Community Partnerships: The Cornerstone of Community Health Research

2004 ◽  
Vol 22 (1) ◽  
pp. 315-329 ◽  
Author(s):  
CARMEN J. PORTILLO ◽  
CATHERINE WATERS
Keyword(s):  
Health Care ◽  
Ethnic Disparities ◽  
Community Partnerships ◽  
Community Research ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Community Based ◽  
Community Based Research ◽  
Care Community ◽  
Unequal Treatment

Community partnerships have been recognized as the cornerstone of community research. The recent Institute of Medicine report, Unequal Treatment, puts forth the idea of creating community partnerships as a strategy to address racial and ethnic disparities in health care. Community-based research is frequently reported in the literature as a study conducted in the community versus with the community. The objective of this review is to examine models of community partnerships, to consider their implications for community-based research, and to identify directions for future nursing research.

Barriers for people of color to RD in the US

2018 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Jill White
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Ethnic Disparities ◽  
Health Care Delivery System ◽  
People Of Color ◽  
Institute Of Medicine ◽  
Unequal Treatment ◽  
Nutrition Programs ◽  
Health Care Practitioners ◽  
The Us

The Healthy People 2010 objective of eliminating health disparities was prompted by the  Institute of Medicine (IOM) report Unequal Treatment; Confronting Racial and Ethnic Disparities in Health Care . The report documented racial inequities within the U.S. health care delivery system, including differential treatment on the basis of race demonstrated by health care practitioners.  Recommendation 5-3 was to Increase the proportion of underrepresented U.S. racial and ethnic minorities among health professionals .Between 2002 and 2008 the number of people of color entering undergraduate Nutrition programs increased by 67 %,  while the number admitted to internships decreased by 11% . Of particular concern is the 58% decrease in African American's admitted into dietetic internships over the past decade.   This paper is a discussion of barriers to RD that have been identified by African Americans in five studies, in hopes of shedding light on how to address and reverse this trend. 

scholarly journals Clinical Uncertainty and Healthcare Disparities

2003 ◽  
Vol 29 (2-3) ◽  
pp. 203-219 ◽  
Author(s):  
Ana I. Balsa ◽  
Naomi Seiler ◽  
Thomas G. McGuire ◽  
M. Gregg Bloche
Keyword(s):  
Healthcare System ◽  
Minority Groups ◽  
Healthcare Access ◽  
Insurance Coverage ◽  
Ethnic Disparities ◽  
Clinical Encounter ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Unequal Treatment

The Institute of Medicine Report, Unequal Treatment: Confronting Racial and Ethnic Disparities, affirms in its first finding: “Racial and ethnic disparities in healthcare exist and, because they are associated with worse outcomes in many cases, are unacceptable.” The mechanisms that generate racial and ethnic disparities in medical care operate at the levels of the healthcare system and the clinical encounter. Research demonstrates the role of healthcare system factors, including differences in insurance coverage and other determinants of healthcare access, in producing disparities. Research also shows, however, that even when insurance status and other measures of access are controlled for by statistical methods, racial and ethnic disparities persist. These disparities remain when researchers try by various methods to control for patients’ clinical characteristics. Disparities are especially well documented through comparisons between white patients and African Americans and Latinos, but they are believed to affect other minority groups. As a result, many members of minority racial and ethnic groups receive less or inferior care.

Using Information Technology and Community-based Research to Improve the Dental Health-care System

2003 ◽  
Vol 17 (1) ◽  
pp. 86-88 ◽  
Author(s):  
K.A. Atchison
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Oral Health ◽  
Health Care System ◽  
Dental Health ◽  
The United States ◽  
Institute Of Medicine ◽  
Community Based ◽  
Community Based Research ◽  
Care System

It is commonly acknowledged that the United States’ health-care system produces some of the finest care in the world for some people but fails to meet the needs of others. The Institute of Medicine (IOM) issued six aims for a redesigned health-care system, that it be: safe, effective, patient-centered, timely, efficient, and equitable. The purpose of this paper is to use an ongoing community-based study to illustrate current problems in the provision of oral health services that could be addressed through information technology. Appropriate use of information technology can assist dental schools and clinics in community-based clinical outcomes research needed to assemble the evidence base for improving oral health care. This conference serves as an important steppingstone to establish a means for information technology to improve the community’s oral health.

scholarly journals Teaching Racial Affinity Caucusing as a Tool to Learn About Racial Health Inequity Through an Experiential Workshop

2020 ◽  
Vol 52 (9) ◽  
pp. 656-660
Author(s):  
Jessica Guh ◽  
Laura Krinsky ◽  
Tanya White-Davis ◽  
Tanmeet Sethi ◽  
Ronni Hayon ◽  
...  
Keyword(s):  
Panel Discussion ◽  
Ethnic Disparities ◽  
Posttest Score ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Pretest Score ◽  
Residency Programs ◽  
Unequal Treatment ◽  
Experiential Workshop ◽  
And Training

Background and Objectives: In its landmark report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, the Institute of Medicine concluded that unconscious or implicit negative racial attitudes and stereotypes contribute to poorer health outcomes for patients of color. We describe and report on the outcome of teaching a workshop on the tool of racial affinity caucusing to address these issues. Methods: Applying the framework described by Crossroads Antiracism Organizing and Training, we developed a 90-minute workshop teaching racial affinity caucusing to family medicine educators interested in racial health disparities. The workshop included didactic and experiential components as well as a panel discussion. We administered pre- and posttests. Results: Participants’ (n=53) impression of and confidence in implementing racial affinity caucusing significantly increased following the workshop from a mean pretest score of 5.40 to a mean posttest score of 7.12 (P<.01) on a scale of 1 to 9. Ninety-two percent of participants indicated that the workshop made them more likely to think about implementing this tool at their home institutions (P<.01). Conclusions: This study demonstrated the first exploration in medical education of racial affinity caucusing and illustrated that it can be easily implemented in residency programs as an effort to address racial health inequities. Though the participating educators were mostly unfamiliar with it, the workshop was an effective introduction to this tool and by the end, educators reported increased comfort and enthusiasm for racial affinity caucusing, regardless of their preexisting levels of knowledge of or comfort with the tool. In addition, the overwhelming majority of the participants felt they could implement it at their respective institutions.

Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

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