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  1. Article ; Online: Scheduled and attended pediatric primary care telemedicine appointments during COVID-19.

    Schweiberger, Kelsey / Verma, Rhea / Faulds, Samantha / Jonassaint, Charles R / White, Gretchen E / Ray, Kristin N

    Pediatric research

    2023  Volume 94, Issue 1, Page(s) 185–192

    Abstract: Background: The aim of this study was to examine pediatric primary care telemedicine visit scheduling and attendance during the first year of telemedicine.: Methods: Using electronic health record data from two academic pediatric primary care ... ...

    Abstract Background: The aim of this study was to examine pediatric primary care telemedicine visit scheduling and attendance during the first year of telemedicine.
    Methods: Using electronic health record data from two academic pediatric primary care practices between April 2020-March 2021, we used Pearson χ
    Results: Among 5178 primary care telemedicine appointments scheduled during the 12-month period, the proportion of appointments scheduled differed over time for children in families with a language preference other than English or Spanish (4% quarter 1 vs. 6% in quarter 4, p = 0.01) and residing in ZIP codes with the lowest household technology access (24% in quarter 1 vs. 19% in quarter 3 (p = 0.01). Four thousand one hundred and forty-eight of 5178 scheduled telemedicine appointments were attended. Likelihood of attending a telemedicine appointment was highest for children in families with a language preference other than English or Spanish (90%, 95% CI 86-94% compared to Spanish 74%, 95% CI 65-84%), and same-day appointments (86%, 95% CI 85-87%). Attendance among families preferring Spanish language was higher in later months compared to earlier months.
    Conclusions: We found disparities in scheduling and attending telemedicine appointments, but signs of greater language equity over time.
    MeSH term(s) Humans ; Child ; COVID-19 ; Telemedicine ; Language ; Logistic Models ; Primary Health Care
    Language English
    Publishing date 2023-01-23
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 4411-8
    ISSN 1530-0447 ; 0031-3998
    ISSN (online) 1530-0447
    ISSN 0031-3998
    DOI 10.1038/s41390-023-02481-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Race and payor type for child visits with public health dental hygienist practitioners.

    Burgette, Jacqueline M / Ok, Sally H / Ray, Kristin N / Faulds, Samantha / Stiles, Amy / Hoberman, Alejandro / Martin, Brian

    Journal of public health dentistry

    2021  Volume 82, Issue 1, Page(s) 53–60

    Abstract: Purpose: To examine whether growth in visits to public health dental hygiene practitioners (PHDHPs) providing preventative dental services at a pediatric hospital clinic was predominantly among children receiving public insurance and children of ... ...

    Abstract Purpose: To examine whether growth in visits to public health dental hygiene practitioners (PHDHPs) providing preventative dental services at a pediatric hospital clinic was predominantly among children receiving public insurance and children of minority background from 2013 to 2017.
    Methods: Longitudinal descriptive data analysis from electronic health records for 6856 children under age 18 years who visited PHDHPs co-located at a hospital clinic in Pittsburgh, PA, from 2013 to 2017. We compared visits between white versus non-white children and between children with public, private, and no or missing insurance by year.
    Results: Visit volume doubled from 2013 (n = 811) to 2017 (n = 1868). The proportion of PHDHP visits with non-white children increased from 77% (n = 625) in 2013 to 87% (n = 1472) in 2017 (p < 0.001). The proportion of PHDHP visits with children with public insurance increased from 72% (n = 585) in 2013 to 82% (n = 1377) in 2017 (p < 0.001).
    Conclusions: PHDHPs co-located at a pediatric hospital clinic saw a high proportion of visits from children of non-white race and with public insurance. Visits from children of minority race and with public insurance increased disproportionately as visit volume grew from 2013 to 2017, depicting a vehicle through which historically underserved children increasingly accessed preventive dental services.
    MeSH term(s) Adolescent ; Child ; Dental Care for Children ; Dental Hygienists ; Humans ; Insurance, Dental ; Public Health
    Language English
    Publishing date 2021-08-10
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 410719-6
    ISSN 1752-7325 ; 0022-4006
    ISSN (online) 1752-7325
    ISSN 0022-4006
    DOI 10.1111/jphd.12474
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  3. Article ; Online: Treating Hepatitis C in a Ryan White-Funded HIV Clinic: Has the Treatment Uptake Improved in the Interferon-Free Directly Active Antiviral Era?

    Cope, Rebecca / Glowa, Thomas / Faulds, Samantha / McMahon, Deborah / Prasad, Ramakrishna

    AIDS patient care and STDs

    2016  Volume 30, Issue 2, Page(s) 51–55

    Abstract: Now that highly efficacious, interferon-free (IFN-free), direct acting antivirals (DAA) for the treatment of hepatitis C (HCV) have closed the gap between treatment and cure, identifying barriers that prevent initiation of treatment is more crucial than ... ...

