Please review information available at the UNC Minority Health Project and scan the keynote video lectures available as web casts, particularly the one by Yvonne Maddox on Health Disparities, (toward the end of the list), you will need to register but there is no charge for viewing the webcast. This is an excellent starting point for any research on 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)
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 which can be controlled by the affected individuals., but first there needs to be access to care
Health Care Safety Net & Richmond - (Handouts) Sheryl Garland MHA. Sheryl refers to the IOM study "Shared Destiny". I have provided a link to the book which you can read on-line or purchase from the IOM
Scan "Holes in Americas' Safety Net" particularly pages 5-8
and Spreading the Safety Net — Obstacles to the Expansion of Community Health Centers (NEJM-2008)
Dr Lanier's PowerPoint Show, pdf Handouts., deal with barriers to chaninr our current system.
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
Mirror, Mirror on the Wall: A Video Update on the Quality of American Health Care Through the Patient's Lens,April 2006 From he Commonwealth Fund
Pay attention to the accompanying written summary and implications.Addl Readings:
SE Differences in Developing Countries.
The German Health Care System
What is Happening to the NHS? (from The Lancet)
Health Access by State (scan)Late Breaking, Nov 18 2008: White Pape on Health Care Reform - Sponsor- Senator Baucus
URLs related to this topic - updated May 2008