Health Care

Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care.

October 21, 2004
BY: Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL. Department of Psychiatry and Behavioral Sciences, Walter Reed Army Institute of Research, U.S. Army Medical Research and Materiel Command, Silver Spring, Md 20910, USA. charles.hoge@na.amedd.army.mil N Engl J Med. 2004 Jul 1;351(1):13-22. Comment in: N Engl J Med. 2004 Jul 1;351(1):75-7. N Engl J Med. 2004 Oct 21;351(17):1798-800; author reply 1798-800.

BACKGROUND: The current combat operations in Iraq and Afghanistan have involved U.S. military personnel in major ground combat and hazardous security duty. Studies are needed to systematically assess the mental health of members of the armed services who have participated in these operations and to inform policy with regard to the optimal delivery of mental… Read More »»

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It Takes More Than Ramps to Solve the Crisis of Healthcare for Disabled

September 20, 2004
BY: Written by Judy Panko Reis; Mary Lou Breslin; Lisa I. Iezzoni, MD, MsC, Professor of Medicine, Harvard Medical School, and visiting senior scholar of Disability Health Services Research, Agency for Healthcare Research and Quality; and Kristi L. Kirschner, MD, Coleman Foundation Chair in Rehabilitation Medicine, Director of the RIC Center for the Study of Disability Ethics and medical director of the RIC Women with Disabilities Center.

The project was funded by a grant of The Robert Wood Johnson Community Health Leadership Program (CHLP).                         Format             Report   This report discusses the definitions of disability, the current state of healthcare access, the difficulties that people with disabilities face in accessing healthcare, disability civil rights laws that mandate access and equity in healthcare,… Read More »»

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Communicating about health care: observations from persons who are deaf or hard of hearing.

March 2, 2004
BY: Iezzoni LI, O'Day BL, Killeen M, Harker H. Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Charles A. Dana Research Institute, Harvard-Thorndike Laboratory, and Third Sector New England, Boston, Massachusetts 02215, USA. Ann Intern Med. 2004 Mar 2;140(5):356-62. Comment in: Ann Intern Med. 2004 Mar 2;140(5):I68.

BACKGROUND: Achieving patient-centered care requires effective communication between physicians and patients. Persons who are deaf or hard of hearing face considerable barriers to communicating with physicians. OBJECTIVE: To understand perceptions of health care experiences and suggestions for improving care among deaf or hard-of-hearing individuals. DESIGN: 4 semistructured group interviews, 2 conducted in American Sign Language… Read More »»

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Access to Health Care for Individuals With Developmental Disabilities From Minority Backgrounds

January 1, 2004
BY: Reichard A, Sacco TM, and Turnbull III, R. Mental Retardation: 2004, Vol. 42, No. 6, pp. 459–470.

In this project, researchers examined access to health care by individuals with developmental disabilities in Kansas from low-income populations and from minority backgrounds (i.e., African American, Hispanic, and American Indian). Four criteria for determining access were: availability, accessibility, affordability, and appropriateness of care. Factors that pose barriers and facilitate access are described and recommendations are… Read More »»

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Access to Preventive Health Care Services for Women with Disabilities

May 1, 2003

Association of State and Territorial Health Officials     Format             Fact Sheet, May 2003                           This fact sheet provides an overview of some of the major barriers to accessing preventive health care that women with disabilities face, as well as actions that state public health agencies can consider pursuing to eliminate these barriers.  Barriers to accessing… Read More »»

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Health Promotion Activities for Individuals with Disabilities

May 1, 2003

Association of State and Territorial Health Officials, supported in part by a Cooperative Agreement with the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention (CDC), Department of Health and Human Services   Format             Fact sheet   This fact sheet reviews some of the major barriers to accessing health promotion… Read More »»

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Distribution of services and supports for people with traumatic brain injury in rural and urban Missouri.

December 1, 2002
BY: Johnstone B, Nossaman LD, Schopp LH, Holmquist L, Rupright SJ. Department of Health Psychology, MU School of Health Professions, Columbia, MO 65212, USA. johnstoneg@health.missouri.edu J Rural Health 2002 Winter;18(1):109-17

New paradigms of disability suggest that many variables interact to influence the community functioning of people with traumatic brain injury (TBI), including injury severity and social, psychological, and environmental factors. Unfortunately, the majority of TBI outcome research to date has primarily focused on injury severity variables (e.g., neuroradiologic findings, loss of consciousness, posttraumatic amnesia) to… Read More »»

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Needs Assessment Research: Access to Healthcare

January 1, 2002

A focus group study of accessibility and related psychosocial issues in diabetes education for people with visual impairment. Williams AS. Diabetes Education Associates, 3495 Edison Road, Cleveland Heights, OH 44121, USA. aswilliams@stratos.net Diabetes Educ 2002 Nov-Dec;28(6):999-1008 Purpose: This study was conducted to identify accessibility and related psychosocial issues in diabetes care and education for visually… Read More »»

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Impact of substance abuse on the course and treatment of bipolar disorder.

September 1, 2000
BY: Salloum IM, Thase ME. Bipolar Disord. 2000 Sep;2(3 Pt 2):269-80. Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine , PA 15213 , USA . salloumim@msx.upmc.edu

Objective: The objectives of this article are to review the prevalence, natural history, pathophysiology, and treatment of comorbid bipolar disorder with alcoholism and other psychoactive substance use disorders (PSUDs). Methods: All identified bibliographies through a literature search of all Medline files and bibliographies of selected articles focusing on the prevalence, natural history, course, prognosis, inter-relationship,… Read More »»

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