Community health equity research & policy最新文献

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Community-Based Participatory Research for Epidemiology, Health Equity, and Community Goals: Insights From Brazil, France, and USA. 基于社区的流行病学、健康公平和社区目标参与式研究:巴西、法国和美国的启示。
Community health equity research & policy Pub Date : 2024-06-17 DOI: 10.1177/2752535X241262857
Alison K Cohen, Robert E Snyder
{"title":"Community-Based Participatory Research for Epidemiology, Health Equity, and Community Goals: Insights From Brazil, France, and USA.","authors":"Alison K Cohen, Robert E Snyder","doi":"10.1177/2752535X241262857","DOIUrl":"https://doi.org/10.1177/2752535X241262857","url":null,"abstract":"<p><strong>Background: </strong>Community-based participatory research coproduces knowledge by emphasizing bidirectional exchanges between participants, communities, and researchers.</p><p><strong>Purpose, research design, and study sample: </strong>We highlight three studies in historically marginalized communities on separate continents (Richmond, CA, USA; Rio de Janeiro, Brazil; Marseille industrial zone, France) to exemplify how community-based participatory research improves research, offers tangible community benefits, and values residents more than traditional research methods.</p><p><strong>Data analysis: </strong>We provide insights into the process of conducting meaningful community-based participatory epidemiologic research.</p><p><strong>Results: </strong>In each of these communities, community-based participatory research led to high-quality research that helped inform context-appropriate policies and programs to improve health and advance health equity in these communities.</p><p><strong>Conclusions: </strong>We recommend that researchers consistently engage with community members during all phases of research so that they can engage more participants, more deeply in the research process, build local capacity, improve data collection and data quality, as well as increase our understanding of research findings to inform future applied research and practice.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241262857"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining How the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model Improves Health Equity for Underserved Communities and Safety Net Hospitals in New York State. 研究各州推进全付费者健康公平方法和发展(AHEAD)模式如何改善纽约州服务不足社区和安全网医院的健康公平状况。
Community health equity research & policy Pub Date : 2024-06-02 DOI: 10.1177/2752535X241259060
James Gasperino, Flavie de Germay de Cirfontaine, Shanya Galbokke Hewage
{"title":"Examining How the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model Improves Health Equity for Underserved Communities and Safety Net Hospitals in New York State.","authors":"James Gasperino, Flavie de Germay de Cirfontaine, Shanya Galbokke Hewage","doi":"10.1177/2752535X241259060","DOIUrl":"https://doi.org/10.1177/2752535X241259060","url":null,"abstract":"<p><p>Safety net hospitals (SNHs) are essential to our healthcare ecosystem, providing quality healthcare to underserved communities. These institutions offer specialized services and acute medical care to populations facing structural or systemic healthcare barriers. However, for decades, the NYS Medicaid program reimbursed hospitals less than the cost of care, resulting in several independent SNHs becoming financially distressed, with many facing closure. Recently, the Center for Medicaid and Medicare Service Innovation Center (CMSI) introduced the State All-Payer Health Equity Approaches and Development (AHEAD) Model, which aims to support the financial needs of providers while also addressing the complex medical and social circumstances of underserved communities. This article will explore how the AHEAD model can be utilized as an alternative payment method for SNHs in New York State (NYS) to improve healthcare for underserved communities.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241259060"},"PeriodicalIF":0.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public Health Challenges for Post-secondary Students During COVID-19: A Scoping Review. COVID-19 期间大专学生面临的公共卫生挑战:范围审查。
Community health equity research & policy Pub Date : 2024-05-31 DOI: 10.1177/2752535X241257561
Pooja Dey, Leanne R De Souza
{"title":"Public Health Challenges for Post-secondary Students During COVID-19: A Scoping Review.","authors":"Pooja Dey, Leanne R De Souza","doi":"10.1177/2752535X241257561","DOIUrl":"10.1177/2752535X241257561","url":null,"abstract":"<p><p>Research about public health impacts of COVID-19 on post-secondary students is slowly beginning to emerge. This scoping review identified common public health challenges among post-secondary students in higher-income countries during the COVID-19 pandemic. Five databases were searched to find relevant peer-reviewed literature up to March 2022. Results were categorized according to reported public health challenges and relevant socio-economic variables. After screening, 53 articles were reviewed. Most articles were from the USA (39/53). The seven main public health challenges identified were mental health (35/53), financial instability (25/53), physical health (13/53), food insecurity (12/53), social well-being (8/53), digital access (7/53), and housing or relocation (6/53). Students with low socioeconomic status experienced heightened public health challenges. This review offers insight and opportunities for the development of longitudinal tools to support social determinants of health in post-secondary populations in high-income countries and may offer insight into similar experiences for students in other settings.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241257561"},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Planning in Times of COVID-19 in Burkina Faso: The Role of Its National Strategic Pandemic Management Committee. 布基纳法索在 COVID-19 期间的卫生规划:国家大流行病战略管理委员会的作用。
Community health equity research & policy Pub Date : 2024-05-30 DOI: 10.1177/2752535X241256414
