Health DisparitiesIntroductionObesity is a health problem that disproportionately affects African Americans over the white population, particularly when it comes to women; as a result, African American women are at greater risk of developing diabetes, having cardiac arrest, or suffering from heart disease (Banerjee et al., 2018). While obesity is not a problem that affects only people of color, it is one that affects them more than others: 20.5% of African American girls vs. only 15.6 percent of white girls have been identified as obese (State of Obesity, 2018). One of the Healthy People 2020 Leading Health Indicator topics requiring attention from the health care community is the issue of Nutrition, Physical Activity, and Obesity (2020 LHI Topics, 2018). Therefore, it is important this issue be addressed with particular attention given to African American women.Health Problems/Factors That Influence DisparitiesCulture, socioeconomics, and biology are all problems and factors that influence disparities (Bilger…...
mlaReferences
2020 LHI Topics. (2018). Nutrition, physical activity, and obesity. Retrieved from https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity
Alva, M. L. (2020). Co-occurrence of diabetes and depression in the US. PloS one, 15(6), e0234718.
Banerjee, E. S., Herring, S. J., Hurley, K. E., Puskarz, K., Yebernetsky, K., & LaNoue, M. (2018). Overcoming obesity: a mixed methods study of the impact of Primary care physician counseling on low-income African American women who successfully lost weight. American Journal of Health Promotion, 32(2), 374-380.
REFLECTION ReflectionSummary of Personal Change and New Knowledge AttainedFrom the onset, it would be prudent to note that over the last 8 weeks, I have made observations and gathered knowledge and insights that have adapted my opinions as well as beliefs and attitudes on multiple fronts especially in as far as health equity is concerned. Amongst other things, I have developed better understanding of the existing health disparities in our communities. I am also more informed of the factors that trigger the said disparities. Being better informed of the various health disparities at the community level as well as the factors that trigger the said disparities puts me in a better position to contribute towards the elimination of the said disparities. I have become more aware of the said disparities after interacting with the course content and the resources supplied, which have painted a vivid picture of the differences…...
This is important, because utilizing technology to deliver various health care solutions will: increase collaboration, improve the underlying amounts of care and it can help to reduce costs. Once this takes place, it means that implementing various changes can be easier.
When a health care professional encounters an Asian patient in their practice, what are at least three characteristics he/she should consider in order to improve communication and cultural competence in delivering services to this patient and tell why those characteristics are important to consider.
Three characteristics that should be considered would include: family, communication and the concept of time. Family matters to Asian patients, as this is their foundation for strength and support. Communication is important, with these patients more focused on body languages and pauses (to signify substance vs. The actual words). Time will be different between the two cultures, as Asian patients will place less of an emphasis…...
mlaBibliography
Cultural Values of Asian Patients. (2009). Dimensions of Culture. Retrieved from: http://www.dimensionsofculture.com/home/cultural_values_of_asian_patients_families
Define Culture. (2010). Roshan Institute. Retrieved from: http://www.roshan-institute.org/templates/System/details.asp?id=39783&PID=474552
Values. (2010). Business Dictionary. Retrieved from: http://www.businessdictionary.com/definition/values.html
Two elements that are extremely useful in the examination of health care. In this regard therefore, quality is also differentiated along SES. Persons who are higher on the socioeconomic ladder experience better "desired health outcomes."
The access to quality health care also has cultural and SES elements to it. Dressler & Bindon (2000) identify cultural consonance as a factor in determining blood pressure in African-American communities. The implications of this work are that cultural elements play a big role in health care quality and access. Whites tend to have greater access to better health care than minority groups. This access is in terms of the proximity of quality physicians, medical services, and facilities.
The ethical implications of the differential access to health care are troubling (Kulczycki, 2007). This is primarily because a health care discussion is a life and death discussion. Quality health care is the right of every citizen, and…...
mlaReferences
Dressler, W.W., Balieiro, M.C., & Dos Santos, J.E.(1988). Culture, Socioeconomic Status, and Physical and Mental Health in Brazil Medical Anthropology Quarterly, New Series, 12
(4): 424-446.
