Closing the Health Gap http://closingthehealthgap.org Tue, 19 Jul 2016 17:10:52 +0000 en-US hourly 1 http://wordpress.org/?v=3.6.1 Sleep Apnea Wellness Series 9/6/16 http://closingthehealthgap.org/sleep-apnea-wellness-series-9616/ http://closingthehealthgap.org/sleep-apnea-wellness-series-9616/#comments Tue, 19 Jul 2016 17:10:52 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6416

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Saturday Wellness Series Flyers - August 6th

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Is there a racial ‘care gap’ in medical treatment? [Television series episode] (2016, April 5). In PBS (Producer), PBS NEWSHOUR. http://closingthehealthgap.org/racial-care-gap-medical-treatment-television-series-episode-2016-april-5-pbs-producer-pbs-newshour/ http://closingthehealthgap.org/racial-care-gap-medical-treatment-television-series-episode-2016-april-5-pbs-producer-pbs-newshour/#comments Sun, 17 Jul 2016 13:16:12 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6399

 

Is there a racial ‘care gap’ in medical treatment? [Television series episode] (2016, April 5). In PBS (Producer), PBS NEWSHOUR.

 

African Americans are being undertreated for pain due to medical students’ false beliefs about biological differences based on race. This is both a medical and sociological problem as deeply embedded myths in U.S. society about racial difference, especially biological differences between races, affect how patients are being treated.

 

This is both a conscious and unconscious stereotype. Societal myths do greatly impact medical student perspectives but these racial distinctions ...

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Is there a racial ‘care gap’ in medical treatment? [Television series episode] (2016, April 5). In PBS (Producer), PBS NEWSHOUR.

 

African Americans are being undertreated for pain due to medical students’ false beliefs about biological differences based on race. This is both a medical and sociological problem as deeply embedded myths in U.S. society about racial difference, especially biological differences between races, affect how patients are being treated.

 

This is both a conscious and unconscious stereotype. Societal myths do greatly impact medical student perspectives but these racial distinctions are also being taught in medical school. After surveying 400/500 medical students it was found that these biases peaked around the 2nd year of medical school as students were preparing for their board exams and memorizing these kinds of associations.

 

Although there are certain medical conditions that are more likely to affect certain races, “race” itself is a socially constructed concept – it is not biological or genetic. These differences in medical conditions are often a result of social or ethnic effects.

 

These beliefs, aside from causing unequal medical treatment, are also in part what lead to health disparities. Racially disparate health outcomes are not based upon someone’s biological differences. Reversely, racism and other structural inequities cause health disparities.

 

Thus it is imperative that medical education shifts focus to how medical practice can address these inequalities and reverse some of these incorrect interventions.

 

http://www.pbs.org/newshour/bb/is-there-a-racial-care-gap-in-medical-treatment/

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The U.S. implemented the Health People initiative decades ago in order to improve health equity http://closingthehealthgap.org/u-s-implemented-health-people-initiative-decades-ago-order-improve-health-equity/ http://closingthehealthgap.org/u-s-implemented-health-people-initiative-decades-ago-order-improve-health-equity/#comments Sat, 16 Jul 2016 13:15:18 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6397

 

The U.S. implemented the Health People initiative decades ago in order to improve health equity, with a goal to eliminate health disparities and achieve health equity by 2020. Many social determinants of health identified here in the U.S. also exist and influence health outcomes in other countries, such as lower income being associated with higher rates of obesity.

 

In a 2008 report by the Commission on Social Determinants of Health, inequities were found to be present both across countries as well as within countries themselves, just ...

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The U.S. implemented the Health People initiative decades ago in order to improve health equity, with a goal to eliminate health disparities and achieve health equity by 2020. Many social determinants of health identified here in the U.S. also exist and influence health outcomes in other countries, such as lower income being associated with higher rates of obesity.

 

In a 2008 report by the Commission on Social Determinants of Health, inequities were found to be present both across countries as well as within countries themselves, just as is seen here in the U.S. across different populations varying by state, city, and even neighborhoods.

 

The World Health Organization has emphasized the importance of achieving health equity, and in order for health equity to become in reach, it must become of focus, just as education and wealth already are.

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Across the United States, income inequality is one of the top influencers of health status http://closingthehealthgap.org/across-united-states-income-inequality-one-top-influencers-health-status/ http://closingthehealthgap.org/across-united-states-income-inequality-one-top-influencers-health-status/#comments Fri, 15 Jul 2016 17:14:16 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6395

 

Across the United States, income inequality is one of the top influencers of health status. In order to address health disparities, our definition of population health should focus on entire populations, and what factors that are causing the population to experience gaps in access to care.

