Evidence map›Paper›PMID 41122987›Full record

ArticleJournal of primary care & community health

Primary Care Engagement and Post-Hospitalization Outcomes Among Cape Verdean Adults.

Lucas X Marinacci, Leny Dias-Cunha, Sara Booth, Ashley L O'Donoghue, Daniele D Olveczky, Talya Salant, Doreen DeFaria Yeh, Robert W Yeh, Julio Teixeira, Jean-Jacques Alves and 4 more

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Lucas X MarinacciRichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID 0000-0002-4443-2441
Leny Dias-CunhaHarvard Medical School, Boston, MA, USA.
Sara BoothCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Ashley L O'DonoghueCenter for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Daniele D OlveczkyHarvard Medical School, Boston, MA, USA.
Talya SalantHarvard Medical School, Boston, MA, USA.
Doreen DeFaria YehHarvard Medical School, Boston, MA, USA.
Robert W YehRichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Julio TeixeiraNorthwell Health, Phelps Memorial Hospital Center, Sleepy Hollow, NY, USA.
Jean-Jacques AlvesHarvard Medical School, Boston, MA, USA.
Djanira FernandesHarvard Medical School, Boston, MA, USA.
Azariah BoydRichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Rishi K WadheraRichard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Jennifer StevensHarvard Medical School, Boston, MA, USA.

Funding

Training Program in Cardiovascular ResearchT32HL160522 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Jennifer E Ho · 2022 to 2026
$2.7M
NHLBI NIH HHS T32 HL160522
6 · The paper itself

Abstract

The Cape Verdean diaspora in the United States is growing, yet Cape Verdean adults remain underrepresented in health services research. We retrospectively analyzed 583 hospitalized Cape Verdean adults admitted to a tertiary care center from 2017 to 2023, and compared their post-discharge outcomes and healthcare utilization with other racial and ethnic groups. Sequential nested regression models using inverse-probability weighting assessed how demographic, clinical, and community-level characteristics using the Environmental Justice Index (EJI) mediated the observed differences. We found that Cape Verdean adults had uniquely high primary care engagement, a difference which was magnified after EJI adjustment. They also had lower rates of specialist visits and higher emergency department use, but these associations attenuated or reversed after adjustment for clinical factors and EJI. These findings suggest that care continuity is strong within this population, potentially due to robust Community Health Center engagement, but socioeconomic and structural factors may hinder specialist access and drive emergency care use.

Indexed as

HospitalizationPatient Acceptance of Health CarePrimary Health CareAdultAgedEmergency Service, HospitalFemaleHumansMaleMiddle AgedRetrospective StudiesSocioeconomic FactorsCape Verdecommunity health centerhealthcare disparitiespatient outcome assessmentsocial determinants of health

Identifiers

PMID41122987
PMCPMC12553928

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.