Dressler W.W., & Bindon, J.R. (2000).The Health Consequences of Cultural Consonance:
Cultural Dimensions of Lifestyle, Social Support, and Arterial Blood Pressure in an African-American Community American Anthropologist, New Series, 102
Health Disparities in Louisville KY
Health Disparities
Health inequities have become a major problem in the United States. Hofrichter stresses in Tackling Health Inequities Through Public Health Practice:
A Handbook for Action ( 2006) that, "The awareness of the existence of inequities in health, health status and health outcomes between racial and ethnic groups in America is as old as the nation itself" (Hofrichter, 2006,P. vii). As will be discussed in this paper, these inequalities have a wide range of repercussions, including social and psychological implications. A definition of health disparity is: "... The difference in the incidence, prevalence, morbidity, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups" ( Samuels, 2005).
There is also a consensus in the literature that inequalities in health and healthcare throughout the world are on the increase. This is largely due to the increasing gap between rich and poor within many…...
mlaReferences
Eliminating social and economic barriers to good health and safety: Louisville
Center for Health Equity. Retrieved from http://www.preventioninstitute.org/component/jlibrary/article/id-278/127.html?tmpl=component&print=1
Galvin, J.R. (2006) Diabetes. Ebony, 61 p. 157.
GradNation - Making the Connection: Health & Student Achievement. Retrieved from http://www.silentepidemic.net/Our-Work/Dropout-Prevention/~/media/Files/Our%20Work/Dropout%20Prevention/Grad%20Nation%20Action%20Forum/Steve%20Tarver%20working%20sess%20PPT.ashx
HP2020 ('Healthy People 2020') initiative is reducing health gaps in America. Much controversy exists with regard to what the term 'health disparities' actually refers to. Disparities are largely witnessed on the basis of socioeconomic status (SES), and racial/ethnic identity. A number of health indicator-related differences exist among different racial and ethnic groups in America. This paper will endeavor to explain what health disparities implies, the health indicator-related differences among different racial/ethnic populations, causes for such differences, and potential ways to bring about health improvements for underserved populations.
"Health Disparities" Defined
There is considerable debate regarding the precise meaning of "health disparities." One key facet of a majority of accepted meanings is that every health status difference between different population groups is not a disparity; disparities are only differences that systematically and adversely affect socially and economically less-advantaged people. On the American scene, disparities-related discourse has chiefly concentrated on ethnic/racial disparities. American and…...
isk Factors for Obesity: A Critique
Non-Infectious Disease
Major isk Factors for Obesity: A Critique of the esearch Literature
Major isk Factors for Obesity: A Critique of the esearch Literature
The World Health Organization (WHO, 2013) estimated that close to 1.4 million adults were overweight in 2008 and of these 500 million were obese. For adults over the age of 20 this implies that 35 and 11% of the global adult population were overweight and obese, respectively. The definition of overweight is a body mass index (BMI) of 25 or higher, while obesity is defined as a BMI of 30 or higher. While obesity does not directly result in the death of anyone, it is the fifth leading mortality risk globally and is responsible for 2.8 million deaths annually. This is due to obesity representing a significant risk factor for serious comorbid conditions, including diabetes and cardiovascular disease. Accordingly, nearly 20% of U.S.…...
mlaReference
Cooper, M. (2012, December 12). Census officials, citing increasing diversity, say U.S. will be a 'plurality nation.' New York Times, p. A20.
Gaskin, D.J., Thorpe, R.J. Jr., McGinty, E.E., Bower, K., Rohde, C., Young, J.H. et al. (2013). Disparities in diabetes: The nexus of race, poverty, and place. American Journal of Public Health, published online ahead of print 14 Nov. 2013.
Goldschmidt, A.B., Wilfley, D.E., Paluch, R.A., Roemmich, J.N., & Epstein, L.H. (2013). Indicated prevention of adult obesity: How much weight change is necessary for normalization of weight status in children? Journal of the American Medical Association -- Pediatrics, 167(1), 21-6.
Hearst, M.O., Pasch, K.E., & Laska, M.N. (2012). Urban v. suburban perceptions of the neighborhood food environment as correlates of adolescent food purchasing. Public Health Nutrition, 15(2), 299-306.