 

Bob Evan’s research from the 1990’s concluded that income inequality plays a strong role, as well as socioeconomic status, in determining both individual health and population health. These findings were also present even after controlling for risky behaviors such as ...

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Across the United States, income inequality is one of the top influencers of health status. In order to address health disparities, our definition of population health should focus on entire populations, and what factors that are causing the population to experience gaps in access to care.

 

Bob Evan’s research from the 1990’s concluded that income inequality plays a strong role, as well as socioeconomic status, in determining both individual health and population health. These findings were also present even after controlling for risky behaviors such as consuming alcohol.

 

David Nash, dean of Thomas Jefferson University and others believe many steps should be taken in order to better understand and improve population health. Among these steps include: identifying high-risk populations and providing aggressive care, monitoring populations, data utilization, exploration of other treatment methods, providing care to individuals directly in their communities in which they live, emphasizing the importance of wellness and prevention, and learning to partner with community members and other medical professionals.

 

The article also discusses the views of many political members including the current runners for the presidential election regarding population health. Although views vary among these members, addressing income inequality is a major step to understanding and improving health equity in the U.S.

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Researchers of Washington University and St. Louis University are focusing on how to improve health and well-being of African Americans in the St. Louis area http://closingthehealthgap.org/researchers-washington-university-st-louis-university-focusing-improve-health-well-african-americans-st-louis-area/ http://closingthehealthgap.org/researchers-washington-university-st-louis-university-focusing-improve-health-well-african-americans-st-louis-area/#comments Fri, 15 Jul 2016 13:12:43 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6393

 

 

Researchers of Washington University and St. Louis University are focusing on how to improve health and well-being of African Americans in the St. Louis area. At the Dansforth Plant Science Center, a forum took place in June centered around creating models in order to improve health, and changes that would be made in order for health models to be more effective.

 

In the past, The For Sake of All Report has noted that race, geographic location, and behavior all may influence health outcomes more so than ...

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Researchers of Washington University and St. Louis University are focusing on how to improve health and well-being of African Americans in the St. Louis area. At the Dansforth Plant Science Center, a forum took place in June centered around creating models in order to improve health, and changes that would be made in order for health models to be more effective.

 

In the past, The For Sake of All Report has noted that race, geographic location, and behavior all may influence health outcomes more so than genetics, and therefore these factors must be more heavily addressed.

 

A variety of ideas and opinions were expressed during the forum, however the common theme among ideas was the importance of community-based models.Deborah Kiehl of Lindenwood University also believes funding must become more consistent in terms of health model implementation and continuance.

 

Although Jorge Riopedre, President of Casa de Salud states case management models work exceptionally well in clinics, Riopedre also expresses the utilization of home visits and importance of providing care within the individual’s community and home. Cultural competence, empathy, providing safe places for children to play, and the elimination of smoking were all common ideas and topics of importance throughout the forum.

 

The St. Louis region is currently applying for a multi-million dollar grant through the Centers for Medicare and Medicaid Services in order to implement the Accountable Health Community Model. This model will function to connect patients to both health care as well as social services in which they are in need of, and will also allow a variety of medical professionals to become more involved with communities in need.

 

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Inland Empire (2016). Kaiser Permanente Approves Nearly $600,000 in Community Benefit Grants in Riverside County http://closingthehealthgap.org/inland-empire-2016-kaiser-permanente-approves-nearly-600000-community-benefit-grants-riverside-county/ http://closingthehealthgap.org/inland-empire-2016-kaiser-permanente-approves-nearly-600000-community-benefit-grants-riverside-county/#comments Thu, 14 Jul 2016 17:11:19 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6391

 

Inland Empire (2016). Kaiser Permanente Approves Nearly $600,000 in Community Benefit        Grants in Riverside County. Retrieved from: http://inlandempire.us/kaiser-permanente-  approves-nearly-600000-community-benefit-grants-riverside-county/.

 

http://inlandempire.us/kaiser-permanente-approves-nearly-600000-community-benefit-grants-riverside-county/

 

Kaiser Permanente, a non-profit organization focused on funding programs and education to improve the health of underserved populations, has approved a total of thirty-three grants for 2016. These grants have been approved in order to improve access to primary care, provide medical homes for veterans who are homeless and/or disabled, expand dental services to those who are uninsured, as well as other aspects affecting health outcomes.

 

Although ...

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Inland Empire (2016). Kaiser Permanente Approves Nearly $600,000 in Community Benefit        Grants in Riverside County. Retrieved from: http://inlandempire.us/kaiser-permanente-  approves-nearly-600000-community-benefit-grants-riverside-county/.

