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Health Equity
Health Disparities, Health Equity, Health Psychology
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Using mobile technology to conduct epidemiological investigations

bacigalupe's insight:

To ensure efficiency, agility, and accuracy, it is essential that public health services are instrumented with basic epidemiological information generated by new technological tools. With the global trend of generating technologies in various sectors, public health tools can incorporate dynamic information, which can also be accessible to the individual user/health systems(1). These new technologies promote the collection of information in a short time, thus enabling quick thinking in cases of necessary intervention strategies(2). This new array of technologies may be applied to mobile systems, particularly smartphones(3), with features such as remote web access, a Global Positioning System (GPS) signal, huge data storage, and a text editor. Morris(4) demonstrated a few applications that could be used on mobile phones for the collection of public health information. The use of these devices has as great advantage, enabling direct contact between the health authorities and users and allowing participants to feel more involved in territorial health/diseases processes. Ardanza(2) presented other experiences with mobile phone use; in particular, this instrument was used to promote health information in remote areas of African countries.

Modern smartphones with Android (operating system developed by Google), iOS (operating system developed by Apple), and Windows Mobile operating platforms may be implemented in epidemiological field studies, particularly since GPS integration allows for spatial data to be included in the registration interfaces. In addition, data transcription errors are minimized, and there is remote and real-time communication between the information collected in the field and an online storage(3) (5) (6) (7) (8). 

In August 2012, the Centers for Disease Control and Prevention released a new version of Epi Info software for epidemiological studies, with support for mobile platforms (smart phones and tablets) using the Android operating system. This version allows for those with no programming skills to develop their own forms to collect data on tablets, thereby providing improved processes related to this activity.

The aim of this paper is to report the experience of an epidemiological field survey for which socioeconomic and environmental data were collected and analyzed using tablets with the Epi Info 7 mobile platform, with remote transmission of information in real time.

 

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Giuseppe Fattori's curator insight, August 5, 4:45 PM

To ensure efficiency, agility, and accuracy, it is essential that public health services are instrumented with basic epidemiological information generated by new technological tools. With the global trend of generating technologies in various sectors, public health tools can incorporate dynamic information, which can also be accessible to the individual user/health systems(1). These new technologies promote the collection of information in a short time, thus enabling quick thinking in cases of necessary intervention strategies(2). This new array of technologies may be applied to mobile systems, particularly smartphones(3), with features such as remote web access, a Global Positioning System (GPS) signal, huge data storage, and a text editor. Morris(4) demonstrated a few applications that could be used on mobile phones for the collection of public health information. The use of these devices has as great advantage, enabling direct contact between the health authorities and users and allowing participants to feel more involved in territorial health/diseases processes. Ardanza(2) presented other experiences with mobile phone use; in particular, this instrument was used to promote health information in remote areas of African countries.

Modern smartphones with Android (operating system developed by Google), iOS (operating system developed by Apple), and Windows Mobile operating platforms may be implemented in epidemiological field studies, particularly since GPS integration allows for spatial data to be included in the registration interfaces. In addition, data transcription errors are minimized, and there is remote and real-time communication between the information collected in the field and an online storage(3) (5) (6) (7) (8). 

In August 2012, the Centers for Disease Control and Prevention released a new version of Epi Info software for epidemiological studies, with support for mobile platforms (smart phones and tablets) using the Android operating system. This version allows for those with no programming skills to develop their own forms to collect data on tablets, thereby providing improved processes related to this activity.

The aim of this paper is to report the experience of an epidemiological field survey for which socioeconomic and environmental data were collected and analyzed using tablets with the Epi Info 7 mobile platform, with remote transmission of information in real time.

 

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Health Literacy Out Loud Podcast #60: Creating, Finding, and Growing in a Health Literacy Career: MP3 online hören - Health Literacy Out Loud Podcast - Audio 123319424

Health Literacy Out Loud Podcast #60: Creating, Finding, and Growing in a Health Literacy Career: MP3 online hören - Health Literacy Out Loud Podcast - Audio 123319424 | Health Equity | Scoop.it
Health Literacy Out Loud Podcast #60: Creating, Finding, and Growing in a Health Literacy Career - MP3 online hören.
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PSA Discoverer Says Antigen Test Is Misused, Unreliable

PSA Discoverer Says Antigen Test Is Misused, Unreliable | Health Equity | Scoop.it
Are you still doing routine PSA screening? The man who discovered the antigen questions the test's validity.
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HIV in America has disproportionately hurt blacks — even after treatment

HIV in America has disproportionately hurt blacks — even after treatment | Health Equity | Scoop.it
Why is HIV such a problem in the black community? 8 charts explore why.
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La salud y sus determinantes sociales. Desigualdades y exclusión en la sociedad del siglo XXI | Palomino Moral | Revista Internacional de Sociología

