Underserved and Socially Disadvantaged Groups and Linkages with Health and Health Care Differentials

2019 ◽  
Keyword(s):  
Health Care ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged

scholarly journals Empowering Caseworkers to Better Serve the Most Vulnerable with a Cloud-Based Care Management Solution

2020 ◽  
Vol 11 (04) ◽  
pp. 617-621 ◽  
Author(s):  
Jane L. Snowdon ◽  
Barbie Robinson ◽  
Carolyn Staats ◽  
Kenneth Wolsey ◽  
Megan Sands-Lincoln ◽  
...  
Keyword(s):  
Health Care ◽  
Care Management ◽  
Well Being ◽  
Determinants Of Health ◽  
Coordinated Care ◽  
Management Tools ◽  
Care Plans ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Sonoma County

Abstract Background Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and other displaced individuals. Objectives The objective of this case report is to describe how an integrated data hub and care-management solution streamlined care coordination of government services during a time of community-wide crisis. Methods This innovative application of care-management tools created a bridge between social and clinical determinants of health and used a three-step approach—access, collaboration, and innovation. The program Accessing Coordinated Care to Empower Self Sufficiency Sonoma was established to identify and match the most vulnerable residents with services to improve their well-being. Sonoma County created an Interdepartmental Multidisciplinary Team to deploy coordinated cross-departmental services (e.g., health and human services, housing services, probation) to support individuals experiencing housing insecurity. Implementation of a data integration hub (DIH) and care management and coordination system (CMCS) enabled integration of siloed data and services into a unified view of citizen status, identification of clinical and social determinants of health from structured and unstructured sources, and algorithms to match clients across systems. Results The integrated toolset helped 77 at-risk individuals in crisis through coordinated care plans and access to services in a time of need. Two case examples illustrate the specific care and services provided individuals with complex needs after the 2017 Sonoma County wildfires. Conclusion Unique application of a care-management solution transformed health and health care for individuals fleeing from their homes and socially disadvantaged groups displaced by the Sonoma County wildfires. Future directions include expanding the DIH and CMCS to neighboring counties to coordinate care regionally. Such solutions might enable innovative care-management solutions across a variety of public, private, and nonprofit services.

scholarly journals Humanitarian Diplomacy

2018 ◽  
pp. 382-392
Author(s):  
Antonio Gazzanti Pugliese di Cotrone
Keyword(s):  
International Law ◽  
International Federation ◽  
Decision Makers ◽  
Red Cross ◽  
Main Task ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Open Borders

The article describes humanitarian diplomacy that has to break a potential ideological ice between belligerent parties, establish a network of diplomatic connections in a skillful way, and use every opportunity available to support victims of war. An indisputable fact is that the higher the reputation and the stronger the trust to those using humanitarian diplomacy strategies, the better results will be achieved. The combination of diplomacy and humanitarian activities may lead to the emergence of unexpected interactions. The International Federation of Red Cross mentions that the goal humanitarian diplomacy seeks to achieve is the provision of better care for socially disadvantaged groups of society from governments; establishment of closer ties with decision-makers to generate opportunities to influence them; maintenance of a permanent dialogue at both national and international levels; engagement to a discussion of those who work in the field of humanitarian diplomacy; increase in transparency of such discussion; enhancement of the ability to govern all the useful resources; cooperation with other actors pursuing the same humanitarian goals. Humanitarian diplomacy has to direct its actions at all crises and to both governmental and non-governmental entities of international law; take into account that its aim is to open borders and establish humanitarian corridors ensuring the provision of direct assistance to refugees. The main task is to guarantee long-term actions, while avoiding temporary and fragile alternatives. That is the basis for humanitarian diplomacy of the Sovereign Military Order of Malta with all its peculiarities. Keywords: the Sovereign Military Order of Malta, Red Cross, international law, humanitarian diplomacy, crises.

scholarly journals Social, Psychological, and Philosophical Reflections on Pandemics and Beyond

Societies ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 42 ◽  
Author(s):  
Abraham Rudnick
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Policy Research ◽  
Comparative Approach ◽  
Care Providers ◽  
Social Psychological ◽  
Socially Disadvantaged ◽  
Conceptual Paper ◽  
Research And Education ◽  
Made In

This conceptual paper presents social, psychological and philosophical (ethical and epistemological) reflections regarding the current (COVID-19) pandemic and beyond, using an analytic and comparative approach. For example, Taiwan and Canada are compared, addressing Taiwan’s learning from SARS. Suggestions are made in relation to current and future relevant practice, policy, research and education. For example, highly exposed individuals and particularly vulnerable populations, such as health care providers and socially disadvantaged (homeless and other) people, respectively, are addressed as requiring special attention. In conclusion, more reflection on and study of social and psychological challenges as well as underlying philosophical issues related to the current pandemic and more generally to global crises is needed.

