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CLAS Clearinghouse: Results for "Disease-Based"



Insurance and Socioeconomic Status Do Not Explain Racial Disparities in Breast Cancer Care External Web Site Policy

Freedman, R. A., Virgo, K. S., He, Y., Pavluck, A. L., Winer, E. P., Ward, E. M., & Keating, N. L. (2010). The association of race/ethnicity, insurance status, and socioeconomic status with breast cancer care. CANCER, 117(1), 180-189. doi: 10.1002/cncr.25542

This study discusses the prevalence of inequities in breast cancer care even when insurance status and socioeconomic status are controlled for. The findings suggest that greater efforts are needed to understand disparities in breast cancer care and to ensure that all receive equal and effective treatments.

Keywords:    Research | Clinical & Mental Health | Population-Based | Disease-Based | Disparities |

Surveillance of Screening-Detected Cancers (Colon and Rectum, Breast, and Cervix)

U.S. Department of Health & Human Services, Centers for Disease Control and Prevention. (2010). Morbidity and Mortality Weekly Report: Surveillance of screening-detected cancers (colon and rectum, breast, and cervix) (CDC Publication No. 59[SS09], 1-25). Retrieved from http://www.cdc.gov/

This study by the U.S. Department of Health and Human Services (HHS) Centers for Disease Control and Prevention (CDC) reveals that almost half of colorectal and cervical cancers and a third of breast cancers are diagnosed at late stages, when treatment is more difficult, despite the availability of effective screenings. The late diagnoses are disproportionately suffered by racial and ethnic minorities. The study identifies education as a key to improving these outcomes, recommending that providers explain the benefits of screenings to patients in a manner that the patient will understand.

Keywords:    Research | Population-Based | Disease-Based | Communication | Disparities | Governance, Leadership, and Workforce |

Toothache in US Children External Web Site Policy

Lewis, C., & Stout, J. (2010). Toothache in US children. Archives of Pediatrics & Adolescent Medicine, 164, 1056-1063. doi:10.1001/archpediatrics.2010.206

Data from the National Survey of Children's Health offers evidence of racial, ethnic, and socioeconomic disparities in pediatric oral health. Even when socioeconomic status was controlled for, there were inequities by race.

Keywords:    Research | Clinical & Mental Health | Population-Based | Profession-Based | Disease-Based | Disparities |

Race, culture may play role in Alzheimer's disease External Web Site Policy

Brophy Marcus, M. (2010, July 14). Race, culture may play role in Alzheimer's disease. USA Today. Retrieved from http://www.usatoday.com/

This article discusses research presented at the Alzheimer's Association International Conference. It examines the effect of racial and cultural differences on Alzheimer's patients' outcomes and the attitudes of their family members. The study finds that more culturally tailored resources could benefit African Americans, Latinos, and other minority groups.

Keywords:    Research | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Future Directions for the National Healthcare Quality and Disparities Reports External Web Site Policy

Institute of Medicine. (2010). Future directions for the national healthcare quality and disparities reports. Retrieved from http://iom.edu/

The Institute of Medicine (IOM) released in Spring 2010 a report that discusses future directions for the AHRQ National Healthcare Quality Report (NHQR) and National Healthcare Disparities Report (NHDR). The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the healthcare system.

Keywords:    Tools | Policy | Clinical & Mental Health | Public Health | Government | Population-Based | Profession-Based | Disease-Based | Quality Improvement | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Health Disparities Calculator External Web Site Policy

Surveillance Epidemiology and End Results, National Cancer Institute. (2010). Health Disparities Calculator (HD*Calc) [Computer software]. Retrieved from http://seer.cancer.gov/

Surveillance Epidemiology and End Results at the National Cancer Institute has developed a Health Disparities Calculator (HD*Calc), which is a statistical software designed to generate multiple summary measures to evaluate and monitor health disparities.

Keywords:    Tools | Research | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disease-Based | Disparities | Engagement, Continuous Improvement, and Accountability |

HHS Launches Oral Health Initiative

HHS Launches Oral Health Initiative. (2010, April 26). U.S. Department of Health and Human Services. Retrieved from http://minorityhealth.hhs.gov/

In April 2010, Dr. Howard Koh (Assistant Secretary for Health, HHS) announced an initiative to expand oral health services, education, and research in America ("Oral Health Is Integral to Overall Health"). Through the initiative, the department is increasing support for access to oral healthcare and the delivery of services to underserved populations.

