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  1. Article ; Online: Primary Care Access for All: A Roadmap for Addressing the Primary Care Crisis in Rhode Island.

    Borkan, Jeffrey / Coppa, Denise / Flanagan, Patricia / Hurwitz, Debra / Saal, Andrew / Bowes, Yolanda / Nicolella, Elena / Hollmann, Peter

    Rhode Island medical journal (2013)

    2024  Volume 107, Issue 4, Page(s) 40–44

    Abstract: Background: Primary care in Rhode Island is in crisis. The dearth of primary care providers is already affecting access to services and the situation is likely to worsen unless major steps are taken. There are inadequate numbers of trainees in primary ... ...

    Abstract Background: Primary care in Rhode Island is in crisis. The dearth of primary care providers is already affecting access to services and the situation is likely to worsen unless major steps are taken. There are inadequate numbers of trainees in primary care medical residencies, nurse practitioner (NP) and physician assistant (PA) training programs who plan to practice primary care in our state. The Care Transformation Collaborative of RI (CTC-RI) has assembled a broadly representative task force of physicians, NPs, PAs, and others to build a strong and robust primary care delivery system across the state that recruits, trains, retains, and sustains primary care providers. Study Methods and Design: Program directors from all primary care medical residencies, NP, and PA programs were asked to provide data on their programs, including the number of new trainees per year, total enrollment, and information on recent year graduates, including the total number, the number entering primary care, and the number entering primary care who plan to practice in RI.
    Primary results: Of the 106 graduates from primary care residencies in RI in academic year 2002-23, only 15 (14%) planned to provide primary care in Rhode Island. Similarly, of the 144 NP and PA graduates in primary care programs, only 48 (33%) planned to provide primary care in the state.
    Principal conclusions: Given the high rate of primary care provider burnout, reduction in patient care hours, and retirement, primary care access will be further eroded unless major steps are taken. The CTC-RI Task Force on Primary Care Provider Workforce has produced a strategic roadmap to address these issues.
    MeSH term(s) Humans ; Rhode Island ; Advisory Committees ; Burnout, Psychological ; Internship and Residency ; Primary Health Care
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 419430-5
    ISSN 2327-2228 ; 0363-7913
    ISSN (online) 2327-2228
    ISSN 0363-7913
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Differences in clinical characteristics of COVID-19 in Hispanic/Latino population.

    Weng, Chien-Hsiang / Saal, Andrew / Chan, Philip A

    Transboundary and emerging diseases

    2020  Volume 67, Issue 5, Page(s) 1756–1757

    Keywords covid19
    Language English
    Publishing date 2020-06-21
    Publishing country Germany
    Document type Letter
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.13664
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: High Prevalence of SARS-CoV-2 Infection Among the Uninsured Hispanic/Latino Population: a Retrospective Cohort Study.

    Weng, Chien-Hsiang / Saal, Andrew / Chan, Philip A

    Journal of general internal medicine

    2020  

    Keywords covid19
    Language English
    Publishing date 2020-07-14
    Publishing country United States
    Document type Letter
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-020-06026-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: BNT162b2 and mRNA-1273 Vaccine Effectiveness against SARS-CoV-2 and Variants in the Urban Underserved Population.

    Weng, Chien-Hsiang / Zhou, Sheng / Saal, Andrew / Hafferty, Mallory / McGuire, Daniel C / Chan, Philip A

    Rhode Island medical journal (2013)

    2023  Volume 106, Issue 1, Page(s) 26–28

    Abstract: The real world COVID-19 vaccine effectiveness among the urban underserved Hispanic/Latino populations is unknown. We evaluated the mRNA vaccine effectiveness in preventing SARS-CoV-2 infections at a major federally qualified health center in Providence, ... ...

