Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Now showing 1 - 4 of 4
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    Towards a Unified Taxonomy of Health Indicators: Academic Health Centers and Communities Working Together to Improve Population Health
    (2014) Aguilar-Gaxiola, Sergio; Ahmed, Syed; Zeno, Franco; Kissack, Anne; Gabriel, Davera; Hurd, Thelma; Ziegahn, Linda; Bates, Nancy; Calhoun, Karen; Carter-Edwards, Lori; Corbie-Smith, Giselle; Eder, Milton; Ferrans, Carol; Hacker, Karen; Rumala, Bernice; Strelnick , Hal; Wallerstein, N.
    The Clinical and Translational Science Awards (CTSA) program represents a significant public investment. To realize its major goal of improving the public's health and reducing health disparities, the CTSA Consortium's Community Engagement Key Function Committee has undertaken the challenge of developing a taxonomy of community health indicators. The objective is to initiate a unified approach for monitoring progress in improving population health outcomes. Such outcomes include, importantly, the interests and priorities of community stakeholders, plus the multiple, overlapping interests of universities and of the public health and health care professions involved in the development and use of local health care indicators. The emerging taxonomy of community health indicators that the authors propose supports alignment of CTSA activities and facilitates comparative effectiveness research across CTSAs, thereby improving the health of communities and reducing health disparities. The proposed taxonomy starts at the broadest level, determinants of health; subsequently moves to more finite categories of community health indicators; and, finally, addresses specific quantifiable measures. To illustrate the taxonomy's application, the authors have synthesized 21 health indicator projects from the literature and categorized them into international, national, or local/special jurisdictions. They furthered categorized the projects within the taxonomy by ranking indicators with the greatest representation among projects and by ranking the frequency of specific measures. They intend for the taxonomy to provide common metrics for measuring changes to population health and, thus, extend the utility of the CTSA Community Engagement Logic Model. The input of community partners will ultimately improve population health.
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    Changing healthcare professionals' behaviors to eliminate disparities in healthcare: What do we know? How might we proceed?
    (2004) Horner, Ronnie D; Salazar, William; Geiger, H Jack; Bullock, Kim; Corbie-Smith, Giselle; Cornog, Martha; Flores, Glenn
    The patient-healthcare provider communication process--particularly the provider's cultural competency--is increasingly recognized as a key to reducing racial/ethnic disparities in health and healthcare utilization. A working group was formed by the Office of Minority Health, Department of Health and Human Services to identify strategies for improving healthcare providers' cultural competency. This expert panel, one of several working groups called together to explore methods of reducing healthcare disparities, was comprised of individuals from academic medical centers and health professional organizations who were nationally recognized as having expertise in healthcare communication as it relates to diverse populations. During the 2-day conference, the panel identified, from personal experience and knowledge of the literature, key points of intervention and interventions most likely to improve the cross-cultural competency of healthcare providers. Proposed interventions included introduction of cultural competence education before, during, and after clinical training; implementation of certification and accreditation requirements in cross-cultural competence for practicing healthcare providers; use of culturally diverse governing boards for clinical practices; and active promotion of workforce cross-cultural diversity by healthcare organization administrators. For each intervention, methods for implementation were specified. On-going monitoring and evaluation of processes of care using race/ethnicity data were recommended to ensure the programs were functioning.
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    Understanding Social Capital and HIV Risk in Rural African American Communities
    (2011) Cené, Crystal W.; Akers, Aletha Y.; Lloyd, Stacey W.; Albritton, Tashuna; Powell Hammond, Wizdom; Corbie-Smith, Giselle
    Abstract available at publisher's web site.
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    Closing the circle between minority inclusion in research and health disparities.
    (2004) Corbie-Smith, Giselle; Moody-Ayers, Sandra; Thrasher, Angela D
    Increasing participation of minorities in clinical research has been a national scientific priority. Doubt and distrust, however, characterize many minorities' concern about whether their contributions as research participants will be reflected in improved health for them and their communities. What obligations do researchers have in ensuring that the societal benefits of research are enjoyed by underserved communities? What strategies can be used? Drawing on historical examples and recent policy initiatives, we describe how researchers can close the circle between inclusion of minorities in clinical research and reduction of health disparities by fulfilling obligations to methodology and community involvement.