Jack O. Lanier Dr. PH.
Please review information available at the UNC Minority Health Project and sample the keynote video lectures available as web cast, particularly the one by Yvonne Maddox. Research towards the Elimination of Health Disparities ” and Breaking the Cycle: Investigating the Intersection of Educational Inequities and Health Disparities.
After this lecture you should be able to discuss
- why there is a need for an organized national 'health' program
- who should be covered by such a program
- some of the elements you think are important in its development
- What comprises a community health Safety net
- Why there is a need to focus on underserved populations
- Competencies: 1D (1-10)1F(1-5) II!(all)
Review Dr Lanier's PowerPoint Show, pdf Handouts.
Key Words:
Underserved populations, public policy, access to services, geographic barriers, condition coverage, population covered, public private linkages, ambulatory vs. institutional care..
Concept:
Poor health of underserved populations is due to many factors, some of which can be controlled by the affected individuals, but first there needs to be access to care.
References
Schneider:Introduction to Public Health, 2nd Edn; Scan Chapters 25 and 30
Minority Health Web-cast Archive at Kaiser Foundation (scan morning video session)
Kaiser Foundation Access Web Page (particularly the paper on "uninsured and access to health care, particularly Sicker and Poorer: The Consequences of Being Uninsured - executive summary & briefing charts)
Kaiser Foundation Health Insurance Coverage (scan Trends and Indicators in the Changing Health Care Marketplace )
Health System Change, the RWJF funded analysis: The Health Care Cost-Coverage Conundrum (a 6 page pdf) What approach do these authors advocate for improving equity among consumers?
Massachusetts Health Care Reform-Update(NEJM)
PBS - Are we in a health care crisis? May 2006
Also Sick Around the World Look at the 'Five Capitalist Democracies'Mirror, Mirror on the Wall: A Video Update on the Quality of American Health Care Through the Patient's Lens,April 2006
Pay attention to the accompanying written summary and implications.Addl Readings:
Call to Ation-Health Care Reform 2009. Sen. Max Baucus:Chair Senate Finance Comm.
Health Care Reform in Massachussetts.
SE Differences in Developing Countries.
The German Health Care System
What is Happening to the NHS?
Health Access by State
URLs related to this topic - updated May 2009