1
|
Tung-Chen Y, García de Casasola Sánchez G, García Rubio S, Beltrán Romero L, Bernabéu Wittel M, Briongos Figuero LS, Canora Lebrato J, García Gil D, López Palmero S, Luordo Tedesco D, Martín Rico P, Mateos González M, Méndez Bailón M, Porcel JM, Serralta G, Torres Arrese M, Oteiza Olaso J, Varela García P, Torres Macho J. Executive summary of the consensus document for the training and development of clinical ultrasound in Internal Medicine: Recommendations from the Clinical Ultrasound Working Group of the Spanish Society of Internal Medicine (GTECO-SEMI). Rev Clin Esp 2024; 224:57-63. [PMID: 38142977 DOI: 10.1016/j.rceng.2023.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 11/10/2023] [Indexed: 12/26/2023]
Abstract
INTRODUCTION Given the increasing adoption of clinical ultrasound in medicine, it is essential to standardize its application, training, and research. OBJECTIVES AND METHODS The purpose of this document is to provide consensus recommendations to address questions about the practice and operation of clinical ultrasound units. Nineteen experts and leaders from advanced clinical ultrasound units participated. A modified Delphi consensus method was used. RESULTS A total of 137 consensus statements, based on evidence and expert opinion, were considered. The statements were distributed across 10 areas, and 99 recommendations achieved consensus. CONCLUSIONS This consensus defines the most important aspects of clinical ultrasound in the field of Internal Medicine, with the aim of standardizing and promoting this healthcare advancement in its various aspects. The document has been prepared by the Clinical Ultrasound Working Group and endorsed by the Spanish Society of Internal Medicine.
Collapse
Affiliation(s)
- Yale Tung-Chen
- Coordinador del Grupo de Trabajo de Ecografía Clínica de la Sociedad Española de Medina Interna (GTECo-SEMI), Servicio de Medicina Interna, Hospital Universitario La Paz, Madrid, España; Departamento de Medicina, Universidad Alfonso X El Sabio, Madrid, Spain.
| | | | | | - Luis Beltrán Romero
- Servicio de Medicina Interna, Hospital Universitario Virgen del Rocío, Sevilla, Spain
| | | | | | - Jesús Canora Lebrato
- Servicio de Medicina Interna, Hospital Universitario de Fuenlabrada, Madrid, Spain
| | - Daniel García Gil
- Servicio de Medicina Interna, Complejo Hospitalario-Puerta del Mar (Hospital San Carlos), Cádiz, Spain
| | | | | | | | - María Mateos González
- Servicio de Medicina Interna, Hospital Infanta Cristina de Parla, Parla, Madrid, Spain
| | - Manuel Méndez Bailón
- Servicio de Medicina Interna, Hospital Universitario Clínico San Carlos, Facultad de Medicina, Universidad Complutense de Madrid, Instituto de Investigación Sanitaria Hospital Clínico San Carlos (IDISSC), Madrid, Spain
| | - José M Porcel
- Servicio de Medicina Interna, Hospital Universitario Arnau de Vilanova, Lérida, Spain
| | - Gonzalo Serralta
- Servicio de Medicina Interna, Hospital Universitario Infanta Sofía, San Sebastian de los Reyes, Madrid, Spain
| | - Marta Torres Arrese
- Servicio de Urgencias, Hospital Universitario Fundación de Alcorcón, Alcorcón, Madrid, Spain
| | - Julio Oteiza Olaso
- Servicio de Medicina Interna, Hospital Universitario de Navarra, Pamplona, Navarra, Spain
| | - Pablo Varela García
- Servicio de Medicina Interna, Complejo Universitario Hospital de Santiago, Santiago de Compostela, A Coruña, Spain
| | - Juan Torres Macho
- Servicio de Medicina Interna, Hospital Universitario Infanta Leonor, Madrid, Spain
| |
Collapse
|
2
|
Ihana-Sugiyama N, Sugiyama T, Hirano T, Imai K, Ohsugi M, Kawasaki R, Murata T, Ogura Y, Ueki K, Yamauchi T, Kadowaki T. Patient referral flow between physician and ophthalmologist visits for diabetic retinopathy screening among Japanese patients with diabetes: A retrospective cross-sectional cohort study using the National Database. J Diabetes Investig 2023. [PMID: 37132068 DOI: 10.1111/jdi.14018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 03/11/2023] [Accepted: 03/29/2023] [Indexed: 05/04/2023] Open
Abstract