NUS : Transition to Graduate Study for NursingAcademic and Professional Success Plan TemplatePrepared by:Hamzat Oshun, MSN, APN, ANP-CThis document is to be used for NUS 6003 Transition to Graduate Study for Nursing to complete Assessments 1-4. Just as importantly the document serves to organize your thoughts about planning for your academic and professional success.For specific instructions see the weekly assessment details in the course or ask your instructor for further guidance.Module 1 | Part 1: Developing an Academic and Professional NetworkI have identified and secured the participation of the following academic (at least two) and professional (at least two) individuals and/or teams to form the basis of my network. This network will help me to clarify my vision for success and will help guide me now and in the future.Directions: Complete the information below for each member of your network. For more than four entries repeat the items below with…...
mlaReferencesEthics in research and scholarly practice. (2021, March 9). Southwestern College Santa Fe, NM. E. J. (2018, December 27). Academic integrity matters: Five considerations for addressing contract cheating. BioMed Central. https://edintegrity.biomedcentral.com/articles/10.1007/s40979-018-0038-5 Poredidi, V., Narayanan, A., Thankachan, A., Joy, B., Awunoshi, C., & Reddy, S. (2021, May). Professional and ethical values in nursing practice: An Indian perspective. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253520/ Psychol, F. (2016, August 3). Integrity in and beyond contemporary higher education: What does it mean to University students? PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971073/ Yoon, S. W., Han, H., & Chai, D. (2021, March 31). Just a moment... Just a moment... https://journals.sagepub.com/doi/full/10.1177/15344843211006795Module 3 | Part 3: Research AnalysisI have identified one topic of interest for further study. I have researched and identified one peer-reviewed research article focused on this topic and have analyzed this article. The results of these efforts are shared below.Directions: Complete Step 1 by using the table and subsequent space below identify and analyze the research article you have selected. Complete Step 2 by summarizing in 2-3 paragraphs the results of your analysis using the space identified.Step 1: Research Analysis Complete the table below Topic of Interest: Health equity and structural racism in nursing Research Article: Include full citation in APA format, as well as link or search details (such as DOI) Nardi, D., Waite, R., Nowak, M., Hatcher, B., Hines?Martin, V., & Stacciarini, J. R. (2020). Achieving health equity through eradicating structural racism in the United States: A call to action for nursing leadership. Journal of Nursing Scholarship, 52(6), 696-704. https://doi.org/10.1111/jnu.12602 Professional Practice Use: One or more professional practice uses of the theories/concepts presented in the article A Call to Action for Nursing Leadership” by Nardi et al. (2022) published in the Journal of Nursing Scholarship, focuses on the role of U.S. nursing leadership in addressing and dismantling structural racism within the nursing profession and healthcare systems. The article emphasizes the importance of understanding and reducing structural racism to achieve health equity, particularly for racialized black and brown communities. Research Analysis Matrix Add more rows if necessary Strengths of the Research Limitations of the Research Relevancy to Topic of Interest Notes The article provides a thorough analysis of structural racism in nursing and healthcare, and offers clear, actionable recommendations for nursing leadership. The study primarily focuses on the U.S. context and may not fully address global perspectives on structural racism in nursing. Highly relevant as it directly addresses the issue of structural racism in nursing, which is a significant factor in health equity. The article is a valuable resource for understanding the role of nursing leadership in combating structural racism and promoting health equity. It highlights the importance of leadership roles in initiating and sustaining change against structural racism in healthcare. The research might not include the experiences and perspectives of minority nurses or patients directly. The focus on leadership roles in nursing provides a strategic viewpoint for addressing systemic issues. Useful for nursing leaders and educators in developing strategies to address structural racism. The research is backed by a comprehensive review of existing literature, enhancing its credibility. Does not have a hugely detailed exploration of practical challenges in implementing the recommended actions. Aligns with current healthcare priorities of promoting diversity and inclusivity. Can be used as a reference for further studies on the topic. Incorporates a multi-dimensional approach to understanding structural racism, including historical, social, and economic factors. Limited in providing specific case studies or real-world examples of successful interventions. Adds depth to the understanding of how structural racism operates within healthcare systems. Encourages a holistic view of the problem, which is crucial for effective solutions. Emphasizes the ethical responsibility of nursing professionals in addressing health disparities. The scope of the article might not cover all aspects of structural racism, such as policy implications. Directly ties into nursing ethics and professional responsibility towards equitable care. Reinforces the moral imperative of nursing professionals in social justice issues. Step 2: Summary of AnalysisCraft a summary (2-3 paragraph) below that includes the following:· Describe your approach to identifying and analyzing peer-reviewed research· Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research· Identify at least one resource you intend to use in the future to find peer-reviewed researchIn the process of identifying and analyzing peer-reviewed research, my approach was methodical and focused on ensuring the credibility and relevance of the sources. Initially, I defined the scope of my research topic, which in this case was \\\\\\\\\\\\\\\"Health Equity and Structural Racism in Nursing.