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Published in: Journal of Urban Health 4/2016

01-08-2016

Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention

Authors: Norma Alicea-Alvarez, Kathleen Reeves, Em Rabelais, Diana Huang, Melanie Ortiz, Tariem Burroughs, Nora Jones

Published in: Journal of Urban Health | Issue 4/2016

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Abstract

It is well known that health disparities exist and that a significant majority of patients who suffer disproportionately from them are lower income, non-white residents of dense, and diverse urban neighborhoods. It is our belief that factors hindering the reduction of health disparities in these neighborhoods are a lack of a framework and preparation needed to engage these communities in identifying specific health care needs. This paper describes one curricular intervention, a graduate level community engagement course, developed within an academic medical center located in an urban setting, that demonstrates promise in effecting change in the extent to which clinicians are able to engage communities and practice “neighborhood-engaged care” with the central goal of mitigating disparities.
Literature
1.
go back to reference IOM. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: National Academy Press; 2002. IOM. Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare. Washington, DC: National Academy Press; 2002.
2.
3.
go back to reference Wear D, Kuczewski MG. Medical students’ perceptions of the poor: what impact can medical education have? Acad Med. 2008; 83(7): 639–645.CrossRef Wear D, Kuczewski MG. Medical students’ perceptions of the poor: what impact can medical education have? Acad Med. 2008; 83(7): 639–645.CrossRef
5.
go back to reference Seefer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005; 72(3): 463–468. Seefer RS, Keenan J. Health literacy: the gap between physicians and patients. Am Fam Physician. 2005; 72(3): 463–468.
6.
go back to reference Mautner DB, Pang H, Brenner JC et al. Generating hypotheses about care needs in high utilizers: lessons from patient interviews. Popul Health Manag. 2013; 16 (1 suppl): S26-33 doi:10.1089/pop.2013.003. Mautner DB, Pang H, Brenner JC et al. Generating hypotheses about care needs in high utilizers: lessons from patient interviews. Popul Health Manag. 2013; 16 (1 suppl): S26-33 doi:10.​1089/​pop.​2013.​003.
8.
go back to reference Grover CA, Close RJH. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10(3): 193–194. Grover CA, Close RJH. Frequent users of the emergency department: risky business. West J Emerg Med. 2009; 10(3): 193–194.
11.
go back to reference Porter ME, Teisberg EO. Redifining Health Care Creating Value-based Competition on Results. Boston, MA: Harvard Business School Press; 2006. Porter ME, Teisberg EO. Redifining Health Care Creating Value-based Competition on Results. Boston, MA: Harvard Business School Press; 2006.
12.
go back to reference IOM. Population Health Implications of the Affordable Care Act: Workshop Summary. Washington, DC: The National Academies Press; 2014. IOM. Population Health Implications of the Affordable Care Act: Workshop Summary. Washington, DC: The National Academies Press; 2014.
13.
go back to reference Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006; 7(3): 312–323.CrossRef Wallerstein NB, Duran B. Using community-based participatory research to address health disparities. Health Promot Pract. 2006; 7(3): 312–323.CrossRef
15.
go back to reference Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006; 96 (12): 2113-2121. doi: 10.2105/AJPH.2005.077628. Kilbourne AM, Switzer G, Hyman K, Crowley-Matoka M, Fine MJ. Advancing health disparities research within the health care system: a conceptual framework. Am J Public Health. 2006; 96 (12): 2113-2121. doi: 10.​2105/​AJPH.​2005.​077628.
16.
go back to reference Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Diabetes Educ. 2007; 33(S6): 159S–165S.CrossRef Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Diabetes Educ. 2007; 33(S6): 159S–165S.CrossRef
17.
go back to reference Krieger JW, Takaro TK, Song L, Weaver M. The Seattle-king county healthy homes project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health. 2005; 95(4):652-659. doi: 10.2105/AJPH.2004.042994. Krieger JW, Takaro TK, Song L, Weaver M. The Seattle-king county healthy homes project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health. 2005; 95(4):652-659. doi: 10.​2105/​AJPH.​2004.​042994.
18.