AIMS/INTRODUCTION Regular screening for diabetic retinopathy is essential. This study aimed to show the process and current situation of diabetic retinopathy screening prescribed by physicians (internists) and ophthalmologists for Japanese patients with diabetes. MATERIALS AND METHODS This retrospective cohort study used data from the Japanese National Database of Insurance Claims between April 2016 and March 2018. Ophthalmology visits and fundus examinations are defined using specific medical procedure codes. The proportion of ophthalmology visits for patients with diabetic medication and for fundus examination among those who visited ophthalmologists was calculated in the fiscal year 2017. A modified Poisson regression analysis was carried out to identify factors associated with retinopathy screening. Similarly, quality indicators by prefectures were also calculated. RESULTS Among 4,408,585 patients receiving diabetic medications (57.8% men, 14.1% insulin use), 47.4% visited the ophthalmology department and 96.9% of those underwent fundus examination. Regression analysis showed that female sex, older age, insulin use, medical facilities with Japan Diabetes Society certification and large medical facilities were predictors of fundus examination. By prefecture, the ophthalmology consultation rate and the fundus examination ranged 38.5-51.0% and 92.1-98.7%, respectively. CONCLUSIONS Less than half of the patients who were prescribed antidiabetic medication by their physicians visited an ophthalmologist. However, most of the patients who visited an ophthalmologist had a fundus examination carried out. A similar tendency was noted for each prefecture. It is essential to reaffirm the necessity of recommending ophthalmologic examinations to physicians and healthcare professionals who care for patients with diabetes.
Collapse
Affiliation(s)
- Noriko Ihana-Sugiyama
- Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
- Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine Hospital, Tokyo, Japan
| | - Takehiro Sugiyama
- Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
- Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
- Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
- Department of Health Services Research, Instiute of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Takao Hirano
- Department of Ophthalmology, Shinshu University School of Medicine, Nagano, Japan
| | - Kenjiro Imai
- Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
| | - Mitsuru Ohsugi
- Diabetes and Metabolism Information Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
- Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine Hospital, Tokyo, Japan
| | - Ryo Kawasaki
- Division of Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Toshinori Murata
- Department of Ophthalmology, Shinshu University School of Medicine, Nagano, Japan
| | - Youichiro Ogura
- Department of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
| | - Kohjirou Ueki
- Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine Hospital, Tokyo, Japan
- Diabetes Research Center, Research Institute, National Center for Global Health and Medicine, Tokyo, Japan
| | - Toshimasa Yamauchi
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | | |
Collapse
|
3
|
Paneque M, Carvalho M, Rodrigues F, Saraiva J, Leonardo A, Sousa AB, Machado V, Gonçalves-Rocha M, Sequeiros J, Costa PS, Serra de Lemos M. A new scale informed by the Reciprocal-Engagement Model for quality evaluation of genetic counselling by patients: Development and initial validation. Eur J Med Genet 2021; 64:104375. [PMID: 34740860 DOI: 10.1016/j.ejmg.2021.104375] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 09/28/2021] [Accepted: 10/27/2021] [Indexed: 01/10/2023]
Abstract
Monitoring the quality of genetic counselling is essential to ensure appropriate provision. This study describes the development and initial psychometric validation of a novel scale for genetic counselling quality evaluation by patients. A deductive approach was taken to formulate scale items. Exploratory factor analysis with the principal axis factoring method was used to assess the scale's factor structure (n = 118). Internal consistency (Cronbach's Alpha) was also examined. Exploratory factor analysis resulted in a single overarching construct consisting of seven factors, which account for 59% of the variance explained. Items showed, in general, strong factor loadings (>0.5). Some items focused on patient satisfaction with services provision did not load onto the factors. Thus, another factor analysis was performed with these items, which resulted in one-factor. The identified factor accounted for 57% of variance explained, and communalities were strong (≥0.5) for most items. Cronbach's alpha score for the scale was 0.85, indicating high internal consistency. Factors were significantly and moderately interrelated (from r = 0.31 to r = 0.71). Further studies are needed to establish the psychometric validity of the scale.
