2017
Innovative Program Delivery and Determinants of Frequent Visitation to a Mobile Medical Clinic in an Urban Setting
Gibson BA, Morano JP, Walton MR, Marcus R, Zelenev A, Bruce RD, Altice FL. Innovative Program Delivery and Determinants of Frequent Visitation to a Mobile Medical Clinic in an Urban Setting. Journal Of Health Care For The Poor And Underserved 2017, 28: 643-662. PMID: 28529215, DOI: 10.1353/hpu.2017.0065.Peer-Reviewed Original ResearchConceptsMobile medical clinicMedical clinicsInjection drug useVulnerable populationsHealth careHealth insurance coveragePatient characteristicsContinuous health careAcute careAffordable Care ActDrug useNegative binomial regressionInsurance coverageCare ActCareCertain populationsUtilization patternsBinomial regressionClinicVisitsProgram deliveryUnique clientsNew HavenPopulationSpecific indicators
2014
Strategies for Hepatitis C Testing and Linkage to Care for Vulnerable Populations: Point-of-Care and Standard HCV Testing in a Mobile Medical Clinic
Morano JP, Zelenev A, Lombard A, Marcus R, Gibson BA, Altice FL. Strategies for Hepatitis C Testing and Linkage to Care for Vulnerable Populations: Point-of-Care and Standard HCV Testing in a Mobile Medical Clinic. Journal Of Community Health 2014, 39: 922-934. PMID: 25135842, PMCID: PMC8317466, DOI: 10.1007/s10900-014-9932-9.Peer-Reviewed Original ResearchConceptsHCV testing strategyMobile medical clinicHCV testingHCV careHCV treatmentPatient preferencesPOC testingPrior injection drug useMedical clinicsHepatitis C testingReactive test resultsInjection drug useRoutine health assessmentsPrior STI diagnosisTesting strategiesHCV prevalenceStandard phlebotomySTI diagnosisTherapeutic advancesSpecialty clinicSerological testingWhite raceC testingDrug useHCVLatent tuberculosis infection screening in foreign-born populations: a successful mobile clinic outreach model.
Morano JP, Zelenev A, Walton MR, Bruce RD, Altice FL. Latent tuberculosis infection screening in foreign-born populations: a successful mobile clinic outreach model. American Journal Of Public Health 2014, 104: 1508-15. PMID: 24922157, PMCID: PMC4103248, DOI: 10.2105/ajph.2014.301897.Peer-Reviewed Original ResearchConceptsLatent tuberculosis infectionTuberculin skin testTuberculosis infectionActive tuberculosisLTBI prevalenceSkin testRisk factorsScreening programHeroin useEligibility criteriaUnstable housingUninsured populationMedical surveyHealth insuranceMarijuana useOutreach modelInfectionRelevant correlatesInterpersonal violenceForeign-born populationNew HavenUrban settingsPopulationTuberculosisPrevalenceAccessibility and utilization patterns of a mobile medical clinic among vulnerable populations
Gibson BA, Ghosh D, Morano JP, Altice FL. Accessibility and utilization patterns of a mobile medical clinic among vulnerable populations. Health & Place 2014, 28: 153-166. PMID: 24853039, PMCID: PMC4475348, DOI: 10.1016/j.healthplace.2014.04.008.Peer-Reviewed Original Research
2013
Latent Tuberculosis Infection: Screening and Treatment in an Urban Setting
Morano JP, Walton MR, Zelenev A, Bruce RD, Altice FL. Latent Tuberculosis Infection: Screening and Treatment in an Urban Setting. Journal Of Community Health 2013, 38: 941-950. PMID: 23728822, PMCID: PMC3781590, DOI: 10.1007/s10900-013-9704-y.Peer-Reviewed Original ResearchConceptsIsoniazid preventative therapyLatent tuberculosis infectionTuberculin skin testSelf-administered therapyActive tuberculosisRecent incarcerationNew latent tuberculosis infectionsPositive tuberculin skin testMobile outreach clinicHigh tuberculosis prevalenceMultivariate logistic regressionInner-city populationDOT participantsLTBI treatmentObserved therapyTuberculosis infectionPreventative therapySkin testChest radiographsTuberculosis prevalenceOutreach clinicsCXR screeningHealthcare clinicsYounger ageSimilar outcomes
2005
Adherence to hepatitis B virus vaccination at syringe exchange sites
Altice FL, Bruce RD, Walton MR, Buitrago MI. Adherence to hepatitis B virus vaccination at syringe exchange sites. Journal Of Urban Health 2005, 82: 151-161. PMID: 15746385, PMCID: PMC3456633, DOI: 10.1093/jurban/jti016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge DistributionConnecticutDiagnostic Tests, RoutineFemaleHepatitis BHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B VaccinesHumansImmunization ProgramsMaleMiddle AgedMobile Health UnitsNeedle-Exchange ProgramsPatient ComplianceSubstance Abuse, IntravenousUrban Health ServicesConceptsInjection drug usersHepatitis B virusHBV infectionHealth care servicesHigh riskCare servicesHepatitis B virus (HBV) vaccinationActive injection drug usersPreventive health care servicesB virus vaccinationVaccine-eligible patientsChronic HBV infectionHepatitis C virusSyringe exchange programsSyringe exchange sitesMobile health care servicesDaily injectorsHBV vaccinationVaccination seriesVirus vaccinationC virusB virusPreventive vaccinationVaccinationDrug users
2002
Effectiveness of a Mobile Medical Van in Providing Screening Services for STDs and HIV
Liebman J, Lamberti M, Altice F. Effectiveness of a Mobile Medical Van in Providing Screening Services for STDs and HIV. Public Health Nursing 2002, 19: 345-353. PMID: 12182694, DOI: 10.1046/j.1525-1446.2002.19504.x.Peer-Reviewed Original ResearchConceptsHigh-risk individualsMobile medical vanRisk individualsHIV control effortsConsistent condom useHigh-risk sexHIV testRetrospective studyAsymptomatic individualsScreening servicesSTD casesInvasive techniquesPositive casesDrug useCondom useNew casesActive casesHIVSTDsSmall proportionMedical programStudy communitiesIndividualsUrban settingsPatientsThe Impact of Needle Exchange–based Health Services on Emergency Department Use
Pollack HA, Khoshnood K, Blankenship KM, Altice FL. The Impact of Needle Exchange–based Health Services on Emergency Department Use. Journal Of General Internal Medicine 2002, 17: 341-348. PMID: 12047730, PMCID: PMC1495047, DOI: 10.1046/j.1525-1497.2002.10663.x.Peer-Reviewed Original ResearchConceptsInjection drug usersTreatment injection drug usersEmergency department useIncidence rate ratiosED utilizationED useDepartment useDrug usersHigh-risk injection drug usersHIV-negative injection drug usersMobile health clinicHealth care delivery systemHealth care servicesCare delivery systemHIV/AIDSPre-post comparisonAcute careEmergency departmentSubgroup analysisMedical recordsHealth clinicsLongitudinal cohortDrug treatmentED servicesBinomial regression analysis