\\\\\\\\\\\\\\\" This specificity guided my search for articles that directly addressed these themes. I then utilized academic databases and journals known for their rigorous peer-review processes, ensuring that the research was not only relevant but also met high academic standards.Two effective strategies stood out in this process. First, I relied on keyword searches in academic databases such as PubMed, JSTOR, and Google Scholar. These platforms offer advanced search options that allowed me to narrow down results to highly relevant peer-reviewed articles. I used specific terms and phrases related to my topic, such as \\\\\\\\\\\\\\\"structural racism in healthcare\\\\\\\\\\\\\\\" and \\\\\\\\\\\\\\\"nursing and health equity,\\\\\\\\\\\\\\\" which yielded focused results. Second, I utilized the reference lists of recent, relevant articles. This strategy led me to additional valuable sources that were cited in the initial articles I found, expanding the breadth of my research.For future research endeavors, I intend to use the database PubMed extensively. PubMed is a free resource that provides access to the MEDLINE database of citations and abstracts in the fields of medicine, nursing, dentistry, veterinary medicine, healthcare systems, and preclinical sciences. It\\\\\\\\\\\\\\\'s particularly useful for its comprehensive coverage of medical literature and its inclusion of numerous peer-reviewed articles. Additionally, the database\\\\\\\\\\\\\\\'s filters and advanced search options make it an invaluable tool for efficiently locating high-quality, relevant research in specific areas of interest within the healthcare field.Module 6 | Part 4: Finalizing the PlanI have considered various options for my nursing specialty, including a close look at my selected (or currently preferred) specialty and second-preferred specialty. I have also developed a justification of my selected (or preferred) specialty. Lastly, I have examined one professional organization related to my selected or preferred specialty and considered how I can become a member of this organization. The results of my efforts are below.Directions: Complete Step 1 by writing 2-3 paragraphs in the space below comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration - to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.Complete Step 2 by writing a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.Complete Step 3 by examining and identifying one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization.Step 1: Comparison of Nursing SpecialtiesUse the space below to write 2-3 paragraphs comparing the nursing specialty you have selected – or the one you prefer if your choice is still under consideration - to your second preference. Identify each specialty and describe the focus and the role that graduates are prepared for. Identify any other differentiators you feel are significant, especially those that helped or may help you reach a decision.In comparing my preferred nursing specialty, Psychiatric-Mental Health Nurse Practitioner (PMHNP), with my second preference, Family Nurse Practitioner (FNP), several key differences emerge. The PMHNP specialty focuses on providing mental health services to individuals, families, and groups. PMHNPs diagnose and treat mental health disorders, provide psychotherapy, and prescribe medications. This role is crucial in addressing the growing mental health crisis and requires a deep understanding of psychiatric conditions and treatments.On the other hand, FNPs offer comprehensive healthcare across the lifespan. This includes preventive care, diagnosis and treatment of acute and chronic illnesses, and patient education. FNPs work in various settings, from private practices to community health centers, providing a broad spectrum of care.A significant differentiator for me is the specific patient population and type of care. PMHNP allows for specialization in mental health, an area I am deeply passionate about, especially considering the increasing need for mental health professionals. In contrast, FNP offers a broader scope of practice but less focus on psychiatric care.Step 2: Justification of Nursing SpecialtyUse the space below to write a paragraph identifying and justifying your reasons for choosing your MSN specialization. Be sure to incorporate any feedback you received from colleagues in this week’s Discussion Forum.Choosing the PMHNP specialization aligns with my passion for mental health and my desire to contribute meaningfully to this critical area of healthcare. Feedback from colleagues and mentors has reinforced my decision, highlighting the growing demand for mental health services and the rewarding nature of this specialization. The ability to make a tangible difference in the lives of individuals struggling with mental health issues is a compelling factor in my choice. Additionally, the specialization offers opportunities for continuous learning and professional growth in a rapidly evolving field.Step 3: Professional OrganizationsUse the space below to identify and examine one professional organization related to your selected or preferred specialty. Explain how you can become a member of this organization.The American Psychiatric Nurses Association (APNA) is a key professional organization for PMHNPs. APNA provides educational resources, networking opportunities, and advocacy for psychiatric-mental health nursing. To become a member, one can apply through the APNA website, choosing a membership category that best fits their professional status. Membership benefits include access to the latest research, discounts on conferences and continuing education, and a platform to collaborate with peers in the field. Joining APNA would be a strategic step in staying informed and connected within the psychiatric nursing community.- END -https://www.swc.edu/ethics-in-research-and-scholarly-practice/ Morris,
U.S. Health Care: Disparities in Health and Healthy People 2010
Health status disparities "refer to the variation in rates of disease occurrence and disabilities between socioeconomic and/or geographically defined population groups." (U.S. National Library of Medicine, 2012) The Health People 2010 Final Review states that the goals of Healthy People 2010 are to: (1) increase quality and years of healthy life; and (2) eliminate health disparities. (Healthy People 2010, Final Review)
Disparities by Education Level
Findings concerning disparities includes that the population with at least some college education "had the best rate for 88% of the objectives with data by education. The population with less than a high school education and high school graduates had the best group rate for 8% and 10% of the objectives with data by education, respectively." (Healthy People 2010, Final Review) The population that completed high school was reported to have had rates "at least twice as high…...
