Health Equity
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Health Equity
Health Disparities, Health Equity, Health Psychology
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PLOS ONE: The Geography of Happiness: Connecting Twitter Sentiment and Expression, Demographics, and Objective Characteristics of Place

PLOS ONE: The Geography of Happiness: Connecting Twitter Sentiment and Expression, Demographics, and Objective Characteristics of Place | Health Equity | Scoop.it
PLOS ONE: an inclusive, peer-reviewed, open-access resource from the PUBLIC LIBRARY OF SCIENCE. Reports of well-performed scientific studies from all disciplines freely available to the whole world.
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NOTE: The word race or racism is not used once in this article. 


We conduct a detailed investigation of correlations between real-time expressions of individuals made across the United States and a wide range of emotional, geographic, demographic, and health characteristics. We do so by combining (1) a massive, geo-tagged data set comprising over 80 million words generated in 2011 on the social network service Twitter and (2) annually-surveyed characteristics of all 50 states and close to 400 urban populations. Among many results, we generate taxonomies of states and cities based on their similarities in word use; estimate the happiness levels of states and cities; correlate highly-resolved demographic characteristics with happiness levels; and connect word choice and message length with urban characteristics such as education levels and obesity rates. Our results show how social media may potentially be used to estimate real-time levels and changes in population-scale measures such as obesity rates.

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Carmen Carrera’s Quest to Become a Victoria’s Secret Angel

Carmen Carrera’s Quest to Become a Victoria’s Secret Angel | Health Equity | Scoop.it
An online petition to make Carmen Carrera the next Victoria's Secret Angel is making headlines … because Carmen was actually born a man.
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Evidence based medicine is broken | BMJ

Evidence based medicine is broken | BMJ | Health Equity | Scoop.it
NotesCite this as: BMJ 2014;348:g22
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(EBM) wrong footed the drug industry for a while in the 1990s. We could fend off the army of pharmaceutical representatives because often their promotional material was devoid of evidence. But the drug industry came to realise that EBM was an opportunity rather than a threat. Research, especially when published in a prestigious journal, was worth more than thousands of sales representatives. Today EBM is a loaded gun at clinicians’ heads. “You better do as the evidence says,” it hisses, leaving no room for discretion or judgment. EBM is now the problem, fueling overdiagnosis and overtreatment.1 ⇑

You see, without so called “evidence” there is no seat at the guideline table. This is the fundamental “commissioning bias,” the elephant in the room, because the drug industry controls and funds most research. So the drug industry and EBM have set about legitimising illegitimate diagnoses and then widening drug indications, and now doctors can prescribe a pill for every ill. The billion prescriptions a year in England in 2012, up 66% in one decade,2 do not reflect a true increased burden of illness nor an ageing population,3 just polypharmacy supposedly based on evidence. The drug industry’s corporate mission is to make us all sick however well we feel.4 As for EBM screening programmes, these are the combine harvester of wellbeing, producing bails of overdiagnosis and misery.

Corruption in clinical research is sponsored by billion dollar marketing razzmatazz and promotion passed off as postgraduate education. By contrast, the disorganised protesters have but placards and a couple of felt tip pens to promote their message, and no one wants to listen to tiresome naysayers anyway.

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Will Value-Based Purchasing Increase Disparities in Care? — NEJM

Will Value-Based Purchasing Increase Disparities in Care? — NEJM | Health Equity | Scoop.it
Perspective from The New England Journal of Medicine — Will Value-Based Purchasing Increase Disparities in Care?
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These results show that hospitals caring for more disadvantaged patients did in fact fare worse in the first year of HVBP. Thus, the program has not eliminated disparities in payments by rewarding both quality improvement and quality achievement. Because the financial incentives in the program's first year were relatively small — equal to the net revenue for a handful of high-margin admissions for most hospitals — payment disparities are unlikely to affect hospital resources and disparities in care in the short term.4 However, the magnitude of the incentives in HVBP will double from 1.0% of Medicare payments for DRGs in fiscal year 2013 to 2.0% by fiscal year 2017. During this time, the criteria for incentive payments will also shift toward performance on outcome measures, which may further hurt hospitals that care for more disadvantaged patients.2 Such hospitals are also more likely to face penalties from Medicare's Hospital Readmissions Reduction Program.5 Over time, resource reductions from the additive effects of these programs may cause quality of care to deteriorate among hospitals caring for more disadvantaged patients.

