The Path Forward: The Role of Hospitals and Health Systems in Advancing Health and Well-Being for Individuals and Communities

2019 ◽  
pp. 67-74
Author(s):  
Jay Bhatt ◽  
Andrew Jagar
Keyword(s):  
Health Systems ◽  
Current Trend ◽  
Well Being ◽  
The United States ◽  
Models Of Care ◽  
New Models ◽  
Health And Well Being ◽  
A Current ◽  
True Population

This chapter starts by explaining a current trend in the transformation of the role of hospitals in advancing health in the community. The change is the result of demographic change and disease burden shifts which are moving away from acute to chronic. And hospitals and health systems are, as a result, leading an unprecedented transformation to re-envision their role and extend their impact beyond the clinic walls. They are working to create new models of care that prioritize teaming and partnership with the aim of engaging in true population health: advancing health and well-being by bridging care and community. The key, the chapter argues, is to promote affordability while enhancing value. The chapter concludes by stating that hospitals and health systems play an important role in the health of communities across the United States. While that role is changing and will likely continue to evolve, the importance of these institutions as anchors in their communities is likely to increase in coming years.

scholarly journals Deregulation and the Assault on Science and the Environment

2020 ◽  
Vol 41 (1) ◽  
pp. 347-361 ◽  
Author(s):  
Jonathan M. Samet ◽  
Thomas A. Burke
Keyword(s):  
Public Health ◽  
Environmental Pollution ◽  
Reasoned Action ◽  
Scientific Evidence ◽  
Well Being ◽  
The United States ◽  
Research To Policy ◽  
Health And Well Being

The quality of the environment is a major determinant of the health and well-being of a population. The role of scientific evidence is central in the network of laws addressing environmental pollution in the United States and has been critical in addressing the myriad sources of environmental pollution and the burden of disease attributable to environmental factors. We address the shift away from reasoned action and science to a reliance on belief and document the efforts to separate regulation from science and to remove science-based regulations and policies intended to protect public health. We outline the general steps for moving from research to policy, show how each has been undermined, offer specific examples, and point to resources that document the enormity of the current efforts to set aside scientific evidence.

scholarly journals There Is No Performance, There Is Just This Moment: The Role of Mindfulness Instruction in Promoting Health and Well-Being Among Students at a Highly-Ranked University in the United States

2017 ◽  
Vol 22 (4) ◽  
pp. 909-918 ◽  
Author(s):  
Deanna Kerrigan ◽  
Victoria Chau ◽  
Melissa King ◽  
Emily Holman ◽  
Alain Joffe ◽  
...  
Keyword(s):  
United States ◽  
Stress Reduction ◽  
Well Being ◽  
The United States ◽  
University Culture ◽  
High Level ◽  
And Coping ◽  
Depth Interviews ◽  
Health And Well Being

Mindfulness-based stress reduction (MBSR) has been shown to improve health outcomes across populations. We explored the feasibility, acceptability, and initial effects of a pilot MBSR program at a highly-ranked university in the United States. We conducted 23 in-depth interviews with 13 students. Interviews explored stressors and coping mechanisms, experiences with MBSR, and its reported impact and potential future use. Interviews were analyzed using thematic content and narrative analyses. Results indicated that students are exposed to a very high level of constant stress related to the sheer amount of work and activities that they have and the pervasive surrounding university culture of perfectionism. MBSR offered an opportunity to step back and gain perspective on issues of balance and priorities and provided concrete techniques to counter the effects of stressors. We conclude that MBSR and mindfulness programs may contribute to more supportive university learning environments and greater health and well-being among students.

School Climate, Deployment, and Mental Health Among Students in Military-Connected Schools

2015 ◽  
Vol 50 (1) ◽  
pp. 93-115 ◽  
Author(s):  
Kris Tunac De Pedro ◽  
Ron Avi Astor ◽  
Tamika D. Gilreath ◽  
Rami Benbenishty ◽  
Ruth Berkowitz
Keyword(s):  
Mental Health ◽  
School Climate ◽  
School Environment ◽  
Well Being ◽  
The United States ◽  
Student Demographics ◽  
Multiple Components ◽  
Lower Likelihood ◽  
Health And Well Being

Research has found that when compared with civilian students, military-connected students in the United States have more negative mental health outcomes, stemming from the stress of military life events (i.e., deployment). To date, studies on military-connected youth have not examined the role of protective factors within the school environment, such as school climate, in the mental health and well-being of military-connected adolescents. Given this gap in the research on military adolescents, this study draws from a large sample of military and non-military secondary adolescents in military-connected schools ( N = 14,943) and examines associations between school climate, military connection, deployment, and mental health. Findings show that multiple components of school climate are associated with a lower likelihood of depressive symptoms and suicidal ideation and increased likelihood of well-being among students in military-connected schools, after controlling for student demographics, military connection, and deployments. The authors conclude with a discussion of school climate interventions for military-connected youth.

scholarly journals Midlife as a pivotal period in the life course

2014 ◽  
Vol 39 (1) ◽  
pp. 20-31 ◽  
Author(s):  
Margie E. Lachman ◽  
Salom Teshale ◽  
Stefan Agrigoroaei
Keyword(s):  
United States ◽  
Life Course ◽  
Middle Age ◽  
Well Being ◽  
The United States ◽  
Cross Sectional ◽  
Cross Sectional Studies ◽  
The Life Course ◽  
Health And Well Being

We provide evidence for multidirectionality, variability, and plasticity in the nature and direction of change in physical health, cognitive functioning, and well-being during the middle years of the life course. The picture of well-being in midlife based on longitudinal data from the Midlife in the United States (MIDUS) study is a more positive one than portrayed in previous cross-sectional studies. We present middle age as a pivotal period in the life course in terms of balancing growth and decline, linking earlier and later periods of life, and bridging younger and older generations. We highlight the role of protective factors and multisystem resilience in mitigating declines. Those in middle age play a central role in the lives of those who are younger and older at home, in the workplace, and in society at large. Thus, a focus on promoting health and well-being in middle age can have a far-reaching impact.

