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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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- Background: Equitable access to health services is a key ingredient in reaching health for persons with disabilities and other vulnerable groups. So far, research on access to health services in low- and middle-income countries has largely relied on self-reported survey data. Realizing that there may be substantial discrepancies between perceived and actual access, other methods are needed for…June 2018Services & Programs
- Background: A growing body of research continues to elucidate health inequities experienced by transgender individuals and further underscores the need for medical providers to be appropriately trained to deliver care to this population. Medical education in transgender health can empower physicians to identify and change the systemic barriers to care that cause transgender health inequities as…May 2018Services & Programs
- Objective: To delineate the factors inherent in caring for patients with intellectual and developmental disabilities (IDD) that lead to complexity and to provide perspectives and techniques mapped to the phases of the clinical encounter.Sources of information: The authors of the physical health section of the 2018 Canadian consensus guidelines on the primary care of adults with IDD consisted of…April 2018Policy and Practice
- Objective: To update the 2011 Canadian guidelines for primary care of adults with intellectual and developmental disabilities (IDD).Methods: Family physicians and other health professionals experienced in the care of people with IDD reviewed and synthesized recent empirical, ecosystem, expert, and experiential knowledge. A system was developed to grade the strength of recommendations.…April 2018Policy and Practice
- The objective of this study was to assess trends in health insurance coverage, health service utilization, and health care access among working-age adults with and without disabilities before and after full implementation of the Affordable Care Act (ACA), and to identify current disability-based disparities following full implementation of the ACA. The ACA was expected to have a disproportionate…November 2017Policy and Practice
- Background LGBT community organizations in the United States have been providing health services since at least the 1970s. However, available explanations for the origins of LGBT health services do not sufficiently explain why health in particular has been so closely and consistently linked to LGBT activism. Little is also known regarding how LGBT health services may have evolved over time with…July 2017Services & Programs
- Massachusetts state law includes a tremendous opportunity for city and town disability commissions to make their communities more accessible and more inclusive of people with disabilities. By persuading local government to adopt section 22G, commissions get access to the money collected from fines when individuals park illegally in accessible parking spaces (previously known as Handicapped…June 2017Advocacy
- Too many special education students are at risk of leaving high school unprepared for the future. That’s my conclusion after making a deep dive into their backgrounds and experiences for a national study.Consider these facts:Special education students are half as likely as their peers to take college entrance tests such as the SAT.They are less likely to have paid work experience, despite…May 2017Education
- About 3.5% Americans identify themselves as lesbian, gay, or bisexual while 0.3% identify themselves as transgender. The LGBT (lesbian, gay, bisexual, and transgender) community belongs to almost every race, ethnicity, religion, age, and socioeconomic group. The LGBT youth are at a higher risk for substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity,…April 2017Chronic Disease
- ObjectivesTo investigate mortality and its causes in adults over the age of 20 years with intellectual disability (ID).Design, setting and participantsRetrospective population-based standardised mortality of the ID and Comparison cohorts. The ID cohort comprised 42 204 individuals who registered for disability services with ID as a primary or secondary diagnosis from 2005 to 2011 in New South…February 2017Illness/Disease/Injury/Wellbeing
- Advance gender affirming care by applying best practices in organizational change to your health care setting. This guide details a health center’s journey through an organizational assessment process. With practical templates and facilitation guides, you can implement a similar approach in your health center. (author abstract) #P4HEwebinarJune2023January 2017Adolescent Health, Policy and Practice
- The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will…July 2016Reproductive/Sexual Health, Services & Programs
- National surveys have estimated that 2%–11% of Americans self-identify as LGBTQ,1 yet as a population, these individuals have historically been underrepresented in addiction research. As scientists have worked over the past three decades to remediate this gap, substance use characteristics and treatment factors present among the LGBTQ population have begun to emerge.January 2016Substance Use and Misuse
- Increasing attention is being paid to the impact of discrimination on the health of oppressed groups. In this chapter, we review the impact of the personal experience of discrimination on the health and well-being of people with intellectual disabilities. We begin by addressing conceptual and methodological issues facing research on links between discrimination and health. We then review: (1)…July 2015Social/Structural Determinants
- Protection and Affordable Care Act (PPACA), also known as Obamacare, has stimulated extensive debate over the way in which healthcare is financed, and whether or not the costs of healthcare are sustainable. Among publicly funded healthcare in the US, Medicaid and Medicare are primary sources of funding. In federal fiscal year 2012, Medicaid spending on acute health exceeded $275.4 billion, while…September 2014Policy and Practice
- Even after passage of the Americans with Disability Act (ADA), persons with mental illnesses have difficulty finding a job and keeping it. In this study, the authors assessed employment outcomes among more than 1,000 individuals with a psychiatric disability who were unemployed at the start of the two-year study period. Those who received ADA accommodations not only worked more hours per month…September 2014Services & Programs
- Introduction: While there has been impressive progress in creating and improving community healthcare delivery systems that support people with intellectual and developmental disabilities (IDD), there is much more that can and should be done.Methods: This paper offers a review of healthcare delivery concepts on which new models are being developed, while also establishing an historical context.…July 2014Policy and Practice
- Historically, people with intellectual and developmental disabilities (IDD) have experienced health disparities related to several factors including: a lack of access to high quality medical care, inadequate preparation of health care providers to meet their needs, the social determinants of health (e.g., poverty, race and gender), and the failure to include people with IDD in public health…October 2013Policy and Practice
- Bodies of research pertaining to specific stigmatized statuses have typically developed in separate domains and have focused on single outcomes at 1 level of analysis, thereby obscuring the full significance of stigma as a fundamental driver of population health. Here we provide illustrative evidence on the health consequences of stigma and present a conceptual framework describing the…May 2013Environment/Context, Isms and Phobias
- BackgroundClinical practice guidelines are developed to improve the quality of healthcare. However, clinical guidelines may contribute to health inequities experienced by disadvantaged groups. This study uses an equity lens developed by the International Clinical Epidemiology Network (INCLEN) to examine how well clinical guidelines address inequities experienced by individuals with intellectual…May 2012Policy and Practice
- Good health significantly improves a person's quality of life. However, people with intellectual disabilities disproportionately have more health problems than the general population. Further complicating the matter is that people with more severe disabilities often cannot verbalize health complications they are experiencing, which leads to health problems being undiagnosed and untreated. It is…September 2010Illness/Disease/Injury/Wellbeing
- Disabled people represent between 10% and 20% of the world’s population, depending on the definitions adopted. They are disproportionately poor, and have historically experienced diverse forms of social exclusion. The rise of the disability rights movement, the establishment of disability discrimination legislation in many countries, and the advent of the UN Convention on the Rights of Persons…November 2009Postsecondary Education
- The Fenway Guide provides guidance, practical guidelines, and discussions of clinical issues pertinent to the LGBT patient and community. It also focuses on helping healthcare professionals gain a better understanding of the LGBT population, the LGBT life continuum, health promotion and disease prevention, transgender health, and patient communication and the office environment, The Fenway Guide…June 2008School-Based Health Care, Homophobia, Transphobia
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