scholarly journals Editorial - Advancing Health Equity: Honoring the Legacy of Dr. Elijah B. Saunders

2015 ◽  
Vol 25 (4) ◽  
pp. 381
Author(s):  
George A. Mensah ◽  
Keith C. Norris

<p>It is a time-honored tradition in medicine and public health to recognize and honor individuals and teams for their original discoveries in basic, clinical, and population science research or for a sustained commitment to patient care and teaching.  In following that tradition, <em>Ethnicity &amp; Disease</em> pays special tribute to Elijah B. Saunders, MD, FACC, FACP, FAHA, FASH for his life-long commitment to patient care, teaching, community service, and most importantly, for his tireless efforts in taking many first steps to advance health equity for medically underserved communities in the United States and worldwide.<sup>1</sup><sup>, </sup><sup>2</sup> </p>

2021 ◽  
Vol 9 ◽  
Author(s):  
Lilliann Paine ◽  
Patanjali de la Rocha ◽  
Antonia P. Eyssallenne ◽  
Courtni Alexis Andrews ◽  
Leanne Loo ◽  
...  

Declaring racism a public health crisis has the potential to shepherd meaningful anti-racism policy forward and bridge long standing divisions between policy-makers, community organizers, healers, and public health practitioners. At their best, the declarations are a first step to address long standing inaction in the face of need. At their worst, the declarations poison or sedate grassroots momentum toward anti-racism structural change by delivering politicians unearned publicity and slowing progress on health equity. Declaring racism as a public health crisis is a tool that must be used with clarity and caution in order to maximize impact. Key to holding public institutions accountable for creating declarations is the direct involvement of Black and Indigenous People of Color (BIPOC) led groups and organizers. Sharing power, centering their voices and working in tandem, these collaborations ensure that declarations push for change from the lens of those most impacted and authentically engage with the demands of communities and their legacies. Superficial diversity and inclusion efforts that bring BIPOC people and organizers into the conversation and then fail to implement their ideas repeat historical patterns of harm, stall momentum for structural change at best, and poison the strategy at worst. In this paper we will examine three declarations in the United States and analyze them utilizing evaluative criteria aligned with health equity and anti-racism practices. Finally, we offer recommendations to inform anti-racist public health work for meaningful systematic change toward decentralization and empowerment of communities in their health futures.


2021 ◽  
pp. e1-e4
Author(s):  
Colleen M. Grogan ◽  
Yu-An Lin ◽  
Michael K. Gusmano

When the COVID-19 pandemic landed in the United States, and particularly once cases began to grow substantially in March, the entire health care system suffered, but the safety net was exceptionally hard hit. The “health care safety net,” an ill-defined term that encompasses public and some nonprofit hospitals that take care of the poor and uninsured, was on the front lines of taking care of the bulk of individuals who had contracted COVID-19. These hospitals tended to suffer from a lack of adequate supplies and relatively low reimbursement in a system that was already financially weak. (Am J Public Health. Published online ahead of print February 4, 2021: e1–e4. https://doi.org/10.2105/AJPH.2020.306127 )


2020 ◽  
Author(s):  
Amy Drahota ◽  
Heatherlun Uphold ◽  
Maji Hailemariam ◽  
Tatiana E. Bustos ◽  
Luther Evans ◽  
...  

UNSTRUCTURED Background Focused dissemination and implementation (D&I) of research results is a key strategy for improving public health. While federally-funded research centers are required to have a dissemination core, these efforts are typically directed toward academics (e.g., manuscripts, academic presentations) with limited focus on broader dissemination efforts to community stakeholders, evaluation of D&I processes, or the public health impact associated with the D&I efforts. An opportunity exists to combine the dissemination core requirement in center grants with specific dissemination and implementation research aims. This study protocol describes aims of the “Dissemination and Implementation Science Core” (DISC), developed as part of the NIMHD-funded Flint Center for Health Equity Solutions (FCHES). The FCHES is a Transdisciplinary Collaborative Center focused on reducing health disparities and chronic disease prevention in Region 5 of the United States. The DISC intends to develop D&I strategies for the FCHES research projects, conduct research on the effectiveness of D&I practices, and produce generalizable knowledge about strategies facilitating the translation of research outcomes into community-based settings. Methods/Design The DISC consists of both applied dissemination aims as well as D&I research aims, including: (1) Reduce research-to-practice gap in health promotion trials in Flint, Michigan and Region 5; (2) Disseminate FCHES research activities to local and regional stakeholders; (3) Increase community capacity to utilize dissemination, implementation and sustainment strategies in underserved minority-majority communities; (4) Increase community capacity to affect health equity policy change; and (5) Evaluate contextual factors affecting public health effort sustainment. The proximal intended audience of the DISC’s efforts includes the FCHES academic and community partners, and regional stakeholders, such as providers, policymakers, community-based health and advocacy organizations, and consumers. Discussion To our knowledge, this is the first center-funded dissemination core that focuses on the conduct of D&I science research, collaboration to embed D&I research methods into the broader center project efforts, and application of these findings in real-world, community-based settings. Moreover, the lessons learned through the DISC may help guide future center dissemination cores. Including D&I science research into center project activities from the outset may facilitate more efficient uptake of research findings and yield greater public health outcomes.


2021 ◽  
pp. 1-13
Author(s):  
Michael A. Fremed ◽  
Talha Niaz ◽  
Kyle D. Hope ◽  
Carolyn A. Altman ◽  
Victor Y. Levy ◽  
...  

Abstract During the initial surge of the COVID-19 pandemic in the spring and summer of 2020, pediatric heart centers were forced to rapidly alter the way patient care was provided to minimize interruption to patient care as well as exposure to the virus. In this survey based descriptive study we characterize changes that occurred within pediatric cardiology practices across the United States and describe provider experience and attitudes towards these changes during the pandemic. Common changes that were implemented included decreased numbers of procedures, limiting visitors, and shifting towards telemedicine encounters. The information obtained from this survey may be useful in guiding and standardizing responses to future public health crises.


2020 ◽  
Vol 30 (3) ◽  
pp. 373-380
Author(s):  
Derek M. Griffith ◽  
Andrea R. Semlow

Objective: One of the fundamental chal­lenges in research on, and the practice of, anti-racism is helping people open their minds to new possibilities and new ways of thinking.Design: This commentary illustrates how art can help people unlearn misinformation and narrow ways of thinking while enhanc­ing flexibility that allows people to think cre­atively about efforts to eliminate or mitigate the health effects of racism.Results: Historically, art has been a critical foundation of the history of protest and struggle to achieve equity in the United States and across the globe. Whether music, poems, paintings or other forms of creative expression, art has been at the core of efforts to express emotion, communicate difficult concepts, spur action and change what seems impossible. Art has been particularly important in illustrating and helping to facilitate how people understand what racism is, how it feels to experience privilege or oppression and exploring the implications of policies and practices that affect health indirectly or directly. Yet, art remains underutilized in anti-racism educa­tion, training and organizing efforts within public health. This commentary includes several arts-based examples to illustrate how art can facilitate insights, observations and strategies to address racism and achieve health equity.Conclusion: Art can be an important tool to facilitate moving past intellectual arguments that seek to explain, justify and excuse racism. Art may be particularly important in efforts to illuminate how racism operates in organizational or institutional contexts and to communicate hope, resilience, and strength amid what seems impossible. Ethn Dis. 2020;30(3):373-380; doi:10.18865/ed.30.3.373


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