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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- Medicaid has announced a two-year pilot program which covers traditional Native American healing practices in four states. The author explores the program through the lens of one Native American who recovered from addiction in a Native-led treatment house.October 2024Illness/Disease/Injury/Wellbeing, Substance Use and Misuse, Medicaid
- Societal systems act individually and in concert to create and perpetuate structural racism through both policies and practices at the local, state, and federal levels that, in turn, generate racial health disparities. Both current and historical policy approaches across multiple sectors including but not limited to housing, employment, health insurance, immigration and criminal legal, have the…February 2024Policy & Law
- Racial and ethnic minoritized uninsured populations in the United States face the greatest barriers to accessing mental healthcare. Historically, systems of care in the U.S. were set up using inadequate evidence at the federal, state, and local levels, driving inequities in access to quality care for minoritized populations. These inequities are most evident in community-based mental health…January 2024Mental/Behavioral Health, Policy & Law
- As described throughout this report, racial, ethnic, and tribal health inequities are created and sustained by factors both inside and outside of the health care system. However, health is strongly tied to the health care system—a healthy population requires access to high-quality, comprehensive, affordable, timely, respectful, and culturally appropriate health care. The health care system serves…July 2023Policy & Law
- Most agree health disparities are a moral problem. Yet there are disagreements about how to reduce them. Some believe that in health systems, equity and efficiency are incompatible, requiring stark and painful tradeoffs. Others, myself included, believe that achieving equitable health outcomes can, in fact, be accomplished by improving efficiency. The existing structure of the US…May 2023Health Reform
- The emergence and increasing use of artificial intelligence and machine learning (AI/ML) in healthcare practice and delivery is being greeted with both optimism and caution. We focus on the nexus of AI/ML and racial disparities in healthcare: an issue that must be addressed if the promise of AI to improve patient care and health outcomes is to be realized in an equitable manner for all…March 2023Health Reform, Isms and Phobias
- Background Although preventable through screening, cervical cancer incidence and mortality are higher among American Indian and Alaska Native women (AIAN) than White women. The Patient Protection and Affordable Care Act's (ACA) Medicaid expansions may uniquely impact access and use of cervical cancer screening among AIAN women and ultimately alleviate this disparity. Methods Using Medicaid…January 2023Cancer, Medicaid
- The existence of health disparities is an intractable public health problem. It is unacceptable not only that infant mortality, premature death rates, and disease burden are higher for racial and ethnic minorities such as Black and American Indian communities than they are for the general population but that these disparities persist despite decades of attention from public health. This is in…November 2022Policy and Practice, Policy & Law
- Over the past 50 years, 16 states, the District of Columbia, and 106 local governments have passed laws that prohibit landlords from discriminating against tenants who receive housing choice vouchers. These laws generally outlaw discrimination based on the tenant’s “source of income,” whether that source is a job, a pension, alimony, or government assistance. Using a new Urban Institute dataset…October 2022Housing Discrimination, Racism
- “Indigenous peoples offer us valuable ways to address the global water crisis through their traditional practices, both in terms of the sustainable management of aquatic ecosystems and the democratic governance of safe drinking water and sanitation,” said Special Rapporteur on the human rights to safe drinking water and sanitation Pedro Arrojo-Agudo. (author introduction) #P4HEwebinarJuly2023October 2022Policy & Law, Services & Programs, Access
- There’s a lot to fix about America’s broken systems. One of the most important is healthcare. In the ongoing fight for racial justice, we must call on those in power to center the fight for equity around health. For too long, our country’s racist infrastructure has overburdened the physical and mental health of our communities. Without access to quality healthcare, people of color will not be…April 2022Advocacy, Health Reform
- Structural racism toward American Indians and Alaska Natives is found in nearly every policy regarding and action taken toward that population since non-Natives made first contact with the Indigenous peoples of the United States. Generations of American Indians and Alaska Natives have suffered from policies that called for their genocide as well as policies intended to acculturate and dominate…February 2022Policy & Law, Social/Structural Determinants, Historical Trauma, Systemic Determinants, Racism
- In this research note, I estimate one component of the mortality impact of denying all wanted induced abortions in the United States. This estimate quantifies the magnitude of an increase in pregnancy-related deaths that would occur solely because of the greater mortality risk of continuing a pregnancy rather than having a legal induced abortion. Using published statistics on pregnancy-related…December 2021Maternal Morbidity and Mortality, Abortion Access
