Harvard public health review (Cambridge, Mass.)最新文献

A Call for Regulatory Clarity: "Switch" and "Quit Smoking" Marketing among Online Disposable E-Cigarette Sellers. 呼吁监管清晰:在线一次性电子烟销售商的“转换”和“戒烟”营销。

Harvard public health review (Cambridge, Mass.) Pub Date : 2022-01-01 DOI: 10.54111/0001/iii1

Alexis R Miranda, Joanne G Patterson, Devin LaPolt, Ruva P Rumano, Alexa M Reynoso, Micah L Berman, Brittney L Keller-Hamilton, Megan E Roberts, Amy K Ferketich, Patricia J Zettler

引用次数: 0

Changes in Income and Household Spending During Early Months of COVID-19 Pandemic Reveal Racial and Ethnic Disparities Among Older Adults. 在2019冠状病毒病大流行的最初几个月，收入和家庭支出的变化揭示了老年人之间的种族和民族差异。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-10-13

Melissa R Holloway, Xueya Cai, Adam Simning, Zijing Cheng, Yue Li

引用次数: 0

Changes in Income and Household Spending During Early Months of COVID-19 Pandemic Reveal Racial and Ethnic Disparities Among Older Adults. 在2019冠状病毒病大流行的最初几个月，收入和家庭支出的变化揭示了老年人之间的种族和民族差异。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-10-13 DOI: 10.54111/0001/vv13

Melissa R. Holloway, Xueya Cai, A. Simning, Zijing Cheng, Yue Li

引用次数: 0

Underrepresented Minority (URM) physician exploitation exacerbated by the COVID-19 pandemic: Implications to URM physician-faculty burnout and worsening health disparities. COVID-19大流行加剧了未被充分代表的少数民族(URM)医生的剥削:对URM医生-教师职业倦怠和健康差距恶化的影响

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-06-01

Nihmotallahi A Adebayo, Toni Z Madorsky, Jonathan Alhalel, Sharon L Post, Catherine A O'Brian, Melissa A Simon

引用次数: 0

Providing Equitable Access to Health Care for Individuals with Disabilities: An Important Challenge for Medical Education. 为残疾人提供公平的医疗保健机会:医学教育的一个重要挑战。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-01-01 DOI: 10.54111/0001/RR2

Michele Sky Lee, Monica Diaz, Tamsen Bassford, Julie Armin, Heather J Williamson

{"title":"Providing Equitable Access to Health Care for Individuals with Disabilities: An Important Challenge for Medical Education.","authors":"Michele Sky Lee, Monica Diaz, Tamsen Bassford, Julie Armin, Heather J Williamson","doi":"10.54111/0001/RR2","DOIUrl":"https://doi.org/10.54111/0001/RR2","url":null,"abstract":"In a recent national survey, over 50% of physicians reported not feeling confident in their ability to provide care to individuals with disabilities. This finding is troubling as physicians are required by the Americans with Disabilities Act (1990) to ensure their practice is accessible to individuals with disabilities. This commentary addresses the need for including disability in medical education and to provide inclusive and quality care for individuals with disabilities. We offer four recommendations to enhance medical school curricula that would educate medical students to provide equitable health services to individuals with disabilities: 1) embed disability training throughout medical education; 2) educate medical students to recognize multiple models of disability; 3) include education and experience with universal design and supported decision-making; and 4) include individuals with all types of disabilities in medical education. Including disability education for medical students should better prepare future physicians for feeling confident in their ability to provide care to individuals with disabilities.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":"44 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9876026/pdf/nihms-1844778.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10638651","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: 1

Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients. 无障碍医学教育与TIC:增加对残疾患者的公平护理。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-01-01 DOI: 10.54111/0001/rr1

