Skip to main content
Erschienen in: Journal of Urban Health 4/2016

06.06.2016

Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention

verfasst von: Norma Alicea-Alvarez, Kathleen Reeves, Em Rabelais, Diana Huang, Melanie Ortiz, Tariem Burroughs, Nora Jones

Erschienen in: Journal of Urban Health | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

It is well known that health disparities exist and that a significant majority of patients who suffer disproportionately from them are lower income, non-white residents of dense, and diverse urban neighborhoods. It is our belief that factors hindering the reduction of health disparities in these neighborhoods are a lack of a framework and preparation needed to engage these communities in identifying specific health care needs. This paper describes one curricular intervention, a graduate level community engagement course, developed within an academic medical center located in an urban setting, that demonstrates promise in effecting change in the extent to which clinicians are able to engage communities and practice “neighborhood-engaged care” with the central goal of mitigating disparities.
Literatur
1.
Zurück zum Zitat IOM. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: National Academy Press; 2002. IOM. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: National Academy Press; 2002.
2.
3.
Zurück zum Zitat Wear D, Kuczewski MG. Medical students’ perceptions of the poor: what impact can medical education have? Acad Med. 2008; 83(7): 639–645.CrossRef Wear D, Kuczewski MG. Medical students’ perceptions of the poor: what impact can medical education have? Acad Med. 2008; 83(7): 639–645.CrossRef
5.
Zurück zum Zitat Seefer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005; 72(3): 463–468. Seefer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005; 72(3): 463–468.
6.
Zurück zum Zitat Mautner DB, Pang H, Brenner JC et al. Generating hypotheses about care needs in high utilizers: lessons from patient interviews. Popul Health Manag. 2013; 16 (1 suppl): S26-33 doi:10.1089/pop.2013.003. Mautner DB, Pang H, Brenner JC et al. Generating hypotheses about care needs in high utilizers: lessons from patient interviews. Popul Health Manag. 2013; 16 (1 suppl): S26-33 doi:10.​1089/​pop.​2013.​003.
8.
Zurück zum Zitat Grover CA, Close RJH. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10(3): 193–194. Grover CA, Close RJH. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10(3): 193–194.
11.
Zurück zum Zitat Porter ME, Teisberg EO. Redifining Health Care Creating Value-based Competition on Results. Boston, MA: Harvard Business School Press; 2006. Porter ME, Teisberg EO. Redifining Health Care Creating Value-based Competition on Results. Boston, MA: Harvard Business School Press; 2006.
12.
Zurück zum Zitat IOM. Population Health Implications of the Affordable Care Act: Workshop Summary. Washington, DC: The National Academies Press; 2014. IOM. Population Health Implications of the Affordable Care Act: Workshop Summary. Washington, DC: The National Academies Press; 2014.
13.
Zurück zum Zitat Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006; 7(3): 312–323.CrossRef Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006; 7(3): 312–323.CrossRef
15.
Zurück zum Zitat Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006; 96 (12): 2113-2121. doi: 10.2105/AJPH.2005.077628. Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006; 96 (12): 2113-2121. doi: 10.​2105/​AJPH.​2005.​077628.
16.
Zurück zum Zitat Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Diabetes Educ. 2007; 33(S6): 159S–165S.CrossRef Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Diabetes Educ. 2007; 33(S6): 159S–165S.CrossRef
17.
Zurück zum Zitat Krieger JW, Takaro TK, Song L, Weaver M. The Seattle-king county healthy homes project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health. 2005; 95(4):652-659. doi: 10.2105/AJPH.2004.042994. Krieger JW, Takaro TK, Song L, Weaver M. The Seattle-king county healthy homes project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health. 2005; 95(4):652-659. doi: 10.​2105/​AJPH.​2004.​042994.
18.
Zurück zum Zitat Monaghan PF, Forst LS, Tovar-Aguilar JA, Bryant CA, Israel GD, Galindo-Gonzalez S, Thompson Z, Zhu Y, McDermott RJ. Preventing eye injuries among citrus harvesters: the community health worker model. Am J Public Health. 2011; 101(12):2269-2274. doi: 10.2105/AJPH.2011.30031. Monaghan PF, Forst LS, Tovar-Aguilar JA, Bryant CA, Israel GD, Galindo-Gonzalez S, Thompson Z, Zhu Y, McDermott RJ. Preventing eye injuries among citrus harvesters: the community health worker model. Am J Public Health. 2011; 101(12):2269-2274. doi: 10.​2105/​AJPH.​2011.​30031.