mlaBibliography
Healthy People 2010 Final Review. Centers for Disease Control. Retrieved from: http://www.cdc.gov/nchs/data/hpdata2010/hp2010_final_review.pdf
Health Disparities (2012) U.S. National Library of Medicine. Retrieved from: http://www.nlm.nih.gov/hsrinfo/disparities.html
Health Disparities of Uninsured
Statistics show that approximately 47 million of America's population lacks medical coverage, and another 38 million has inadequate health insurance. What these statistics imply is that one-third of Americans are insecure and unsure about whether they would afford healthcare if they fell sick or needed medical help today. The State of Texas tops the list, with an uninsured population of approximately 8 million, representing 25.1% of the total (Code ed, 2006). Minority groups form a bulk of the uninsured population (Wu & ingwalt, 2005). The impact of a large uninsured population, however, is massive -- the uninsured affect both themselves and the communities in which they live, compromising the quality of care and placing everyone at risk. They do not often have a primary care physician, which means that they neither seek out medical care when they are supposed to, nor turn up for preventive care like…...
mlaReferences
Abdullah, F., Zhang, Y., Lardaro, T., Black, M., Colombani, P.M., Chrouser, K., Pronovost, P.J. & Chang, D.C. (2009). Analysis of 23 Million U.S. Hospitalizations: Uninsured Children have Higher All-Cause In-Hospital Mortality. Journal of Public Health, 32(2), 236-244.
ACEP. (2013). The Uninsured: Access to Medical Care. American College of Emergency Physicians. Retrieved 22 July 2014 from -- Access-To-Medical-Care/http://www.acep.org/News-Media-top-banner/The-Uninsured
ANA. (2008). ANA's Health System Reform Agenda. American Nurses Association (ANA). Retrieved 22 July 2014 from http://www.nursingworld.org/content/healthcareandpolicyissues/agenda/anashealthsystemreformagenda.pdf
Bernstein, J., Chollet, D. & Peterson, S. (2010). How does Insurance Coverage Improve Health Outcomes? Mathematica Policy Research Inc. (No. 1). Retrieved 22 July 2014 from http://www.mathematica-mpr.com/~/media/publications/PDFs/health/reformhealthcare_IB1.pdf
Among the most important aspects to the health promotion plan will be the benefits associated with a care manager, who can ensure that all six core elements of CCM are implemented fully. If this is accomplished, there should be a significant reduction in health disparities for patient and caregiver outcomes across generations.
eferences
AHQ. (2012). National Healthcare Disparities eport, 2011. No. 12-0006. ockville, MD: Agency for Healthcare esearch and Quality. etrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf.
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, . et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & uiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-86.
CMS. (2014).…...
mlaReferences
AHRQ. (2012). National Healthcare Disparities Report, 2011. No. 12-0006. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved 16 Apr. 2014 from http://www.ahrq.gov/research/findings/nhqrdr/nhdr11/nhdr11.pdf .
Braveman, P.A., Kumanyika, S., Fielding, J., Laveist, T., Borrell, L.N., Manderscheid, R. et al. (2011). Health disparities and health equity: The issue is justice. American Journal of Public Health, 101(Suppl. 1), S149-55.
Brodaty, H. & Donkin, M. (2009). Family caregivers of people with dementia. Dialogues in Clinical Neuroscience, 11, 217-28.
Castro, A. & Ruiz, E. (2009). The effects of nurse practitioner cultural competence on Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-86.