Christina Su, P. Cyr

{"title":"Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients.","authors":"Christina Su, P. Cyr","doi":"10.54111/0001/rr1","DOIUrl":"https://doi.org/10.54111/0001/rr1","url":null,"abstract":"An estimated 1 in 4 U.S. adults has a disability, and this number continues to increase. Disabled individuals face significant healthcare inequities, including but not limited to inaccessibility and mistreatment. Our current healthcare system is ill-equipped to provide equitable care to this population. There is a lack of accessibility in healthcare environments, lack of accessible medical training to enable disabled people to become healthcare providers serving their own community, and lack of thorough medical education that encompasses care for disabled patients. Furthermore, the increased risk of trauma, as well as increased risk of medical trauma specifically, endured by disabled people puts them at greater risk of long-lasting adverse effects. In this commentary, we analyze three key areas: 1) the current state of healthcare for disabled patients, 2) disability in medical education & physician workforce, and 3) the relationship between trauma and disability. We argue that the road to more equitable care for disabled patients involves changes to medical education that address all three of these areas. Medical training should expose trainees to disability early and throughout their training, should be made more accessible to support disabled physicians, and finally, should be trauma-informed in a manner that explicitly includes caring for disabled patients and their other intersecting identities.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70900149","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 Complex Interplay of Communication and Trust in Healthcare Delivery. 医疗保健服务中沟通与信任的复杂相互作用。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-01-01 DOI: 10.54111/0001/mm5

Melissa Simon, Sankirtana Danner, Salma Saavedra, Fallon Flowers, Alema Jackson, Janell Ross, Hiba Abbas, Elizabeth Adetoro, Abbey Ekong, Cassandra Osei, Nicolás Francone, Jonathan Alhalel, Lisa Masinter, Danielle Lazar

{"title":"The Complex Interplay of Communication and Trust in Healthcare Delivery.","authors":"Melissa Simon, Sankirtana Danner, Salma Saavedra, Fallon Flowers, Alema Jackson, Janell Ross, Hiba Abbas, Elizabeth Adetoro, Abbey Ekong, Cassandra Osei, Nicolás Francone, Jonathan Alhalel, Lisa Masinter, Danielle Lazar","doi":"10.54111/0001/mm5","DOIUrl":"https://doi.org/10.54111/0001/mm5","url":null,"abstract":"Effective communication in clinician-patient relationships is an essential part of improving health outcomes. Ineffective communication in clinical settings leaves patients feeling undervalued and unheard. Breakdowns in communication can have particularly profound effects on minority or underserved populations, where health disparities already exist. Effective communication is critical for establishing trust, which allows individuals to feel they can share their concerns and questions. Distrust is a particularly important issue in maternal health, where current US rates of maternal mortality and morbidity are 3.1 times higher in Black and African American (AA) pregnant and birthing persons than their non-Hispanic white counterparts. To address the widespread issue of medical distrust and its connection with maternal health outcomes, the OPTIMIZE study is currently implementing an innovative intervention aimed at improving perinatal care for Black/AA pregnant persons. This intervention prompts clinician-patient conversations to enhance communication and repair trust, including a focus on patients' goals, concerns, social determinants of health, and safety. The implications of this intervention are broad, including the potential to improve trust and communication in other clinical specialties.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":"39 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940484/pdf/nihms-1872993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9131030","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

Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients. 无障碍医学教育与TIC:增加对残疾患者的公平护理。

Harvard public health review (Cambridge, Mass.) Pub Date : 2021-01-01 Epub Date: 2022-01-30

Christina Jean Su, Peppar E P Cyr

{"title":"Accessible Medical Education & TIC: Increasing Equitable Care for Disabled Patients.","authors":"Christina Jean Su, Peppar E P Cyr","doi":"","DOIUrl":"","url":null,"abstract":"An estimated 1 in 4 U.S. adults has a disability, and this number continues to increase. Disabled individuals face significant healthcare inequities, including but not limited to inaccessibility and mistreatment. Our current healthcare system is ill-equipped to provide equitable care to this population. There is a lack of accessibility in healthcare environments, lack of accessible medical training to enable disabled people to become healthcare providers serving their own community, and lack of thorough medical education that encompasses care for disabled patients. Furthermore, the increased risk of trauma, as well as increased risk of medical trauma specifically, endured by disabled people puts them at greater risk of long-lasting adverse effects. In this commentary, we analyze three key areas: 1) the current state of healthcare for disabled patients, 2) disability in medical education & physician workforce, and 3) the relationship between trauma and disability. We argue that the road to more equitable care for disabled patients involves changes to medical education that address all three of these areas. Medical training should expose trainees to disability early and throughout their training, should be made more accessible to support disabled physicians, and finally, should be trauma-informed in a manner that explicitly includes caring for disabled patients and their other intersecting identities.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518008/pdf/nihms-1779986.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40381332","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

