Population Health in Challenging Times: Insights from Key Domains Proceedings of a Workshop (2023) / Chapter Skim
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4 The Health Care Response
4 The Health Care Response
Pages 21-28
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From page 21... ...
Medical students in the service learning program had been working in the city shelter system, which is part of a large partnership that includes health care, government public health, community organizations, and others. The students expressed concern about how heavily the congregate and the partnership sprang into action to administer tests, respond to outbreaks, and ensure continuity of care.
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From page 22... ...
Nguyen remarked that the system recognized that network adequacy is one approach to help advance equity. Network adequacy, he explained, refers to the requirement that health care plans have providers in every zip code to ensure adequate coverage for its insurance policies.
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From page 23... ...
For example, the health center organized a protest march around the neighborhood, led by staff who are African drummers, and the community responded. This idea emerged from daily staff huddles that are not clinically focused, but are rather centered on having a "mindful moment" in addition to receiving COVID-19 updates and building team togetherness at the start of each day.
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From page 24... ...
Telehealth services provide a great solution for an essential worker needing to take a day off, needing parking -- barriers that are hard to overcome -- but it can create inequities. For example, although telehealth has worked well for behavioral health care, there are some challenges, such as creating a therapeutic environment when people are home and surrounded by their children, or if circumstances cause them to be outside their home, such as shopping in a grocery store.
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From page 25... ...
: "Social risk factors capture how social relationships and contexts influence the health care outcomes of Medicare beneficiaries."
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From page 26... ...
, but for closing the gaps. Alberti noted that "tracking the gaps is not the same as measuring equity" unless a metric exists that can capture whether patients of any background feel they receive the same equitable opportunity for high-quality health care as "a White, cisgender, heterosexual, Judeo-Christian, rich man."
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From page 27... ...
Alberti clarified that IBM Watson Health's hospital rankings initiative asked Johns Hopkins to develop a metric that attempts to capture a hospital's contribution to community health and equity, but it also reflects on institutional culture, climate, gender equity, and so forth. The Lown Institute has a new metrics set that aims to assess health care organization performance on the organization's civic leadership, the value of care it
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From page 28... ...
She also reflected on the fact that mental and behavioral health has been devalued in the United States, and the most striking examples occur in the context of police brutality, such as the cases where law enforcement arrives on the scene and community members experiencing a mental health crisis get injured or killed. Alley quoted James Baldwin in that "not everything that is faced can be changed, but nothing can be changed until it is faced." Alley said "we're facing a lot of things right now, but we need to be able to continue to see them, and the language of health care is data and incentives and reimbursements, so we need to figure out how to take this conversation and really face" the need for change in the context of issues such as data and payment.
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