Health Disparity
Health disparities refer to a certain kind of health-related difference closely tied to economic or social disadvantage. They negatively impact groups of individuals systematically subject to greater economic and social barriers to a hygienic environment and health, on the basis of their ethnic or racial group, age, gender, religion, mental health, socioeconomic standing, geographic location, gender identity or sexual orientation, physical, cognitive, or sensory disability, or any other characteristics that are associated historically with marginalization or discrimination (Department of Health & Human Services, 2011b).
Of all industrialized countries, the U.S. expends maximum resources on the area of healthcare; despite this, millions of U.S. citizens do not enjoy a chance to live a healthful life. Overall population health in the U.S. has witnessed improvements over time, but health disparities for underserved, racial minority and ethnic minority communities continue. Vulnerable population clusters such as ethnic and racial minorities, disabled individuals, and rural…...
mlaReferences
Center for Disease and Control. (2013). Conclusion and future directions: CDC health disparities and inequalities report -- United States, 2013. CDC Health Disparities and Inequalities Report -- United States, 2013, 62(3), 184.
Cooper, M. (2016). Clark County fighting minority health disparities. Retrieved from http://www.springfieldnewssun.com/news/news/local/clark-county-fighting-minority-health-disparities/nq5wj/
Department of Health & Human Services. (2011a). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care.
Health, U. D. o., & Services, H. (2011b). National partnership for action to end health disparities. Health Equality & Disparities.
Medical Home Model and Health Disparity
Nursing esearch Proposal
The Impact of the Medical Home Model on Health Disparities
The Impact of the Medical Home Model on Healthcare Disparity
Medical homes are primary care practices where a physician or NP establishes a long-term care relationship with patients and provide patient/family-centered, coordinated, and culturally-sensitive care (AANP, n.d.; Strickland, Jones, Ghandour, Kogan, & Newacheck, 2011). The benefits include improved healthcare access, quality, and safety. A number of states have enacted statutes supporting the medical home model after research findings revealed health disparities for racial and ethnic minorities were reduced (NCSL, 2013).
As a nurse practitioner I am interested in how effective a medical home model would be in reducing healthcare disparities, especially for racial and ethnic minority children residing in underserved communities. Nurse practitioners have traditionally practiced in underserved communities and will continue to do so; therefore, any strategy that could improve the quality of care with…...
mlaReferences
AANP (American Association of Nurse Practitioners). (n.d.). Medicare legislation: Fact sheet: The medical home -- What is it? How do nurse practitioners fit in? Retrieved from: http://www.aanp.org/legislation-regulation/federal-legislation/medicare/68-articles/349-the-medical-home .
Abrams, M., Nuzum, R., Mika, S., & Lawlor, G. (2011). Realizing health reform's potential: How the Affordable Care Act will strengthen primary care and benefit patients, providers, and payers. The Commonwealth Fund. Retrieved from: http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf .
NCSL. (2013). Health disparities: State laws. Retrieved from: http://www.ncsl.org/research/health/health-disparities-laws.aspx .
Strickland, B.B., Jones, J.R., Ghandour, R.M., Kogan, M.D., & Newacheck, P.W. (2011). The medical home: Health care access and impact for children and youth in the United States. Pediatrics, 127(4), 604-11.
Culture and Health Disparities - Filipinos
PESONAL SOCIAL STATUS: In researching this project, I found a study prepared by the Canadian Nurses Association (2005). It reviewed the social determinants of health and how one's social status impacts their or their family health outcomes. The focus of this piece was on issues such as poverty, economic inequality, social isolation and social support systems and their impact on the health of minorities, many of the same categories and characteristics mentioned in the Journal of Transcultural Nursing (Andrews et al., 2010). While their study was more on a broad base of Canadian conditions, their findings seem to reflect the circumstances of many first and second generation Filipinos. First and later generations of Filipinos who move to new cultures do act differently, but for the most part there remain many family connections and networks that cannot be overlooked.
My social status is mostly a reflection of…...
mlaREFERENCES
Andrews, M. et al. (2010). Theoretical Basis for Transcultural Care. Section II. Foundations of Transcultural Nursing and Health Care. Journal of Transcultural Nursing. Vol. 21. DOI: 10.1177/1043659610374321.
Canadian Nursing Association (2005). Social Determinants of Health and Nursing: A summary of Issues. Canadian Nursing Association. Viewable at http://www.cna-aiic.ca/CNA/documents/pdf/publications/BG8_Social_Determinants_e.pdf.
