scholarly journals Developing a program for pediatric urological care in the community

2017 ◽  
Vol 11 (1-2S) ◽  
pp. 93
Author(s):  
Frank Papanikolaou ◽  
Linda Lee

The growth of large metropolitan areas across Canada has fostered the need to provide tertiary care to patients outside of the traditional university-affiliated hospitals. Subspecialty urology care at centres of excellence in the community includes urological oncology, men’s health, community urology, and pediatric urology. The two of us have developed such centres of excellence in pediatric urology in the communitysettings of Mississauga, ON, and Victoria, BC. This article highlights personal experiences in developing these programs and the lessons learned. It is hoped that this can help guide similar undertakings by others to develop centres of excellence in subspecialty urology care so as to bring care closer to patients’ homes.

2007 ◽  
Vol 1 (4) ◽  
pp. 294-306 ◽  
Author(s):  
Elizabeth M. Whitley ◽  
Nicole C. Jarrett ◽  
April M. W. Young ◽  
Sherry A. Adeyemi ◽  
Leda M. Perez

Historically, the health care needs of poor men and men of color have been neglected in the United States, resulting in significant disparities in health and health outcomes. Dedicated resources to address the particular needs of men are necessary to eliminate the health disparities that afflict underserved men. The following article compiles and shares some of the lessons learned as experienced by three Community Voices sites that have been active in men's health. Community Voices Miami's Overtown Men's Health Study, Denver Health Men's Health Initiative, and Baltimore Men's Health Center are working to address the health needs of men in some of the most vulnerable communities in the United States. Examples of community-specific assessment of men's needs, community engagement, service delivery, service to special populations, marketing, addressing sustainability, and advances in public policy to improve men's health are presented.


2020 ◽  
Vol 14 (6) ◽  
pp. 155798832097923
Author(s):  
Chanita Hughes Halbert ◽  
Caitlin G. Allen ◽  
Melanie Jefferson ◽  
Gayenell S. Magwood ◽  
Cathy Melvin ◽  
...  

The Transdisciplinary Collaborative Center (TCC) in Precision Medicine for Minority Men’s Health was established at the Medical University of South Carolina (MUSC) in 2015 to address disparities in the translation of precision medicine approaches among racial minority groups. This regional consortium focuses on three primary areas: (1) the development of a consortium of regional and national partners, (2) conducting transdisciplinary research examining synergistic effects of biological, social, physiological, and clinical determinants of chronic disease risks and outcomes, and (3) dissemination and implementation of precision medicine approaches, with an emphasis on reducing disparities in health care and outcomes among minority men. Given consistent calls to better translate precision medicine approaches and the focus of this consortium on addressing disparities among minority men, we provide an overview of our experience in developing the MUSC TCC, including barriers and facilitators to conducting translational research on minority men’s health issues in the context of precision medicine. Lessons learned and areas for improvement include providing enough time to create consistent partnerships and community engagement to improve recruitment and retention, identifying unique ways to engage diverse partners from across the region and nation, and better approaches to dissemination and communication for large partnerships focusing on precision medicine.


2019 ◽  
Vol 13 (5) ◽  
pp. 155798831988258 ◽  
Author(s):  
Derek M. Griffith ◽  
Andrea R. Semlow ◽  
Mike Leventhal ◽  
Clare Sullivan

Tennessee is the only state in the United States that has regularly published a document monitoring men’s health and assessing men’s health disparities. Vanderbilt University, Vanderbilt University Medical Center, the Tennessee Department of Health, Meharry Medical College, Tennessee Men’s Health Network, and health providers and advocates across the state have come together to publish a set of indicators as the Tennessee Men’s Health Report Card (TMHRC). This article describes the origins, structure, development, and lessons learned from publishing report cards in 2010, 2012, 2014, and 2017. The report card highlights statistically significant changes in trends over time, identifies racial, ethnic, age, and geographic differences among men, highlights connections to regional and statewide public health initiatives, and suggests priorities for improving men’s health in Tennessee. State data were compared to Healthy People 2020 Objectives and graded based on the degree of discrepancy between the goal and the current reality for Tennessee men. Over the four iterations of the report card, the TMHRC team has made significant adjustments to the ways they analyze and present the data, utilize grades and graphics, consider the implications of the data for the economic well-being of the state, and disseminate the findings across the state to different stakeholders. It is important to go beyond creating a summary of information; rather, data should be shared in ways that are easily understood, actionable, and applicable to different audiences. It is also critical to highlight promising policy and programmatic initiatives to improve men’s health in the state.


