2024
Understanding Barriers and Facilitators to Disaster Preparedness in Federally Qualified Health Centers in the United States: A Mixed Methods Study
Hassan S, Wiciak M, Escobar K, del Mar González Montalvo M, Richards T, Villanueva H, Ortiz J, Evans D, Nunez-Smith M. Understanding Barriers and Facilitators to Disaster Preparedness in Federally Qualified Health Centers in the United States: A Mixed Methods Study. Disaster Medicine And Public Health Preparedness 2024, 18: e138. PMID: 39291834, DOI: 10.1017/dmp.2024.102.Peer-Reviewed Original ResearchConceptsFederally Qualified Health CentersNon-communicable diseasesMultiple non-communicable diseasesMixed-methods study designDisaster preparednessQualified Health CentersQualitative dataMixed methods studyMental health disordersQualitative in-depth interviewsKnowledge of disaster preparednessExperiences of staffHealth disparitiesIn-depth interviewsUnderstanding barriersHealth centersMethods studyHealth disordersStudy designPuerto RicoQuantitative surveyCareNarrative approachPreparednessPerceived gap
2023
Timeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Timeliness of diagnostic evaluation for postmenopausal bleeding: A retrospective cohort study using claims data. PLOS ONE 2023, 18: e0289692. PMID: 37682914, PMCID: PMC10490884, DOI: 10.1371/journal.pone.0289692.Peer-Reviewed Original ResearchConceptsPostmenopausal bleedingFirst diagnostic procedureDiagnostic evaluationDiagnostic proceduresGynecologic conditionsMedicaid patientsCox proportional hazards modelPrompt diagnostic evaluationRetrospective cohort studyMarketScan Research DatabasesAdditional risk factorsNon-clinical factorsCommon gynecologic conditionProportional hazards modelLower ratesCohort studyMost patientsPatient characteristicsBenign etiologyGynecologic cancerCancer patientsPreventive careUterine cancerInsurance typeRisk factorsExcess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020
Caraballo C, Massey D, Ndumele C, Haywood T, Kaleem S, King T, Liu Y, Lu Y, Nunez-Smith M, Taylor H, Watson K, Herrin J, Yancy C, Faust J, Krumholz H. Excess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020. JAMA 2023, 329: 1662-1670. PMID: 37191702, PMCID: PMC10189563, DOI: 10.1001/jama.2023.7022.Peer-Reviewed Original ResearchConceptsExcess mortality ratesExcess deathsMortality ratePotential lifeWhite populationExcess mortalitySerial cross-sectional studyHighest excess mortality ratesBlack populationCause-specific mortalityCross-sectional studyHigh mortality rateNon-Hispanic whitesYears of lifeUS national dataMiddle-aged adultsCause mortalityHeart diseaseDeath certificatesNon-Hispanic black populationMAIN OUTCOMEAge groupsDisease controlMortalityBlack malesRacial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries
Xu X, Chen L, Nunez-Smith M, Clark M, Wright J. Racial disparities in diagnostic evaluation of uterine cancer among Medicaid beneficiaries. Journal Of The National Cancer Institute 2023, 115: 636-643. PMID: 36788453, PMCID: PMC10248843, DOI: 10.1093/jnci/djad027.Peer-Reviewed Original ResearchMeSH KeywordsBlack or African AmericanFemaleHealthcare DisparitiesHumansMedicaidUnited StatesUterine NeoplasmsWhiteConceptsAbnormal uterine bleedingWhite patientsUterine cancerFirst diagnostic procedureDiagnostic evaluationBlack patientsDiagnostic proceduresBlack-White disparitiesManagement visitsMarketScan Multi-State Medicaid DatabaseMulti-State Medicaid DatabaseUterine bleedingPatient characteristicsMedicaid databaseEarly diagnosisMedicaid beneficiariesMultivariable regressionPatientsCancerRacial disparitiesDiagnosisVisitsMore evaluationDisparitiesBleeding
2022
Evaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery
Bakkila BF, Kerekes D, Nunez-Smith M, Billingsley KG, Ahuja N, Wang K, Oladele C, Johnson CH, Khan SA. Evaluation of Racial Disparities in Quality of Care for Patients With Gastrointestinal Tract Cancer Treated With Surgery. JAMA Network Open 2022, 5: e225664. PMID: 35377425, PMCID: PMC8980937, DOI: 10.1001/jamanetworkopen.2022.5664.Peer-Reviewed Original ResearchConceptsGastrointestinal tract cancerNegative resection marginsTract cancerNegative surgical marginsBlack patientsAdequate lymphadenectomyWhite patientsQuality of careRacial disparitiesSurgical resectionResection marginsSurgical marginsSurgical careNational Cancer DatabaseRetrospective cohort studySite of cancerLonger median survivalHealth careStandard of careCommon age rangeSignificant racial disparitiesAdjuvant chemotherapyBiliary resectionAdjuvant therapyAdult patients
2021
Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018
Mahajan S, Caraballo C, Lu Y, Valero-Elizondo J, Massey D, Annapureddy AR, Roy B, Riley C, Murugiah K, Onuma O, Nunez-Smith M, Forman HP, Nasir K, Herrin J, Krumholz HM. Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the United States, 1999-2018. JAMA 2021, 326: 637-648. PMID: 34402830, PMCID: PMC8371573, DOI: 10.1001/jama.2021.9907.Peer-Reviewed Original ResearchConceptsHealth care accessFair health statusSelf-reported health statusCare accessHealth statusWhite individualsEthnic differencesLatino/HispanicNational Health Interview Survey dataSerial cross-sectional studySelf-reported functional limitationsBlack individualsHealth Interview Survey dataLow incomeCross-sectional studyCross-sectional survey studyInterview Survey dataSelf-reported raceSelf-report measuresMAIN OUTCOMEUS adultsFunctional limitationsPercentage of peopleSignificant decreaseAdultsOlder immigrants perceived health after migration to the United States: Influence of age and level of acculturation
Kang G, Hajduk A, Marottoli R, Nunez‐Smith M. Older immigrants perceived health after migration to the United States: Influence of age and level of acculturation. Journal Of The American Geriatrics Society 2021, 69: 2625-2637. PMID: 34252200, PMCID: PMC8440395, DOI: 10.1111/jgs.17363.Peer-Reviewed Original ResearchConceptsHealth statusAge groupsWorse healthWorse health statusCross-sectional studyLevel of acculturationSpecific health needsYears of ageInfluence of ageAge-related differencesRepresentative cohortFunctional comorbiditiesHealth needsAcculturation levelDemographic characteristicsMain predictorsAgeHealthLate-life immigrantsSecondary variablesUnited StatesStatusAssociationGroupYearsMedical Students’ Demographic Characteristics and Their Perceptions of Faculty Role Modeling of Respect for Diversity
Weiss J, Balasuriya L, Cramer LD, Nunez-Smith M, Genao I, Gonzalez-Colaso R, Wong AH, Samuels EA, Latimore D, Boatright D, Sharifi M. Medical Students’ Demographic Characteristics and Their Perceptions of Faculty Role Modeling of Respect for Diversity. JAMA Network Open 2021, 4: e2112795. PMID: 34086032, PMCID: PMC8178710, DOI: 10.1001/jamanetworkopen.2021.12795.Peer-Reviewed Original ResearchConceptsFaculty role modelingStudent demographic characteristicsLack of respectStudents' perceptionsRole modelingProfessional developmentWhite studentsFemale studentsFaculty role modelsMedical School Graduation QuestionnaireMedical students' professional developmentAllopathic US medical schoolsUS medical school graduatesStudents' professional developmentMedical students' perceptionsAfrican American studentsUS medical schoolsUnknown sexual orientationMedical school graduatesDemographic characteristicsLearning environmentGraduation QuestionnaireIndependent variables sexLGB studentsAmerican studentsAssociation of Socioeconomic Status With Alpha Omega Alpha Honor Society Membership Among Medical Students