scholarly journals A Comprehensive Analysis of Poverty in India

2014 ◽  
Vol 31 (1) ◽  
pp. 1-52 ◽  
Author(s):  
Arvind Panagariya ◽  
Megha Mukim
Keyword(s):  
Social Groups ◽  
Comprehensive Analysis ◽  
Religious Groups ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Accelerated Growth ◽  
Poverty Lines ◽  
Caste Groups

This paper offers a comprehensive analysis of poverty in India. It shows that regardless of which of the two official poverty lines we use, we see a steady decline in poverty in all states and for all social and religious groups. Accelerated growth between fiscal years 2004–2005 and 2009–2010 also led to an accelerated decline in poverty rates. Moreover, the decline in poverty rates during these years has been sharper for the socially disadvantaged groups relative to upper caste groups so that we now observe a narrowing of the gap in the poverty rates between the two sets of social groups. The paper also provides a discussion of the recent controversies in India regarding the choice of poverty lines.

scholarly journals Socially Disadvantaged Groups and Microfinance in India

2019 ◽  
Vol 67 (3) ◽  
pp. 537-569 ◽  
Author(s):  
Jean-Marie Baland ◽  
Rohini Somanathan ◽  
Lore Vandewalle
Keyword(s):  
Disadvantaged Groups ◽  
Socially Disadvantaged

Ethnic origin and access to electronic health services

2016 ◽  
Vol 22 (4) ◽  
pp. 791-803 ◽  
Author(s):  
Gustavo S Mesch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Medical Information ◽  
Minority Groups ◽  
Ethnic Origin ◽  
Disadvantaged Groups ◽  
Care Services ◽  
Internet Users ◽  
Diversification Hypothesis

E-health holds the promise of changing the delivery of health care by extending and enhancing its reach, and democratizing and improving the access of disadvantaged groups to health care services. This study investigated ethnic inequalities in access to e-health information, communication and electronic services in Israel. Based on the diversification hypothesis, we expected that disadvantaged ethnic groups would be more likely to use e-health services to compensate for their lack of social capital. Data gathered from a representative sample of Internet users in Israel (n=1371) provided partial support for the hypothesis, indicating that in multicultural societies, disadvantaged groups are more motivated than the majority group to use the Internet to access medical information. However, despite expectations, minority groups were less likely to access e-health services. Implications of the findings are discussed.

Survey of Discriminatory Beliefs and Attitudes toward Employment of Socially Disadvantaged Groups

1967 ◽  
Vol 21 (3) ◽  
pp. 983-984 ◽  
Author(s):  
Edro I. Signori ◽  
Henry Rempel
Keyword(s):  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Beliefs And Attitudes

The general results of a survey of discriminatory beliefs and attitudes concerning the employment of various disadvantaged groups were reported. Discriminatory beliefs and attitudes were classified under 12 heuristic categories.

scholarly journals Applying the Electronic Health Literacy Lens: Systematic Review of Electronic Health Interventions Targeted at Socially Disadvantaged Groups

10.2196/18476 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e18476 ◽  
Author(s):  
Christina Cheng ◽  
Alison Beauchamp ◽  
Gerald R Elsworth ◽  
Richard H Osborne
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Low Income ◽  
User Involvement ◽  
Low Literacy ◽  
Ehealth Literacy ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Electronic Health ◽  
Improve Health

Background Electronic health (eHealth) has the potential to improve health outcomes. However, eHealth systems need to match the eHealth literacy needs of users to be equitably adopted. Socially disadvantaged groups have lower access and skills to use technologies and are at risk of being digitally marginalized, leading to the potential widening of health disparities. Objective This systematic review aims to explore the role of eHealth literacy and user involvement in developing eHealth interventions targeted at socially disadvantaged groups. Methods A systematic search was conducted across 10 databases for eHealth interventions targeted at older adults, ethnic minority groups, low-income groups, low-literacy groups, and rural communities. The eHealth Literacy Framework was used to examine the eHealth literacy components of reviewed interventions. The results were analyzed using narrative synthesis. Results A total of 51 studies reporting on the results of 48 interventions were evaluated. Most studies were targeted at older adults and ethnic minorities, with only 2 studies focusing on low-literacy groups. eHealth literacy was not considered in the development of any of the studies, and no eHealth literacy assessment was conducted. User involvement in designing interventions was limited, and eHealth intervention developmental frameworks were rarely used. Strategies to assist users in engaging with technical systems were seldom included in the interventions, and accessibility features were limited. The results of the included studies also provided inconclusive evidence on the effectiveness of eHealth interventions. Conclusions The findings highlight that eHealth literacy is generally overlooked in developing eHealth interventions targeted at socially disadvantaged groups, whereas evidence about the effectiveness of such interventions is limited. To ensure equal access and inclusiveness in the age of eHealth, eHealth literacy of disadvantaged groups needs to be addressed to help avoid a digital divide. This will assist the realization of recent technological advancements and, importantly, improve health equity.

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