go back to reference Monaghan PF, Forst LS, Tovar-Aguilar JA, Bryant CA, Israel GD, Galindo-Gonzalez S, Thompson Z, Zhu Y, McDermott RJ. Preventing eye injuries among citrus harvesters: the community health worker model. Am J Public Health. 2011; 101(12):2269-2274. doi: 10.2105/AJPH.2011.30031. Monaghan PF, Forst LS, Tovar-Aguilar JA, Bryant CA, Israel GD, Galindo-Gonzalez S, Thompson Z, Zhu Y, McDermott RJ. Preventing eye injuries among citrus harvesters: the community health worker model. Am J Public Health. 2011; 101(12):2269-2274. doi: 10.​2105/​AJPH.​2011.​30031.
19.
go back to reference Balcazar J, Alvarado M, Ortiz G. Salud para su Corazon (health for your heart) community health worker model. J Ambul Care Manage. 2011; 34(4): 362–372.CrossRef Balcazar J, Alvarado M, Ortiz G. Salud para su Corazon (health for your heart) community health worker model. J Ambul Care Manage. 2011; 34(4): 362–372.CrossRef
20.
go back to reference Garson A, Green DM, Rodriguez L, Beech R, Nye C. A new corps of trained Grand-Aides has the potential to extend reach of primary workforce and save money. Health Aff. 2012; 31(5): 1016-1021. doi:10.1377/hlthaff.2011.0859. Garson A, Green DM, Rodriguez L, Beech R, Nye C. A new corps of trained Grand-Aides has the potential to extend reach of primary workforce and save money. Health Aff. 2012; 31(5): 1016-1021. doi:10.​1377/​hlthaff.​2011.​0859.
21.
go back to reference McConnell E, Clasen C, Stolfi A, Anderson D, Markert RJ, Jaballas E. Community service and the pediatric exam: and introduction to clinical medicine via a partnership between first year medical students and a community elementary school. Teach Learn Med. 2010; 22(3): 187–190.CrossRef McConnell E, Clasen C, Stolfi A, Anderson D, Markert RJ, Jaballas E. Community service and the pediatric exam: and introduction to clinical medicine via a partnership between first year medical students and a community elementary school. Teach Learn Med. 2010; 22(3): 187–190.CrossRef
24.
go back to reference Celio CI, Durlak J, Dymnicki A. A meta-analysis of the impact of service-learning on students. J Experiential Educ. 2011; 34(2): 164–181.CrossRef Celio CI, Durlak J, Dymnicki A. A meta-analysis of the impact of service-learning on students. J Experiential Educ. 2011; 34(2): 164–181.CrossRef
25.
go back to reference Duffy FD, Miller-Cribbs JE, Clancy GP, et al. Changing the culture of a medical school by orienting students and faculty toward community medicine. Acad Med. 2014; 89(12): 1630–1635.CrossRef Duffy FD, Miller-Cribbs JE, Clancy GP, et al. Changing the culture of a medical school by orienting students and faculty toward community medicine. Acad Med. 2014; 89(12): 1630–1635.CrossRef
26.
go back to reference Meurer L, Young S, Muerer, JR, Johnson S, Gilbert I, Diehr S. The urban and community health pathway preparing socially responsive physicians through community-engaged learning. Am J Prev Med. 2011; 41 (4 Suppl 3):S228-36. doi:10.1016/j.amepre.2011.06.005. Meurer L, Young S, Muerer, JR, Johnson S, Gilbert I, Diehr S. The urban and community health pathway preparing socially responsive physicians through community-engaged learning. Am J Prev Med. 2011; 41 (4 Suppl 3):S228-36. doi:10.​1016/​j.​amepre.​2011.​06.​005.
27.
go back to reference Minkovitz CS, Grason H, Solomon BS, Kuo AA, O’Connor KG. Pediatricians’ involvement in community child health from 2004 to 2010. Pediatrics. 2010; 132(6): 997–1005.CrossRef Minkovitz CS, Grason H, Solomon BS, Kuo AA, O’Connor KG. Pediatricians’ involvement in community child health from 2004 to 2010. Pediatrics. 2010; 132(6): 997–1005.CrossRef
28.
go back to reference Post DM, Kundt FS, Mehl E, Hudson WA, Stone LC, Banks FR. Twenty years of experience in service-learning at the Ohio State University College of Medicine. J Community Engagement Sch. 2012; 2(1): 18–30. Post DM, Kundt FS, Mehl E, Hudson WA, Stone LC, Banks FR. Twenty years of experience in service-learning at the Ohio State University College of Medicine. J Community Engagement Sch. 2012; 2(1): 18–30.
30.
go back to reference Blustein J, Fleischman MD. (2004). Urban bioethics: adapting bioethics to the urban context. Acad Med. 2004; 79(12): 1198–1202.CrossRef Blustein J, Fleischman MD. (2004). Urban bioethics: adapting bioethics to the urban context. Acad Med. 2004; 79(12): 1198–1202.CrossRef
Metadata
Title
Impacting Health Disparities in Urban Communities: Preparing Future Healthcare Providers for “Neighborhood-Engaged Care” Through a Community Engagement Course Intervention
Authors
Norma Alicea-Alvarez
Kathleen Reeves
Em Rabelais
Diana Huang
Melanie Ortiz
Tariem Burroughs
Nora Jones
Publication date
01-08-2016
Publisher
Springer US
Published in
Journal of Urban Health / Issue 4/2016
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-016-0057-6

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