Nguyen M, Mason HRC, O’Connor P, Nunez-Smith M, McDade WA, Latimore D, Boatright D. Association of Socioeconomic Status With Alpha Omega Alpha Honor Society Membership Among Medical Students. JAMA Network Open 2021, 4: e2110730. PMID: 34076702, PMCID: PMC8173376, DOI: 10.1001/jamanetworkopen.2021.10730.Peer-Reviewed Original ResearchRecognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research
Carter-Edwards L, Grewe ME, Fair AM, Jenkins C, Ray NJ, Bilheimer A, Dave G, Nunez-Smith M, Richmond A, Wilkins CH. Recognizing Cross-Institutional Fiscal and Administrative Barriers and Facilitators to Conducting Community-Engaged Clinical and Translational Research. Academic Medicine 2021, 96: 558-567. PMID: 33332904, PMCID: PMC7996237, DOI: 10.1097/acm.0000000000003893.Peer-Reviewed Original ResearchConceptsCommunity-engaged researchFiscal capacityAdministrative processesInstitutional policiesKey themesCommunity-engaged research partnershipStakeholder groupsAcademic researchersAdministrative barriersCommunity partnersResearch administratorsCTSA institutionsCross-cutting challengeBest practicesRapid Assessment ProcessTranslational Science Award institutionsEquitable processKey informantsResearch partnershipsPartnership collaborationQualitative studyCollective awarenessTranscribed interviewsManagement culturePurposive sample
2020
Racial Health Disparities, COVID‐19, and a Way Forward for US Health Systems
Tiako MJN, Forman HP, Nuñez‐Smith M. Racial Health Disparities, COVID‐19, and a Way Forward for US Health Systems. Journal Of Hospital Medicine 2020, 16: 50-52. PMID: 33357329, DOI: 10.12788/jhm.3545.Peer-Reviewed Original ResearchRacial and Ethnic Disparities in Population-Level Covid-19 Mortality
Gross CP, Essien UR, Pasha S, Gross JR, Wang SY, Nunez-Smith M. Racial and Ethnic Disparities in Population-Level Covid-19 Mortality. Journal Of General Internal Medicine 2020, 35: 3097-3099. PMID: 32754782, PMCID: PMC7402388, DOI: 10.1007/s11606-020-06081-w.Peer-Reviewed Original ResearchAfrican American Adherence to COVID-19 Public Health Recommendations
Block R, Berg A, Lennon RP, Miller EL, Nunez-Smith M. African American Adherence to COVID-19 Public Health Recommendations. HLRP Health Literacy Research And Practice 2020, 4: e166-e170. PMID: 32926172, PMCID: PMC7410494, DOI: 10.3928/24748307-20200707-01.Peer-Reviewed Original ResearchConceptsPublic health recommendationsCOVID-19 public health recommendationsHealth recommendationsCOVID-19Public health messagingAfrican AmericansCOVID-19 riskPercent of respondentsHigh riskHealth messagingCoronavirus 2019Racial disparitiesAdherenceRiskSocial distancingRepresentative surveyPlace ordersUrgent needAmerican adherenceRecommendationsRisk assessmentCompliance
2018
Quality Of Breast Cancer Care In The US Territories: Insights From Medicare
Layne TM, Aminawung JA, Soulos PR, Nunez-Smith M, Nunez MA, Jones BA, Wang KH, Gross CP. Quality Of Breast Cancer Care In The US Territories: Insights From Medicare. Health Affairs 2018, 37: 421-428. PMID: 29505365, PMCID: PMC7081152, DOI: 10.1377/hlthaff.2017.1045.Peer-Reviewed Original Research
2017
Quality of Care in the United States Territories, 1999–2012
Nuti SV, Wang Y, Masoudi FA, Nunez-Smith M, Normand ST, Murugiah K, Rodríguez-Vilá O, Ross JS, Krumholz HM. Quality of Care in the United States Territories, 1999–2012. Medical Care 2017, 55: 886-892. PMID: 28906314, PMCID: PMC6482857, DOI: 10.1097/mlr.0000000000000797.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHeart failureHospitalization ratesMedicare beneficiariesMortality rateService Medicare beneficiariesQuality of careRecent study periodPneumonia hospitalizationsMyocardial infarctionPatient outcomesMillions of AmericansMedicare feeHealth outcomesPneumoniaService beneficiariesHospital reimbursementUnique beneficiariesHealth equityStudy periodPatient paymentsInpatient paymentsHealth careMortalityCareDifferences in words used to describe racial and gender groups in Medical Student Performance Evaluations
