How Far Have We Come in Reducing Health Disparities? Progress Since 2000: Workshop Summary (2012) / Chapter Skim
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3 Healthy People 2010: How Far Have We Come in Reducing Health Disparities?
3 Healthy People 2010: How Far Have We Come in Reducing Health Disparities?
Pages 31-42
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From page 31... ...
The racial and ethnic disparities in health and well-being that people of color in the United States experience are also often referred to as "inequities." These inequities are a major challenge in public health today. Health disparities or inequities can be viewed through multiple lenses (Figure 3-1)
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Healthy People began in 1979 under Julius Richmond, then assistant secretary for health and surgeon general. The document sets out health goals for the nation, and the framework is updated every 10 years.
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in the mid-1990s. For mortality rates due to coronary heart disease, the Healthy People 2010 target of 162 deaths per 100,000 was met for all groups except African Americans.
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. Figure 3-2, fixed image, color Deaths per 100,000 Population FIGURE 3-3 Rates of death from HIV infection and introduction of highly active antiretroviral therapy (HAART)
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Data from the National Vaccine Program Office indicate that racial/eth nic disparities in childhood immunization rates have narrowed significantly since the mid-1990s. The same narrowing in adult immunization rates has not been seen, however.
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American Indian includes Alaska Native. The black and white categories exclude persons of Hispanic origin.
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From page 37... ...
American Indian includes Alaska Native, and Native Hawaiian includes Pacific Islander. The categories black and white exclude persons of Hispanic origin.
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for Translating Research Efficacy into Community Effectiveness Reach: Efficacy/ Adoption: I mplementation: Maintenance: Participation Effectiveness: Number of and Quality and How long RE-AEIM rate and Effect of an representative- consistency with intervention representative- intervention on ness of settings which interven- holds up ness of specified and interven- tion is delivered participants outcomes tionists Research Settings Efficacy (Limited Homogenous Intense One setting By research staff Few or no sample specialized issues intervention Community Settings) Effectiveness (Broad Multiple By variety of Major issues Heterogeneous Brief, feasible settings people sample intervention SOURCE: Howard Koh presentation to the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities, April 2010, Washington, DC.
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From page 39... ...
of 2009 establishes a national committee that is looking at ways to track race, ethnicity, and primary language data through electronic data collection methods. This legislation also promotes increased use of electronic health records and specifically provides funding for the Indian Health Service to assist with health information technology adoption.
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From page 40... ...
• A no-cost-share rule for preventive services was established for Medicare and went into effect on January 1, 2011. In addition, the HHS Health Disparities Council, co-chaired by Howard Koh and Sherry Glied, assistant secretary for planning and evaluation, was established under the ACA.
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From page 41... ...
Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention. OASH (Office of the Assistant Secretary for Health)
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