Keywords:    Policy | Government | Profession-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

National Healthcare Disparities Report

U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality. National Healthcare Disparities Report (AHRQ Publication No. 10-0004). Retrieved from http://www.ahrq.gov/qual/nhdr09/nhdr09.pdf

The AHRQ produced the 2009 NHDR. The NHDR tracks the healthcare system through quality measures and summarizes healthcare quality and access among various racial, ethnic, and income groups and other priority populations, such as children and older adults.

Keywords:    Research | Policy | Clinical & Mental Health | Government | Disease-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Organ Transplant Program 'mistrust' studied External Web Site Policy

Conte, A. (2010, May 2). Organ transplant program 'mistrust' studied. Pittsburgh Tribune-Review. Retrieved from http://www.pittsburghlive.com/x/pittsburghtrib/

Researchers at the University of Pittsburgh School of Medicine have shown that patients who think healthcare providers discriminate against them take more time to get approved for kidney transplant surgery. Blacks are four times more likely than Whites to have kidney failure, but they are less than half as likely to receive transplants from living donors. The lead researcher notes that doctors should identify patients who perceive discrimination in order to help them navigate the process.

Keywords:    Research | Clinical & Mental Health | Patients & Consumers | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

American Journal of Public Health External Web Site Policy

American Public Health Association. (2010). American Journal of Public Health, 100(5). Retrieved from http://ajph.aphapublications.org/content/vol100/issue5/

The first issue of any major public health journal devoted to Asian American, Native Hawaiian and Pacific Islander populations, the May issue of the American Journal of Public Health (AJPH) explores an array of new research on both alarming disparities and significant successes in care.

Keywords:    Research | Policy | Public Health | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Cultural competence in oncology: Where do we stand? External Web Site Policy

Surbone, A. (2010). Cultural competence in oncology: where do we stand? Annals of Oncology, 21(1), 3-5. doi: 10.1093/annonc/mdp546

This article in Annals of Oncology discusses the importance and relevance of culturally competent services in oncology. The author emphasizes that cultural differences are a major determinant of unequal access to cancer care. She concludes that provider practice of cultural competence can improve the quality of care offered to all cancer patients and can also foster reciprocal understanding and tolerance in the patient-doctor-institution relationship.

Keywords:    Research | Clinical & Mental Health | Profession-Based | Disease-Based | Communication | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Racial/Ethnic Difference in Early-Life Risk Factors for Childhood Obesity External Web Site Policy

Taveras, E. M., Gillman, M. W., Kleinman, K., Rich-Edwards, J. W., & Rifas-Shiman, S. L. (2010). Racial/ethnic difference in early-life risk factors for childhood obesity. Pediatrics, 125(4), 686-695. doi: 10.1542/peds.2009-2100

A team of researchers in Boston set out to examine racial/ethnic differences in early-life risk factors for childhood obesity. The study finds that racial/ethnic differences in risk factors for obesity exist prenatally and in early childhood. Racial/ethnic disparities in childhood obesity may be determined by factors that operate at the earliest stages of life.

Keywords:    Research | Clinical & Mental Health | Public Health | Patients & Consumers | Government | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Protection of Racial/Ethnic Minority Populations During an Influenza Pandemic External Web Site Policy

Hutchins, S. S., Fiscella, K., Levine, R. S., Ompad, D. C., & McDonald, M. (2009). Protection of racial/ethnic minority populations during an influenza pandemic. American Journal of Public Health, 99(S2), S261-S270. doi: 10.2105/AJPH.2009.161505

This study examines the disproportionate impact of an influenza pandemic on racial and ethnic minority populations. The research recommends that pandemic interventions implement culturally competent preparedness and response that address the specific needs of racial/ethnic minority populations as well as relevant, practical, and culturally and linguistically tailored communications.

Keywords:    Research | Clinical & Mental Health | Public Health | Governance & Leadership | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Study: Many Say Disparities Genetic External Web Site Policy

Study: many say disparities genetic. (2009, October 20). United Press International. Retrieved from http://www.upi.com/Health_News/2009/10/20/Study-Many-say-racial-disparities-genetic/UPI-80281256018232/

A study published in the Social Science Quarterly indicates that a majority of Americans support strategies to reduce healthcare disparities that are caused by social and economic status but believe that racial and ethnic health disparities are genetic. The authors note that the general public's belief that racial disparities have a genetic foundation is troubling because people will resist strategies aimed at eliminating health disparities.

