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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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- On the occasion of the 20th anniversary of the publication of To Err Is Human: Building a Safer Health System (IOM, 2000) and Crossing the Quality Chasm: A New Health System for the 21st Century (IOM, 2001), the National Academy of Medicine convened the leaders of seven prominent U.S. health care quality organizations to discuss and author a paper identifying the most important priorities for the…September 2021Illness/Disease/Injury/Wellbeing, Policy and Practice, Social/Structural Determinants
- WHO defines health equity as “the absence of unfair and avoidable or remediable differences in health among population groups defined socially, economically, demographically, or geographically or by other means of stratification”. Yet, contrary to this fundamental aspiration and the international mandate on universal health coverage (UHC), almost 50% of the world’s population does not receive…September 2021Health Reform, Services & Programs
- Since the outbreak of the coronavirus disease 2019 (COVID-19) in 2020, the United States suffered over 32 million infections, with an estimated death toll from COVID-19 of well over half a million as of April 2021. In addition to having a direct health impact through infection (the long-term effects of which are still being examined), the COVID-19 pandemic dramatically transformed how society…September 2021COVID-19/Coronavirus, Mental/Behavioral Health
- This article analyses the impact of comprehensive education on health inequalities. Given that education is an important social determinant of health, it is hypothesised that a more equitable comprehensive system could reduce health inequalities in adulthood. To test this hypothesis, we exploited the change from a largely selective to a largely comprehensive system that occurred in the UK from…September 2021Early Childhood Education, Postsecondary Education, Social Environment
- BackgroundPublished literature on health care administration, management, and leadership and its impacts on health systems’ programs to address health care inequities is limited, as is information about how organizations integrate health equity in their cultures, missions, and strategic plans.PurposeThe aims of this study were to identify the key components necessary for health systems to…August 2021Services & Programs
- US companies consistently report the rising cost of health insurance as a top concern. Indeed, it is the largest employee-related expense, and the cost of health insurance has consistently risen faster than inflation. Surveys show that large, self-insured employers have adopted various strategies to reduce health care costs (for example, adopting high-deductible health plans) and, more…August 2021Environment/Context
- Individuals from sexual minority groups have elevated rates of depression, anxiety, substance use disorders, and suicidality relative to their heterosexual counterparts. These differences result from stress due to belonging to a sexual minority group: experiences of sexuality-based stigma that result in increased stress and adverse behavioral and mental health (BMH) outcomes. Research has…August 2021Mental/Behavioral Health
- 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
- The United States has the highest maternal mortality rate among developed countries and experiences substantial disparities in maternal health outcomes, particularly by race and ethnicity. The most recent national report on maternal mortality in the US reveals a significant increase in the national maternal mortality rate in 2019 compared to 2018 (20.1 and 17.4 deaths per 100,000 live births…August 2021Maternal/Child Health, Policy and Practice
- The concept of social cohesion has been indicated to be a critical social determinant of health in recent literature. Inconsistencies surrounding the conceptualization and operationalization have made utilizing these findings to inform health intervention and policy difficult. The objective of this article is to provide a theoretical clarification of the concept “social cohesion,” as it relates…August 2021Social Environment
- Extensive economic research demonstrates correlations between unions with wages, income inequality, health insurance, discrimination, and other factors. Corresponding epidemiologic literature demonstrates correlations between income, income inequality, insurance, discrimination, and other factors with health. The first purpose of this narrative review is to link these literatures and identify 28…August 2021Services & Programs
- 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
- Background: Medications for opioid use disorder (MOUD) improve outcomes for pregnant women and infants. Our primary aim was to examine disparities in maternal MOUD receipt by family sociodemographic characteristics. Methods: This retrospective cohort study included mother-infant dyads with Medicaid-covered deliveries in Tennessee from 2009 to 2016. First, we examined family sociodemographic…July 2021Maternal/Child Health, Substance Use and Misuse, Medicaid