Psychological Impact of COVID-19 Pandemic on Frontline Health Workers in Low- and Middle-Income Countries. COVID-19大流行对低收入和中等收入国家一线卫生工作者的心理影响。

Harvard public health review (Cambridge, Mass.) Pub Date : 2020-01-01

Davy Deng, John A Naslund

{"title":"Psychological Impact of COVID-19 Pandemic on Frontline Health Workers in Low- and Middle-Income Countries.","authors":"Davy Deng, John A Naslund","doi":"","DOIUrl":"","url":null,"abstract":"Healthcare systems in many countries have been overwhelmed by the coronavirus disease (COVID-19) pandemic, with increasing demands to contain and respond to the virus. The result has been increased pressure on frontline health workers. As the pandemic unfolds, the impact on health systems in low-income and middle-income countries (LMICs) is becoming apparent. In lower resource settings, the detrimental effects on frontline health workers will likely be significant due to fragmented infrastructure, low compensation, and significant shortages of necessary resources such as personal protective equipment. These high stress conditions, coupled with risk of infection and fears and anxieties among patients, can result in grave psychosocial consequences for frontline health workers, who play a vital role in delivering the bulk of primary care services in LMICs. In this narrative review, we consider the psychological impact of the COVID-19 pandemic on frontline health workers in LMICs. We describe the important role of frontline health workers, summarize existing literature on burnout and risks to mental health in this essential workforce, and consider how public health emergencies exacerbate these concerns to showcase their vulnerability to mental health impacts of COVID-19. We explore emerging research on the detrimental effects of the COVID-19 pandemic on health workers and consider possible approaches to mitigate these consequences. This review draws from existing studies and emerging evidence to highlight the critical need to consider the wellbeing of frontline health workers, and to address these challenges as health systems respond to the pandemic.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":"28 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7785092/pdf/nihms-1639166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39126070","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

Psychological Impact of COVID-19 Pandemic on Frontline Health Workers in Low- and Middle-Income Countries. COVID-19大流行对低收入和中等收入国家一线卫生工作者的心理影响。

Harvard public health review (Cambridge, Mass.) Pub Date : 2020-01-01 DOI: 10.54111/0001/z1

D. Deng, John A Naslund

{"title":"Psychological Impact of COVID-19 Pandemic on Frontline Health Workers in Low- and Middle-Income Countries.","authors":"D. Deng, John A Naslund","doi":"10.54111/0001/z1","DOIUrl":"https://doi.org/10.54111/0001/z1","url":null,"abstract":"Healthcare systems in many countries have been overwhelmed by the coronavirus disease (COVID-19) pandemic, with increasing demands to contain and respond to the virus. The result has been increased pressure on frontline health workers. As the pandemic unfolds, the impact on health systems in low-income and middle-income countries (LMICs) is becoming apparent. In lower resource settings, the detrimental effects on frontline health workers will likely be significant due to fragmented infrastructure, low compensation, and significant shortages of necessary resources such as personal protective equipment. These high stress conditions, coupled with risk of infection and fears and anxieties among patients, can result in grave psychosocial consequences for frontline health workers, who play a vital role in delivering the bulk of primary care services in LMICs. In this narrative review, we consider the psychological impact of the COVID-19 pandemic on frontline health workers in LMICs. We describe the important role of frontline health workers, summarize existing literature on burnout and risks to mental health in this essential workforce, and consider how public health emergencies exacerbate these concerns to showcase their vulnerability to mental health impacts of COVID-19. We explore emerging research on the detrimental effects of the COVID-19 pandemic on health workers and consider possible approaches to mitigate these consequences. This review draws from existing studies and emerging evidence to highlight the critical need to consider the wellbeing of frontline health workers, and to address these challenges as health systems respond to the pandemic.","PeriodicalId":73196,"journal":{"name":"Harvard public health review (Cambridge, Mass.)","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70900337","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: 27