Medicare has options for alleviating the shifting of resources away from hospitals serving more disadvantaged patients. First, the payment criteria in HVBP could be altered to give more weight to quality improvement than to quality achievement. Second, instead of having all acute care hospitals compete against each other, Medicare could create homogeneous competition pools, defined by region, DSH index, hospital size, or other criteria. Hospitals could then compete only against other hospitals in the same competition pool. In that case, HVBP would be budget-neutral within each competition pool, guaranteeing that certain types of hospitals would not be systematically disadvantaged by the program. These two strategies can be criticized because they excuse poorer performance for hospitals with more disadvantaged patients, in effect reinforcing existing disparities in care. This critique must be weighed against the potential harm to vulnerable patients if certain classes of hospitals face resource reductions under the current system. Third, Medicare could increase the technical assistance provided to hospitals with more disadvantaged patients, perhaps by directing Quality Improvement Organizations to focus attention on hospitals with a high DSH index value.

Programs that tie financial incentives to quality and efficiency have the potential to push our health care system to reward value rather than volume. However, a redistribution of resources away from hospitals serving high numbers of disadvantaged patients could increase disparities in care. Going forward, these programs must be carefully monitored and, if necessary, modified to avoid such unintended consequences.

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Defining and measuring health literacy: how can we profit from other literacy domains?

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When the antecedents of health-promoting behavior are explored, the concept of health literacy is deemed a factor of major influence. Originally defined as reading, writing and numeracy skills in the healthdomain, health literacy is now considered a multidimensional concept. The ongoing discussion on health literacy reveals that no agreement exists about which dimensions to include in the concept. To contribute to the development of a consistent and parsimonious concept of healthliteracy, we conducted a critical review of concepts in other literacydomains. Our review was guided by two research questions: (i) Which dimensions are included in the concepts of other literacy domains? (ii) How can health literacy research profit from other literacy domains? Based on articles collected from PubMed, PsycINFO, Communication & Mass Media Complete, CINAHL, SAGE Full-Text Collection, Cochrane Library and Google Scholar as well as selected monographs and editions, we identified seven distinct dimensions. Some of the dimensions recur across all reviewed literacy domains and first attempts have been made to operationalize the dimensions. Expanding upon these dimensions, the paper discusses how they can prove useful for elaborating a consistent and parsimonious concept of health literacy and foster the development of a more holistic measure.

 

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Health matters as RI continues - Jakarta Post

Health matters as RI continues
Jakarta Post
When Prof. Michael Marmot from University of College London argued: “Every ministry is a health ministry,” he made his point clear from a bulk of evidence.
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Inequality Is (Literally) Killing America | The Nation

Inequality Is (Literally) Killing America | The Nation | Health Equity | Scoop.it
On Wednesday, Senator Bernie Sanders convened a hearing before the Primary Health and Aging subcommittee to examine the connections between material and physiological well-being, and the policy implications.
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Implementation Science | Full text | The transfer and implementation of an Aboriginal Australian wellbeing program: a grounded theory study

Implementation Science | Full text | The transfer and implementation of an Aboriginal Australian wellbeing program: a grounded theory study | Health Equity | Scoop.it
The concepts and standard practices of implementation, largely originating in developed countries, cannot necessarily be simply transferred into diverse cultural contexts.
bacigalupe's insight:

The concepts and standard practices of implementation, largely originating in developed countries, cannot necessarily be simply transferred into diverse cultural contexts. There has been relative inattention in the implementation science literature paid to the implementation of interventions targeting minority Indigenous populations within developed countries. This suggests that the implementation literature may be bypassing population groups within developed countries who suffer some of the greatest disadvantage. Within the context of Aboriginal Australian health improvement, this study considers the impact of political and cultural issues by examining the transfer and implementation of the Family Wellbeing program across 56 places over a 20-year period.

