The role of patient navigators in eliminating health disparities
TLDR
The unique role that patient navigation can play in improving health outcomes for racial and ethnic minorities, as well as other underserved populations, in the context of a changing healthcare environment is explored.Citations
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Closing the quality gap: revisiting the state of the science (vol. 3: quality improvement interventions to address health disparities).
Melissa L McPheeters,Sunil Kripalani,Neeraja B. Peterson,Rachel T Idowu,Rebecca N Jerome,Shannon A Potter,Jeffrey C Andrews +6 more
TL;DR: Overall, QI interventions were not shown to reduce disparities, and some increased effect is seen in disadvantaged populations; these studies should be replicated and the interventions studied further as having potential to address disparities.
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Access to Diagnosis and Treatment Services Among Latino Children With Autism Spectrum Disorders
TL;DR: Results show that Latino children were diagnosed almost one year later than White children, received fewer specialty services, and had higher unmet service needs, and factors that accounted for differences in the number of services received were maternal level of education and thenumber of sources of knowledge about autism.
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Reducing preventable emergency department utilization and costs by using community health workers as patient navigators.
TL;DR: This study found that the patient navigation intervention was associated with decreased odds of returning to the ED among less frequent PCR-ED users, and the savings associated with reduced PCR- ED visits were greater than the cost to implement the navigation program.
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Navigation delivery models and roles of navigators in primary care: a scoping literature review.
TL;DR: The emergence and development of system navigation signals an important shift in the recognition that health care and social care are inextricably linked especially to address the social determinants of health.
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Implementation and maintenance of patient navigation programs linking primary care with community-based health and social services: a scoping literature review
TL;DR: A gap in knowledge is filled to reveal what is known about motivators and factors influencing implementation and maintenance of patient navigation programs in primary care that link patients to CBHSS and provides directions for future research.
References
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Book
Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
TL;DR: In this article, a panel of experts documents this evidence and explores how persons of color experience the health care environment, examining how disparities in treatment may arise in health care systems and looking at aspects of the clinical encounter that may contribute to such disparities.
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Societal and Individual Determinants of Medical Care Utilization in the United States
TL;DR: A theoretical framework for viewing health services utilization is presented, emphasizing the importance of the characteristics of the health services delivery system, changes in medical technology and social norms relating to the definition and treatment of illness, and individual determinants of utilization.
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Social determinants of health inequalities
TL;DR: A Commission on Social Determinants of Health is launching, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people.
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The need for a new medical model: A challenge for biomedicine.
TL;DR: It is argued that all medicine is in crisis and that medicine’s crisis derives from the same basic fault as psychiatry's, namely, adherence to a model of disease no longer adequate for the scientific tasks and social responsibilities of either medicine or psychiatry.
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The Agency for Healthcare Research and Quality
TL;DR: The mission of the Agency for Healthcare Research and Quality is “to improve the quality, safety, efficiency, and effectiveness of health care for all Americans”.