We have known for decades that income, education, race, gender, and other social factors have a bigger impact than medical care on people’s health and life expectancy. Social determinants of health (SDOH) are well documented by respected organizations such as the Centers for Disease Control (CDC) and World Health Organization (WHO).
The U.S. spends more on healthcare than any other country. Yet we struggle with healthcare access and quality, and our overall population is less healthy than other developed nations. One possible solution to this problem is value-based care. This article provides an overview of value-based care models and shows how cultural competency training is essential for doctors and healthcare organizations to provide high-value care for patients.
After more than a year of in-depth reporting in Baltimore, The Atlantic has published a long read that explores why, as a group, black Americans are significantly less healthy than white Americans. The piece follows a woman named Kairra, who is 27, black, very overweight, and suffers from a host of health problems that are usually associated with people three times her age. In Baltimore, as well as other segregated cities like Chicago and Philadelphia, the low-income, mostly black neighborhoods have a life expectancy that is 20 years lower than more affluent, whiter neighborhoods. The gap can be attributed to several factors, including violence, diet, environmental hazards, substance abuse, and stress.
An in-depth piece from Politico Magazine explores how a small, rural hospital in Kansas has become an economic powerhouse by serving the local refugee/immigrant population and specializing in labor and delivery. Ben Anderson, the hospital's CEO, relies on community partnerships, infrastructure grants, and targeted recruiting. His recruiting model is especially interesting: He attracts young physicians who are interested in helping Third World populations. "You can do that work right here in Kansas," he says. Having a staff that actively seeks to work with diverse populations improves patient experience and outcomes.
To date, 1,656 organizations, 51 state hospital associations, and 11 municipal hospital associations have signed onto the American Hospital Association's (AHA) #123forEquity Pledge to eliminate healthcare disparities. That means every state, and nearly 30% of our nation's hospitals, are represented in the movement to improve health equity. But the road between pledging good intention and effecting actionable change can be poorly marked, and dotted with unseen obstacles. In this post we'll review the key tenets of the AHA's Equity of Care Campaign, rationale for participation, and key actions hospitals and health systems can start to focus on today.
Unconscious bias leads to health disparities for patients, and has a negative effect on healthcare workers as well. Unconscious bias can cause both patients and staff to be treated differently based on gender, race, language spoken, lifestyle choices, and more. This results in higher staff attrition and and lower patient satisfaction—and in turn, it negatively effects healthcare organizations' bottom line.
The transgender population is underserved by the healthcare system, and one reason may be provider hesitancy. To meet the medical needs of transgender people, healthcare organizations, together with medical schools and residency programs, must incorporate training and content on how to care for transgender patients.
A report from the Accreditation Council for Graduate Medical Education (ACGME) presents data from medical residency and fellowship programs, which shows that clinical learning environments (CLEs) vary widely in their application of strategies to address healthcare disparities. Among other findings, the data demonstrate a lack of comprehensive training in cultural competency.