Kimberly Enard

Kimberly Enard
Saint Louis University | SLU · Department of Health Management and Policy

PhD, MBA, MSHA, BA

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18
Publications
2,450
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492
Citations

Publications

Publications (18)
Article
Full-text available
Purpose Current screening guidelines for prostate cancer (PCa) encourage men to make individual screening decisions after consulting with their primary care provider to weigh the risks and benefits of undergoing prostate specific antigen (PSA) testing, but many men at high risk of PCa diagnosis (notably African American men) are more likely to be u...
Article
Full-text available
Purpose Although the literature establishes a link between health consciousness (HC) and prevention behavior, less explored are the individual, social, and health characteristics that are associated with increased HC. Similarly, underexamined is the influence of race and ethnicity on the relationship of these characteristics to higher levels of HC....
Article
Objective More than 3.5 million female breast cancer (BrCa) survivors live in the United States, and the number continues to grow. Health status and quality of life amongst survivors is variable, and African American (AA) survivors suffer disproportionately from BrCa morbidity and mortality. Emerging evidence suggests peer support is an effective s...
Article
Objectives: Patients' perceptions of how they are treated in their interactions with the healthcare system represent important and valid measures of healthcare quality that may influence health utilization, outcomes, and costs. Perceived discrimination or the sense of being treated unfairly is an important patient perception known to adversely aff...
Article
Full-text available
Background: An underlying assumption of strategies intended to promote appropriate primary care over emergency department (ED) use for ongoing health care needs is that patients will understand the "value proposition" of primary care: that they will receive specific benefits from primary care providers over and above what they receive from EDs. Ho...
Article
Full-text available
Background Shared decision-making (SDM) is considered a key component of high quality cancer care and may be supported by patient decision aids (PtDAs). Many patients, however, face multiple social disadvantages that may influence their ability to fully participate in SDM or to use PtDAs; additionally, these social disadvantages are among the deter...
Article
Latino Medicare enrollees report suboptimal rates of colorectal cancer screening (CRCS) despite Medicare policies designed to improve CRCS access for older persons. Patient navigation (PN) may address many underlying barriers to CRCS, yet little is known about the effectiveness of PN to increase CRCS adherence among Latino Medicare enrollees. Using...
Conference Paper
Purpose: International standards that guide the content, development and evaluation of patient decision aids (DAs) call for the use of patient-centered approaches that promote value- and preference-sensitive shared decision-making (SDM). Despite evidence that DAs can be effective in improving SDM for certain conditions and populations, little is kn...
Article
Primary care-related emergency department (PCR-ED) utilization, including for conditions that are preventable or treatable with appropriate primary care, is associated with decreased efficiency of and increased costs to the health system. Many PCR-ED users experience actual or perceived problems accessing appropriate, ongoing sources of medical car...
Conference Paper
Previous research suggests that perceived and actual barriers to usual source care (USOC) providers increase emergency department (ED) utilization for primary care-related (PCR) conditions those preventable or treatable with appropriate primary care. Less is known about how patients' perceived quality of care, particularly trust in providers, influ...
Conference Paper
Patient navigation (PN) guides individuals through and around barriers that impede access to appropriate prevention, early detection, diagnosis, treatment, survivorship and end-of-life care. However, more evidence is needed to understand the effectiveness of PN in addressing disparities in cancer outcomes. This study, conducted as part of CMS' mult...
Conference Paper
Previous research suggests patient navigation may increase compliance with cancer screening and treatment, increase patient satisfaction with treatment and decrease anxiety. In 2006, MD Anderson Cancer Center launched Facilitated Assistance Research and Outreach Services (FAROS) as part the Centers for Medicare and Medicaid Services Cancer Preventi...
Conference Paper
Full-text available
We explore the topic of health consciousness or the extent to which people think about and reflect upon their health. Studies have shown health consciousness is correlated with health behavior, information seeking and health coping. It has also been suggested that health conscious individuals might be prime targets for health interventions, given t...
Conference Paper
Hospitals are critical to delivering and organizing healthcare in the community, yet their viability has been threatened over the past two decades by severe financial, regulatory and operational challenges. The possibility that closures widen racial/ethnic disparities in healthcare access warrants serious examination because communities with high p...
Conference Paper
The potential impact of hospital closures on healthcare access continues to raise concern among policymakers, as evidenced by the newly authorized New York Hospital Closure Planning Act (which requires state health officials to hold public forums and provide information about alternative healthcare resources following hospital closures). The object...
Article
Despite many important efforts to increase equity in the US health care system, not all Americans have equal access to health care-or similar health outcomes. With the goal of lowering costs and increasing accessibility to health care, the nation's new health care reform legislation includes certain provisions that expand health insurance coverage...
Conference Paper
Negative perceptions held by patients, healthcare workers and clinicians may impact whether treatment is sought, medical need is identified and healthcare is delivered. This study's objective was to investigate potential root causes of racial/ethnic disparities in patient perceptions of healthcare access in order to identify negative perceptions th...
Conference Paper
As policy makers evaluate health system reforms designed to expand health insurance coverage in the U.S., questions remain as to whether increased coverage will result in equitable, effective and efficient access to care. The objective of this study was to examine racial/ethnic inequities, or disparities, in healthcare access as measured by annual...

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