Keywords:    Research | Policy | Clinical & Mental Health | Public Health | Patients & Consumers | Governance & Leadership | Government | Population-Based | Disease-Based | Communication | Disparities | Governance, Leadership, and Workforce | Engagement, Continuous Improvement, and Accountability |

Racial disparities in cancer therapy External Web Site Policy

Gross, C. P., Smith, B. D., Wolf, E., & Andersen, M. (2008). Racial disparities in cancer therapy. Cancer, 112(4), 900-908. doi: 10.1002/cncr.23228

This study, published by the American Cancer Society, analyzes whether racial disparities in cancer therapy received by Medicare beneficiaries had been reduced between the early 1990s and 2002 as a result of the increase of disparities reduction initiatives. The study shows no noticeable decrease in racial disparities between 1992 and 2002.

Keywords:    Research | Policy | Clinical & Mental Health | Patients & Consumers | Government | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries External Web Site Policy

Moy, E., Greenberg, L. G., & Borsky, A. E. "Community variation: Disparities in health care quality between Asian and white Medicare beneficiaries." Health Affairs 27.2 (2008): 538-549.

This study focused on disparities in quality of health care received between Asian and white Medicare recipients. The researchers found that, overall, Asian Medicare beneficiaries were less likely than whites to receive any of the services examined.

Keywords:    Research | Policy | Clinical & Mental Health | Government | Population-Based | Profession-Based | Disease-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Primary-care clinician perceptions of racial disparities in diabetes care External Web Site Policy

Sequist, T. D., Ayanian, J. Z., Marshall, R., Fitzmaurice, G. M., & Safran, D. G. (2008). Primary-care clinician perceptions of racial disparities in diabetes care. Journal of General Internal Medicine 23(5), 678-684. doi: 10.1007/s11606-008-0510-7

This study analyzes racial disparities within the diagnosis and treatment of diabetes. The findings from this study indicate the need to incorporate strategies such as clinical education about healthcare disparities to improve the treatment of minority patients and to help eliminate healthcare disparities among many racial and ethnic minorities.

Keywords:    Research | Clinical & Mental Health | Patients & Consumers | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Black babies at twice risk of whites, study indicates External Web Site Policy

Washburn, L. (2011, March 3). Black babies at twice the risk of whites, study indicates. The Seattle Times. Retrieved from http://seattletimes.nwsource.com/html/home/index.html

This article explores health disparities in pregnancy and births for Black women as compared to White women. Even when factors such as socioeconomic status are accounted for, Black women are more likely to go into labor before their pregnancy has reached full term and are more likely to give birth to babies whose smaller size puts them at greater risk.

Keywords:    Research | Disparities | Disease-Based | Population-Based | Clinical & Mental Health |

Culturally Appropriate Storytelling to Improve Blood Pressure External Web Site Policy

Houston, T. K., Allison, J. J., Sussman, M., Horn, W., Holt, C. L., Trobaugh, J., . . . Hullett, S. (2011). Culturally appropriate storytelling to improve blood pressure: a randomized trial. Annals of Internal Medicine, 154(2), 77-84. Retrieved from http://www.annals.org/content/154/2/77.full.pdf+html

This study tested a culturally appropriate intervention to control blood pressure in African Americans using DVDs of real patients' stories of how they deal with the chronic disease. Patients with uncontrolled blood pressure experience blood pressure reductions after viewing the DVD.

Keywords:    Research | Population-Based | Disease-Based | Disparities | Governance, Leadership, and Workforce | Communication | Clinical & Mental Health |

Impact of Patient-Doctor Race Concordance on Rates of Weight-Related Counseling in Visits by Black and White Obese Individuals External Web Site Policy

Bleich, S. N., Simon, A. E., Cooper, L. A. (2011). Impact of patient-doctor race concordance on rates of weight-related counseling in visits by Black and White obese individuals [Abstract]. Obesity. doi:10.1038/oby.2010.330

This study from the journal Obesity found that the race of a patient may be a factor in a doctor's treatment and counseling for obesity. The study showed that Blacks may get less counseling on exercise and weight reduction than Whites regardless if the physician they see is Black or White.