Methods

A theoretical model of program transfer was developed using constructivist-grounded theory methods. Data were generated by conducting in-depth interviews with 18 Aboriginal and non-Aboriginal research respondents who had been active in transferring the program. Data were categorised into higher order abstract concepts and the core impetus for and process of program transfer were identified.

Results

Organizations transferred the program by using it as a vehicle for supporting inside-out empowerment. The impetus to support inside-out empowerment referred to support for Aboriginal people's participation, responsibility for and control of their own affairs, and the associated ripple effects to family members, organizations, communities, and ultimately reconciliation with Australian society at large. Program transfer occurred through a multi-levelled process of embracing relatedness which included relatedness with self, others, and structural conditions; all three were necessary at both individual and organizational levels.

Conclusions

Similar to international implementation models, the model of supporting inside-out empowerment by embracing relatedness involved individuals, organizations, and interpersonal and inter-organizational networks. However, the model suggests that for minority Indigenous populations within developed countries, implementation approaches may require greater attention to the empowering nature of the intervention and its implementation, and multiple levels of relatedness by individuals and organizations with self, others, and the structural conditions. Key elements of the theoretical model provide a useful blueprint to inform the transfer of other empowerment programs to minority Indigenous and other disadvantaged populations on a case-by-case basis.

Keywords: 

Indigenous; Aboriginal; Program; Transfer; Spread; Implementation; Grounded theory

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Be Nice to Sex Workers - Health Equity Institute

Be Nice to Sex Workers - Health Equity Institute | Health Equity | Scoop.it
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BE NICE TO SEX WORKERS is a 15 minute documentary about street-based survival sex work in Washington D.C. The film uses an intersectional analysis to show the many barriers sex workers face that affect their abilities to survive and live healthy lives. The women's personal stories are at the center of this analysis as a way to lift up their voices and acknowledge that sex workers are the experts of their own experiences-not the police, government or policy makers.

The film highlights the services that a unique local non-profit, HIPS (Helping Individual Prostitutes Survive), provides to the sex worker community. HIPS tireless social justice efforts to meet sex workers where they're at and provide a safe, judgment free environment has enabled their clients to empower themselves and make healthy decisions in their own lives and communities.

Use the accompanying Discussion Guide below to engage audience members in meaningful discussion about the issues surrounding survival street-based sex work.

 
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Taking a stand against racism: A time-to-act

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We are social justice-oriented psychologists in the American Psychological Association and we are deeply saddened by the killing of 17-year-old Trayvon Martin and the acquittal of George Zimmerman. This tragedy is part of a long and disturbing history within the United States of racial violence against people of color going unpunished.  Such violence includes land dispossession and genocide against American Indians, slavery, lynching, indentured servitude and other types of forced labor against African Americans, internment of Japanese Americans, sexual violence against women, and brutal attacks/murder of American Indian, Asian American, Black/African American, Latino and more recently Middle Eastern and Muslim men.

 
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Perception vs. Reality: How Psychology Debunks Myths about Immigrants in America

Perception vs. Reality: How Psychology Debunks Myths about Immigrants in America | Health Equity | Scoop.it
By Melba J. T. Vasquez, PhD, ABPP (2011 Past-President of the American Psychological Association) Stop me if you’ve heard these statements before. “Immigrants take away jobs from American citizens....
bacigalupe's insight:
Immigrants are not reluctant to learn English. Immigrants today are highly motivated to learn English and do so more quickly than in previous generations (p. 10).Immigrants do not take jobs from native-born Americans. The preponderance of evidence suggests that immigrants complement native workers with the mixed sets of skills and competencies they bring with them.Immigrants do not add to the crime problem. There is strong evidence that immigrants demonstrate lower levels of criminal involvement than comparable non-immigrant populations.Immigrants do not contribute less to tax revenue relative to what they use. Undocumented immigrants are unable to access a host of services, and taxes and social security payments are automatically deducted from wages (p. 10).They contribute significantly to U. S. society. Economists generally conclude that immigration benefits the U. S. economy. Especially on the high end of the educational spectrum:About three quarters of the foreign-born have become naturalized citizens or are authorized non-citizens (Congressional Budget Office [CBO], 2011).They comprise a quarter of all U. S. physicians, 24 percent of the nation’s science and engineering workers with a bachelor’s degree, and 47 percent of scientists with doctorates (p.18).
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How healthcare can work when it is a right, not a privilege