La salud y sus determinantes sociales. Desigualdades y exclusión en la sociedad del siglo XXI
bacigalupe's insight:
El concepto de salud ha experimentado un proceso de revisión constante. Desde mediados del siglo XX se ha producido un desplazamiento desde la búsqueda de las causas de la enfermedad centradas en el individuo a la aparición de los determinantes sociales, los principales moduladores del fenómeno salud y la enfermedad. Hoy sabemos que la salud y la calidad de vida son un resultado social directamente relacionado con las condiciones generales de la vida de las personas y con la forma de vivir; en este sentido se han hecho notables esfuerzos en las últimas décadas para comprender cómo interactúan los determinantes sociales y se producen los resultados en salud. Analizamos las aportaciones que han conseguido poner de manifiesto los principales factores generadores de las desigualdades sociales incluyendo un análisis de las desigualdades en salud de las mujeres, la vulnerabilidad y el riesgo de exclusión.
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mhealth knowledge

mhealth knowledge | Health Equity | Scoop.it
bacigalupe's insight:

mHealth Knowledge connects you—health professionals—to the people, products, and ideas that you need to do your mHealth work effectively. This site features the mHealth collaborations and products created and maintained by the USAID-funded Knowledge for Health (K4Health) Project. Through mHealth Knowledge, you can advance your mHealth efforts—click on the blocks above to learn the basics; access the latest evidence about what works; plan your mHealth initiative or find key resources; or connect with other mHealth practitioners. Stay up to date on mHealth hot topics via our newsfeed or by subscribing to receive our quarterly newsletter. 

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Epidemic of overtreatment of prostate cancer must stop

Epidemic of overtreatment of prostate cancer must stop | Health Equity | Scoop.it
Studies found that a large number of American men with prostate cancer get unnecessary and aggressive treatment, Dr. Otis Brawley says.
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Evaluation of an eHealth Intervention in Chronic Care for Frail Older People: Why Adherence is the First Target

Evaluation of an eHealth Intervention in Chronic Care for Frail Older People: Why Adherence is the First Target | Health Equity | Scoop.it
bacigalupe's insight:

Background:  Older people suffering from frailty often receive fragmented chronic care from multiple professionals. According to the literature, there is an urgent need for coordination of care.

Objective:  The objective of this study was to investigate the effectiveness of an online health community (OHC) intervention for older people with frailty aimed at facilitating multidisciplinary communication.

 

Methods:  The design was a controlled before-after study with 12 months follow-up in 11 family practices in the eastern part of the Netherlands. Participants consisted of frail older people living in the community requiring multidisciplinary (long-term) care. The intervention used was the health and welfare portal (ZWIP): an OHC for frail elderly patients, their informal caregivers and professionals. ZWIP contains a secure messaging system supplemented by a shared electronic health record. Primary outcomes were scores on the Instrumental Activities of Daily Living scale (IADL), mental health, and social activity limitations.

 

Results:  There were 290 patients in the intervention group and 392 in the control group. Of these, 76/290 (26.2%) in the intervention group actively used ZWIP. After 12 months follow-up, we observed no significant improvement on primary patient outcomes. ADL improved in the intervention group with a standardized score of 0.21 (P=.27); IADL improved with 0.50 points, P=.64.

 

Conclusions:  Only a small percentage of frail elderly people in the study intensively used ZWIP, our newly developed and innovative eHealth tool. The use of this OHC did not significantly improve patient outcomes. This was most likely due to the limited use of the OHC, and a relatively short follow-up time. Increasing actual use of eHealth intervention seems a precondition for large-scale evaluation, and earlier adoption before frailty develops may improve later use and effectiveness of ZWIP.

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The Case for Reparations

The Case for Reparations | Health Equity | Scoop.it
Two hundred fifty years of slavery. Ninety years of Jim Crow. Sixty years of separate but equal. Thirty-five years of racist housing policy. Until we reckon with our compounding moral debts, America will never be whole.
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Research on health inequalities: A bibliometric analysis (1966–2014)

Research on health inequalities: A bibliometric analysis (1966–2014) | Health Equity | Scoop.it
bacigalupe's insight:
Highlights•

Research on health inequalities grown exponentially in the last 30 years.

Terms inequity, inequality and disparity have been inconsistently used over time.

Most-cited papers studied socioeconomic factors and impacts on health inequities.

First reports studied relations of socioeconomic conditions and health outcomes.

Research grew toward theoretical models and proposes methodological approaches.

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Hispanic Community Health Study Data Book|NHLBI

Hispanic Community Health Study Data Book|NHLBI | Health Equity | Scoop.it
This report presents results of prevalence data on a variety of health topics based on the first examination of participants in the Hispanic Community Health Study/Study of Latinos conducted from 2008 – 2011. The NHLBI sponsored study, with support from 6 other NIH Institutes, was conducted among Hispanic/Latino groups from the Bronx, NY; Chicago, IL; Miami FL; and San Diego CA. The report, presented in both English and Spanish, describes health conditions and health status by age and sex and by background group.
bacigalupe's insight:

This report presents results of prevalence data on a variety of health topics based on the first examination of participants in the Hispanic Community Health Study/Study of Latinos conducted from 2008 – 2011. The NHLBI sponsored study, with support from 6 other NIH Institutes, was conducted among Hispanic/Latino groups from the Bronx, NY; Chicago, IL; Miami FL; and San Diego CA. The report, presented in both English and Spanish, describes health conditions and health status by age and sex and by background group.

