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  1. Article ; Online: Association Between County-Level Racial and Ethnic Characteristics and COVID-19 Cases and Deaths in the USA.

    Scannell, Christopher A / Oronce, Carlos Irwin A / Tsugawa, Yusuke

    Journal of general internal medicine

    2020  Volume 35, Issue 10, Page(s) 3126–3128

    MeSH term(s) African Americans/statistics & numerical data ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/ethnology ; Coronavirus Infections/mortality ; Female ; Hispanic or Latino/statistics & numerical data ; Humans ; Male ; Pandemics ; Pneumonia, Viral/ethnology ; Pneumonia, Viral/mortality ; SARS-CoV-2 ; Spatial Analysis ; United States/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-08-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-06083-8
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  2. Article ; Online: Primary Care Health Professional Shortage Area Designations Before and After the Affordable Care Act's Shortage Designation Modernization Project.

    Scannell, Christopher A / Quinton, Jacob K / Jackson, Nicholas J / Tsugawa, Yusuke

    JAMA network open

    2021  Volume 4, Issue 7, Page(s) e2118836

    MeSH term(s) Cross-Sectional Studies ; Health Plan Implementation/statistics & numerical data ; Health Workforce/legislation & jurisprudence ; Health Workforce/statistics & numerical data ; Humans ; Medically Underserved Area ; Patient Protection and Affordable Care Act ; Primary Health Care/legislation & jurisprudence ; Primary Health Care/statistics & numerical data ; United States
    Language English
    Publishing date 2021-07-01
    Publishing country United States
    Document type Journal Article ; Observational Study
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2021.18836
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  3. Article ; Online: Association Between State-Level Income Inequality and COVID-19 Cases and Mortality in the USA.

    Oronce, Carlos Irwin A / Scannell, Christopher A / Kawachi, Ichiro / Tsugawa, Yusuke

    Journal of general internal medicine

    2020  Volume 35, Issue 9, Page(s) 2791–2793

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/economics ; Coronavirus Infections/mortality ; Female ; Humans ; Income/trends ; Male ; Mortality/trends ; Pandemics/economics ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/economics ; Pneumonia, Viral/mortality ; SARS-CoV-2 ; Socioeconomic Factors ; United States/epidemiology
    Keywords covid19
    Language English
    Publishing date 2020-06-24
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-05971-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Association between county-level social capital and the burden of COVID-19 cases and deaths in the United States.

    Yanagisawa, Mao / Kawachi, Ichiro / Scannell, Christopher A / Oronce, Carlos Irwin A / Tsugawa, Yusuke

    Annals of epidemiology

    2021  Volume 59, Page(s) 21–23

    MeSH term(s) COVID-19 ; Humans ; SARS-CoV-2 ; Social Capital ; Socioeconomic Factors ; United States/epidemiology
    Language English
    Publishing date 2021-04-22
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1074355-8
    ISSN 1873-2585 ; 1047-2797
    ISSN (online) 1873-2585
    ISSN 1047-2797
    DOI 10.1016/j.annepidem.2021.04.008
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    Zs.A 3225: Show issues Location:
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  5. Article: Association Between County-Level Racial and Ethnic Characteristics and COVID-19 Cases and Deaths in the USA

    Scannell, Christopher A / Oronce, Carlos Irwin A / Tsugawa, Yusuke

    J Gen Intern Med

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #696637
    Database COVID19

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  6. Article ; Online: Improvements and Gaps in Financial Risk Protection Among Veterans Following the Affordable Care Act.

    Liu, Charles / Scannell, Christopher A / Kenison, Tiffany / Wren, Sherry M / Saliba, Debra

    Journal of general internal medicine

    2021  Volume 37, Issue 3, Page(s) 573–581

    Abstract: Background: Despite public perception, most of the nearly 20 million US veterans have health coverage outside the Veterans Health Administration (VHA), and VHA eligibility and utilization vary across veterans. Out-of-pocket healthcare spending thus ... ...

    Abstract Background: Despite public perception, most of the nearly 20 million US veterans have health coverage outside the Veterans Health Administration (VHA), and VHA eligibility and utilization vary across veterans. Out-of-pocket healthcare spending thus remains a potential source of financial hardship for veterans. The Affordable Care Act (ACA) aimed to expand health insurance access, but its effect on veterans' financial risk protection has not been explored.
    Objective: To evaluate whether ACA implementation was associated with changes in veterans' risk of catastrophic health expenditures, and to characterize drivers of catastrophic health spending among veterans post-ACA.
    Design: Using multivariable linear probability regression, we examined changes in likelihood of catastrophic health spending after ACA implementation, stratifying by age (18-64 vs 65+), household income tercile, and payer (VHA vs non-VHA). Among veterans with catastrophic spending post-ACA, we evaluated sources of out-of-pocket spending.
    Participants: Nationally representative sample of 13,030 veterans aged 18+ from the 2010 to 2017 Medical Expenditure Panel Survey.
    Intervention: ACA implementation, January 1, 2014.
    Main measures: Likelihood of catastrophic health expenditures, defined as household out-of-pocket spending exceeding 10% of household income.
    Key results: Among veterans aged 18-64, ACA implementation was associated with a 26% decrease in likelihood of catastrophic health expenditures (absolute change, -1.4 percentage points [pp]; 95% CI, -2.6 to -0.2; p=0.03), which fell from 5.4% pre-ACA to 3.9% post-ACA. This was driven by a 38% decrease in catastrophic spending among veterans with non-VHA coverage (absolute change, -1.8pp; 95% CI, -3.0 to -0.6; p=0.003). In contrast, catastrophic expenditure rates among veterans aged 65+ remained high, at 13.0% pre- and 12.5% post-ACA. Major drivers of veterans' spending post-ACA include dental care, prescription drugs, and home care.
    Conclusions: ACA implementation was associated with reduced household catastrophic health expenditures for younger but not older veterans. These findings highlight gaps in veterans' financial protection and areas amenable to policy intervention.
    MeSH term(s) Adolescent ; Adult ; Aged ; Eligibility Determination ; Health Expenditures ; Humans ; Insurance Coverage ; Insurance, Health ; Middle Aged ; Patient Protection and Affordable Care Act ; United States/epidemiology ; Veterans ; Young Adult
    Language English
    Publishing date 2021-05-06
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-021-06807-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  7. Article ; Online: Association Between County-Level Racial and Ethnic Characteristics and COVID-19 Cases and Deaths in the USA

