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Author: Sari Siegel Publisher: ISBN: Category : Health services accessibility Languages : en Pages : 420
Book Description
"Documents some of the activities undertaken by states, localities, foundations, provider associations, primary care associations, other nonprofit organizations, the private sector, and partnerships between these stakeholders"--Foreword.
Author: Sari Siegel Publisher: ISBN: Category : Health services accessibility Languages : en Pages : 420
Book Description
"Documents some of the activities undertaken by states, localities, foundations, provider associations, primary care associations, other nonprofit organizations, the private sector, and partnerships between these stakeholders"--Foreword.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309255201 Category : Medical Languages : en Pages : 212
Book Description
Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.
Author: Leiyu Shi Publisher: John Wiley & Sons ISBN: 1119627648 Category : Medical Languages : en Pages : 338
Book Description
An in-depth look at disparities in health and health care, fully updated for 2021 Vulnerable Populations in the United States, 3rd Edition provides a general framework for studying vulnerable populations and summarizes major health and health care disparities by race/ethnicity, socioeconomic status, and health insurance coverage. This updated contains the latest statistics and figures, incorporates new information related to Healthy People 2020, analyzes the latest data and trends in health and health care disparities, and provides a detailed synthesis of recent and increasingly expansive programs and initiatives to remedy these disparities. In addition, the Third Edition offers new coverage of health care reform, the "deaths of despair" (suicide, opioids, etc.), and the global primary care initiative. Based on the authors' teaching and research at the Johns Hopkins Bloomberg School of Public Health and the Keck School of Medicine of the University of Southern California, this landmark text is an important resource for students, researchers, practitioners, and policymakers for learning about vulnerable populations. The book's Web site includes instructor's materials that may be downloaded. Gain a general understanding of health and health care disparities related to race/ethnicity, socioeconomic status, and health insurance coverage Access online resources including editable PowerPoint slides, video, and more Delve into the programs and initiatives designed to remedy inequalities in health and health care, including Healthy People 2020 updates Enjoy new coverage of health care reform, the "deaths of despair" (suicide, opioids, etc.), and the global primary care initiative End of chapter revision questions and other pedagogical features make this book a valuable learning tool for anyone studying at the advanced undergraduate or graduate levels. Additionally, it will prove useful in the field for medical professionals, social and community workers, and health educators in the public sphere.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309452961 Category : Medical Languages : en Pages : 583
Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Kimberly Shankel Publisher: ISBN: Category : Languages : en Pages :
Book Description
Improving Knowledge and Attitude of Primary Healthcare Givers Towards Vulnerable Populations Kimberly Shankel University of San Francisco Abstract Problem This project aims to improve patient satisfaction for vulnerable population patients while in hospital, namely transgender and gender non-conforming people. A major roadblock for this population in seeking medical care is their fear of discrimination when accessing healthcare, resulting in a delay, or avoidance of medical care. Multiple studies agree there is a need for nursing education on cultural competence to improve care and satisfaction for vulnerable populations. Context The site for this quality improvement project is a small suburban hospital within a large not-for-profit healthcare organization. The improvement team includes a CNL student, social worker, transgender educator, assistant nurse manager, RN champion, PCT champion, and quality data operations specialist. A microsystem assessment was conducted using the Dartmouth microsystem assessment tool, providing a blueprint for the project. Intervention The intervention for this project comprises in-services for RNs, PCTs, and UAs working in the microsystem of the fifth floor. In-service presentations include short films, group activities, and panel discussions. Education focuses on recognizing bias in care, respectful and inclusive care for all vulnerable populations, including transgender and gender non-conforming patients. Measures Data measurement includes a pre-project survey of an adapted National LGBT Cancer Network survey for RNs, pre and post intervention Watson Caritas surveys for healthcare givers and patients, and quarterly HCAHPS scores for two nursing related questions. Results Results after project implementation show a slight improvement in scores on the Watson survey for nurses and patients. Nurse self-reporting questions relating to self-care scored the lowest with the highest scoring on the question asking nurse feelings of their values and beliefs, contributing to personal success. Interestingly, patient scoring on the Watson survey had lowest averages on questions of nurses valuing their personal beliefs and faith, allowing for hope, and nurses providing loving care. Highest scoring questions are nurses treating patients with dignity, meeting basic human needs, and fostering trusting relationships. HCAHPS scores on the microsystem unit for this project increased by 1 point each, for the two nursing focused questions. The higher score represents a significant increase in patient satisfaction. Conclusions Conclusions point towards the positive influence nursing education has on patient satisfaction. Several additional contributing factors should be noted. Hospital leadership is beginning to stabilize, the interim manager on the microsystem unit is encouraging an inclusive environment, and RNs and PCTs from other departments have been invited to attend in-services. RNs and PCTs are increasing their dialogue around bias and how to provide respectful care for all. As we move forward, there is interest and support in spreading this program to outside inpatient hospital areas. The emergency department and perioperative services staff, who are often patients first contact with the hospital setting, have shown the most significant support for the program. They have been proactive with encouraging their leadership to bring this program to their departments. The greatest value of the project is the opportunity to improve vulnerable patient healthcare outcomes.
Author: Sari Siegel
Author: Sari Siegel
Author: 
Author: Institute of Medicine
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Author: 
Author: Institute of Medicine
Author: Leiyu Shi
Author: National Academies of Sciences, Engineering, and Medicine
Author: Kimberly Shankel
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