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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
- Substance use and mental illness have significant impacts on people, families, communities, and societies. Previous National Survey on Drug Use and Health (NSDUH) reports have cited differences in substance use, mental illness, and the receipt of substance use and mental health treatment among people in different racial or ethnic groups.1,2 As part of the Strategic Plan: Fiscal Year 2023-2026 of…July 2024Substance Use and Misuse
- 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
- A CDC Vital Signs report, using drug overdose data from the State Unintentional Drug Overdose Reporting System (SUDORS), found concerning trends and widening disparities between different population groups. From 2019 to 2020, overdose deaths increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. In addition, the percentage receiving treatment was lowest for…May 2024Substance Use and Misuse
- 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
- Introduction: States' approaches to addressing prenatal substance use are widely heterogeneous, ranging from supportive policies that enhance access to substance use disorder (SUD) treatment to punitive policies that criminalize prenatal substance use. We studied the effect of these prenatal substance use policies (PSUPs) on medications for opioid use disorder (OUD) treatment, including…September 2022Maternal/Child Health, Substance Use and Misuse
- Drug overdose data show troubling trends and widening disparities between different population groups. In just one year, overdose death rates (number of drug overdose deaths per 100,000 people) increased 44% for Black people and 39% for American Indian and Alaska Native (AI/AN) people. Most people who died by overdose had no evidence of substance use treatment before their deaths. In fact, a…July 2022Substance Use and Misuse
- 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
- 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
- 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
- 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
- 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
- UNC Health rapidly launched a mobile Covid testing unit to underserved community sites in May 2020 to provide targeted testing of uninsured Black and Latinx community members. We engaged with existing Black and Latinx community leaders to co-develop the program, converting a mobile vascular screening unit into a testing site and resource center for patients at risk. In the first three months, 2,…October 2020COVID-19/Coronavirus, Community-rooted/Participatory Research
- Ros Beadle is an Adjunct Lecturer at the Centre for Remote Health, Flinders University (in Alice Springs). Despite extensive previous experience working in community development, Ros Beadle found herself out of her comfort zone when she first started to work as a community support worker in a very remote Australian Aboriginal community in 2009. As she indicates in this conversation with Ernie…October 2020Community-rooted/Participatory Research
- The National Quality Forum and several collaborators launched the National Quality Task Force in late 2018 to analyze the progress of the modern quality movement today and recommend a path forward. Despite impressive gains, notable shortcomings persist in normalizing consistent, high-value, person-centered care. What is primarily missing is not progress in measurement, but progress in results.…May 2020Health Reform
- One in five Americans lives in a rural area, including about 18 million women of reproductive age, but key indicators, including mortality figures, show that the health of mothers and children in these communities lags behind that of their urban peers and is worsening. Nationwide, child mortality rates have declined over the past decade, but recent research shows that improvement among infants…February 2020Maternal/Child Health
- States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers – including physical, behavioral, and oral health providers – that the state pays a global capitated rate to provide…March 2019Medicaid
- On Jan. 10, 2019, Taté Walker (they/them) presented on the violence and marginalization faced by Indigenous womxn*, primarily due to the ongoing, chronic impacts of settler colonialism. Walker, who is Lakota and a citizen of the Cheyenne River Sioux Tribe of South Dakota, is an Indigenous rights activist and award-winning multimedia storyteller. Walker observed that the U.S. murder rate for…January 2019Community Violence, Structural Violence
- A collection of analyses and research findings examining the link between immigration status, health care and health. (website abstract)November 2015Systemic Determinants, Racism
- On July 23, 2015, Denise Gonzales, program director at the Con Alma Health Foundation, and Susan Wilger, MPAff, director of programs at the National Center for Frontier Communities, discussed health equity challenges and opportunities in rural communities of New Mexico, and how lessons learned from recent work can be applied to rural Colorado. More than 100 people attended the presentation at the…July 2015Environment/Context
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