Abstract:
:Abstract:U.S. health disparities are real, pervasive, and persistent, despite dramatic improvements in civil rights and economic opportunity for racial and ethnic minority and lower socioeconomic groups in the United States. Change is possible, however. Disparities vary widely from one community to another, suggesting that they are not inevitable. Some communities even show paradoxically good outcomes and relative health equity despite significant social inequities. A few communities have even improved from high disparities to more equitable and optimal health outcomes. These positive-deviance communities show that disparities can be overcome and that health equity is achievable. Research must shift from defining the problem (including causes and risk factors) to testing effective interventions, informed by the natural experiments of what has worked in communities that are already moving toward health equity. At the local level, we need multi-dimensional interventions designed in partnership with communities and continuously improved by rapid-cycle surveillance feedback loops of community-level disparities metrics. Similarly coordinated strategies are needed at state and national levels to take success to scale. We propose ten specific steps to follow on a health equity path toward optimal and equitable health outcomes for all Americans.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Rust G,Levine RS,Fry-Johnson Y,Baltrus P,Ye J,Mack Ddoi
10.1353/hpu.2012.0084subject
Has Abstractpub_date
2012-05-01 00:00:00pages
7-19issue
2 Suppleissn
1049-2089issn
1548-6869pii
S1548686912200026journal_volume
23pub_type
杂志文章abstract::African Americans and the poor are at a high risk of suffering from kidney disease and are at an extreme disadvantage when it comes to obtaining the resources needed to maintain a functioning kidney post-transplant. Medicare currently covers 80% of the cost of immunosuppressive therapy for up to three years following ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0021
更新日期:2012-02-01 00:00:00
abstract::Serious mental illness is highly prevalent in jails and prisons, and treatment with psychiatric medications is often required. However, operational factors and patient characteristics make prescribing in correctional settings uniquely challenging. The American Academy of Psychiatry and the Law has approved the formati...
journal_title:Journal of health care for the poor and underserved
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doi:10.1353/hpu.2016.0055
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abstract::Homeless individuals have mortality rates three to six times higher than their housed counterparts and have elevated rates of mental illness, substance abuse, and co-morbidities that increase their need for health services. Data on the utilization of Harris County, Texas' public hospital system by 331 homeless individ...
journal_title:Journal of health care for the poor and underserved
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doi:10.1353/hpu.2012.0171
更新日期:2012-11-01 00:00:00
abstract::Homicide is the number one cause of death among African American youth, both male and female. Largely to blame for Black-on-Black violence is the sense of alienation our youth feel from society. To counter this phenomenon of violence it is essential to empower youth. Through education and community-based programs we c...
journal_title:Journal of health care for the poor and underserved
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doi:10.1353/hpu.2010.0612
更新日期:1995-01-01 00:00:00
abstract::In the face of severe financial challenges and demands to improve quality and service to patients, many community health centers (CHCs) have aligned or integrated with other CHCs, physician groups, or hospitals. Yet the nature of and rationale for these organizational decisions are not well understood. Our research ap...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究
doi:10.1353/hpu.2006.0030
更新日期:2006-02-01 00:00:00
abstract:INTRODUCTION:Prior research has shown that tobacco companies target point-of-sale (POS) marketing to low-income communities. This research assessed the association between demographic characteristics and venue type with purchasing tobacco products in response to marketing. METHODS:Using Population Assessment of Tobacc...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0021
更新日期:2020-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0107
更新日期:2016-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0193
更新日期:2012-11-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0011
更新日期:2017-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0100
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:To examine the experiences of low-income Part D beneficiaries with mental illness and their use of community helpers to access prescription medicines. METHODS:Individual semi-structured interviews were conducted with 26 Medicare beneficiaries with mental illness in community settings. The transcripts were a...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0019
更新日期:2011-02-01 00:00:00
abstract::Effective treatment of chronic illness requires active engagement of patients in managing their own conditions. This research explores the influence of provider support for self-management on patients' performance of self-care activities, a widely presumed but under-studied relationship, particularly among underserved...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0097
更新日期:2005-11-01 00:00:00
abstract::Health status indicators, including advanced stage at diagnosis of cancer, have been proposed as indicators of health care access and quality to be considered in revising the definition of medically underserved areas (MUAs). Using the population-based Connecticut Tumor Registry, "outlier" census tracts were defined as...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0802
更新日期:2000-08-01 00:00:00
abstract::Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. I...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0192
更新日期:2012-11-01 00:00:00
abstract::This paper explores the presentation of severe depression among patients with accumulated trauma in the context of an urban community health center (primary care clinic) in California, as well as opportunities to address this phenomenon in light of diminished community-based mental health services. ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0139
更新日期:2011-11-01 00:00:00
abstract::Miami-Dade and Broward counties remain an epicenter of the HIV/AIDS epidemic in the U.S. This report from the field describes the implementation of a SAMHSA-funded, campus-based initiative to address HIV prevention and testing for young minority men who have sex with men. Outcome criteria are clearly delineated and be...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0048
更新日期:2017-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0100
更新日期:2009-02-01 00:00:00
abstract::Because racial/ethnic disparities in breast cancer survival have persisted, we investigated differences in breast cancer treatment among American Indian, Hispanic, and non-Hispanic White (NHW) women. Surveillance, Epidemiology and End Results data linked to Medicare claims in New Mexico and Arizona (1987-1997) among e...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0071
更新日期:2007-08-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0154
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:Austin is Chicago's largest community and is 85% African American. The purpose of this study was to the examine facilitators and barriers to physical therapy (PT) access as described by Austin community residents and health care providers (HCPs). METHODS:Community residents (n=47) participated in focus groups....
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0055
更新日期:2019-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2018.0048
更新日期:2018-01-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0046
更新日期:2015-05-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0050
更新日期:2005-08-01 00:00:00
abstract::We investigated the impact of the 2006 Massachusetts health care reform on insurance coverage and stability among minority and underserved women. We examined 36 months of insurance claims among 1,946 women who had abnormal cancer screening at six community health centers pre-(2004-2005) and post-(2007-2008) insurance ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0061
更新日期:2014-02-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0063
更新日期:2020-01-01 00:00:00
abstract::Current estimates of homelessness in the U.S. are biased toward counts of sheltered or visibly unsheltered individuals. Those who remain out of sight during counts and/or live in places or circumstances that elude the United States Department of Housing and Urban Development's (HUD) definition of homelessness remain u...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0122
更新日期:2016-01-01 00:00:00
abstract:PURPOSE:Measure immunization rates in subsidized child care and determine whether the population is representative of inner city preschool children. METHODS:We identified 156 children, ages 0-60 months, in 14 inner-city child care centers enrolled in subsidized care and obtained demographic and immunization informatio...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0000
更新日期:2008-05-01 00:00:00
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journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0008
更新日期:2019-01-01 00:00:00
abstract::This study assessed links between racism and oral health outcomes among pregnant Canadian Aboriginal women. Baseline data were analyzed for 541 First Nations (94.6%) and Métis (5.4%) women in an early childhood caries preventive trial conducted in urban and on-reserve communities in Ontario and Manitoba. One-third of ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,随机对照试验
doi:10.1353/hpu.2016.0030
更新日期:2016-02-01 00:00:00
abstract::The main objectives of this paper are to examine the prevalence of criminal involvement among a sample of African American female drug users and to identify factors associated with that criminal involvement, where criminal involvement is defined as having been in jail or prison. Data were collected in Atlanta from 333...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0117
更新日期:2005-11-01 00:00:00