Bio

Current Role at Stanford


Program Manager, Social Science Research Coordinator

Publications

All Publications


  • A Patient Navigator Intervention Supporting Timely Transfer Care of Adolescent and Young Adults of Hispanic Descents Attending an Urban Primary Care Pediatrics Clinic. Pediatric quality & safety Allende-Richter, S. n., Glidden, P. n., Maloyan, M. n., Khoury, Z. n., Ramirez, M. n., O'Hare, K. n. 2021; 6 (2): e391

    Abstract

    While comprehensive health care transition is associated with better health outcomes, navigating health care transition can be difficult for adolescents and young adults (AYAs), especially those with fewer resources. Our practice serves low-income patients from birth to their 26th birthday; many are medically and socially complex and experience several obstacles to navigate care. As a result, most have not initiated a transfer to adult medicine by age 25. This quality-improvement initiative was designed to implement a structured intervention that supports the planned transfer of care to adult primary care.Informed by our baseline data on all patients eligible to transfer care, we designed a patient outreach workflow centered on a patient navigator (PN) intervention. We used a Plan-Do-Study-Act format to optimize our process and run charts to evaluate our intervention.Over 3 years, our PN reached out to 96% of patients (n = 226) eligible to transfer care and offered transfer assistance in person or in writing. Among those surveyed, 92% (n = 93) reported awareness of our practice transition policy, and 83% (n = 64) rated their confidence to transfer care at 3 or higher on a 5-point scale.AYAs are aware of our practice transition policy, yet they welcome in-person transfer assistance. This intervention seems to improve their confidence to transfer care. However, despite PN outreach efforts, many remain empaneled in our practice and thus lack the self-care skills necessary to complete the transfer independently. Future transition interventions should address AYA's self-management skills toward transition readiness.

    View details for DOI 10.1097/pq9.0000000000000391

    View details for PubMedID 33718746

    View details for PubMedCentralID PMC7952101

  • Pediatric Departmental Advocacy: Our Experience Addressing the Social Challenges of COVID-19 and Racism. The Journal of pediatrics Ramirez, M. R., Bruce, J. S., Ball, A. J., Gambhir, S., Zabrocka, K., Sahak, O., Dali, S., Jones, K., Chamberlain, L. J. 2020

    View details for DOI 10.1016/j.jpeds.2020.11.048

    View details for PubMedID 33301783

  • Assessment of: self-management skills towards transition readiness and patient portal use among Hispanic adolescent and young adult patients. BMJ paediatrics open Allende-Richter, S. n., Ramirez, M. n., Khoury, Z. n., Bourgeois, F. n., Epee-Bounya, A. n., O'Hare, K. n. 2020; 4 (1): e000658

    Abstract

    We conducted a 15-item self-answered survey to assess self-management skills and explore interest in a patient portal among publicly insured Hispanic youths ages 12-25. Out of 61 participants, 33% did not know how to schedule an appointment, 50% how to refill prescriptions, 58% how to access their personal health information, 84% were unaware of the portal and 92% never used it. Referring to the portal as an online application increased participants interest by 39%. Although study participants exhibit low self-management skills and awareness of a patient portal, most welcome using it to manage their health. Further research is needed to validate whether a patient portal can promote self-management skills towards transition readiness among Hispanic youths.

    View details for DOI 10.1136/bmjpo-2020-000658

    View details for PubMedID 32399506

    View details for PubMedCentralID PMC7204810

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