ENVIRONMENTAL ASPECTS OF HOUSING

1972 ◽  
Vol 35 (9) ◽  
pp. 524-527
Author(s):  
Irving Bell
Keyword(s):  
Well Being ◽  
The United States ◽  
Environmental Aspects ◽  
Enforcement Effort ◽  
Health Agencies ◽  
The Status ◽  
Periodic Evaluation ◽  
Health And Well Being ◽  
Total Environment

Housing is a part of man's total environment and hence it is to some extent responsible for the status of his health and well-being. The residential environment may affect man's physical health by influencing the transmission of communicable diseases, by not fulfilling his physiological needs, or by causing injury. Although approximately 60% of the U. S. population is currently covered by an adopted local or state housing code, it has been estimated that 16 to 20 million of the some 70 million dwelling units in the United States are so far below standard they should be replaced. To cope with environmental problems related to housing and to protect the health of the nation's citizens, health agencies must accept the role of either stimulating or carrying out the four kinds of governmental action set forth below: (a) adoption of minimum health standards in housing; (b) conduct a program to achieve and maintain such standards; (c) conduct periodic evaluation of the standards to ensure their current adequacy; and (d) monitor the standards enforcement effort to guarantee that public health values are provided.

scholarly journals Cultural Continuity as a Determinant of Indigenous Peoples’ Health: A Metasynthesis of Qualitative Research in Canada and the United States

2016 ◽  
Vol 7 (4) ◽  
Author(s):  
Monique D Auger
Keyword(s):  
United States ◽  
Qualitative Research ◽  
Indigenous Peoples ◽  
Well Being ◽  
The United States ◽  
Cultural Continuity ◽  
Original Research ◽  
Acculturation Theory ◽  
Health And Well Being

As a strengths-based alternative to Western notions of enculturation and acculturation theory, cultural continuity describes the integration of people within their culture and the methods through which traditional knowledge is maintained and transmitted. Through reviewing relevant, original research with Indigenous Peoples in Canada and the United States, the purpose of this metasynthesis is to describe and interpret qualitative research relating to cultural continuity for Indigenous Peoples in North America. This metasynthesis was conducted through the selection, appraisal, and synthesis of 11 qualitative studies. Across the selected studies, five key themes arose: the connection between cultural continuity and health and well-being, conceptualizations of cultural continuity and connectedness, the role of knowledge transmission, journeys of cultural (dis)continuity, and barriers to cultural continuity.

The link between coronavirus, anxiety, and religious beliefs in the United States and United Kingdom

2020 ◽  
Author(s):  
Francesco Rigoli
Keyword(s):  
United States ◽  
United Kingdom ◽  
Religious Beliefs ◽  
Well Being ◽  
The United States ◽  
Christian Faith ◽  
Stressful Event ◽  
Cultural Implications ◽  
The Impact

Research has shown that stress impacts on people’s religious beliefs. However, several aspects of this effect remain poorly understood, for example regarding the role of prior religiosity and stress-induced anxiety. This paper explores these aspects in the context of the recent coronavirus emergency. The latter has impacted dramatically on many people’s well-being; hence it can be considered a highly stressful event. Through online questionnaires administered to UK and USA citizens professing either Christian faith or no religion, this paper examines the impact of the coronavirus crisis upon common people’s religious beliefs. We found that, following the coronavirus emergency, strong believers reported higher confidence in their religious beliefs while non-believers reported increased scepticism towards religion. Moreover, for strong believers, higher anxiety elicited by the coronavirus threat was associated with increased strengthening of religious beliefs. Conversely, for non-believers, higher anxiety elicited by the coronavirus thereat was associated with increased scepticism towards religious beliefs. These observations are consistent with the notion that stress-induced anxiety enhances support for the ideology already embraced before a stressful event occurs. This study sheds light on the psychological and cultural implications of the coronavirus crisis, which represents one of the most serious health emergencies in recent times.

Gender Equity and the SDGs

2018 ◽  
Author(s):  
Elizabeth Dettori ◽  
Geeta Rao Gupta
Keyword(s):  
Gender Equity ◽  
Adolescent Girls ◽  
Well Being ◽  
Economic Resources ◽  
The Sustainable Development ◽  
Global Partnership ◽  
Development Goals ◽  
Gender Based ◽  
Health And Well Being

This chapter identifies some of the most stubborn gender-based risks and vulnerabilities girls face as a cohort from preadolescence through late adolescence across the domains of personal capabilities, security, safety, economic resources, and opportunities. It reviews progress made during the Millennium Development Goal era in improving girls’ health and well-being and looks to the role of adolescent girls in advancing the Sustainable Development Goals. The chapter concludes by recommending an approach for global partnership that is linked to national and local actions and that is centered on priority interventions that can catalyze change, at scale, for adolescent girls.

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