Collapse
Affiliation(s)
- Milena Paneque
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; IBMC - Institute for Molecular and Cell Biology, Universidade do Porto, Portugal; Centre for Predictive and Preventive Genetics (CGPP), Universidade do Porto, Portugal.
| | - Márcia Carvalho
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; IBMC - Institute for Molecular and Cell Biology, Universidade do Porto, Portugal; Centre for Predictive and Preventive Genetics (CGPP), Universidade do Porto, Portugal; Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal
| | - Fidjy Rodrigues
- CHUC - Medical Genetics Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Portugal
| | - Jorge Saraiva
- CHUC - Medical Genetics Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, Portugal
| | - Alexandra Leonardo
- CHULN-HSM - Serviço de Genética Médica, Centro Hospitalar Universitário de Lisboa Norte - Hospital de Santa Maria, Portugal
| | - Ana B Sousa
- CHULN-HSM - Serviço de Genética Médica, Centro Hospitalar Universitário de Lisboa Norte - Hospital de Santa Maria, Portugal
| | - Vânia Machado
- EPER - Hospital de Santo Espírito da Ilha Terceira, Portugal
| | | | - Jorge Sequeiros
- i3S - Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Portugal; IBMC - Institute for Molecular and Cell Biology, Universidade do Porto, Portugal; Centre for Predictive and Preventive Genetics (CGPP), Universidade do Porto, Portugal; ICBAS - Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Portugal
| | - Patrício Soares Costa
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal; ICVS/3B's, PT Government Associate Laboratory, Braga/Guimarães, Portugal; Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
| | - Marina Serra de Lemos
- Faculty of Psychology and Education Sciences, University of Porto, Porto, Portugal; Centro de Psicologia, Universidade do Porto, Porto, Portugal
| |
Collapse
|
4
|
Trajanovska M, King S, Goldfeld S, Gibb S. A novel method of rapid appraisal of clinical practice guidelines for children with enuresis. J Pediatr Urol 2019; 15:333.e1-333.e9. [PMID: 31217085 DOI: 10.1016/j.jpurol.2019.05.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 05/16/2019] [Indexed: 12/16/2022]
Abstract
BACKGROUND Enuresis (bedwetting) is a common but variably managed pediatric condition. Despite an abundance of published documents which provide recommendations for clinical evaluation and management of enuresis, no formal appraisal of their methodological quality has been undertaken. OBJECTIVE The objective of the study is to evaluate the quality of current pediatric guidelines for enuresis (bedwetting) using a novel method of appraisal. STUDY DESIGN A comprehensive gray literature search was undertaken to identify guideline documents that provided recommendations for management of enuresis in children and adolescents. The search strategy included guideline databases, targeted websites, Google search engines, and MEDLINE. Guideline documents included clinical practice guidelines, consensus documents, position statements, and other clinical review documents. Each document underwent basic appraisal by two independent assessors using the International Centre for Allied Health Evidence (iCAHE) Guideline Quality Checklist. Those documents which (1) had an iCAHE quality score of ≥10; (2) used a systematic search strategy; and (3) linked evidence to their recommendations underwent further detailed appraisal using the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument. RESULTS Eighteen documents were shortlisted for basic appraisal. The iCAHE highlighted a lack of information regarding underlying evidence and dates (mean score 36% and 41%, respectively). Only three documents met basic quality criteria and progressed to detailed appraisal using the AGREE II. These included guidelines produced by the Paediatric Society of New Zealand and National Clinical Guideline Centre and a position statement from the Canadian Paediatric Society. All three guidelines presented clear and unambiguous recommendations (mean score 80%). However, information regarding stakeholder involvement was lacking (mean score 50%). CONCLUSIONS Several guidelines exist for the evaluation and management of children with enuresis, but many lack appropriate methodological quality standards. The guideline produced by the National Clinical Guideline Centre achieved the highest quality rating and is recommended for future adaptation and implementation in relevant clinical settings.
