高血压英文PPT精品课件AddressingDisparityinHealthandHealthCa
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• must be eliminated!
Columbus Health Department
The journey to eliminate disparities …
Is an ongoing process – not a discrete event
Requires collaboration from many partners
ongoing basis ➢ Identifying and addressing problem areas
➢ Ongoing evaluation – process & outcomes
Columbus Health Department
Addressing the problem – Our Efforts …
Must be evaluated regularly to
– assure progress – assess impact – identify gaps, strengths & opportunities – celebrate successes
Columbus Health Department
Columbus Health Department
The Context and . . . the Mandate
Disparities in health status, health care and health outcomes:
• exist
• are unacceptable, and
sectors
》 Many sources may contribute:
- health systems - health care providers - patients - utilization managers
Columbus Health Department
Addressing the problem – Our Efforts …
19
1
Prevalence – % of population
Overweight (adult)
68
55
High Blood Pressure (adult)
37
26
Food insecurity (adult )
12
5
Diabetes (adult)
9
6
Inadequate Prenatal Care (live births)
In 1999, Congress commissioned an Institute of Medicine study to assess differences in type and quality of healthcare received by minority and non-minority populations.
Racial and Ethnic Health Disparity
Circles of Influence
Individual Racial/Ethnic
Health Disparity
Columbus Health Department
Sadly, health disparities have existed for far too long …
Internal Assessment of Columbus Health Department to:
- develop a sustainable effort to assess and improve upon the Columbus Health Department’s work related to addressing racial and ethnic health disparities.
Cancer
264
218
Stroke
89
66
Prostate Cancer
85
26
Diabetes
76
29
Hypertension/hypertensive renal disease 22
5
Homicide
19
4
Infant Mortality (deaths per 1,000 live births) 15
Mortality – per 100,000
African American
All Causes of Death
1,212
Hig h w ay Columbus Boundary Franklin County Boundary
N
W
E
S
Caucasian
927
Heart Disease
319
261
Columbus Health Department
The IOM Report
UNEQUAL TREATMENT: Confronting Racial and Ethnic Disparities in Health Care
Relevant findings :
Racial and ethnic disparities in health care exist . . . 》They are associated with worse outcomes in many cases –
* Infant Mortality Ratio
Columbus Health Department
Moving forward:
Early 1900s Dr. Booker T. Washington
2002 IOM
Columbus Health Department
Moving Forward:
Office of Minority Health established - 2000
Key accomplishments:
➢ Provided cultural competency education for all staff in 2001 ➢ Developed Interpretation/Translation Service ➢ Provide ongoing training to clinical staff on how to work with
– Infant mortality – Low birth weight – Diabetes prevalence & mortality – Sexually transmitted diseases
Columbus Health Department
Health Disparities
Columbus
Columbus Health Department
Racial & Ethnic Health Disparities
- Columbus
As in other U.S. urban areas disparities in health status and outcomes are persistent & in some cases are increasing:
Health Disparities
Columbus
Health Issues
African American
Hig h w ay Columbus Boundary Franklin County Boundary
N
W
E
S
Caucasian
New cases per 100,000 Syphilis
Challenges: ➢ Increasing needs/decreasing resources ➢ Ensuring cultural competency education for new staff ➢ Assuring cultural competency of all staff on an
Racial and ethnic health disparities have been documented for over a century.
In the early 1900’s, Dr. Booker T. Washington, along with other African American leaders, noted poorer health status for African Americans as well as a link between health status and social and economic well-being.
7
HIV disease
10
3
Source: ODH, Vital Statistics ’99-’01(Deaths and Births) 2002 Franklin County Health Assessment (Behavior data)
Columbus Health Department
21
11
Birth weight of less than 5.5 lbs (live births) 12
7
Teen Births--mom less than 18 ( live births) 6
2
Source: ODH, Vital Statistics ’99-’01(Deaths and Births) 2002 Franklin County Health Assessment (Behavior data)
and are therefore unacceptable
》They occur in the context of:
- broader historic & contemporary social & economic inequality - evidence of persistent racial & ethnic discrimination in many
Columbus Health Department
Addressing the problem – Our Efforts …
Organizational components to be considered in an internal assessment include:
➢ Leadership ➢ Vision/Mission ➢ Staff Composition ➢ Policies & Procedures ➢ Service Delivery ➢ Staff Development &
Training
➢ Performance Standards ➢ Outcomes Management ➢ Performance Evaluation ➢ Collaborations
interpreters ➢ Provide ongoing educational programs on diversity, cultural
issues and addressing disparity
Columbus Health Department
Addressing the problem – Our Efforts …
Columbus Health Department
Racial Disparities
Columbus Infant Mortality RatesIMR* R源自tio3.02.0
1.0
Difference in IMR = increase of 1.7% a year
0.0
1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001
Addressing Disparity in Health and Health Care for Racial and Ethnic Minorities: An Internal Assessment – Health
Service Delivery
Carla Hayden, R.N.,M.B.A , Director, Office Of Minority Health Michelle L. Groux, M.P.H, Epidemiologist, Office of Assessment and Surveillance Manisha H. Maskay, Ph.D., Director, Division of Planning & Preparedness
Columbus Health Department
The journey to eliminate disparities …
Is an ongoing process – not a discrete event
Requires collaboration from many partners
ongoing basis ➢ Identifying and addressing problem areas
➢ Ongoing evaluation – process & outcomes
Columbus Health Department
Addressing the problem – Our Efforts …
Must be evaluated regularly to
– assure progress – assess impact – identify gaps, strengths & opportunities – celebrate successes
Columbus Health Department
Columbus Health Department
The Context and . . . the Mandate
Disparities in health status, health care and health outcomes:
• exist
• are unacceptable, and
sectors
》 Many sources may contribute:
- health systems - health care providers - patients - utilization managers
Columbus Health Department
Addressing the problem – Our Efforts …
19
1
Prevalence – % of population
Overweight (adult)
68
55
High Blood Pressure (adult)
37
26
Food insecurity (adult )
12
5
Diabetes (adult)
9
6
Inadequate Prenatal Care (live births)
In 1999, Congress commissioned an Institute of Medicine study to assess differences in type and quality of healthcare received by minority and non-minority populations.