 

http://inlandempire.us/kaiser-permanente-approves-nearly-600000-community-benefit-grants-riverside-county/

 

Kaiser Permanente, a non-profit organization focused on funding programs and education to improve the health of underserved populations, has approved a total of thirty-three grants for 2016. These grants have been approved in order to improve access to primary care, provide medical homes for veterans who are homeless and/or disabled, expand dental services to those who are uninsured, as well as other aspects affecting health outcomes.

 

Although located in California, funding by Kaiser Permanente sheds light on health disparities and issues with access to care that populations are experiencing throughout the United States.

 

Grants are also focusing on diabetes and obesity. Projects under these grants include Mobile Fresh, providing healthy and fresh foods to populations identified as food desserts, building community gardens for community members to utilize, and providing diabetes management services to the homeless, including diabetes education.

 

Overall, this article exemplifies the importance of large-scale, community-based funding in order to address and tackle gaps in accessing health services and education, in hopes to eventually eliminate health disparities.

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What is institutionalized racism and how is it affecting our communities? http://closingthehealthgap.org/institutionalized-racism-affecting-communities/ http://closingthehealthgap.org/institutionalized-racism-affecting-communities/#comments Thu, 14 Jul 2016 13:08:26 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6387

 

What is institutionalized racism and how is it affecting our communities?

“When we blame private prejudice and snobbishness for contemporary segregation, we not only whitewash our own history, but avoid considering whether new policies might instead promote an integrated community.” –Richard Rothstein

Racism is the act of withholding social services, benefits and opportunities to individuals based solely on race. There are 3 levels which this may occur: Individual When an individual may cause death, injury, destruction of property, or denial of services or opportunities Institutional Policies, practices and procedures of institutions ...

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What is institutionalized racism and how is it affecting our communities?

When we blame private prejudice and snobbishness for contemporary segregation, we not only whitewash our own history, but avoid considering whether new policies might instead promote an integrated community.” –Richard Rothstein

  • Racism is the act of withholding social services, benefits and opportunities to individuals based solely on race.
    • There are 3 levels which this may occur:
    • Individual
      • When an individual may cause death, injury, destruction of property, or denial of services or opportunities
  • Institutional
    • Policies, practices and procedures of institutions that have a disproportionately negative affects on racial minorities
  • Systemic
    • Value system embedded in society that allows for discrimination
    • Racism is not based on intent, but the consequences of a certain behavior.
    • While laws may not directly address racist behaviors, the “reluctant” form of racism is a large component of an organization behaving in a racist fashion
      • Reluctant racism has no negative bias associated to a race, but discriminatory behaviors are still practiced by the institution.
      • This is hard to challenge because the behavior may be due to economic status and other non-racial factors.
        • This causes the institution to believe it is not being discriminatory based on race.
        • Understanding where racism can exist and defining what it consists of is an important precursor to policy reform.
          • Cincinnati does have policy to deter racially biased behavior, but whether it is truly being enforced is the issue.
          • Presently, racism is hiding in other biases and this is the point that makes it difficult to tackle racism from a policy maker’s perspective.  

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New initiative promises diabetics better control on the disease http://closingthehealthgap.org/new-initiative-promises-diabetics-better-control-disease/ http://closingthehealthgap.org/new-initiative-promises-diabetics-better-control-disease/#comments Wed, 13 Jul 2016 17:10:41 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6389

 

 Tuesday, 13 July 2016

 

New initiative promises diabetics better control on the disease. (2016). Business Standard. Retrieved from: http://www.business-standard.com/article/news-ians/new-initiative-promises-diabetics-better-control-on-the-disease-116071201097_1.html

 

http://www.business-standard.com/article/news-ians/new-initiative-promises-diabetics-better-       control-on-the-disease-116071201097_1.html

 

Researchers from the All India Institute of Medical Sciences and Emory University have found a new Multi-Component Diabetes Quality Improvement Initiative (QI) that may aid in diabetes control among diabetics. This new model is said likely double the chance diabetes is controlled among patients as compared to their usual primary care. This initiative was carried out in a ten year trial at ten clinics in India and ...

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 Tuesday, 13 July 2016

 

New initiative promises diabetics better control on the disease. (2016). Business Standard. Retrieved from: http://www.business-standard.com/article/news-ians/new-initiative-promises-diabetics-better-control-on-the-disease-116071201097_1.html

 

http://www.business-standard.com/article/news-ians/new-initiative-promises-diabetics-better-       control-on-the-disease-116071201097_1.html

 

Researchers from the All India Institute of Medical Sciences and Emory University have found a new Multi-Component Diabetes Quality Improvement Initiative (QI) that may aid in diabetes control among diabetics. This new model is said likely double the chance diabetes is controlled among patients as compared to their usual primary care. This initiative was carried out in a ten year trial at ten clinics in India and Pakistan, among low and middle income areas.