2018 ◽  
Vol 1 (SP1) ◽  
pp. e23-e35
Author(s):  
Noel Richardson ◽  
Paula Carroll

Historically, men, as a population group, have been conspicuous by their absence at a global and national health policy level. Moreover, most gender-focused health policy initiatives and gender-mainstreaming approaches to health have tended to be synonymous with women’s health. This places Ireland’s National Men’s Health Policy (NMHP) and recent external 5-year review in the collector’s item category within the wider health policy landscape.   This paper will review the impetus and background to men’s health policy development in Ireland against a backdrop of the invisibility of men more generally from health policy. Reflecting on the key milestones and challenges associated with transitioning from policy development to implementation, the paper will seek to inform a wider public health debate on the case for targeting men as a specific population group for the strategic planning of health. The case for a NMHP on the grounds of a gender inequity will also be explored in the context of contributing more broadly to gender equality. There will be a particular focus on exploring how strategies associated with governance and accountability, advocacy, research and evaluation, partnerships and capacity-building, have acted as a catalyst and framework for action in the rollout of a broad range of men’s health initiatives. With the central challenge being the translation of cross-departmental and inter-sectoral recommendations into sustainable actions, the role of NMHP in applying a gender lens to other policy areas will also be discussed.   Ireland’s NMHP has raised the visibility of men’s health in Ireland; the lessons learned during its implementation provide a strong rationale and blueprint for NMHP development elsewhere.


2008 ◽  
Vol 14 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Ben O'Brien ◽  
Diana Forrest

In 2003, Knowsley Primary Care Trust and Knowsley Council (Merseyside, United Kingdom) decided to take a social marketing approach to improving men's health. Predating the UK national social marketing review, the program nevertheless featured many of the key concepts and techniques that emerged in the UK national Social Marketing Centre's 2006 report It's Our Health (French and Blair-Stevens 2006). The PITSTOP program offers a number of useful lessons to the UK's emerging social marketers in public health because of its quantifiable outcomes, strategic success, and lessons learned through the development and delivery of the program.


2012 ◽  
Vol 10 (SI-Latino) ◽  
pp. 70-77 ◽  
Author(s):  
Michael J. Rovito ◽  
James E. Leone

Males may experience several barriers to seeking health care, including unfamiliarity with procedures (e.g. colonoscopy), stigma and fear of a given health issue, perceived breach of masculinity (machismo), and fear of feeling vulnerable. Evidence suggests church-based interventions are an effective way to strengthen the connection between promotional message content and participant conceptualization of the risks and benefits of health screenings. However, there is a lack of evidence demonstrating such effectiveness in men’s health, and there is even more of a dearth of research focusing on Latinos. This discussion presents trends from a series of 4 community-based seminars during the 2010-2011 academic year conducted with Latino faith-based groups on men’s health issues. Approximately 70 Latino men attended a series of seminars on health and wellness as it pertains to cancer screening procedures offered after church services. A particular emphasis was placed on perceived masculinity (machismo) and gender roles within the social environment, and how they influence health screenings among men, particularly for colorectal, prostate, and testicular cancer. The seminar series were a first step in laying the foundations for future formal effectiveness testing of faith-based facilities serving as a conduit for health promotion efforts among Latinos. This paper presents lessons learned from this new approach in community health outreach efforts. We advocate that faith-based groups can be an efficient and effective way to raise awareness and promote wellness among Latino men.


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