Tag Archives: poverty
homeless man on a bench wearing an army jacket

Diabetes Care for Patients Experiencing Homelessness: Beyond Metformin and Sulfonylureas

On any given night in the United States, an estimated 553,742 people are homeless. Applying a broader definition of homelessness that includes unstably housed people, an estimated 1.5% of Americans experience homelessness in a given year. Rates of diabetes are increasing among individuals experiencing homelessness. The social, psychological, and physical challenges of homelessness not only […]

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Joseph S. Alpert

The Role of the Environment in Health Outcomes

Disparities in health outcomes in the United States and other high-income countries have been widely discussed in recent years.1, 2, 3, 4 Many reasons have been suggested for these disparities, including the income levels of individuals, their educational attainment and employment status, as well as a variety of neighborhood socioeconomic and environmental factors. During my many years of inpatient […]

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Food Insecurity Is Linked to Medication Underuse

Chronically ill adults who reported food insecurity in their household (not having consistent access to food due to lack of financial stability) were significantly more likely to report cost-related medication underuse, according to a new study in The American Journal of Medicine,. The term cost-related medication underuse refers to taking less medication than prescribed, or […]

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Treat or Eat: Food Insecurity, Cost-related Medication Underuse, and Unmet Needs

Cost-related medication underuse and food insecurity are common among chronically ill adults, with 1/3 of patients reporting one or both. Abstract Background Adults with chronic disease are often unable to meet medication and food needs, but no study has examined the relationship between cost-related medication underuse and food insecurity in a nationally representative sample. We […]

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Delivering Healthcare in an Environment of Poverty and Exclusion: A Lesson From the Base of the Pyramid

A lack of sustainability and exclusion seem to be 2 of the main problems in healthcare faced by today’s society, and these are expected to worsen in the generation to come. A recent document published by the World Economic Forum(1) involving a broad vision looks for new models in healthcare, because we have learned that […]

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