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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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- What happens when your zip code threatens your health? Broadband access is often framed as a tech issue, but in some rural communities it’s a matter of health equity. Broadband internet is so limited in some areas that patients can’t use remote monitoring devices, hospitals can’t support telehealth, and electronic health records slow down care instead of streamlining it.On this week’s episode of…May 2025Social/Structural Determinants
- On the campaign trail, both former President Donald Trump and Vice President Kamala Harris are eager to portray themselves as guardians of Medicare. Each presidential candidate accuses the other of backing spending cuts and other policies that would damage the health insurance program for older Americans.But the election’s outcome could alter the very nature of the nearly 60-year-old federal…November 2024Policy & Law
- Health coverage in the United States is marked by a blend of private and public insurance options that leaves about 8% of the population uninsured. This coverage system has evolved over the years, most recently with the implementation of the Affordable Care Act (ACA), which aimed to reduce the uninsured rate by expanding Medicaid, creating health insurance Marketplaces for individuals, and…May 2024Policy and Practice
- From 2018–2020, 19 states enacted Medicaid work requirements as a strategy for reducing program enrollment and overall cost. While these requirements were later rescinded, strategies to reduce Medicaid costs are likely to reemerge as states attempt to recover economically from the COVID-19 pandemic. Here, we evaluated the impact of Medicaid work requirements on adults aged > 50, a group that…July 2023Medicaid
- Strengthening and maintaining brain health is important for people of all ages, particularly as we grow older and may experience changes in memory and thinking. Although this topic is a considerable concern for many older adults, there remains stigma around public dialogue, and accessible resources promoting brain health as we age are limited. A group of researchers, nurses, social workers, and…June 2023Illness/Disease/Injury/Wellbeing, Aging and Life Course
- Social connectedness is essential for health and longevity, while isolation exacts a heavy toll on individuals and society. We present U.S. social connectedness magnitudes and trends as target phenomena to inform calls for policy-based approaches to promote social health. Using the 2003–2020 American Time Use Survey, this study finds that, nationally, social isolation increased, social engagement…March 2023Social Environment
- Backgrounds: The prevalence of loneliness increases among older adults, varies across countries, and is related to within-country socioeconomic, psychosocial, and health factors. The 2000–2019 pooled prevalence of loneliness among adults 60 years and older went from 5.2% in Northern Europe to 24% in Eastern Europe, while in the US was 56% in 2012. The relationship between country-level factors…December 2022Aging and Life Course, Systemic Determinants
- In a finding that challenges the notion that immigrants are freeloaders in the American health care system, a new study shows they are paying a lot more through health care premiums and related taxes than they actually use in care. In fact, the amount that immigrants pay in makes up for some of the amount of health care that non-immigrants use in excess of what they pay. “Some…November 2022Services & Programs
- Within the discipline of public health, it is commonly understood that health outcomes are influenced by more than genetics and behavior. Many health problems can be firmly linked to a political determinant that created and is perpetuating health inequities in the United States. The COVID-19 pandemic has exacerbated these inequities, causing disproportionate outcomes, particularly for vulnerable…April 2022Policy and Practice, Aging and Life Course
- Growing reliance on the patient portal as a mainstream modality in health system interactions necessitates prioritizing digital health equity through systems-level strategies that acknowledge and support all persons. Older adults with physical, cognitive, sensory, and socioeconomic vulnerabilities often rely on the involvement of family and friends in managing their health, but the role of these…April 2022COVID-19/Coronavirus, Aging and Life Course
- The CMS Framework for Health Equity provides a strong foundation for our work as a leader and trusted partner dedicated to advancing health equity, expanding coverage, and improving health outcomes. This includes strengthening our infrastructure for assessment, creating synergies across the health care system to drive structural change, and identifying and working together to eliminate barriers…April 2022Community-rooted/Participatory Research, Services & Programs
- Hospital at Home (HaH) has been demonstrated to be effective in a variety of settings and patient populations.1, 2 However, it is unknown whether HaH is feasible or effective for socioeconomically disadvantaged patients. Our aim is to determine whether HaH services were received by disadvantaged patients, and if so, whether effectiveness differs for patients depending on socioeconomic status (SES…April 2022Environment/Context