- This commentary summarizes recent literature pertaining to healthcare challenges and needs during the current pandemic among refugees and asylum seekers residing in a host country. We conducted a literature review to identify barriers to shielding these structurally marginalized populations from the impact of the COVID-19 pandemic. (author abstract) #P4HEwebinarNovember2022July 2021COVID-19/Coronavirus, Social Environment
- Background: Given the potential of intersectionality to identify the causes of inequalities, there is a growing tendency toward applying it in the field of health. Nevertheless, the extent of the application of intersectionality in designing and implementing health interventions is unclear. Therefore, this study aimed to determine the extent to which previous studies have applied…July 2021Interventions
- Since the 1960s the immigrant population in the United States has increased fourfold, reaching 44.7 million, or 13.7 percent of the US population, in 2018. The shifting immigrant demography presents several challenges for US health policy makers. We examine recent trends in immigrant health and health care after the Great Recession and the nationwide implementation of the Affordable Care Act.…July 2021Policy and Practice
- This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and White breast and lung cancer survivors and racial differences in support. These data come from race- and cancer-stratified focus groups (n=6) and interviews (n=2) to inform a randomized controlled trial utilizing anti-racism and community-based participatory…July 2021Cancer
- Shock events uncover deficits in social cohesion and exacerbate existing social inequalities at the household, community, local, regional, and national levels. National and regional government recovery planning requires careful stakeholder engagement that centers on marginalized people, particularly women and marginalized community leaders. The aim of this rapid scoping review was to inform the…July 2021COVID-19/Coronavirus
- Black people living in Africa must be involved in setting the priorities for global health research, policies and programs that affect their daily lives, in order to move away from a funding culture that fosters colonialism, racism and white supremacy. The killing of George Floyd in the United States in 2020 bolstered the Black Lives Matter movement that began in 2013 and sparked unprecedented…June 2021Interventions, Systemic Determinants, Global Health, Racism
- In order to begin understanding the current context, producing culturally meaningful findings, and creating equitable health outcomes in the sphere of sexual and reproductive health and rights (SRHR) in Canada, we must first consider how, with whom and by whom research is conducted. As part of a series of commentaries on Reproductive Justice in Canada in BMC Reproductive Health, in this segment,…June 2021Reproductive/Sexual Health, Policy and Practice
- Many health policies are designed with the intention of improving health outcomes for all. Yet implementation of policies are variable across contexts, potentially limiting its impact on population health outcomes. The potential impact of a policy to advance health equity depends both on the design and its implementation, requiring ongoing evaluation and stakeholder engagement. Despite the…June 2021Interventions, Services & Programs
- Background Due to striking disparities in the implementation of healthcare innovations, it is imperative that researchers and practitioners can meaningfully use implementation determinant frameworks to understand why disparities exist in access, receipt, use, quality, or outcomes of healthcare. Our prior work documented and piloted the first published adaptation of an existing implementation…June 2021Health Reform
- Malignant pleural mesothelioma (MPM) is a cancer of the mesothelial lining of the pleura that has traditionally been associated with asbestos exposure in an industrial setting. Asbestos usage has fortunately been banned or phased out in most industrialized countries resulting in its decline in countries such as the United States. Despite this, MPM continues to place significant burden on its…June 2021Cancer
- Access to paid family and medical leave (“paid leave”) has bipartisan support among lawmakers in the United States, but the issue remains stalled on the public policy agenda. The U.S. does not currently have a federal paid leave policy, and unpaid leave—guaranteed by the Family and Medical Leave Act of 1993—is all that is available to the majority of workers. In this study, we examine the content…June 2021Paid Family Leave
- Transgenerational trauma is a potential barrier to achieving a healthy and holistic patient-physician relationship, particularly for Black Americans. Examination of deeply rooted historical injustices that Black patients suffer in health care and how they undermine trust can help clarify connections between historical trauma, distrust, and health outcomes. Furthering clinicians’ understanding of…June 2021Policy and Practice, Social/Structural Determinants
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