Keywords:    Research | Disease-Based | Population-Based | Disparities | Clinical & Mental Health | Communication |

Language and literacy relate to lack of children's dental sealant use External Web Site Policy

Mejia, G. C., Weintraub, J. A., Cheng, N. F., Grossman, W., Han, P. Z., Phipps, K. R., & Gansky, S. A. (2010). Language and literacy relate to lack of children's dental sealant use. Community Dentistry and Oral Epidemiology, 39. doi: 10.1111/j.1600-0528.2010.00599.x

This study from the journal Community Dentistry and Oral Epidemiology tracks the social determinants of children lacking sealants. The study finds that differences exist by level of acculturation and parental health literacy.

Keywords:    Research | Disparities | Profession-Based | Disease-Based |

White Patients Most Likely to Get Kidney Transplants: Study External Web Site Policy

Holohan, E. (2011, March 3). White patients most likely to get kidney transplants: study. Health Day: News for Healthier Living. Retrieved from http://consumer.healthday.com/

This study from the University of Washington at Seattle finds that minorities have a significantly lower chance of getting a kidney transplant than Whites do. The researchers note that language and cultural barriers as well as socioeconomic status contribute to this disparity.

Keywords:    Research | Population-Based | Disease-Based | Disparities | Clinical & Mental Health |

With Poem, Broaching the Topic of Death External Web Site Policy

Daitz, B. (2011, January 24). With poem, broaching the topic of death. The New York Times. Retrieved from http://www.nytimes.com/

This article presents an Arizona hospital's efforts to provide culturally and linguistically appropriate geriatric and end-of-life services to its American Indian population.

Keywords:    Clinical & Mental Health | Public Health | Population-Based | Disease-Based | Quality Improvement | Disparities | Governance, Leadership, and Workforce | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability |

Multicultural HIV/AIDS and Hepatitis Service External Web Site Policy

A public site where people can access multilingual information on HIV and Hepatitis C.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Health Literacy | Communication and Language Assistance | Engagement, Continuous Improvement, and Accountability | Patients & Consumers | Policy | Population-Based | Profession-Based | Public Health | Quality Improvement | Research | Tools |

Cancers External Web Site Policy

Detection

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Communication | Disease-Based | Education & Training | Health Literacy | Public Health | Research |

Reexamining LGBT Healthcare External Web Site Policy

Out of the box LGBT cultural competence training, including 10-minute original video, slides and a manual

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Governance & Leadership | Clinical & Mental Health | Communication | Governance, Leadership, and Workforce | Disease-Based | Disparities | Education & Training | Government | Patients & Consumers | Population-Based | Profession-Based | Public Health |

CDC Diabetes website

CDC's Division of Diabetes Translation translates diabetes research into daily practice to understand the impact of the disease, influence health outcomes, and improve access to quality health care. Resources are available in Spanish as well.

*This resource was submitted by a Think Cultural Health visitor using our "Submit a Resource" feature.

Keywords:    Disease-Based | Education & Training | Government | Health Literacy | Patients & Consumers | Public Health | Research |

Mental health literacy: An impediment to the optimum treatment of major depression in the community External Web Site Policy

Goldney, R. D., Fisher, L. I., & Wilson, D. H. (2001). Mental health literacy: An impediment to the optimum treatment of major depression in the community. Journal of Affective Disorders, 64(2-3), 277-84.

The authors find that the public's general lack of knowledge and erroneous beliefs about mental disorders impede the recognition and management of major depression. The authors conclude that a need exists for greater effort in community education.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Health Literacy | Disease-Based | Research |

Planning health promotion and disease prevention programs in multicultural populations External Web Site Policy

Kline, M. V. (1999). Planning health promotion and disease prevention programs in multicultural populations. In R. M. Huff & M. V. Kline (Eds.), Promoting health in multicultural populations: A handbook for practitioners (pp. 73-102). Thousand Oaks, CA: SAGE Publications, Inc.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disease-Based | Public Health |

Teaching culturally effective diabetes care: Results of a randomized controlled trial External Web Site Policy

Kutob, R. M., Senf, J. H., & Harris, J. M. (2009). Teaching culturally effective diabetes care: Results of a randomized controlled trial. Family Medicine, 41(3), 167-174. Retrieved from http://www.stfm.org/fmhub/fm2009/March/Randa167.pdf

The authors developed an Internet-based course on cultural competence and tested it on a national sample of 122 family medicine residents. They conclude that "a skills-based course on cultural competence, delivered via the Internet, is an effective educational strategy," with "potential for dissemination of standardized content."