How healthcare can work when it is a right, not a privilege | Health Equity | Scoop.it
Republican lawmakers are determined to protect the American people from what they call "socialized medicine" and what the rest of the world calls affordable and accessible healthcare.
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Republican lawmakers are determined to protect the American people from what they call "socialized medicine" and what the rest of the world calls affordable and accessible healthcare.

What seldom comes up in this discussion, though, is what exactly we're talking about. Is it the government owning and running all hospitals? Is it Washington bureaucrats deciding who receives treatment and who doesn't?

Or is it something closer to the experience Oak Park resident Mona Davis had during a recent visit to London?

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Where Next For Health Inequalities Research and Policy? | University Of Edinburgh 5th – 6th Dec 2012

Where Next For Health Inequalities Research and Policy? | University Of Edinburgh 5th – 6th Dec 2012 | Health Equity | Scoop.it
The symposium will provide some space to respond to what Richard Horton recently called the ‘disappointing reality’ of widening societal inequalities,
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The Communications Revolution and Health Inequalities in the 21st Century: Implications for Cancer Control

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What's The Role Of A Hospital In 10 Years?

What's The Role Of A Hospital In 10 Years? | Health Equity | Scoop.it
Dr. Eric Topol was named #1 Most Influential Physician Executive in Healthcare of 2012 by Modern Healthcare so his views are closely watched.
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“I Don’t Understand My Children”: Addressing Acculturation Stress in Latino Families

“I Don’t Understand My Children”: Addressing Acculturation Stress in Latino Families | Health Equity | Scoop.it
By Carmen Valdez, PhD (Member, APA Committee on Children, Youth, and Families) When many Latino immigrant parents say, “I don’t understand my children!” they are often using the statement literally...
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Obama faces new pressure to bolster HIV/AIDS funding - USA TODAY

Obama faces new pressure to bolster HIV/AIDS funding - USA TODAY | Health Equity | Scoop.it
Obama faces new pressure to bolster HIV/AIDS funding USA TODAY The lawmaker called on Obama to set the new PEPFAR goal during an international conference in Washington set for next week, when donor countries will discuss the three-year...
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Join the Revolution: For the Lady in the Corner

We, at ST4C Health, seek to improve health through the application of Systems Thinking ideas and approaches. We strongly believe that we can maximize health ...
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JAMA Network The Optimal Practice of Evidence-Based Medicine:  Incorporating Patient Preferences in Practice Guidelines

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Backyard Freeways - Health Equity Institute

Backyard Freeways - Health Equity Institute | Health Equity | Scoop.it
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BACKYARD FREEWAYS - Increased levels of pollutants are often found in poor neighborhoods of color that generally have less political power. This film follows the stories of residents of Southeast San Francisco who suffer with the brunt of the city's pollution on a daily basis. Major pollutants including freeways, factories, power plants and gas stations are disproportionately placed in the southeast sector of the city where their cumulative impact severely affects the health of the families that live here. This film talks with local organizers whose health has been compromised because of the toxins that they are chronically exposed to and highlights the work of local grassroots organizations and community leaders to show what they are doing to attain Environmental Justice and build stronger, healthier, cleaner neighborhoods.

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9 Out Of 10 Americans Are Completely Wrong About This Mind-Blowing Fact

9 Out Of 10 Americans Are Completely Wrong About This Mind-Blowing Fact | Health Equity | Scoop.it
This pretty much speaks for itself. At 1:05, I get a rude awakening. At 1:41, he starts talking about you. At 2:24, he says a bad word. At 3:50, he kind of breaks my brain. At 4:50, he lets you know how broke you really are.
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National Guidelines for Methods of Preventing Disease – summary

The Swedish National Board of Health and Welfare’s National Guidelines for Methods of Preventing Disease.
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