Megha Shankar's research while affiliated with VA Palo Alto Health Care System and other places
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Publications (14)
Dismantling racism in health care demands that medical education promote racial justice throughout all stages of medical training. However, racial bias can be fostered unintentionally, influencing the way we make decisions as clinicians with downstream effects on patient health and health equity. The development of any anti-racism curriculum in med...
Introduction
Pregnant veterans with post-traumatic stress disorder (PTSD) are at increased risk for spontaneous preterm birth, yet the underlying reasons are unclear. We examined factors associated with spontaneous preterm birth among pregnant veterans with active PTSD.
Methods
This was an observational study of births from administrative database...
Introduction
A growing number of veterans are having children, and pregnancy is an opportunity to engage with health care. Within the Veterans Health Administration (VA), the VA maternity care coordination program supports veterans before, during, and after pregnancy, which are periods that inherently involve transitions between clinicians and risk...
Objective:
To identify communication practices that clinicians can use to address racism faced by Black patients, build trusting relationships, and empower Black individuals in clinical care.
Data sources:
Qualitative data (N=112 participants, August 2020 to March 2021) collected in partnership with clinics primarily serving Black patients in Le...
Context: Anti-Black racism is firmly rooted in US healthcare, but many clinicians do not have the tools and language to question their biases and address racism in clinical practice, eg biased communication practices such as "non-compliance" in medical documentation. Objective: Presence 5 for Racial Justice (P5RJ) leverages the Presence 5 patient-p...
Introduction:
Anti-Black racism has strong roots in American health care and medical education. While curricula on social determinants of health are increasingly common in medical training, curricula directly addressing anti-Black racism are limited. Existing frameworks like the Presence 5 framework for humanism in medicine can be adapted to devel...
Importance:
Overwhelming evidence that anti-Black racism is associated with health inequities is driving clinician demand for antiracism practices that promote health equity.
Objective:
To investigate how nonmedical professionals address personally mediated, institutional, and internalized racism and to adapt these practices for the clinical set...
Introduction:
Pregnancy presents an opportunity to engage veterans in health care. Guidelines recommend primary care follow-up in the year postpartum, but loss to follow-up is common, poorly quantified, and especially important for those with gestational diabetes (GDM) and hypertension. Racial maternal inequities are well-documented and might be e...
While the COVID-19 pandemic progresses, politicians and media outlets in the USA have compared the pandemic with World War II (WWII). Though women’s reproductive health has been affected by both COVID-19 and WWII, these specific health needs are not included in either event’s mainstream narrative. This article explores the pandemic’s war metaphor t...
Initial reports indicate widespread increases in intimate partner violence (IPV) rates during the coronavirus disease 2019 (COVID-19) pandemic. Women veterans are at particular risk for experiencing IPV, and the COVID-19 pandemic and resulting stay-at-home orders may be exacerbating this risk. IPV screening and intervention are an integral part of...
Citations
... TC mode is gradually developed towards China. At present, the study on the application of TC focuses mainly on postpartum [8] and chronic diseases [9]. The studies on its application in SVE sequela among children. ...
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... Now, the COVID-19 virus has spread almost everywhere; most of the planet is in lockdown mode. It is regarded as the most severe catastrophe since the last World War [8][9][10]. The previous study, however, has neglected the impact of factors influencing COVID-19 preventative interventions. ...
... Routine and well-implemented screening 44,45 for IPV, including follow-up and referrals for those receiving positive screening results, 46 is critical during a time of increased risk (eg, COVID-19 pandemic). During the first years of the pandemic, access to safe housing and health care became more limited for those living in violent situations, as capacity in shelters and transitional housing decreased and many patients shifted to virtual health care appointments at home, from where it may not have been safe to seek help from clinicians. ...
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