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Twelve myths about shared decision making - Patient Education and Counseling

bacigalupe's insight:
Objective

As shared decision makes increasing headway in healthcare policy, it is under more scrutiny. We sought to identify and dispel the most prevalent myths about shared decision making.

Methods

In 20 years in the shared decision making field one of the author has repeatedly heard mention of the same barriers to scaling up shared decision making across the healthcare spectrum. We conducted a selective literature review relating to shared decision making to further investigate these commonly perceived barriers and to seek evidence supporting their existence or not.

Results

Beliefs about barriers to scaling up shared decision making represent a wide range of historical, cultural, financial and scientific concerns. We found little evidence to support twelve of the most common beliefs about barriers to scaling up shared decision making, and indeed found evidence to the contrary.

Conclusion

Our selective review of the literature suggests that twelve of the most commonly perceived barriers to scaling up shared decision making across the healthcare spectrum should be termed myths as they can be dispelled by evidence.

Practice implications

Our review confirms that the current debate about shared decision making must not deter policy makers and clinicians from pursuing its scaling up across the healthcare continuum.

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The State of Health Equity Research: - Health Equity Research and Policy - Medical Research - Initiatives - AAMC

The State of Health Equity Research: - Health Equity Research and Policy - Medical Research - Initiatives - AAMC | Health Equity | Scoop.it
Closing Knowledge Gaps to Address Inequities

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AAMC and Acad
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Social Determinants of Health Equity

Social Determinants of Health Equity | Health Equity | Scoop.it
bacigalupe's insight:

Language is important. The call for papers in this supplement was entitled health equity. Yet the call asked for papers that address disparities in health. In the United States, disparities, most often, has been used to refer to racial/ethnic differences in health, or more commonly health care. We note that the call in this supplement expands the focus and highlights differences by socioeconomic status and geographic location, among others. By tradition, in the United Kingdom we have used the term inequalities to describe the differences in health between groups defined on the basis of socioeconomic conditions. To reduce health inequalities requires action to reduce socioeconomic and other inequalities. There are other factors that influence health, but these are outweighed by the overwhelming impact of social and economic factors—the material, social, political, and cultural conditions that shape our lives and our behaviors.

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Health Literate Care Model | Health.gov (ODPHP)

Health Literate Care Model | Health.gov (ODPHP) | Health Equity | Scoop.it
Resources on the Health Literate Care Model. Find health literacy and health information related resources, tools, research and reports.
bacigalupe's insight:

In order for health outcomes to improve, patients must be fully engaged in prevention, decision making, and self-management. The Health Literate Care Model weaves health literacy principles into the widely adopted Chronic Care Model and calls for health care providers to:

Approach all patients as if they are at risk of not understanding health information.Employ a range of strategies for clear communication.Confirm patients’ understanding.

When a health care organization adopts the Health Literate Care Model, health literacy becomes an organizational value infused into all aspects of planning and operations.

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Health Beyond Health Care: Q&A with Matthew Trowbridge, MD, MPH

Health Beyond Health Care: Q&A with Matthew Trowbridge, MD, MPH | Health Equity | Scoop.it
Health Beyond Health Care: Q&A with Matthew Trowbridge, MD, MPH
bacigalupe's insight:

Through a collaboration between with Terry Huang, who was a program officer at the National Institute of Child Health and Human Development and a leader in that institute’s childhood obesity research portfolio. [Editor’s note: He is now a Professor and Chair of the Department of Health Promotion, Social & Behavioral Health University of Nebraska Medical Center College of Public Health.] Back in 2007, Terry had been thinking about how architecture, and particularly school architecture, could be utilized as a tool for obesity prevention. The thinking behind that is that schools have always been a particularly interesting environment for child health very broadly, but also obesity prevention in particular, partly because children spend so much time at school and because the school day provides an important opportunity to help children develop healthy lifelong attitudes and behaviors. 

(Image courtesy: Tom Daly)

One of the insights that Terry had was that while public health had done a lot to develop programming for school-based obesity prevention, the actual school building itself had really not been looked at in terms of opportunities to help make school-based obesity prevention programs work most effectively. In 2007, Terry actually wrote a journal article outlining ideas for ways in which architecture could be used to augment school-based childhood obesity prevention programs that was published in one of the top obesity journals. When I met Terry at NIH, we realized we both shared an interest in moving beyond studying the association between built environment and health toward real world translation. In other words, providing tangible tools and guidelines to foster collaboration between public health and the design community to bring these ideas into action.

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WHO/Europe | Events - New evidence-based tools to reduce health inequities in Europe

WHO/Europe | Events - New evidence-based tools to reduce health inequities in Europe | Health Equity | Scoop.it
Fact sheet
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