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disease-Based | Research | Education & Training |

Impacting health disparities through community outreach: Utilizing the CLEAN look (culture, literacy, education, assessment, and networking)

Meade, C., Menard, J., Martinez, D., & Calvo, A. (2007). Impacting health disparities through community outreach: Utilizing the CLEAN look (culture, literacy, education, assessment, and networking). Cancer Control, 14(1), 70-77. Retrieved from http://www.moffitt.org/CCJRoot/v14n1/pdf/70.pdf

The authors discuss the importance of considering culture and literacy in the development of community outreach programs for medically underserved populations and describe the application of the CLEAN Look checklist in a breast cancer outreach effort aimed at Haitian-American women.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disparities | Disease-Based | Public Health | Research | Tools |

Creating a patient education tool

Stonecypher, K. (2009). Creating a patient education tool. Journal of Continuing Education in Nursing, 40(10), 462-467. doi:10.3928/00220124-20090923-06

This article outlines the development of a low-literacy self-management book for stroke patients. In the process, significant knowledge was gained by team members to enrich their own professional development.

Keywords:    Provide effective, equitable, understandable, and respectful quality care and services | Disease-Based | Patients & Consumers | Tools | Education & Training |

Patient-Centered Primary Care Collaborative External Web Site Policy

Patient-Centered Primary Care Collaborative. (n.d.). Retrieved from http://www.pcpcc.net

The collaborative's members include employers, universities, health plans, and other stakeholders in America's health care system who endorse the patient-centered medical home model. Resources are available for patients, clinicians, employers, and health plans. Information is also provided on state pilot projects and on a number of specific health care topics.

Keywords:    Governance, Leadership, and Workforce | Disease-Based | Patients & Consumers |

Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial External Web Site Policy

Sequist, T. D., Fitzmaurice, G. M., Marshall, R., Shaykevich, S., Marston, A., Safran, D. G., & Ayanian, J. Z. (2010). Cultural competency training and performance reports to improve diabetes care for black patients: A cluster randomized, controlled trial. Annals of Internal Medicine, 152(1), 40-46.

The authors evaluated the effect of cultural competency training and performance feedback for 124 primary care physicians treating a population of approximately 7,500 diabetic patients. They find that physician awareness of racial disparities in diabetes care increased but that, overall, clinical outcomes did not improve.

Keywords:    Governance, Leadership, and Workforce | Quality Improvement | Disease-Based | Population-Based | Profession-Based | Public Health |

Shared decision making when an interpreter is needed: A case study with Latino men at risk for prostate cancer External Web Site Policy

Robert Wood Johnson Foundation. (n.d.). Shared decision making when an interpreter is needed: A case study with Latino men at risk for prostate cancer (Grant details). Retrieved from http://www.rwjf.org/grants/grant.jsp?id=63830

This project was designed to develop measures specific to interpreter-mediated shared decision-making and to produce easy-to-use tools for use by health care providers, interpreters, or patients.

Keywords:    Communication and Language Assistance | Disease-Based | Population-Based | Patients & Consumers | Public Health |

National voluntary consensus standards for ambulatory care: Measuring healthcare disparities External Web Site Policy

National Quality Forum. (2008). National voluntary consensus standards for ambulatory care: Measuring healthcare disparities. Retrieved from http://www.qualityforum.org/Publications/2008/03/National_Voluntary_Consensus_Standards_for_Ambulatory_Care%E2%80%94Measuring_Healthcare_Disparities.aspx

This consensus report presents 36 disparities-sensitive standards addressing asthma, diabetes, heart disease, hypertension, medication management, mental health and substance abuse, prenatal care, immunization, screening, prevention, and patient experience. The measures presented are appropriate for practitioner practices, large and small groups, and health plans and may be applied nationally or locally. Recommendations are offered for practitioners and researchers.

Keywords:    Engagement, Continuous Improvement, and Accountability | Disparities | Disease-Based |