Tag Archives: healthcare

ADR Advisors, Wellness

Renewing Diversity #2: Teaching Health Equity – by Carlos Cortés, Adwoa Osei

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In July, 2020, the two of us became the inaugural co-directors of the University of California, Riverside, School of Medicine’s new Health Equity, Social Justice, and Anti-Racism (HESJAR) curricular initiative.   Since then the teaching of health equity to medical students has been a journey of continuous renewal.   

Publications about health equity emerge nearly every day.  Each year’s student cohort provides new pedagogical challenges.  Every module we teach raises new issues regarding learning and assessment.  We can’t stand still. 

Continue reading Renewing Diversity #2: Teaching Health Equity – by Carlos Cortés, Adwoa Osei →

ADR Advisors, Authors A-H, Politics, Social Issues, Trends 2024: Divisive World

2024 Trends: Healthcare at Risk – by David Grinberg

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Despite its overwhelming success, Obamacare remains the target of relentless partisan attacks. Donald Trump is again vowing to end the Affordable Care Act, commonly known as Obamacare, during a potential second term as president.

“Obamacare is a catastrophe,” Trump recently said at a campaign event in Iowa. The twice impeached former president also wrote on his social media platform: “The cost of Obamacare is out of control, plus, it’s not good Healthcare.”

But terminating Obamacare, assuming Trump wins the presidency again, would decimate healthcare for about 40 million Americans for no good reason. These citizens in need of affordable healthcare had been locked out of the private insurance system for decades based on discriminatory reasons — including socioeconomic status and preexisting conditions, which disproportionately hurt minority groups the most.

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Levine ADR articles, Race & Ethnicity, Social Issues, Wellness

Multicultural Healthcare and Disparities – by Deborah Levine

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When Dr. Joseph Betancourt spoke on “Solutions for Disparities: Delivering Quality Care to Diverse Populations” in Chattanooga several years ago, he delivered both unusual expertise and a personal model for future healthcare. Dr. Betancourt’s family came from Puerto Rico to NYC and he talked about his childhood as interpreter for his grandparents to their doctors. Today, Joseph Betancourt, MD, MPH, is the Senior Vice President of Equity and Community Health at Massachusetts General Hospital, the founder, senior advisor and faculty of the Disparities Solutions Center (DSC) at Mass General, Faculty at the Mongan Institute, an Associate Professor of Medicine at Harvard Medical School and a practicing Internal Medicine physician.

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Authors A-H, Wellness

Diversity and Speech Part 39: Creating Health Equity – by Carlos Cortés and Adwoa Osei

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The two of us first met in July, 2020, when we were asked to serve as inaugural co-directors of the University of California, Riverside, School of Medicine’s new Health Equity, Social Justice, and Anti-Racism (HESJAR) curricular initiative.   Health equity, social justice, and anti-racism are important concepts, but they can easily degenerate into little more than buzz words.  Our challenge was to transform those six words into a focused, integrated, and transformative learning experience for our students.  

Continue reading Diversity and Speech Part 39: Creating Health Equity – by Carlos Cortés and Adwoa Osei →

Authors I-Q, Social Issues

Discrimination in America’s Healthcare Systems – by Rose Joneson

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Where Can Change Start?

A considerable number of patients experience discrimination in the country’s healthcare system. Over 21% of adults report being discriminated against, and 72% of this group say they’ve experienced discrimination more than once. Racial and ethnic discrimination are the most commonly experienced by Americans seeking medical attention. These events affect the kind of care patients receive, putting their well-being at risk. For instance, a doctor’s refusal to treat a person of color (POC) in an emergency highly endangers the patient’s health.

On that note, let’s dive deeper into discrimination in America’s healthcare systems—and what’s being done to address it.

Continue reading Discrimination in America’s Healthcare Systems – by Rose Joneson →

ADR Advisors, Authors A-H, Wellness

Diversity and Speech Part 31: Health Equity – by Carlos Cortés and Adwoa Osei

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In July, 2020, the two of us met for the first time as inaugural co-directors of the University of California, Riverside, School of Medicine’s new Health Equity, Social Justice, and Anti-Racism (HESJAR) curricular initiative.   Beginning with our initial conversations it became clear that addressing speech — physician speech, patient speech, medical school speech — would be central to our journey.   

For an entire year (2020-2021) we planned.  This involved reading, particularly about efforts at other medical schools.  It also involved listening: to students; to other faculty and staff; and particularly through a series of community conversations in which medical students interviewed local residents about their experiences with the health care system.  Those conversations deeply informed our curriculum development.   

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The Arts, Wellness

Integrating the Arts in Health – by Patricia Lambert

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NOAH Seeks to Professionalize Arts Programs in Healthcare Settings

No person looks forward to a visit to the hospital or other similar healthcare settings. Oftentimes, being in the hospital is a process that is scary, uncertain, and full of anticipation for answers and recovery. Research has shown that healing is made better by the arts, which bring humanity to institutions such as hospitals, elder and hospice care, as well as those living at home with chronic diseases like cancer or Parkinson’s. 

Despite research that supports arts in health, many health institutions do not have programs incorporating the arts. This is why the National Organization for Arts in Health (NOAH) has remained committed to expanding awareness and acceptance of the arts as a vital component for healing, public health, and wellbeing. 

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Authors R-Z, Social Issues, UTC Interns, Wellness

Afflictions of American Health Care – by Eliana Teel

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When I was seven years old, I had my first MRI, or Magnetic Resonance Imaging – a medical imaging machine that generates internal images of the body. The tubular machine was quite large in comparison to my petite body. I can still remember how scared I was as they placed headphones twice the size of my head over my ears and pushed me back into the small cylinder. Or how the nurse called the IV that shot cold, contrast dye throughout my bloodstream a “butterfly clip” to ease the nerves. The MRI was ordered to examine my neck and upper spine because I was experiencing a lot of unusual pain there for a child that young. What my family and I didn’t expect was to be in that room for two more hours as they caught a glimpse of something concerning in my lower back.

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Academic Articles, Social Issues, Wellness

Challenges of Teaching about Diversity and Health Equity – by Carlos E. Cortés

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A Difficult Conversation about Difficult Conversations forDeveloping Medical Educators of the 21st Century:
New Ideas and Skills
for Adaptable and Inclusive
Learning Environments Conference

February 4, 2022 (Revised, February 6, 2022)

 Let’s start with today’s ground rules.  None.  No rules; no powerpoints.

But three hopes.  That you speak honestly without obsessing about maybe saying the wrong thing, a bane to diversity discussions.  That you contemplate divergent ideas.  And that you reflect openly on your own perspectives by posting comments and questions in the chatbox as we go along.   

So let’s turn to our theme, difficult conversations about diversity and health equity.  Health equity conversations necessarily involve discomfort because they address the idea of group diversity, not just random individual differences.

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Authors I-Q, Wellness

Culturally Competent Healthcare in America – by Pearl Kasirye

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Not all Americans have the same experience when they try to access public services like healthcare, security, or even justice. That’s historically true, but when you take a closer look at the issues within the healthcare system, it’s clear that there’s more beneath the surface.

There are factors like socioeconomic status, education level, geographical location, racial and gender bias that can affect one’s experience with the healthcare system. In this article, we’ll look at those factors and briefly analyze what can be done to make healthcare more accessible and inclusive for all Americans.

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