The Population Health Model: A Timely Approach for Mission Hospitals

2020 ◽  
Vol 7 (5) ◽  
pp. 82-88
Author(s):  
Richard Thomas ◽  
Niels French
Keyword(s):  
Population Health ◽  
Holistic Approach ◽  
The United States ◽  
Collective Impact ◽  
Spiritual Support ◽  
Faith Based ◽  
Source Of Care ◽  
Health Model ◽  
Provision Of Care ◽  
True Population

Mission hospitals have long provided a source of care along with spiritual support for populations around the world, often serving the disadvantaged not served by other facilities. For a variety of reasons, the future of mission hospitals has been thrown into doubt, and options for repurposing these institutions are being explored. Because of the mission of mission hospitals, there approach has historically differed from those of other health system (including many faith-based facilities). The multi-purpose attribute of mission hospitals makes them excellent candidates for adopting a population health approach. The population health model as now being developed in the United States represents a radical departure from traditional clinical practice and, in fact, reduces the significance of medical care as a means to improving community health. The model emphasizes treatment of populations rather than individuals, takes a holistic approach to the provision of care (to the point of addressing social determinants of health), and enlists the community in collaborative arrangements for collective impact. Mainstream hospitals have had difficulty in implementing a true population health approach for a variety of reasons, and mission hospitals appear to represent an effective vehicle for putting the model into practice.

Restoring Damaged Relationships Through the Art of Invitation: Application with Addicted Incarcerated Women

2019 ◽  
Vol 46 (3) ◽  
Author(s):  
Katti J. Sneed ◽  
Debbie Teike
Keyword(s):  
Human Services ◽  
Addiction Treatment ◽  
The United States ◽  
Incarcerated Women ◽  
Relationship Building ◽  
Health And Human Services ◽  
Guiding Principle ◽  
Faith Based ◽  
Department Of Health ◽  
Complementary Approach

This article presents a description of Art of Invitation as a complementary approach to traditional addiction treatment through the alignment of Art of Invitation (AOI) with Substance Abuse and Mental Health Services Administration (SAMHSA) Ten Guiding Principles for Recovery.  AOI is a faith based relationship building approach that combines key Judeo/Christian teachings with relationship building tools, skills, and concepts for those seeking to build and restore relationships.  SAMHSA, as the leading agency within the U.S. Department of Health and Human Services, spearheads public health efforts to advance behavioral health within the United States.  Each Guiding Principle is presented along with a description of how AOI is shared with incarcerated women, an often neglected population, participating in an inpatient treatment program housed in a community corrections facility.

scholarly journals Dual MD–MPH Degree Students in the United States: Moving the Medical Workforce Toward Population Health

2021 ◽  
pp. 003335492097842
Author(s):  
Jo Marie Reilly ◽  
Christine M. Plepys ◽  
Michael R. Cousineau
Keyword(s):  
Public Health ◽  
United States ◽  
Population Health ◽  
Health Care Policy ◽  
The United States ◽  
Extensive Literature ◽  
Master Of Public Health ◽  
Telephone Interviews ◽  
Public Health Training ◽  
The Impact

Objective A growing need exists to train physicians in population health to meet the increasing need and demand for physicians with leadership, health data management/metrics, and epidemiology skills to better serve the health of the community. This study examines current trends in students pursuing a dual doctor of medicine (MD)–master of public health (MPH) degree (MD–MPH) in the United States. Methods We conducted an extensive literature review of existing MD–MPH databases to determine characteristics (eg, sex, race/ethnicity, MPH area of study) of this student cohort in 2019. We examined a trend in the MD community to pursue an MPH career, adding additional public health and health care policy training to the MD workforce. We conducted targeted telephone interviews with 20 admissions personnel and faculty at schools offering MD–MPH degrees in the United States with the highest number of matriculants and graduates. Interviews focused on curricula trends in medical schools that offer an MD–MPH degree. Results No literature describes the US MD–MPH cohort, and available MD–MPH databases are limited and incomplete. We found a 434% increase in the number of students pursuing an MD–MPH degree from 2010 to 2018. The rate of growth was greater than the increase in either the number of medical students (16%) or the number of MPH students (65%) alone. Moreover, MD–MPH students as a percentage of total MPH students more than tripled, from 1.1% in 2010 to 3.6% in 2018. Conclusions As more MD students pursue public health training, the impact of an MPH degree on medical school curricula, MD–MPH graduates, and MD–MPH career pursuits should be studied using accurate and comprehensive databases.

Access to Medical Care for Children and Adolescents in the United States

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 666-673 ◽  
Author(s):  
David L. Wood ◽  
Rodney A. Hayward ◽  
Christopher R. Corey ◽  
Howard E. Freeman ◽  
Martin F. Shapiro
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Children And Adolescents ◽  
The United States ◽  
Emergency Rooms ◽  
Community Clinics ◽  
Hospital Outpatient ◽  
Regular Source ◽  
Outpatient Departments ◽  
Source Of Care

To evaluate access to health care for American children and adolescents, a telephone survey of a national random sample of households was conducted in which 2182 children 17 years or younger were studied. Approximately 10% had no medical insurance; 10% had no regular source of care; and 18% identified emergency rooms, community clinics, or hospital outpatient departments as their usual site of medical care. Children who were uninsured, poor, or nonwhite were less likely to have seen a physician in the past year (P < .001), and uninsured children were less likely to have up-to-date immunizations. Logistic regression analyses revealed that poor, uninsured, or nonwhite children less frequently had a regular source of care; more frequently used emergency rooms, community clinics, and hospital outpatient departments as their regular providers; and more frequently encountered financial barriers to health care. Low-income or nonwhite children had much less access to care compared with children from more affluent or white families, independent of insurance status or health status.

scholarly journals Will 'Deaths of Despair' among Whites Change How We Talk about Racial/Ethnic Health Disparities?