Collapse
Affiliation(s)
- M Trajanovska
- Centre for Community Child Health, The Royal Children's Hospital, Melbourne, Victoria, Australia 3052
| | - S King
- Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Victoria, 3052, Australia; Infection and Immunity, Murdoch Children's Research Institute, Melbourne, Victoria, 3052, Australia; Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, 3052, Australia
| | - S Goldfeld
- Centre for Community Child Health, The Royal Children's Hospital, Melbourne, Victoria, Australia 3052; Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, 3052, Australia; Population Health, Murdoch Children's Research Institute, Melbourne, Victoria, 3052, Australia
| | - S Gibb
- Infection and Immunity, Murdoch Children's Research Institute, Melbourne, Victoria, 3052, Australia; Department of General Medicine, The Royal Children's Hospital, Melbourne, Victoria, 3052, Australia.
| |
Collapse
|
5
|
Ng-Mak D, Rajagopalan K. Examining quality of care for individuals treated for mental health using the HEDIS mental health quality measures. Curr Med Res Opin 2019; 35:87-95. [PMID: 30286663 DOI: 10.1080/03007995.2018.1532883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Objective: This descriptive study examined the quality of care received by individuals with serious mental illness observed in clinical care using established Healthcare Effectiveness Data and Information Set (HEDIS) measures for individuals with serious mental illness.Methods: Administrative claims (Medicaid, Medicare, and commercial) from a national health and well-being company were used to identify adults with schizophrenia or bipolar disorder. Performance rates for five HEDIS mental health quality measures were computed. Sub-group analyses examined each HEDIS measure by those who were medication adherent vs non-adherent, and by typical vs atypical antipsychotics.Results: Eighty-nine percent of the Medicaid population received a diabetes screening (vs 79% for national benchmark Medicaid rates), 81% (vs 69%) received monitoring for diabetes, 88% (vs 79%) received monitoring for cardiovascular disease, 63% (vs 60%) were adherent with antipsychotic medication, and 34% (vs 61%) had a follow-up visit with a mental health practitioner within 30 days of a discharge. The rates for individuals with Medicare coverage were similar or marginally higher than those reported for those with Medicaid coverage, while rates for the commercially insured population were lower than the other groups.Conclusions: Most (>65%) individuals with serious mental illness received the recommended screening and monitoring for diabetes and cardiovascular disease. Barriers to and reasons for lack of follow-up should be investigated to guide future interventions to improve follow-up after hospitalization for individuals with serious mental illness.