Thomas Druetz, Frank Bicaba, Cissé Zainabou, Abel Bicaba
{"title":"Health Planning in Times of COVID-19 in Burkina Faso: The Role of Its National Strategic Pandemic Management Committee.","authors":"Thomas Druetz, Frank Bicaba, Cissé Zainabou, Abel Bicaba","doi":"10.1177/2752535X241256414","DOIUrl":"https://doi.org/10.1177/2752535X241256414","url":null,"abstract":"<p><strong>Context: </strong>Presenting the COVID-19 crisis as a pandemic misleadingly implies a certain homogeneity between the regions of the Globe in terms of their burden and reactions. However, from the outset of the crisis, countries presented different epidemiological realities and sometimes adopted divergent, even opposing measures. Curiously, the heterogeneity of responses persisted as scientific evidence accumulated about COVID-19 and the strategies for dealing with it.</p><p><strong>Case study: </strong>This commentary aims to recount the specific experience of Burkina Faso, and how it reoriented its initial biomedical response into a multisectoral strategy. Burkina Faso set up a committee specifically to examine the effects not only of the pandemic, but also of the control measures. This committee was mandated to decompartmentalize the lens through which the COVID-19 was dealt with. It entered into dialogue with a level of stakeholders often overlooked during national health crisis: communities. As a member of this \"National Committee for Crisis Management of the Pandemic\", one of the co-authors contributed to its orientations and has witnessed first-hand some of the challenges it faced.</p><p><strong>Recommendations: </strong>This experience suggests that the project of extricating the field of public health from medicine is advancing in Burkina Faso. In order to manage future crises more effectively and across different sectors, there is an urgent need to establish state structures and to strengthen public health systems. States need coordination units that have the legitimacy, authority and resources required to mobilize a variety of actors at the community, national and international levels.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241256414"},"PeriodicalIF":0.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board. 完成向社区卫生公平研究和政策的过渡:新的编辑委员会。
Community health equity research & policy Pub Date : 2024-05-17 DOI: 10.1177/2752535X241256784
Kathryn P Derose, A. Gubrium
{"title":"Completing the Transition to Community Health Equity Research and Policy: A New Editorial Board.","authors":"Kathryn P Derose, A. Gubrium","doi":"10.1177/2752535X241256784","DOIUrl":"https://doi.org/10.1177/2752535X241256784","url":null,"abstract":"","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"48 18","pages":"2752535X241256784"},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140965731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review. 为农村社区需要公平的群体提供医疗技术的情况:系统回顾
Community health equity research & policy Pub Date : 2024-05-07 DOI: 10.1177/2752535X241252208
Lindsay Burton, Fathi Milad, Robert Janke, Kathy L Rush
{"title":"The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review.","authors":"Lindsay Burton, Fathi Milad, Robert Janke, Kathy L Rush","doi":"10.1177/2752535X241252208","DOIUrl":"10.1177/2752535X241252208","url":null,"abstract":"<p><strong>Background: </strong>Equity-deserving groups face well-known health disparities that are exacerbated by rural residence. Health technologies have shown promise in reducing disparities among these groups, but there has been no comprehensive evidence synthesis of outcomes.</p><p><strong>Purpose: </strong>The purpose of this systematic review was to examine the patient, healthcare, and economic outcomes of health technology applications with rural living equity-deserving groups.</p><p><strong>Research design: </strong>The databases searched included Medline and Embase. Articles were assessed for bias using the McGill mixed methods appraisal tool.</p><p><strong>Analysis: </strong>Data were synthesized narratively using a convergent integrated approach for qualitative and quantitative findings.</p><p><strong>Results: </strong>This evidence synthesis includes papers (<i>n</i> = 21) that reported on health technologies targeting rural equity-deserving groups. Overall, patient outcomes - knowledge, self-efficacy, weight loss, and clinical indicators - improved. Healthcare access improved with greater convenience, flexibility, time and travel savings, though travel was still occasionally necessary. All studies reported satisfaction with health technologies. Technology challenges reported related to connectivity and infrastructure issues influencing appointment quality and modality options. While some studies reported additional costs, overall, studies indicated cost savings for patients.</p><p><strong>Conclusions: </strong>There is a paucity of research on health technologies targeting rural equity-deserving groups, and the available research has primarily focused on women. While current evidence was primarily of high quality, research is needed inclusive of equity-deserving groups and interventions co-designed with users that integrate culturally sensitive approaches. Review registered with Prospero ID = CRD42021285994.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241252208"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates. 与美国退伍军人和倡导者一起促进社区参与式研究的一致性和催化潜力。
Community health equity research & policy Pub Date : 2024-04-17 DOI: 10.1177/2752535X241245270
Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True