Racial and Ethnic Health Disparity
Circles of Influence
Individual Racial/Ethnic
Health Disparity
Columbus Health Department
Sadly, health disparities have existed for far too long …
Internal Assessment of Columbus Health Department to:
- develop a sustainable effort to assess and improve upon the Columbus Health Department’s work related to addressing racial and ethnic health disparities.
Cancer
264
218
Stroke
89
66
Prostate Cancer
85
26
Diabetes
76
29
Hypertension/hypertensive renal disease 22
5
Homicide
19
4
Infant Mortality (deaths per 1,000 live births) 15
Mortality – per 100,000
African American
All Causes of Death
1,212
Hig h w ay Columbus Boundary Franklin County Boundary
N
W
E
S
Caucasian
927
Heart Disease
319
261
Columbus Health Department
The IOM Report
UNEQUAL TREATMENT: Confronting Racial and Ethnic Disparities in Health Care
Relevant findings :
Racial and ethnic disparities in health care exist . . . 》They are associated with worse outcomes in many cases –
* Infant Mortality Ratio
Columbus Health Department
Moving forward:
Early 1900s Dr. Booker T. Washington
2002 IOM
Columbus Health Department
Moving Forward:
Office of Minority Health established - 2000
Key accomplishments:
➢ Provided cultural competency education for all staff in 2001 ➢ Developed Interpretation/Translation Service ➢ Provide ongoing training to clinical staff on how to work with
– Infant mortality – Low birth weight – Diabetes prevalence & mortality – Sexually transmitted diseases
Columbus Health Department
Health Disparities
Columbus
Columbus Health Department
Racial & Ethnic Health Disparities
- Columbus
As in other U.S. urban areas disparities in health status and outcomes are persistent & in some cases are increasing:
Health Disparities
Columbus
Health Issues
African American
Hig h w ay Columbus Boundary Franklin County Boundary
N
W
E
S
Caucasian
New cases per 100,000 Syphilis
Challenges: ➢ Increasing needs/decreasing resources ➢ Ensuring cultural competency education for new staff ➢ Assuring cultural competency of all staff on an
Racial and ethnic health disparities have been documented for over a century.
In the early 1900’s, Dr. Booker T. Washington, along with other African American leaders, noted poorer health status for African Americans as well as a link between health status and social and economic well-being.
7
HIV disease
10
3
Source: ODH, Vital Statistics ’99-’01(Deaths and Births) 2002 Franklin County Health Assessment (Behavior data)
Columbus Health Department
21
11
Birth weight of less than 5.5 lbs (live births) 12
7
Teen Births--mom less than 18 ( live births) 6
2
Source: ODH, Vital Statistics ’99-’01(Deaths and Births) 2002 Franklin County Health Assessment (Behavior data)
and are therefore unacceptable
》They occur in the context of:
- broader historic & contemporary social & economic inequality - evidence of persistent racial & ethnic discrimination in many
Columbus Health Department
Addressing the problem – Our Efforts …
Organizational components to be considered in an internal assessment include:
➢ Leadership ➢ Vision/Mission ➢ Staff Composition ➢ Policies & Procedures ➢ Service Delivery ➢ Staff Development &
Training
➢ Performance Standards ➢ Outcomes Management ➢ Performance Evaluation ➢ Collaborations
interpreters ➢ Provide ongoing educational programs on diversity, cultural
issues and addressing disparity
Columbus Health Department
Addressing the problem – Our Efforts …
Columbus Health Department
Racial Disparities
Columbus Infant Mortality RatesIMR* R源自tio3.02.0
1.0
Difference in IMR = increase of 1.7% a year
0.0
1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001
Addressing Disparity in Health and Health Care for Racial and Ethnic Minorities: An Internal Assessment – Health
Service Delivery
Carla Hayden, R.N.,M.B.A , Director, Office Of Minority Health Michelle L. Groux, M.P.H, Epidemiologist, Office of Assessment and Surveillance Manisha H. Maskay, Ph.D., Director, Division of Planning & Preparedness