Session Type
Meeting
Search Results for Equity
Abstract Number: 76
SHM Converge 2024
Background: Patients with limited English proficiency (LEP) comprise 19% of the adult population of California (1). Communication barriers between providers and patients with LEP contribute to health disparities and associate with increased adverse events (2,3). Working with professional interpreters associates with decreased hospital length-of-stay and readmission rates (4). However, few providers receive formal training on […]
Abstract Number: 104
SHM Converge 2024
Background: Efforts to advance health equity in the outpatient setting include routine screening for social determinants of health, expanded access to addiction treatment, and addressing pharmaco-equity. However, the question of how to advance health equity for patients who are hospitalized has been underexplored. We sought to understand hospitalists’ perspectives on health equity needs and innovations. […]
Abstract Number: 174
SHM Converge 2024
Background: Growth faltering or failure to thrive is a common cause of admission in infancy and early childhood. In the United States, approximately 2-10% of children experience lower-than-expected growth associated with malnutrition (Tang et al). Growth faltering accounts for 3-5% of pediatric hospitalizations (Mazze et al, 2019). Malnutrition is associated with complications of increased risk […]
Abstract Number: 177
SHM Converge 2024
Background: Regionalization of pediatric healthcare has led to an increased proportion of hospitalizations at tertiary care centers and freestanding children’s hospitals. For some of these patients, transfer from another hospital is required to access inpatient care. There are known disparities in access to care for historically marginalized races/ethnicities, but it is unclear if these disparities […]
Abstract Number: 178
SHM Converge 2024
Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA […]
Abstract Number: 181
SHM Converge 2024
Background: Patient portals are a digital health technology that help caregivers engage with their child’s healthcare. Unfortunately, significant disparities in portal use exist, with caregivers who speak languages other than English (LOE) having lower usage rates compared with their English-speaking counterparts. No pediatric study has sought to understand why and how LOE caregivers use patient […]
Abstract Number: 231
SHM Converge 2024
Background: Many U.S. emergency departments (EDs) and hospitals experience critical overcrowding and capacity challenges which has been exacerbated by the COVID-19 pandemic.(1) ED boarding has been associated with a range of adverse outcomes, and pre-pandemic data suggests that racial minority patients may be disproportionately impacted.(2-4) We aim to identify the effects of patient race and […]
Abstract Number: 272
SHM Converge 2024
Background: Patient portals are intended to engage caregivers with their child’s healthcare by allowing them to read clinical notes, access test results, make appointments, and message providers, and they are often used during hospitalization. While patient portals typically offer multiple language options, the extent to which medical information is translated remains limited. Understanding how caregivers […]
Abstract Number: 328
SHM Converge 2024
Background: Microaggressions were first described by Dr. Chester Pierce in 1997 as “subtle and stunning” daily racial offenses and then by Sue et al. as “brief and commonplace daily verbal, behavioral, and environmental indignities, whether intentional or unintentional” which often target marginalized groups. Many studies have demonstrated the harmful effect of microaggressions on the target […]
Abstract Number: 330
SHM Converge 2024
Background: Medical education regarding health systems science and health equity is variable, often with limited opportunities for students to apply foundational concepts and skills in quality improvement and health equity. Equipping future hospitalists with critical skills and change frameworks is one way to meet the needs of both patients and health systems. Purpose: To create […]