How Far Have We Come in Reducing Health Disparities? Progress Since 2000: Workshop Summary (2012) / Chapter Skim
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4 Federal Perspectives on Reducing Health Disparities
4 Federal Perspectives on Reducing Health Disparities
Pages 43-52
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From page 43... ...
Other federal efforts to reduce health disparities have built upon these actions. JOHN RUFFIN John Ruffin is director of NCMHD (now the National Institute on Minority Health and Health Disparities [NIMHD]
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From page 44... ...
NCMHD was founded in 2000 to bring increased national attention to health disparities. Through its specific programs, together with a formal and comprehensive agenda for research on health disparities, NCMHD has increased investments in minority health and health disparities research and activities and improved collaboration within NIH and across federal agencies.
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From page 45... ...
The United States currently has 40 CBPR programs, and 11 of those are led by communitybased organizations rather than academic institutions. Ruffin described NCMHD's minority health and health disparities international research training program.
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From page 46... ...
The newly created NIMHD is responsible for meeting a congressional mandate requiring NCMHD to coordinate all minority health and health disparities research activities for NIH. One principal component of the efforts to coordinate research activities is NCMHD's responsibility for the development of the NIH Health Disparities Strategic Plan and Budget.
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CAROLYN CLANCY Carolyn Clancy is director of AHRQ within HHS and launched the first report to Congress on disparities in health care and health care quality (AHRQ, 2003)
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From page 48... ...
Quality-of-care problems, Clancy said, are pervasive. The health care disparities reports continue to demonstrate the widespread disparities in access to care and the quality of care in association with individual patient characteristics, such as race, ethnicity, and income (AHRQ, 2007, 2009)
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From page 49... ...
Quality and disparities reduction efforts should be intrinsically linked, Clancy said, and it is essential that health care providers become more comfortable with treating racially and ethnically diverse populations. For example, the Robert Wood Johnson Foundation project Expecting Success involved 10 hospitals that developed and then shared tools for improving cardiac care for African American and Latino patients.
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From page 50... ...
Finally, a third project involves the use of health IT as a strategy to improve quality in discharge planning. After the release of the 2006 health care disparities report in 2007, Clancy said, AHRQ reviewed what were seen as the major targets of opportunity from the report.
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• artner with communities to ensure research activities are relevant to their P populations and that findings are adopted and implemented effectively. • valuate the importance of cultural competence and health literacy to improve E quality and reduce health care disparities.
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From page 52... ...
She also said that AHRQ wants to get better data from the local level because better local data overall can help provide an understanding of the interplay between the social determinants of health and inequalities in health care. John Ruffin concurred, stating that NCMHD is focused on funding research related to the social determinants of health.
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