    Scannell, Christopher A. / Oronce, Carlos Irwin A. / Tsugawa, Yusuke

    Journal of General Internal Medicine ; ISSN 0884-8734 1525-1497

    2020  

    Keywords Internal Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s11606-020-06083-8
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Communities for Wellness Equity: Implementing a Partnered Symposium to Identify Social Determinants of Health Priorities.

    Agonafer, Etsemaye P / Jones, Felica / Jones, Andrea / Carson, Savanna / Richards, David L / Scannell, Christopher / Soderlund, Patricia D / Wells, Kenneth B

    Progress in community health partnerships : research, education, and action

    2022  Volume 16, Issue 1, Page(s) 105–117

    Abstract: Background: Social determinants of health (SDoH) affect under-resourced communities. Such communities are seldom involved in defining and prioritizing local SDoH for policy action.: Objectives: Apply community-partnered, participatory research (CPPR) ...

    Abstract Background: Social determinants of health (SDoH) affect under-resourced communities. Such communities are seldom involved in defining and prioritizing local SDoH for policy action.
    Objectives: Apply community-partnered, participatory research (CPPR) to identify community stakeholder priorities for addressing SDoH in South Los Angeles.
    Methods: Over 10 months, CPPR was applied to develop a multi-sector partnership and working group to plan and host a symposium for community stakeholders. 148 individuals and 16 organizations participated and engaged in focus and symposium-wide discussions. Themes were identified through collaborative inductive content analysis.Results and Lessons Learned: Participants identified ten specific SDoH, such as housing, with structural racism and discrimination as the underlying cause.
    Conclusions: Using CPPR to gain community members' insight about local factors that drive individual and community health is feasible and viewed by the community as socially responsible, suggesting it holds promise to address root causes of health inequality in under-resourced communities.
    MeSH term(s) Community Participation ; Community-Based Participatory Research/methods ; Health Priorities ; Health Status Disparities ; Humans ; Social Determinants of Health
    Language English
    Publishing date 2022-03-25
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2275483-0
    ISSN 1557-055X ; 1557-0541
    ISSN (online) 1557-055X
    ISSN 1557-0541
    DOI 10.1353/cpr.2022.0010
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  9. Article ; Online: The Need for Systems Approaches for Precision Communications in Public Health.

    Lee, Bruce Y / Greene, Danielle / Scannell, Sheryl A / McLaughlin, Christopher / Martinez, Marie F / Heneghan, Jessie L / Chin, Kevin L / Zheng, Xia / Li, Ruobing / Lindenfeld, Laura / Bartsch, Sarah M

    Journal of health communication

    2023  Volume 28, Issue sup1, Page(s) 13–24

    Abstract: A major challenge in communicating health-related information is the involvement of multiple complex systems from the creation of the information to the sources and channels of dispersion to the information users themselves. To date, public health ... ...

    Abstract A major challenge in communicating health-related information is the involvement of multiple complex systems from the creation of the information to the sources and channels of dispersion to the information users themselves. To date, public health communications approaches have often not adequately accounted for the complexities of these systems to the degree necessary to have maximum impact. The virality of COVID-19 misinformation and disinformation has brought to light the need to consider these system complexities more extensively. Unaided, it is difficult for humans to see and fully understand complex systems. Luckily, there are a range of systems approaches and methods, such as systems mapping and systems modeling, that can help better elucidate complex systems. Using these methods to better characterize the various systems involved in communicating public health-related information can lead to the development of more tailored, precise, and proactive communications. Proceeding in an iterative manner to help design, implement, and adjust such communications strategies can increase impact and leave less opportunity for misinformation and disinformation to spread.
    MeSH term(s) Humans ; Public Health ; COVID-19/epidemiology ; Health Communication
    Language English
    Publishing date 2023-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1427988-5
    ISSN 1087-0415 ; 1081-0730
    ISSN (online) 1087-0415
    ISSN 1081-0730
    DOI 10.1080/10810730.2023.2220668
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