- The Accountable Health Communities Model addressed a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services will impact health care costs and reduce health…April 2022Medicaid, Services & Programs, Social Environment
- For decades, Medicaid has provided virtually no-cost coverage to millions of Americans priced out of the private insurance market. Still, state legislators, policy analysts, and the popular press continue to question Medicaid’s value, particularly in relation to private coverage. Twelve states have not expanded Medicaid coverage under the Affordable Care Act (ACA) framework despite the offer of…March 2022Medicaid
- On this episode of On the Evidence, guests Dr. Na’Taki Osborne Jelks, Dr. Otakuye Conroy-Ben, and Aparna Keshaviah discuss the challenges of and opportunities for ensuring an equitable approach to wastewater monitoring and the importance of representation from historic Black neighborhoods, Indigenous communities, and rural communities. Jelks, Conroy-Ben, and Keshaviah are involved with the…March 2022Services & Programs
- Rural communities throughout the United States lack access to health care. While only 14 percent of Americans—almost 46 million people—live in rural areas, rural communities represent nearly two-thirds of primary care health professional shortage areas (HPSAs) in the country. This amounts to more than 4,100 primary care HPSAs in rural areas. A 2018 report by Pew Research Center found that the…February 2022Interventions, Services & Programs, Social/Structural Determinants, Access
- Objective: This initiative will seek to:Understand the underlying mechanisms of health-related misinformation and disinformation.Test interventions to address and mitigate the impact of health-related misinformation and disinformation on health disparities and the populations that experience health disparities.Description of Initiative: The projects supported by this initiative seek to stimulate…February 2022Communication
- The Equitable Healthy Aging in Public Health Toolkit Report aims to increase the capacity of public health departments to enhance equitable health and wellbeing of older adults and promote healthy aging across the life course in community health improvement practice. The toolkit begins by framing and defining the scope of equitable healthy aging vis-à-vis the roles and opportunities for…January 2022Communicable Disease, Aging and Life Course
- 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
- Importance: It is unclear how the COVID-19 pandemic and its associated economic downturn have affected insurance coverage and disparities in access to health care among low-income families and people of color in states that have and have not expanded Medicaid. Objective: To determine changes in insurance coverage and disparities in access to health care among low-income families and people…August 2021COVID-19/Coronavirus, Medicaid
- Intersectionality is a widely adopted theoretical orientation in the field of women and gender studies. Intersectionality comes from the work of black feminist scholars and activists. Intersectionality argues identities such as gender, race, sexuality, and other markers of difference intersect and reflect large social structures of oppression and privilege, such as sexism, racism, and…August 2021Policy and Practice, Isms and Phobias
- Immunization inequity contributes to negative health outcomes for both individuals and the population as a whole. Equitable immunization systems not only prevent potentially devastating vaccine-preventable illnesses, but also generate health more broadly by attracting people, including marginalized populations, into healthcare to improve other health inequalities. While longstanding inequities in…June 2021COVID-19/Coronavirus, Vaccine Access and Uptake, Social/Structural Determinants
- In defining health equity, rural communities may consider examining the language they use to describe populations that experience inequities. The Centers for Disease Control and Prevention offer Resources & Style Guides for Framing Health Equity & Avoiding Stigmatizing Language that provide important considerations for communicating with a health equity lens. The guiding principle of…May 2021Communication
- Loneliness and social isolation in older adults are serious public health risks affecting a significant number of people in the United States and putting them at risk for dementia and other serious medical conditions. A report from the National Academies of Sciences, Engineering, and Medicine (NASEM) points out that more than one-third of adults aged 45 and older feel lonely, and nearly one-…April 2021Aging and Life Course
- Medicaid has a long history of serving pregnant women, but many women are not eligible for Medicaid before pregnancy or after sixty days postpartum. We used data for new mothers with Medicaid-covered prenatal care in 2015–18 from forty-three states participating in the Pregnancy Risk Assessment Monitoring System (PRAMS) to describe patterns of perinatal uninsurance and health outcomes of women…April 2021Illness/Disease/Injury/Wellbeing, Maternal/Child Health, Depression, Medicaid
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