19.
Zurück zum Zitat Balcazar J, Alvarado M, Ortiz G. Salud para su Corazon (health for your heart) community health worker model. J Ambul Care Manage. 2011; 34(4): 362–372.CrossRef Balcazar J, Alvarado M, Ortiz G. Salud para su Corazon (health for your heart) community health worker model. J Ambul Care Manage. 2011; 34(4): 362–372.CrossRef
20.
Zurück zum Zitat Garson A, Green DM, Rodriguez L, Beech R, Nye C. A new corps of trained Grand-Aides has the potential to extend reach of primary workforce and save money. Health Aff. 2012; 31(5): 1016-1021. doi:10.1377/hlthaff.2011.0859. Garson A, Green DM, Rodriguez L, Beech R, Nye C. A new corps of trained Grand-Aides has the potential to extend reach of primary workforce and save money. Health Aff. 2012; 31(5): 1016-1021. doi:10.​1377/​hlthaff.​2011.​0859.
21.
Zurück zum Zitat McConnell E, Clasen C, Stolfi A, Anderson D, Markert RJ, Jaballas E. Community service and the pediatric exam: and introduction to clinical medicine via a partnership between first year medical students and a community elementary school. Teach Learn Med. 2010; 22(3): 187–190.CrossRef McConnell E, Clasen C, Stolfi A, Anderson D, Markert RJ, Jaballas E. Community service and the pediatric exam: and introduction to clinical medicine via a partnership between first year medical students and a community elementary school. Teach Learn Med. 2010; 22(3): 187–190.CrossRef
24.
Zurück zum Zitat Celio CI, Durlak J, Dymnicki A. A meta-analysis of the impact of service-learning on students. J Experiential Educ. 2011; 34(2): 164–181.CrossRef Celio CI, Durlak J, Dymnicki A. A meta-analysis of the impact of service-learning on students. J Experiential Educ. 2011; 34(2): 164–181.CrossRef
25.
Zurück zum Zitat Duffy FD, Miller-Cribbs JE, Clancy GP, et al. Changing the culture of a medical school by orienting students and faculty toward community medicine. Acad Med. 2014; 89(12): 1630–1635.CrossRef Duffy FD, Miller-Cribbs JE, Clancy GP, et al. Changing the culture of a medical school by orienting students and faculty toward community medicine. Acad Med. 2014; 89(12): 1630–1635.CrossRef
26.
Zurück zum Zitat Meurer L, Young S, Muerer, JR, Johnson S, Gilbert I, Diehr S. The urban and community health pathway preparing socially responsive physicians through community-engaged learning. Am J Prev Med. 2011; 41 (4 Suppl 3):S228-36. doi:10.1016/j.amepre.2011.06.005. Meurer L, Young S, Muerer, JR, Johnson S, Gilbert I, Diehr S. The urban and community health pathway preparing socially responsive physicians through community-engaged learning. Am J Prev Med. 2011; 41 (4 Suppl 3):S228-36. doi:10.​1016/​j.​amepre.​2011.​06.​005.
27.
Zurück zum Zitat Minkovitz CS, Grason H, Solomon BS, Kuo AA, O’Connor KG. Pediatricians’ involvement in community child health from 2004 to 2010. Pediatrics. 2010; 132(6): 997–1005.CrossRef Minkovitz CS, Grason H, Solomon BS, Kuo AA, O’Connor KG. Pediatricians’ involvement in community child health from 2004 to 2010. Pediatrics. 2010; 132(6): 997–1005.CrossRef
28.
Zurück zum Zitat Post DM, Kundt FS, Mehl E, Hudson WA, Stone LC, Banks FR. Twenty years of experience in service-learning at the Ohio State University College of Medicine. J Community Engagement Sch. 2012; 2(1): 18–30. Post DM, Kundt FS, Mehl E, Hudson WA, Stone LC, Banks FR. Twenty years of experience in service-learning at the Ohio State University College of Medicine. J Community Engagement Sch. 2012; 2(1): 18–30.
30.
Zurück zum Zitat Blustein J, Fleischman MD. (2004). Urban bioethics: adapting bioethics to the urban context. Acad Med. 2004; 79(12): 1198–1202.CrossRef Blustein J, Fleischman MD. (2004). Urban bioethics: adapting bioethics to the urban context. Acad Med. 2004; 79(12): 1198–1202.CrossRef
Metadaten
Titel
Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention
verfasst von
Norma Alicea-Alvarez
Kathleen Reeves
Em Rabelais
Diana Huang
Melanie Ortiz
Tariem Burroughs
Nora Jones
Publikationsdatum
06.06.2016
Verlag
Springer US
Erschienen in
Journal of Urban Health / Ausgabe 4/2016
Print ISSN: 1099-3460
Elektronische ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-016-0057-6

Weitere Artikel der Ausgabe 4/2016

Journal of Urban Health 4/2016 Zur Ausgabe