 

The significance of these results is exemplified in the worldwide population of diabetics, as 75% live in low and middle income areas, including individuals living with diabetes in the United States.

 

The focus of the initiative is on diabetes management, including individualized support to each patient with diabetes and care coordinator involvement, aside from their physician.

 

Controlling diabetes including blood pressure and sugar levels also reduces risk of developing further diseases, including heart disease, kidney failure, and amputations. The findings from this study will be extremely relevant in the creation of models here in the U.S. in order to increase rates of diabetes management among patients.

 

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State of Black America-Summary http://closingthehealthgap.org/state-black-america-summary/ http://closingthehealthgap.org/state-black-america-summary/#comments Wed, 13 Jul 2016 13:07:21 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6385

 

State of Black America-Summary

 

Overview: Mission: Providing thoughtful commentary and analysis for politics, cooperate topics, NGOs, academia, and popular culture. Help promote a sense of empowerment Equality Index: Provides analysis on racial inequality in America Black Americans are at a equality percentage of 72.2% compared to average white Americans Funding needs to be put into developing our urban communities in the US Since 2006, the US has spent $50 Billion rebuilding Afghanistan In 2008, $400 billion was spent on the Trouble Asset Relief Program $1 Trillion Multi-Pronged Approach over the next 5 years ...

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State of Black America-Summary

 

  • Overview:
    • Mission: Providing thoughtful commentary and analysis for politics, cooperate topics, NGOs, academia, and popular culture.
      • Help promote a sense of empowerment
  • Equality Index: Provides analysis on racial inequality in America
  • Black Americans are at a equality percentage of 72.2% compared to average white Americans
  • Funding needs to be put into developing our urban communities in the US
    • Since 2006, the US has spent $50 Billion rebuilding Afghanistan
    • In 2008, $400 billion was spent on the Trouble Asset Relief Program
  • $1 Trillion Multi-Pronged Approach over the next 5 years to improve urban communities. A few key points:
    • Universal early childhood education
    • Expanded homeowner strategies
    • Expansion of Earned Income Tax Credit
    • Doubling Pell Grant to make college more affordable
    • Education in literacy and home buying
    • Expansion of Low-Income Housing
  • Even if the Equality Index seems like it may not be improving, it is important to remember that this is a slow process.
    • Categories may improve while other categories may decline either innately or as a result of improvement.

 

  • 2016 Equality Index Report-Black and White
    • The Equality Index grew from 72.0% in 2015 to 72.2% in 2016
      • Largest category that increased was education from 76.1% to 77.4%.
        • Due to increased college attainment and enrollment
    • The smallest category that increased was economics and social justice that increased from 55.5% to 56.2 and from 60.6% to 60.8% respectively.
      • Economic increase due to closing the electronic gap and lower denial rates for mortgage loans
      • Social justice decrease due to lower incarceration rates
    • 2 Categories decreased: civic engagement (104.0% to 100.6%) and health index (79.6% to 79.4%)
      • Civic engagement decline was due to a low voter registration and participation

 

 

 

Equality Index of Black America Breakdown:

 

  • Black-White Metropolitan Unemployment Equality Index
    • Province-Warwick, RI-MA- Black-White index of 68.7%
      • Area with the smallest Black-White unemployment gap
  • Metro areas with the smallest unemployment gap may not be providing the best opportunities for either party.
    • San Antonio-Lowest unemployment rate for Blacks but is only ranked #6 for equality ranking
    • Highest unemployment rate for blacks: Cleveland OH (20%)
    • Income Equality index
      • Riverside-San Bernardino-Ontario, CA=Top Income Equality Ranking
        • The Median Black household earns $0.76 for every $1 the median White household makes.
  • Minneapolis-St. Paul- Bloomington, MN-WI=Lowest Income Equality
    • Median Black income is $0.38 per $1
  • Toledo OH has the lowest median income for Black Households ($22,386)
  • 40 Year Summary
    • The first publication was described as “profoundly depressing”
    • The mission continues that aspects of life can be measured empirically
      • This data has grounded the slow progression of equality

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Saturday Wellness Series http://closingthehealthgap.org/saturday-wellness-series-2/ http://closingthehealthgap.org/saturday-wellness-series-2/#comments Mon, 11 Jul 2016 19:23:44 +0000 Matt Vander Laan http://closingthehealthgap.org/?p=6379

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Saturday Wellness Series Flyers - July 23rd

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