Ross DA, Boatright D, Nunez-Smith M, Jordan A, Chekroud A, Moore EZ. Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations. PLOS ONE 2017, 12: e0181659. PMID: 28792940, PMCID: PMC5549898, DOI: 10.1371/journal.pone.0181659.Peer-Reviewed Original ResearchRacial Disparities in Medical Student Membership in the Alpha Omega Alpha Honor Society
Boatright D, Ross D, O’Connor P, Moore E, Nunez-Smith M. Racial Disparities in Medical Student Membership in the Alpha Omega Alpha Honor Society. JAMA Internal Medicine 2017, 177: 659-665. PMID: 28264091, PMCID: PMC5818775, DOI: 10.1001/jamainternmed.2016.9623.Peer-Reviewed Original ResearchAdultAsianAwards and PrizesBlack or African AmericanClinical CompetenceEducation, Medical, UndergraduateEducational MeasurementEthnicityFemaleHispanic or LatinoHumansLeadershipLogistic ModelsMaleMiddle AgedMinority GroupsMultivariate AnalysisOdds RatioProfessionalismRacismSocial WelfareSocieties, MedicalStudents, MedicalUnited StatesWhite PeopleYoung Adult
2016
Estimating healthcare mobility in the Veterans Affairs Healthcare System
Wang KH, Goulet JL, Carroll CM, Skanderson M, Fodeh S, Erdos J, Womack JA, Abel EA, Bathulapalli H, Justice AC, Nunez-Smith M, Brandt CA. Estimating healthcare mobility in the Veterans Affairs Healthcare System. BMC Health Services Research 2016, 16: 609. PMID: 27769221, PMCID: PMC5075153, DOI: 10.1186/s12913-016-1841-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overDelivery of Health CareElectronic Health RecordsEmigration and ImmigrationFemaleHospitals, VeteransHumansMaleMental DisordersMiddle AgedPatient Acceptance of Health CareRetrospective StudiesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthYoung AdultConceptsHealthcare systemVeterans Health Administration electronic health recordsVeterans Affairs Healthcare SystemHealthcare mobilityRetrospective cohort studyHepatitis C virusOutcomes of careDifferent healthcare systemsDistinct healthcare systemsElectronic health recordsClinical characteristicsCohort studyHealthcare utilizationC virusSpecialty carePsychiatric disordersYounger veteransDisease preventionYounger agePopulation healthHealth recordsVeteransStatus changesCareYear period
2012
Institutional variation in the promotion of racial/ethnic minority faculty at US medical schools.
Nunez-Smith M, Ciarleglio MM, Sandoval-Schaefer T, Elumn J, Castillo-Page L, Peduzzi P, Bradley EH. Institutional variation in the promotion of racial/ethnic minority faculty at US medical schools. American Journal Of Public Health 2012, 102: 852-8. PMID: 22420820, PMCID: PMC3483910, DOI: 10.2105/ajph.2011.300552.Peer-Reviewed Original ResearchThe Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities
Neal-Boylan L, Hopkins A, Skeete R, Hartmann SB, Iezzoni LI, Nunez-Smith M. The Career Trajectories of Health Care Professionals Practicing With Permanent Disabilities. Academic Medicine 2012, 87: 172-178. PMID: 22189880, DOI: 10.1097/acm.0b013e31823e1e1c.Peer-Reviewed Original ResearchConceptsHealth care professionalsPermanent disabilityCare professionalsLicensed Registered NursesHealth care workforceDiverse health care workforceRegistered NursesSelf-identified disabilityNursesPatient safetyPhysiciansEmotional spectrumInterpersonal interactionsCare workforceDisabilityWorkplace accommodationsParticipants' responsesSensory disabilitiesPersonal responsibilityCareer choiceInterview transcriptsWorkplaceResponseConsistent themeCareer trajectories