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Primary Care Engagement and Post-Hospitalization Outcomes Among Cape Verdean Adults
Lucas X Marinacci1,2, Leny Dias-Cunha2,3, Sara Booth4
1Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Journal of Primary Care & Community Health
|October 22, 2025
Summary
Cape Verdean adults show strong primary care use, potentially linked to Community Health Centers. However, socioeconomic factors may limit specialist access and increase emergency department visits.
Area of Science:
- Health Services Research
- Diaspora Health
- Health Disparities
Background:
- Cape Verdean adults are an underrepresented group in US health services research.
- Understanding their healthcare utilization is crucial for addressing health disparities.
Purpose of the Study:
- To compare post-discharge outcomes and healthcare utilization of Cape Verdean adults with other racial and ethnic groups.
- To identify factors mediating differences in healthcare access and utilization.
Main Methods:
- Retrospective analysis of 583 hospitalized Cape Verdean adults (2017-2023).
- Comparison with other racial/ethnic groups.
- Sequential nested regression models with inverse-probability weighting, incorporating Environmental Justice Index (EJI).
Main Results:
- Cape Verdean adults demonstrated uniquely high primary care engagement, amplified after EJI adjustment.
- Lower specialist visit rates and higher emergency department use were observed, but attenuated/reversed after clinical and EJI adjustment.
- Findings suggest strong care continuity possibly due to Community Health Center engagement.
Conclusions:
- Robust Community Health Center engagement may foster strong care continuity for Cape Verdean adults.
- Socioeconomic and structural factors may impede specialist access and contribute to emergency care utilization.
- Further research is needed to address identified healthcare access barriers.
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