    Abstract Now that highly efficacious, interferon-free (IFN-free), direct acting antivirals (DAA) for the treatment of hepatitis C (HCV) have closed the gap between treatment and cure, identifying barriers that prevent initiation of treatment is more crucial than ever. This is a retrospective study utilizing Electronic Medical Records and Prior Authorization Records to identify HCV treatment gaps, including predictors for intention-to-treat and treatment initiation in the first 15 months of a Ryan White funded human immunodeficiency virus (HIV)/HCV co-infection clinic. This study included 128 adults ≥ 18 years old with HIV and chronic HCV infection who had visited the treatment center at least once since January 2013. Provider intent-to-treat was used to differentiate patients actively considered for treatment based on documentation kept by a multidisciplinary HCV team. Members of this group who had gone on to initiate treatment were identified. Baseline characteristics were compared. Rates of active treatment consideration and treatment initiation were 30% and 14%, respectively. HCV treatment-naïve individuals were less likely to be considered for treatment [risk ratio (RR) 1.58, 95% confidence interval (CI) 1.07-2.32] and initiate therapy (RR 2.33, 95% CI 0.97-5.60). Advanced liver disease had no significant association. Black race (RR 1.96, 95% CI 0.90-4.25) and Medicaid insurance holders (RR 1.90, 95% CI 0.95-3.82) tended to be less likely to initiate therapy. The availability of IFN-free DAA regimens has yet to increase HCV treatment uptake in our HIV/HCV co-infected population. Barriers to HCV treatment initiation have shifted from medical contraindications to socioeconomic variables.
    MeSH term(s) Adult ; Aged ; Ambulatory Care Facilities ; Antiviral Agents/therapeutic use ; Coinfection/drug therapy ; Coinfection/virology ; Drug Interactions ; Drug Therapy, Combination/methods ; Female ; HIV Infections/complications ; HIV Infections/drug therapy ; Hepacivirus/drug effects ; Hepatitis C, Chronic/drug therapy ; Hepatitis C, Chronic/epidemiology ; Hepatitis C, Chronic/virology ; Humans ; Interferons/therapeutic use ; Male ; Middle Aged ; Odds Ratio ; Retrospective Studies ; Ribavirin/therapeutic use ; Treatment Outcome ; United States
    Chemical Substances Antiviral Agents ; Ribavirin (49717AWG6K) ; Interferons (9008-11-1)
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1326868-5
    ISSN 1557-7449 ; 0893-5068 ; 1087-2914
    ISSN (online) 1557-7449
    ISSN 0893-5068 ; 1087-2914
    DOI 10.1089/apc.2015.0222
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    Zs.A 2328: Show issues Location:
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  4. Article ; Online: Majority of HIV/HCV Patients Need to Switch Antiretroviral Therapy to Accommodate Direct Acting Antivirals.

    Cope, Rebecca / Pickering, Aaron / Glowa, Thomas / Faulds, Samantha / Veldkamp, Peter / Prasad, Ramakrishna

    AIDS patient care and STDs

    2015  Volume 29, Issue 7, Page(s) 379–383

    Abstract: The impact of drug-drug interactions (DDIs) between interferon-free direct acting antiviral (DAA) regimens and antiretrovirals (ART) among HIV/HCV co-infected individuals in clinical practice settings is unknown. A single-center, retrospective chart ... ...

    Abstract The impact of drug-drug interactions (DDIs) between interferon-free direct acting antiviral (DAA) regimens and antiretrovirals (ART) among HIV/HCV co-infected individuals in clinical practice settings is unknown. A single-center, retrospective chart review of co-infected patients was conducted from June 2014 to February 2015. Significant interactions between simeprevir (SMV), ledipasvir (LDV), and paritaprevir/ritonavir/ombitasvir plus dasabuvir (3D regimen) with ART were identified based on available literature. SMV had the largest number of DDIs and was further investigated to determine the feasibility of ART switch to allow for DAA use. Of 127 subjects, 23% had advanced liver disease; 86% of those with known HCV genotype were HCV genotype 1. An ART switch allowing use of SMV, LDV, and 3D regimen was recommended in 97/127 (76%), 81/127 (64%), and 91/127 (72%) patients, respectively. Subjects on PI/r regimens had limited options for ART switch, with 40% of these patients unable to be switched to an ART regimen that avoided the use of a PI. In conclusion, the majority of HIV/HCV co-infected patients will be recommended to switch ART prior to use of interferon-free, DAA regimens, and an ART switch may not be feasible for more than a third of patients on a boosted PI. DDIs between ART and DAAs represent an additional barrier to treatment efficacy in clinical practice settings that are unaccounted for in clinical trials.
    MeSH term(s) Anti-HIV Agents/therapeutic use ; Antiviral Agents/pharmacology ; Antiviral Agents/therapeutic use ; Coinfection/drug therapy ; Drug Interactions ; Female ; HIV Infections/drug therapy ; Hepacivirus/genetics ; Hepatitis C/drug therapy ; Humans ; Male ; Middle Aged ; Protease Inhibitors/pharmacology ; Protease Inhibitors/therapeutic use ; Retrospective Studies ; Ribavirin/therapeutic use ; Ritonavir/therapeutic use
    Chemical Substances Anti-HIV Agents ; Antiviral Agents ; Protease Inhibitors ; Ribavirin (49717AWG6K) ; Ritonavir (O3J8G9O825)
    Language English
    Publishing date 2015-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1326868-5
    ISSN 1557-7449 ; 0893-5068 ; 1087-2914
    ISSN (online) 1557-7449
    ISSN 0893-5068 ; 1087-2914
    DOI 10.1089/apc.2015.0004
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