- This article has four aims. First, we briefly review the basic principles and processes described in life course theory. Second, we discuss racial residential segregation (RRS) and disproportionate rates of Black premature mortality as examples of systemic and structural racism (i.e., racialized policies and practices), which operate as fundamental drivers of the social and health inequities…September 2021Policy & Law, Racism
- The use of quality measurement to identify opportunities for improvement in how, where, and when care is delivered has driven remarkable advances and saved countless lives. At the same time, persistent racial and ethnic disparities in health and health care call attention to a striking need to address equity more directly in our health care infrastructure. Harnessing quality measurement as a tool…September 2021Health Reform, Racism
- Maternal health outcomes in the United States have reached crisis levels compared with the rest of the world, and they’re getting worse. Preterm birth rates have increased in the U.S. for the past 5 years, and the number of birthing people who experience Severe Maternal Morbidity (SMM) has also continued to grow. These poor outcomes, however, impact some more than others. Black birthing people…June 2021Maternal/Child Health, Medicaid
- “This study highlights the extent to which health care inequities are intertwined with other social inequities, such as employment and education,” says Vanessa Volpe, corresponding author of the study and an assistant professor of psychology at North Carolina State University. “This helps explain why health inequities are so intractable. Tackling health care inequities will require us to address…June 2021Health Reform, Racism
- This article is part of blog post series, Policy Actions for Racial Equity (PARE), which explores the many ways housing policies contribute and have contributed to racial disparities in our country. (author introduction) #P4HEwebinarJuly2023May 2021Housing Discrimination, Social/Structural Determinants
- In the 1980s, a set of historical city maps resurfaced to reveal a hidden facet of our neighborhoods—the redlined status. As it turns out, the implementation of these maps saved the housing sector and bolstered prosperity for some demographic groups but increased disparities in homeownership, wealth, and health for others. The structural inequalities set in place by federal policies over 80 years…May 2021Housing Discrimination, Physical Environment, Systemic Determinants
- The reproductive justice framework holds much promise for guiding research that can contribute to social change. Its limited integration and use in social psychology therefore represents a missed opportunity for justice-oriented social researchers. The purpose of this article is to provide an overview of the reproductive justice framework and demonstrate its value for social psychologists…May 2021Maternal Morbidity and Mortality, Abortion Access
- As states seek to address the social determinants of health and advance health equity, they face longstanding and persistent challenges in collecting complete, accurate, and consistent race, ethnicity and language (REL) data. This expert perspective provides an overview of current REL data collection standards; ideas for increasing completeness in data by engaging the enrollee and enrollment…October 2020Medicaid
- Colonization is a fundamental determinant of Indigenous peoples' health. Indigenous is a term defined by dislocation, and the effects of that displacement are felt by Indigenous peoples around the world. Aug 9, International Day of the World's Indigenous Peoples, is a chance to look at the continuing effects of territorial removal, the destruction of people, culture, and languages, and the lack…August 2020Policy & Law, Social/Structural Determinants
- Maternal morbidity and mortality (MMM) is a significant problem in the USA, with about 700 maternal deaths every year and an estimated 50,000 "near misses." Disparities in MMM by race are marked; black women are disproportionately affected. We use Urie Bronfenbrenner's ecological systems theory to examine the root causes of racial disparities in MMM at the individual (microsystem), interpersonal…July 2020Maternal Morbidity and Mortality, Medicaid, Racism
- The relationship between housing and health is more than just the four walls that shelter an individual or family each night. More broadly, the link between health and housing is a result of influences from both the individual home unit and a variety of structural and societal factors within a neighborhood. These elements have the potential to provide safety, recreation, access to transportation…May 2020Housing Discrimination, Social/Structural Determinants, Environment/Context, Systemic Determinants, Healthy Housing, Racism
- Millions of people in the United States face health disparities related to social and economic factors, including race, ethnicity, gender, sexual orientation, and income. Understanding and addressing disparities is critical to improving health equity nationwide. See the subpage on disparities in maternal health to learn more about that particular aspect of health equity. (website abstract)November 2019Policy & Law, Systemic Determinants
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