The COVID-19 pandemic has severely impacted certain racial and ethnic groups due to systemic racism and poor governmental emergency responses. Health organizations and leaders worked strategically to pivot their workflows to meet the emerging needs of their patient population. In this perspective, three examples are shared of successful interventions that made workflow improvements to be efficient while ensuring excellent patient care during the pandemic and beyond. Lessons from the initiatives are ones that health professionals can advocate for and easily adopt to ensure that medical mistreatment and disparities for some patient populations do not continue to flourish.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9629906 | PMC |
http://dx.doi.org/10.1089/heq.2021.0125 | DOI Listing |
Pediatrics
November 2024
Boston Medical Center, Boston, Massachusetts.
Objectives: Significant inequities in pediatric injury outcomes exist. We aim to develop a process to assist child death review (CDR) teams in identifying upstream factors that lead to inequitable outcomes in pediatric injuries.
Methods: We spent 6 months (November 2021-April 2022) working with 3 CDR teams in Massachusetts to understand their tools and processes for CDR.
Nutrients
October 2024
College of Education, Boise State University, 1910 University Drive, Boise, ID 83725, USA.
Policy implementation measurement lacks an equity focus, which limits understanding of how policies addressing health inequities, such as Universal School Meals (USM) can elicit intended outcomes. We report findings from an equity-focused measurement development study, which had two aims: (1) identify key constructs related to the equitable implementation of school health policies and (2) establish face and content validity of measures assessing key implementation determinants, processes, and outcomes. : To address Aim 1, study participants (i.
View Article and Find Full Text PDFAcad Med
September 2024
L.B. Spalluto is vice chair of health equity, Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.
BMC Public Health
September 2024
Department of Biostatistics, Yale School of Public Health, Connecticut, USA.
Background: Addressing mental health disparities following COVID-19 requires adaptive, multi-sectoral, equity-focused, and community-based approaches. Mental health task-sharing in gateway settings has been found to address mental health care gaps in low- and middle-income countries, but is not a common practice in the U.S.
View Article and Find Full Text PDFJAMA Netw Open
September 2024
Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Importance: Emergency department (ED) boarding times have increased rapidly, but their health equity outcomes are unknown.
Objective: To investigate whether prolonged ED boarding is associated with increased perceived racial discrimination and dissatisfaction and whether associations vary between patients from marginalized racial and ethnic groups vs non-Hispanic White patients.
Design, Setting, And Participants: This is a cross-sectional study of hospitalized adults who boarded in the ED during internal medicine admissions at a large, urban hospital in Boston, Massachusetts, from June 2023 to January 2024.
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