2018 ◽  
Vol 28 (2) ◽  
pp. 123 ◽  
Author(s):  
Lauren Brown ◽  
Reginald Tucker-Seeley
Keyword(s):  
Health Disparities ◽  
Population Health ◽  
Low Socioeconomic Status ◽  
Urban Areas ◽  
Minority Groups ◽  
Premature Death ◽  
Popular Literature ◽  
The United States ◽  
Deaths Of Despair ◽  
Racial Ethnic

<p>The recent trend of premature death among Whites in the United States has garnered attention in both the popular and academic literature. This attention has focused on the plight of low socioeconomic status Whites in non-urban areas. The population health lit­erature in general and the health disparities literature more specifically has struggled to describe differences in health when White groups present worse health outcomes or worsening trends compared with racial/ ethnic minority groups. There remain many open questions as population health/health disparities research attempts to explain the increasing mortality rates for low socioeco­nomic status Whites in non-urban areas in relationship to other racial/ethnic groups. As the conversation in the academic and popular literature continues to unfold, a key question for population health research and practice is how will the ‘deaths of despair’ phenomenon among Whites influence our measuring of, and reporting and interven­ing on, race/ethnic health disparities? <em></em></p><p><em>Ethn Dis. </em>2018;28(2):123-128; doi:10.18865/ ed.28.2.123.</p>

scholarly journals Social Inequality and the Future of US Life Expectancy

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Iliya Gutin ◽  
Robert A. Hummer
Keyword(s):  
United States ◽  
Life Expectancy ◽  
Social Inequality ◽  
Population Health ◽  
The United States ◽  
Annual Review ◽  
Publication Date ◽  
The Social ◽  
The Future ◽  
Extreme Longevity

Despite decades of progress, the future of life expectancy in the United States is uncertain due to widening socioeconomic disparities in mortality, continued disparities in mortality across racial/ethnic groups, and an increase in extrinsic causes of death. These trends prompt us to scrutinize life expectancy in a high-income but enormously unequal society like the United States, where social factors determine who is most able to maximize their biological lifespan. After reviewing evidence for biodemographic perspectives on life expectancy, the uneven diffusion of health-enhancing innovations throughout the population, and the changing nature of threats to population health, we argue that sociology is optimally positioned to lead discourse on the future of life expectancy. Given recent trends, sociologists should emphasize the importance of the social determinants of life expectancy, redirecting research focus away from extending extreme longevity and toward research on social inequality with the goal of improving population health for all. Expected final online publication date for the Annual Review of Sociology, Volume 47 is July 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Ensuring COVID-19 Vaccines for Migrant and Immigrant Farmworkers

2021 ◽  
Author(s):  
Christine M. Thomas ◽  
Amy K. Liebman ◽  
Alma Galván ◽  
Jonathan D. Kirsch ◽  
William M. Stauffer
Keyword(s):  
Public Health ◽  
Disease Burden ◽  
Vaccination Campaign ◽  
Geographic Location ◽  
The United States ◽  
Health Centers ◽  
Coordination Of Care ◽  
Faith Based ◽  
Food And Agriculture ◽  
Health Authorities

Migrant and immigrant farmworkers are cornerstones to food security and production in many nations. In the United States, farmworkers have been disproportionately impacted by COVID-19. Because they are considered essential workers, vaccines may be made imminently available to them and offer an opportunity to reduce these COVID-19–related impacts. It is essential for a successful vaccination campaign to address the unique challenges arising from this workforce’s inherently mobile nature and limited access to healthcare. Proposed strategies to overcome these challenges include ensuring farmworkers are prioritized in vaccine allocation and provided cost-free vaccines at convenient locations through partnerships among health authorities, community- and faith-based groups, and health centers with trusted community relationships. Further, a portable immunization record should be used, and coordination of care continued when a farmworker moves to a new geographic location. If implemented well, vaccinating farmworkers can reduce the COVID-19 disease burden among these essential workers, improve public health, and protect food and agriculture production.

Cooperative Collective Action: Framing Faith-Based Community Development

2009 ◽  
Vol 14 (2) ◽  
pp. 181-198 ◽  
Author(s):  
Scott Fitzgerald
Keyword(s):  
Community Development ◽  
Collective Action ◽  
The United States ◽  
Political Systems ◽  
Faith Based ◽  
Development Organizations ◽  
Community Development Organizations ◽  
Modern Welfare State ◽  
Development Goals ◽  
State Relations

Drawing from social movement and organization theories, data from an in-depth comparative analysis of three faith-based community development organizations (FBCDOs) in the United States are examined as a form of cooperative collective action. The diagnostic, prognostic, and motivational frames produced by each organization, and the role these frames play in developing and maintaining relationships with the state, are detailed. These collective action frames (1) link sectarian religious values to broad community development goals, and (2) do not fundamentally challenge the prevailing economic and political systems. Empirically, the findings clarify important issues and dynamics related to emerging movements, the modern welfare state, and church-state relations by specifying how values, beliefs, and structural location shape the actions of FBCDOs engaged in state-sponsored religious social service provision. Theoretically, it demonstrates the utility of more precise analytical distinctions between types of collective action and suggests new directions for research on movements for change.

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