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Addressing the need for health equity reform in rural community hospitals: Centering the voices of local health care stakeholders.
J Prev Interv Community
January 2025
Tennessee Health Care Campaign, Murfreesboro, TN, USA.
Article Synopsis
- Rural hospitals in the US, particularly in Tennessee, are closing at alarming rates, resulting in reduced healthcare access for rural populations.
- Interviews with stakeholders from five diverse rural communities in Tennessee revealed key strategies that have helped some hospitals survive despite these closures.
- The analysis identified six main themes related to preventing closures, including government policies, commercial factors, internal business strategies, community engagement, ongoing challenges, and the impact of behavioral health and substance abuse issues.
Flexibility and resilience in equity-centered research: lessons learned conducting a randomized controlled trial of a family-based substance use prevention program for American Indian families.
Front Public Health
December 2024
Centers for American Indian & Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Meaningful and effective community engagement lies at the core of equity-centered research, which is a powerful tool for addressing health disparities in American Indian (AI) communities. It is essential for centering Indigenous wisdom as a source of solutions and disrupting Western-centric perspectives and inequitable and exclusionary research practices. This paper reports on lessons learned implementing an effectiveness trial of the Thiwáhe Glúwaš'akapi program (TG) program (translated as "sacred home in which families are made strong")-a family-based substance use prevention program-in a post-pandemic era with an American Indian reservation community that has confronted extreme challenges.
View Article and Find Full Text PDFThe everyday harms of structural racism and discrimination, perpetuated through institutions, laws, policies, and practices, constitute social determinants of health, but measures that account for their debilitating effects are largely missing in genetic studies of complex diseases. Drawing on insights from the social sciences and public health, we propose critical methodologies for incorporating tools that measure structural racism and discrimination within genetic analyses. We illustrate how including these measures may strengthen the accuracy and utility of findings for diverse communities, clarify elusive relationships between genetics and environment in a racialized society, and support greater equity within genomics and precision health research.
View Article and Find Full Text PDFApproaches to ensure an equitable and fair admissions process for medical training.
Commun Med (Lond)
December 2024
Association of American Medical Colleges, Washington, DC, USA.
There has been considerable discussion of how best to address racial and ethnic disparities in health outcomes, both globally and specifically in the United States. Increasing diversity among future clinicians and physician-scientists has been identified as a key strategy for addressing and correcting health disparities among underrepresented populations. Increasingly, medical schools, the institutions that train clinicians, have embraced the practice of holistic review for evaluating applicants and virtually all medical schools have reported contributing to a diverse physician workforce as an important aspect of their educational mission.
View Article and Find Full Text PDFDepoliticization of Violence: Critical Limits of Risk Environment Frameworks in Drug Use Research.
Inquiry
December 2024
Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
The risk environment framework (REF) is a widely-accepted tool in policy research related to drug use. Its prevalence warrants a critical exploration of its strengths and weaknesses. This critical appraisal is a comprehensive analysis of the REF by definition and through relevant examples of its use within the context of public health evaluations, social science research, and epidemiological strategies in substance use-related policy.
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