Health inequalities
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It’s dangerous. It can kill. But physicians don’t want to talk about it.

It’s dangerous. It can kill. But physicians don’t want to talk about it. | Health inequalities | Scoop.it
A more team-based approach to addressing the epidemic of domestic violence in this country is sorely needed.
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Domestic violence is a massively under-reported and under-treated problem.
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Margaret McCartney: Cash as a treatment for poverty

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Excellent discussion of why health professionals should care about the current debate around tax credits (apart from just because we want to be engaged citizens...)

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Dangerous Air Pollution Episode Currently Spreading Across Parts of Scotland | Friends of the Earth Scotland

Air pollution warnings have been issued as several parts of Scotland are experiencing a high pollution episode, leaving asthmatics particularly vulnerable to attacks.
Ellie Hothersall's insight:

Environmental health and environmental justice are important issues we are not very good at paying attention to.

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Life-saving baby screening expanded

Life-saving baby screening expanded | Health inequalities | Scoop.it
Newborn babies across England will now be screened for more rare, debilitating genetic diseases.
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Newborn screening is one of the least controversial areas of public health in my experience - I would be surprised if the rest of the UK doesn't follow suit and expand the screening programmes now (but I don't know what the higher level discussions are...)

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Why is Glasgow the UK’s sickest city?

Why is Glasgow the UK’s sickest city? | Health inequalities | Scoop.it
Babies born in Glasgow are expected to live the shortest lives of any in Britain. What's behind the Glasgow Effect?
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Good summary of the current thinking about health inequalities in Glasgow. I am always glad to hear Harry Burns quoted on the subject, but it's good to hear some counters and additions, too.
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"Deep end" practices report much higher rates of mental health problems

"Deep end" practices report much higher rates of mental health problems | Health inequalities | Scoop.it
Ellie Hothersall's insight:

It doesn't come as a surprise, I presume, that more deprived areas suffer poorer mental health, but the measurement and discussion of these problems needs to be increased. Now - what do we do about it?

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Gentrification’s insidious violence: The truth about American cities

Gentrification’s insidious violence: The truth about American cities | Health inequalities | Scoop.it
Too many claim white people are at risk in communities of color. Really, it's those communities that are threatened
Ellie Hothersall's insight:

Not directly  health, but interesting nonetheless: the way that gentrification obliterates the past and overrules the less well off is very striking. In the uk the race issue is less frequent, but is becoming more prevalent at least south of the border.

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'Sugar is the new tobacco': Cuts to amounts hidden in food could halt obesity epidemic, claim doctors

'Sugar is the new tobacco': Cuts to amounts hidden in food could halt obesity epidemic, claim doctors | Health inequalities | Scoop.it
The growing obesity epidemic could be “halted or reversed” in less than five years if the food industry makes cuts the amount of “hidden sugar” in our food, leading doctors have said.

Via DundeeChest
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How health systems can address health inequities linked to migration and ethnicity

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Global Inequality | Inequality, Poverty, and Co...

Global Inequality | Inequality, Poverty, and Co... | Health inequalities | Scoop.it
The relatively new field of inequality studies is gaining increasing momentum as economic disparity grows throughout the world, in advanced countries as well as less developed ones—especially in the United States.
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Our Most Popular Infographics of 2013

Our Most Popular Infographics of 2013 | Health inequalities | Scoop.it
Infographics are, quite simply, images that convey information. Here at the Gates Foundation we've found these images to be an excellent way to quickly and effectively get across information that we think is worth knowing.
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Will Value-Based Purchasing Increase Disparities in Care? — NEJM

Will Value-Based Purchasing Increase Disparities in Care? — NEJM | Health inequalities | Scoop.it
Perspective from The New England Journal of Medicine — Will Value-Based Purchasing Increase Disparities in Care?