{"title":"Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates.","authors":"Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True","doi":"10.1177/2752535X241245270","DOIUrl":"https://doi.org/10.1177/2752535X241245270","url":null,"abstract":"This paper explores the concept of \"community-engaged research\" (CEnR) within the context of Veteran health care delivery and reintegration programs. A multi-sector expert panel (msExP) was formed to evaluate and make recommendations on Veteran community reintegration research and programs. The panel consisted of Veterans, care partners, clinical providers, researchers, community stakeholders, and subject matter experts. The paper examines the composition and lifecycle of the panel, highlighting the characteristics and experiences of the participants. Shifts in the panel's purpose and engagement levels occurred in response to unanticipated disruptions, particularly the COVID-19 pandemic. The transformation of the panel emphasizes the importance of aligning individual and group needs and deepening intrapersonal relationships Findings based on observations, surveys, and interviews with panel members contribute to the field of community-engaged research by demonstrating the utility of catalytic validity that balances group and individual development. As part of a broader study on Veteran reintegration, the panel and its development over time allowed for various perspectives on Veteran experiences and reintegration within the community that shaped the overall project. Despite the challenges of developing and maintaining a panel alongside a research study, feedback from the panel members on their participation provides insight into the potential for future working alliances in community-engaged health research.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"209 2","pages":"2752535X241245270"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres. 印度尼西亚促进合理使用抗生素的社区方法:干部教育计划的制定与评估。
Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-02 DOI: 10.1177/2752535X231184029
J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo
{"title":"Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres.","authors":"J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo","doi":"10.1177/2752535X231184029","DOIUrl":"10.1177/2752535X231184029","url":null,"abstract":"<p><strong>Background: </strong>Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as 'change agents' to promote rational antibiotic use.</p><p><strong>Methods: </strong>In-depth-interviews with stakeholders (<i>N</i> = 55) and a subsequent group discussion with key personnel (<i>N</i> = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres (<i>N</i> = 40) to assess the effectiveness and acceptability of the new tool.</p><p><strong>Results: </strong>Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge (<i>p</i> < 0.001) and demonstrated a high acceptability (all respondents stated 'Strongly Agree' or 'Agree' on all statements).</p><p><strong>Conclusion: </strong>This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"281-293"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women and Care: Reflections on the Lived Experience of COVID-19 Sufferers. 妇女与护理:对 COVID-19 患者生活经历的思考。
Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-03-13 DOI: 10.1177/2752535X231163029
Sheilalaine G Romulo, Ryan C Urbano
{"title":"Women and Care: Reflections on the Lived Experience of COVID-19 Sufferers.","authors":"Sheilalaine G Romulo, Ryan C Urbano","doi":"10.1177/2752535X231163029","DOIUrl":"10.1177/2752535X231163029","url":null,"abstract":"<p><p>Women play a crucial role in the care and response to the COVID-19 pandemic, whether in paid or unpaid work. This article looks into the lived experience of some of these women infected by COVID-19 while doing their job as care providers. We selected nine women from Cebu City, Philippines. We presented their lived experience through van Manen's phenomenology of practice. Themes of the lived experience reveal pain and separation, suffering and caring, stigma of discrimination, caring response, and supportive relationship in the midst of a health crisis. Our reflections reveal that even in serious vulnerability and sustained domestic burden, women remained steadfast in their caring character. Their caring attitude has turned the quarantine facility into a liveable space where empathy, reciprocity, and relationality dwell and thus help everyone survive the COVID-19 ordeal.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"243-252"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014448/pdf/10.1177_2752535X231163029.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic. 信任的连续性:卫生系统在 COVID-19 大流行后促进卫生公平方面的作用》(Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic)。
Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-03 DOI: 10.1177/2752535X231185221
Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty
{"title":"Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic.","authors":"Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty","doi":"10.1177/2752535X231185221","DOIUrl":"10.1177/2752535X231185221","url":null,"abstract":"<p><p>Given COVID-19's disproportionate impact on populations that identify as Black, Indigenous, and People of Color (BIPOC) in the United States, researchers and advocates have recommended that health systems and institutions deepen their engagement with community-based organizations (CBOs) with longstanding relationships with these communities. However, even as CBOs leverage their earned trust to promote COVID-19 vaccination, health systems and institutions must also address underlying causes of health inequities more broadly. In this commentary, we discuss key lessons learned about trust from our participation in the U.S. Equity-First Vaccination Initiative, an effort funded by The Rockefeller Foundation to promote COVID-19 vaccination equity. The first lesson is that trust cannot be \"surged\" to meet the needs of the moment until it is no longer deemed important; rather, it must predate <i>and</i> outlast the crisis. Second, to generate long-term change, health systems cannot simply rely on CBOs to bridge the trust gap; instead, they must directly address the root causes of this gap among BIPOC populations.</p>","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333557/pdf/10.1177_2752535X231185221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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