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Racial and ethnic disparities in the quality of diabetes care in a nationally representative sample.
Get PDFAlthough the link between racial/ethnic minority status and the quality of care for patients with diabetes is not completely understood, our results suggest that factors such as SES, health insurance status, self-rated health status, and other health conditions are potential antecedents of quality of diabetes care
RACIAL DIVIDE PERSISTS IN MICHIGAN’S INFANT MORTALITY RATE
No full textFor nearly 30 years, Michigan has been reducing its infant mortality rate. Still, as of 2009, a black infant in Michigan is three times more likely to die than a white baby, according to the latest statistics from 2009.
In fact, the mortality rate for black infants in Michigan for 2009 (15.5 per 1,000 live births) is roughly the same today as for white infants in 1973 (15.2). In the last decade, infant mortality rates for white infants have decreased from 5.9 to 5.4.
“We’re glad that our infant mortality rates have gone down, but we are still ranked 40th
Bringing New Minds and New Methods to Bridging Health Disparity and Equity
No full textNo abstract available
The Men’s Health Forum: An Initiative to Address Health Disparities in the Community
No full textAbstract available at publisher's web site
Moral Science: Protecting Participants in Human Subjects Research
Get PDFThe Presidential Commission for the Study of Bioethical Issues today issued its report concerning federally-sponsored research involving human volunteers, concluding that current rules and regulations provide adequate safeguards to mitigate risk. In its report, “Moral Science: Protecting Participants in Human Subjects Research," the Commission also recommended 14 changes to current practices to better protect research subjects, and called on the federal government to improve its tracking of research programs supported with taxpayer dollars.
President Obama requested that the Commission undertake an assessment of research standards following the October 2010 revelation that the U.S. Public Health Service supported unethical research in Guatemala from 1946 to 1948 that involved intentionally exposing thousands of Guatemalans to sexually transmitted diseases without their consent. The President gave the Bioethics Commission two assignments: to oversee a thorough fact-finding investigation into the specifics of the studies (released September 13, 2011); and to assure that current rules for research participants protect people from harm or unethical treatment, domestically as well as internationally
Racial Disparities in Stage-Specific Colorectal Cancer Mortality Rates From 1985 to 2008
No full textAbstract available at publishers website
Thirty-Day Readmission Rates for Medicare Beneficiaries by Race and Site of Care
No full textAbstract available at publisher's website
State Profiles: Minority Health and Health Equity Offices
No full textAll 50 states have a minority health or health equity office or entity (usually a point of contact). These offices have various titles; some are established as official minority health entities (such as an office, commission, council, center, branch, project or other unit) by the governor, legislature, or, in the case of one state, the federal Office of Minority Health. All of these offices share a common goal to improve health disparities within their state. However, each state has a unique way of addressing issues that are most pressing among their needy populations. Many states are moving toward the idea of health equity instead of health disparities in hope to put a more positive spin on addressing health care and ultimately, eliminating racial and ethnic disparities in health. Below is the contact information for directors along with a detailed description of state actions that created these offices
Challenges and opportunities for policy decisions to address health equity in developing health systems: case study of the policy processes in the Indian state of Orissa
Get PDFVariation in Use of Internet-Based Patient Portals by Parents of Children With Chronic Disease
No full textOBJECTIVES: To assess the use of Internet-based portals among families of children with chronic diseases and to describe characteristics of portal registrants and users.
DESIGN: Retrospective observational study.
SETTING: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, using data from September 1, 2003, through February 29, 2008. Patients/
PARTICIPANTS: Parents of children with diabetes mellitus, juvenile idiopathic arthritis, or cystic fibrosis.
INTERVENTIONS: Parents of children with a chronic disease were given the opportunity to access health-related information for their children via an Internet-based portal.
OUTCOME MEASURES: Percentage of families who obtained a portal account (registered), used the portal for the first time within 3 months and again 3 to 6 months after registration, number of times logged in, and session length.
RESULTS: Of 1900 families, 27.9% obtained a portal account. Of those, 47.8% used the portal within 3 months of registration and 15.9% continued to use the portal 3 to 6 months after registration. Families of African American patients and of patients insured by Medicaid were less likely to obtain a portal account. More outpatient visits and having private health insurance coverage were associated with increased portal registration and use.
CONCLUSIONS: Understanding the feasibility of portal use by parents is an important first step to using portals for improving self-management, patient-provider interactions, and outcomes for children with chronic diseases. Subsequent studies should address parent perceptions of the value portals add to the management of the chronic disease of their child and ways to increase that value. Barriers to using portals among racial minorities and publicly insured families should also be studied to address disparities