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bacigalupe's curator insight, December 30, 2013 12:47 PM

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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Angus Deaton on Health and Inequality | SAGE Connection – Insight

Angus Deaton on Health and Inequality | SAGE Connection – Insight | Health inequalities | Scoop.it
socialsciencebites How far can you link trends on health prevention to economic development? What is the role of NGO and Governmental aid in helping to address and support the health inequalities in developing countries?
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Meat and tobacco: the difference between risk and strength of evidence

Meat and tobacco: the difference between risk and strength of evidence | Health inequalities | Scoop.it
Comparing smoking to bacon in terms of risk of cancer is extremely misleading, despite the strength of evidence being similar
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Fantastic summary of the processed meat debate: why it matters and what it means

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Dangerous Air Pollution Episode Currently Spreading Across Parts of Scotland | Friends of the Earth Scotland

Air pollution warnings have been issued as several parts of Scotland are experiencing a high pollution episode, leaving asthmatics particularly vulnerable to attacks.
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Ellie Hothersall's curator insight, March 19, 2015 11:19 AM

Environmental health and environmental justice are important issues we are not very good at paying attention to.

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Dispute over outdoor smoking ban call

Dispute over outdoor smoking ban call | Health inequalities | Scoop.it

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DundeeChest's curator insight, February 26, 2015 4:59 AM

Should the indoor smoking ban be extended to outside too?  A simple measure of removing the benches from outside our office window at work has stopped patients smoking there - I can finally open my office window!

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Spatial inequalities in life expectancy within postindustrial regions of Europe: a cross-sectional observational study -- Taulbut et al. 4 (6) -- BMJ Open

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A good exploration of the health inequalities of the west coast of scotland
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Families 'struggling with problem debt'

Families 'struggling with problem debt' | Health inequalities | Scoop.it
Nearly 2.5 million children are living in families struggling with "problem debt", a report by the Children's Society and StepChange charity says.
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Dog bites highest in deprived areas

Dog bites highest in deprived areas | Health inequalities | Scoop.it
Hospital admissions for dog bites are three times as high in the most deprived areas of England as in the least, official figures show.
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Mapped: Short term loan shops in Scotland | The Bureau of Investigative Journalism

Mapped: Short term loan shops in Scotland | The Bureau of Investigative Journalism | Health inequalities | Scoop.it
Ellie Hothersall's insight:

If you look at the map of "payday loans" shops, you can see easily where money is at its tightest. (Except perhaps in Dundee, where there are fewer than I expected).

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Jocelyn Stoller's curator insight, March 16, 2014 5:22 PM

Scotland's version of predatory lenders

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Health economics 101.

Health economics 101. | Health inequalities | Scoop.it
Be the smartest person at your next cocktail party by repeating this whole sickeningly fact-checked speech.
Ellie Hothersall's insight:

This is very American, but his impassioned description of the basics it extremely well researched and described. Thoroughly recommended.

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Study: Poverty Influences Children's Early Brain Development - bctv.org

Study: Poverty Influences Children's Early Brain Development - bctv.org | Health inequalities | Scoop.it
Study: Poverty Influences Children's Early Brain Development
bctv.org
A new study links poverty with slower early brain development.
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Goh Chang Yun's curator insight, January 19, 2014 6:55 AM

I knew that people in poverty sometimes do not have enough money for daily needs  for the family including the children. I knew poverty existed. I never knew that poverty has an influence on a child's early brain development, it has made me think that what if a person not in poverty has a similar environment compared to a person in poverty, does that also influence the brain development. What if a person not in poverty has not enough sleep too, will it has the same effects although their diet and environment are different.

Koh Chee Kiat's comment, January 29, 2014 9:49 AM
I agree, poverty affects the mind since poverty affects your surrounding, for example imagine going to sleep everything worrying about how to pay your monthly rent
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Inequality is real, it's personal, it's expensive and it was created - YouTube

---------------------------------- Visit http://inequality.is/ ---------------------------------- Inequality is real, it's personal, it's expensive and it wa...
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Will Value-Based Purchasing Increase Disparities in Care? — NEJM

Will Value-Based Purchasing Increase Disparities in Care? — NEJM | Health inequalities | Scoop.it
Perspective from The New England Journal of Medicine — Will Value-Based Purchasing Increase Disparities in Care?
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What's so good about "early," anyway? Statistics, screening, cancer

What's so good about "early," anyway? Statistics, screening, cancer | Health inequalities | Scoop.it

Via bacigalupe
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