    Abstract The real world COVID-19 vaccine effectiveness among the urban underserved Hispanic/Latino populations is unknown. We evaluated the mRNA vaccine effectiveness in preventing SARS-CoV-2 infections at a major federally qualified health center in Providence, Rhode Island, and a total of 38,602 patients were included. Time period was used as the SARS-CoV-2 variant proxy. Compared to the unvaccinated group, the adjusted vaccine effectiveness for 2 doses of BNT162b2 and mRNA-1273 were 94.6% and 97.5% respectively against the alpha variant/wild type, which dropped to 64.8% and 65.0% respectively against the delta variant and 31.6% and 25.6% respectively against the omicron variant. However, once received the booster dose (3rd dose) of BNT162b2 and mRNA-1273, the vaccine effectiveness against the omicron variant improved to 79.9% and 71.2% respectively. Improving the COVID-19 vaccine education and encouraging to receive a booster dose may help further reduce the burden of SARS-CoV-2 infection in this population.
    MeSH term(s) Humans ; BNT162 Vaccine ; 2019-nCoV Vaccine mRNA-1273 ; SARS-CoV-2/genetics ; COVID-19 Vaccines ; COVID-19/epidemiology ; COVID-19/prevention & control ; Vaccine Efficacy ; Vulnerable Populations
    Chemical Substances BNT162 Vaccine ; 2019-nCoV Vaccine mRNA-1273 (EPK39PL4R4) ; COVID-19 Vaccines
    Language English
    Publishing date 2023-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 419430-5
    ISSN 2327-2228 ; 0363-7913
    ISSN (online) 2327-2228
    ISSN 0363-7913
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Characteristics and clinical outcomes of COVID-19 in Hispanic/Latino patients in a community setting: A retrospective cohort study.

    Weng, Chien-Hsiang / Saal, Andrew / Butt, Wesley Wing Wah / Chan, Philip A

    Journal of medical virology

    2020  Volume 93, Issue 1, Page(s) 115–117

    MeSH term(s) Adult ; COVID-19/ethnology ; COVID-19/pathology ; COVID-19/therapy ; Cohort Studies ; Female ; Hispanic or Latino ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Rhode Island/epidemiology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-29
    Publishing country United States
    Document type Letter
    ZDB-ID 752392-0
    ISSN 1096-9071 ; 0146-6615
    ISSN (online) 1096-9071
    ISSN 0146-6615
    DOI 10.1002/jmv.26196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Persistently high SARS-CoV-2 positivity rate and incidence for Hispanic/Latinos during state reopening in an urban setting: a retrospective cohort study.

    Weng, Chien-Hsiang / Saal, Andrew / McGuire, Daniel C / Chan, Philip A

    Epidemiology and infection

    2021  Volume 149, Page(s) e25

    Abstract: Hispanic/Latino populations are disproportionately impacted by coronavirus disease 2019 (COVID-19) in the United States. The impact of state reopening on COVID-19 in this population after stay-at-home orders is unknown. We evaluated the incidence, ... ...

    Abstract Hispanic/Latino populations are disproportionately impacted by coronavirus disease 2019 (COVID-19) in the United States. The impact of state reopening on COVID-19 in this population after stay-at-home orders is unknown. We evaluated the incidence, prevalence and trends during reopening of severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) at a major federally qualified health centre in Providence, Rhode Island. A total of 14 505 patients were tested for SARS-CoV-2 from 19 March to 18 August 2020, of which, data on 13 318 (91.8%) patients were available; 70.0% were Hispanic/Latino, and 2905 were positive for SARS-CoV-2 infection. The urban Hispanic/Latino population was almost five times more likely to test positive for SARS-CoV-2 (risk ratio 4.97, 95% CI 2.59-9.53, P < 0.001) compared to non-Hispanic White. The positivity rates among the urban Hispanic/Latino population remained >10% during all phases of reopening. The trends of the incidence rates showed similar associations to those we observed for positivity rates. Public health interventions to address SARS-CoV-2 in Hispanic/Latino communities are urgently needed, even in latter phases of state reopening.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/ethnology ; Child ; Child, Preschool ; Cohort Studies ; Female ; Health Services Accessibility ; Healthcare Disparities/ethnology ; Hispanic Americans ; Housing/classification ; Humans ; Incidence ; Infant ; Insurance, Health ; Male ; Middle Aged ; Retrospective Studies ; SARS-CoV-2 ; Urban Population ; Young Adult
    Language English
    Publishing date 2021-01-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 632982-2
    ISSN 1469-4409 ; 0950-2688
    ISSN (online) 1469-4409
    ISSN 0950-2688
    DOI 10.1017/S0950268821000133
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: High Prevalence of SARS-CoV-2 Infection Among the Uninsured Hispanic/Latino Population

    Weng, Chien-Hsiang / Saal, Andrew / Chan, Philip A.

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

    a Retrospective Cohort Study

    2020  

    Keywords Internal Medicine ; covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    DOI 10.1007/s11606-020-06026-3
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Differences in clinical characteristics of COVID‐19 in Hispanic/Latino population

    Weng, Chien‐Hsiang / Saal, Andrew / Chan, Philip A.

    Transboundary and Emerging Diseases ; ISSN 1865-1674 1865-1682

    2020  

    Keywords General Immunology and Microbiology ; General Veterinary ; General Medicine ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1111/tbed.13664
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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