
Objective The California Delivery System Reform Incentive Payment Program (DSRIP) provided incentive payments to Designated Public Hospitals (DPHs) to improve quality of care. We assessed the program's impact on reductions in sepsis mortal…
View article: Progress of California's Effort to Improve Outcomes of Care for Homeless Medicaid Patients Under a Section 1115 Medicaid Waiver Program
Progress of California's Effort to Improve Outcomes of Care for Homeless Medicaid Patients Under a Section 1115 Medicaid Waiver Program Open
Research Objective The current Section 1115 Medicaid Waiver in California includes the Whole Person Care (WPC) pilot program, designed to improve care coordination for high‐cost, high‐utilizing populations, with special emphasis on the hom…
View article: How to Identify Homelessness Using Administrative Data
How to Identify Homelessness Using Administrative Data Open
Research Objective Addressing social determinant of health such as homelessness is increasingly the focus of efforts to reduce costs and improve health outcomes. Yet, such efforts face significant barriers including how to identify, target…
View article: Formerly Homeless and Other Stakeholder Perspectives of a Permanent Supportive Housing Program in Los Angeles County
Formerly Homeless and Other Stakeholder Perspectives of a Permanent Supportive Housing Program in Los Angeles County Open
In 2012, the Department of Health Services in Los Angeles County created the Housing for Health (HFH) initiative, which provides permanent supportive housing (PSH) and rental subsidies to homeless individuals who are among the highest util…
View article: The Importance of Health Insurance in Addressing Asian American Disparities in Utilization of Clinical Preventive Services: 12-Year Pooled Data from California
The Importance of Health Insurance in Addressing Asian American Disparities in Utilization of Clinical Preventive Services: 12-Year Pooled Data from California Open
Purpose: Previous research has shown that Asian Americans are less likely to receive recommended clinical preventive services especially for cancer compared with non-Hispanic whites. Health insurance expansion has been recommended a…
View article: Missed Opportunities for HIV Screening of New Enrollees in California's Low Income Health Program
Missed Opportunities for HIV Screening of New Enrollees in California's Low Income Health Program Open
The objective of this study was to measure HIV screening rates and variables associated with screening among new enrollees in California's Low Income Health Program (LIHP). A logit model was used to estimate associations between HIV screen…
View article: Enabling Services Improve Access To Care, Preventive Services, And Satisfaction Among Health Center Patients
Enabling Services Improve Access To Care, Preventive Services, And Satisfaction Among Health Center Patients Open
Enabling services address a combination of social determinants of health and barriers to access to primary care and are intended to reduce health disparities. They include care coordination; health education; transportation; and assistance…
View article: Timely Outpatient Follow-up Is Associated with Fewer Hospital Readmissions among Patients with Behavioral Health Conditions
Timely Outpatient Follow-up Is Associated with Fewer Hospital Readmissions among Patients with Behavioral Health Conditions Open
The findings provide evidence that timely linking of behavioral health patients to outpatient care after hospitalization is an effective care transition strategy, as it is likely to reduce readmission rates.