Castillo, M.V. (nd). Caring in the Diaspora: Filipino Immigrants, Health Care, Healing, and Religion. Religious Healing in Boston. Viewable at http://www.hds.harvard.edu/cswr/resources/print/rhb/reports/13.Castillo.pdf .
McBride, M. (nd). Health and Health Care of Filipino Elders. Stanford Geriatric Education Center. Viewable at http://www.stanford.edu/group/ethnoger/filipino.html .
Community resources must be identified and brought together to meet needs. Actions can be developed to prevent poor health outcomes by: appropriately identifying, collecting, and reporting racial/ethnic group-specific data; identifying where data are lacking and developing appropriate tools to collect those data; and linking poor health status indicators to social conditions and influences, as well as personal behaviors and genetics.
As indicated by other counties, the populations experiencing these disparities have many strengths and traditions to draw upon for solutions. In the African-American communities, churches provide connections and leadership on community issues. Other models have provided the use of community engagement principles encouraged throughout any state and local processes addressing eliminating health disparities, whether funded by this initiative or not. Such community engagement principles include fostering openness and participation in the planning process, ensuring that those representing a specific community truly represent that community's values, norms, and behaviors, and using…...
mlaBibliography
Alpha.org. "Racial / Ethnic Disparities." Fact Sheets. 2004. 17 May 2005. www.apha.org/NPHW/facts/RaceEth-PHW04_Facts.pdf.
Fenwick, E. et.al. "Improving the Efficiency and Relevance of Health Technology
Assessment: The Role of Iterative Decision Analytic Modeling." 2003. Che
Discussion Paper. 17 May 2005. http://www.york.ac.uk/inst/che/DP179.pdf .
Topic 1: The Social Exclusion of Marginalized Groups
Essay Title: Unveiling the Hidden Toll: The Profound Impact of Social Exclusion on Marginalized Communities
Introduction:
In contemporary society, the insidious forces of social exclusion continue to cast a long shadow on the lives of marginalized groups. This essay delves into the multifaceted nature of social exclusion and its profound impact on these communities, shedding light on the systemic barriers, prejudices, and societal attitudes that perpetuate their marginalization. By exploring the lived experiences of those affected, we aim to unveil the hidden toll of exclusion and advocate for a more inclusive and equitable society.
Body:
1. Institutional....
1. The Evolution and Challenges of Healthcare in 2020
2. Innovative Technologies Shaping Healthcare in 2021
3. The Impact of COVID-19 on Healthcare Systems in 2020
4. Addressing Health Disparities in 2021: A Call for Action
5. Telemedicine: The Future of Healthcare Delivery in 2020 and Beyond
6. Mental Health Awareness in the Era of Healthcare 2021
7. From Crisis to Opportunity: Resilience in Healthcare in 2020
8. The Role of Nurses in 2021: Advancing Healthcare Excellence
9. The Importance of Preventive Care in Healthcare 2020
10. Integrating Artificial Intelligence in Healthcare for Better Patient Outcomes in 2021
11. Telehealth Revolution: Expanding Access to Care in 2020/2021
12. Equity in....
Essay Outline: The Impact and Mitigation of Health Inequalities in the UK
I. Introduction
A. Define health inequalities and their significance in the UK
B. Thesis statement: Outline the pervasive impact of health inequalities and propose necessary actions to address them
II. Impact of Health Inequalities in the UK
A. Physical health disparities: Discuss the health gaps in life expectancy, morbidity, and mortality rates between different socioeconomic groups
B. Mental health disparities: Examine the higher prevalence of mental health issues among disadvantaged populations, including depression, anxiety, and substance abuse
C. Socioeconomic consequences: Analyze the economic burden associated with health inequalities, such as....
1. The Role of Technology in Transforming Health Care Delivery
Discuss the latest technological advancements in health care, such as telemedicine, AI-powered diagnostics, and wearable health trackers.
Explore how technology can improve access to care, reduce costs, and personalize treatments.
Analyze the ethical implications of using technology in health care and the potential for data privacy and algorithmic bias.
2. Addressing Health Disparities through Policy Interventions
Identify the root causes of health disparities based on race, ethnicity, socioeconomic status, and geographic location.
Evaluate the effectiveness of existing policy interventions aimed at reducing disparities, such as Medicaid expansion and community health centers.
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