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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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- 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
- Background: Poor diet is a leading cause of premature death and thus diet and lifestyle changes are needed; yet, no consensus exists regarding diets that provide the greatest benefit. One of these diets gaining popularity around the world is a plant-based, vegan diet. Recently, Netflix documentaries What the Health (2017) and The Game Changers (2019) have attempted to improve public awareness of…March 2022Health Reform
- Medical-legal partnerships effectively mitigate some social determinants of health impacting pediatric populations, reducing hospitalizations by over a third, according to the latest data in Health Affairs emailed to journalists. Particularly, medical-legal partnerships can help children and their families ameliorate issues like potential eviction, denial of public benefits…March 2022Health Reform, Social Environment
- Objective: To explore the feasibility of a rapid, community‐engaged strategy to prioritize health equity policy options as informed by research evidence, community‐voiced needs, and public health priorities.Data Sources: Data came from residents in a midsized, demographically, and geographically diverse county over a period of 8 months in 2020 and an evidence review of the health equity policy…March 2022Community-rooted/Participatory Research, Policy & Law
- 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
- Introduction: Although growing evidence links residential evictions to health, little work has examined connections between eviction and healthcare utilization or access. In this study, eviction records are linked to Medicaid claims to estimate short-term associations between eviction and healthcare utilization, as well as Medicaid disenrollment. Methods: New York City eviction records from…February 2022Medicaid
- The COVID-19 pandemic has illuminated and amplified the harsh reality of health inequities experienced by racial and ethnic minority groups in the United States. Members of these groups have disproportionately been infected and died from COVID-19, yet they still lack equitable access to treatment and vaccines. Lack of equitable access to high-quality health care is in large part a result of…February 2022Vaccine Access and Uptake, Health Reform, Racism
- Issue: Despite enduring racism and the need for greater racial equity, there is limited consensus among analysts, academics, and public officials on how to assess policy for its impact on racial equity. Without instructive conceptual frameworks, our ability to identify, examine, and eradicate racial inequity through health policy will be limited. Goal: To establish a conceptually nuanced,…January 2022Health Reform, Services & Programs
- Importance: Increasing prices of antidiabetic medications in the US have raised substantial concerns about the effects of drug affordability on diabetes care. There has been little rigorous evidence comparing the experiences of patients with diabetes across different types of insurance coverage. Objective: To compare the utilization patterns and costs of prescription drugs to treat…January 2022Diabetes, Medicaid
- The private practice of psychiatry is in slow decline, and collaborative care will be its replacement. This is an inevitable result of the reality that there are too few psychiatrists being trained to cover the psychiatric needs of a growing population; increased rates of depression, anxiety, and substance use disorders across the population; and reduced stigma, which previously served as a…December 2021Mental/Behavioral Health, Health Reform
- Safe States Alliance hosted the IVPN Equity Convening (Equity Convening) to mobilize its Injury and Violence Prevention Network (IVPN) members and supporting colleagues to identify opportunities for the injury and violence prevention (IVP) field to collectively realize a vision for addressing inequities through partnership and policy activities. The convening goals were to: Establish a…December 2021Gun Violence/Firearms, Gun policy
- 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
- Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities.Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their…November 2021Chronic Disease, Mental/Behavioral Health, Health Reform, Social/Structural Determinants
- Planned Parenthood Federation of America published 12 new state-focused fact sheets highlighting why expanding Medicaid coverage is critical to expanding access to sexual and reproductive health care. There are fact sheets for each state that has not yet expanded Medicaid. They detail how many people in each state would gain health insurance coverage if Congress passes the package. (author…September 2021Reproductive/Sexual Health, Medicaid
- 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
- 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
- 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
- Building Healthy Communities (BHC) is a signature program of The California Endowment (TCE) combining 10 years of continuous funding in 14 historically disinvested communities with state-level and regional policy campaigns and coalition building. A novel approach to health improvement that encompasses the social determinants of health, BHC focuses on power building to promote systems change and…September 2021Policy & Law, Social/Structural Determinants
- Come October, the maximum benefit levels in the Supplemental Nutrition Assistance Program (SNAP, formerly the Food Stamp Program) will be based on the market basket costs of the 2021 Thrifty Food Plan. The result will be an increase of 21 percent — about 40 cents per person per meal — in the maximum SNAP benefit over the pre-pandemic amount. Because the 21 percent increase will go into effect at…August 2021Health Reform
- 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
- As Congress considers proposals to be included in the upcoming budget reconciliation package, a number of health care measures are on the table. Among these potential reforms are pathways to close the gap in Medicaid coverage that exists in the twelve states that declined to expand Medicaid after the passage of the Affordable Care Act (ACA). A Supreme Court ruling in 2012 made Medicaid expansion…August 2021Maternal/Child Health, Reproductive/Sexual Health, Medicaid
- This strategy guide establishes a framework for the City of Houston/Harris County response to homeless encampments. It provides a system-wide and coordinated response to unsheltered homelessness that focuses on decommissioning large encampments by facilitating access to a full array of permanent housing choices and services options. By pairing targeted and intensive outreach with housing surge…August 2021Housing Discrimination, Healthy Housing
- 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
- The Biden administration is calling for the whole of government to advance an equity agenda. The administration wants to "allocate resources to address the historic failure to invest sufficiently, justly, and equally in underserved communities, as well as individuals from those communities,” according to an executive order dated January 20, 2021. At the same time, social and racial justice…July 2021Health Reform
- In this report, The Rockefeller Foundation presents the true cost of food in the U.S., which measures the costs of our food system today to our health, environment, and society. After publishing our July 2020 “Reset the Table” report, we spent the past several months working with experts and advocates across the field to model the impact of the U.S. food system. The result is a national analysis—…July 2021Health Reform
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