Collapse
Affiliation(s)
- Daisy Ng-Mak
- Global Health Outcomes Research, Sunovion Pharmaceuticals Inc., Marlborough, MA, USA
| | - Krithika Rajagopalan
- Global Health Outcomes Research, Sunovion Pharmaceuticals Inc., Marlborough, MA, USA
| |
Collapse
|
6
|
Boned-Ombuena A, Pérez-Panadés J, López-Maside A, Miralles-Espí M, Guardiola Vilarroig S, Adam Ruiz D, Zurriaga O. [Prevalence of oral anticoagulation and quality of its management in primary healthcare: A study by the Health Sentinel Network of the Region of Valencia (Spain)]. Aten Primaria 2017; 49:534-548. [PMID: 28408116 PMCID: PMC6876010 DOI: 10.1016/j.aprim.2016.11.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2016] [Revised: 10/15/2016] [Accepted: 11/09/2016] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of patients with oral anticoagulant therapy (OAT) in the Region of Valencia and to evaluate the quality of management of OAT with vitaminK antagonists (VKA) carried out in primary healthcare. DESIGN Observational cross-sectional study conducted through the Health Sentinel Network of the Region of Valencia, which includes a survey and the retrospective analysis of OAT monitoring. SETTING Primary healthcare, Region of Valencia, Spain. SUBJECTS All patients aged 18years or older on OAT who consulted during the year 2014. The population covered by the 59 doctors of the Health Sentinel Network constitutes 2.2% of the adult population of the Region of Valencia, and it is representative of it. KEY MEASUREMENTS Demographic, socioeconomic and health data as well as information concerning OAT. Quality of OAT management with VKA was assessed by means of the percentage of time in therapeutic range (TTR), computed using the Rosendaal method. RESULTS A total of 1,144 patients were recorded (mean age 74.5±11 years; 49.7% women). Prevalence of OAT in the Region of Valencia is 1.3 cases per 100 population. The characteristic profile of these patients is an old person, with several comorbidities and a low level of education, who lives accompanied. Atrial fibrillation is the most common indication. 82.8% of patients on OAT with VKA were monitored in primary healthcare. The average TTR was 65.0%, and 53.9% of patients had a TTR ≥65%. Among inadequately controlled patients, 74.4% were perceived as well-controlled by their primary care doctor. CONCLUSIONS Prevalence of OAT is high, and it is expected to increase. The degree of control achieved meets the generally accepted quality standard (mean TTR ≥65%), and it is comparable to that observed in other national and international studies. However, there is wide scope for improvement. It is crucial to optimize the management of this therapy in the most effective and cost-effective way. Among other measures, access of physicians to their patients' clinical information should be improved.
Collapse
Affiliation(s)
- Ana Boned-Ombuena
- Departamento de Salud Valencia La Fe, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España.
| | - Jordi Pérez-Panadés
- Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España
| | - Aurora López-Maside
- Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España
| | - Maite Miralles-Espí
- Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España
| | - Sandra Guardiola Vilarroig
- Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España
| | - Desamparados Adam Ruiz
- Centro de Salud Salvador Allende, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España
| | - Oscar Zurriaga
- Dirección General de Salud Pública, Conselleria de Sanitat Universal i Salut Pública de la Comunitat Valenciana, Valencia, España; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, España
| |
Collapse
|
7
|
Leff HS, Chow C, Wieman DA, Ostrow L, Cortés DE, Harris T. Measurement of Perceived and Technical Quality of Care for Depression in Racially and Ethnically Diverse Groups. J Immigr Minor Health 2016; 18:810-818. [PMID: 26748509 DOI: 10.1007/s10903-015-0286-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Measurement of patient satisfaction is now considered essential for providing patient centered care and is an important tool for addressing health care disparities. However, little is known about how ethnically and racially diverse (ERD) groups differ in how they perceive quality, and widely used instruments for measuring perceived quality give little attention to cultural elements of care. This study examined the relationship between the culturally determined beliefs and expectations of four ERD groups (African Americans, Latinos, Portuguese-speakers, and Haitians, total N = 160) and the technical quality of treatment for depression provided in four "culturally-specific" primary care clinics. Using data from the Experiences of Care and Health Outcomes survey, chart reviews and focus groups, the study addressed a set of questions related to the psychometric properties of perceived care measures and the technical quality of care. The groups differed in preferred cultural elements except all preferred inclusion of religion. They did not differ in overall perceived quality. Technical quality was higher for Portuguese and Haitians than for African Americans and Latinos. Implications of group differences for measuring quality are discussed.
Collapse
Affiliation(s)
- H Stephen Leff
- Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, MA, USA
| | - Clifton Chow
- Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, MA, USA
| | - Dow A Wieman
- Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, MA, USA. .,Human Services Research Institute (HSRI), 2336 Massachusetts Avenue, Cambridge, MA, 02140, USA.
| | - Laysha Ostrow
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Dharma E Cortés
- Mauricio Gastón Institute for Latino Community Development and Public Policy, University of Massachusetts Boston, Boston, MA, USA
| | - Treniece Harris
- Department of Psychiatry, Harvard Medical School, Cambridge Health Alliance, Cambridge, MA, USA
| |
Collapse
|