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 ResearchMeSH KeywordsAdultCivil DefenseDisaster PlanningFemaleHumansMaleMiddle AgedPuerto RicoQualitative ResearchSurveys and QuestionnairesUnited StatesUnited States Virgin IslandsConceptsFederally 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
2011
Quality of Care in the US Territories
Nunez-Smith M, Bradley EH, Herrin J, Santana C, Curry LA, Normand SL, Krumholz HM. Quality of Care in the US Territories. JAMA Internal Medicine 2011, 171: 1528-1540. PMID: 21709184, PMCID: PMC3251926, DOI: 10.1001/archinternmed.2011.284.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized readmission ratesRisk-standardized mortality ratesHeart failureMortality rateReadmission ratesProcess measuresHospital characteristicsHighest risk-standardized mortality ratesPrincipal discharge diagnosisQuality of careHealth care qualityDischarge diagnosisService patientsMyocardial infarctionTerritorial HospitalNonfederal hospitalsUS territoriesMedicare feePneumoniaHospitalCare qualityPatientsPerformance of hospitalsUS statesSelf-management among patients living with diabetes in the United States Virgin Islands.
Nunez MA, Yarandi H, Nunez-Smith M. Self-management among patients living with diabetes in the United States Virgin Islands. Journal Of Health Care For The Poor And Underserved 2011, 22: 271-83. PMID: 21317521, PMCID: PMC3140693, DOI: 10.1353/hpu.2011.0024.Peer-Reviewed Original ResearchConceptsUnited States Virgin IslandsCultural nuancesCultural contextVirgin IslandersRecurrent themesU.S. territoriesU.S. mainlandQualitative analysisSelf-management knowledgeSelf-management practicesSpecific challengesVirgin IslandsSelf-management behaviorsSelf-administered questionnaireSpecific needsDiabetes epidemicMedical homeHome interviews