University of Pittsburgh

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    Disparate CV health: A variance that refuses to disappear

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    In 1994, I wrote two editorials in the Association of Black Cardiologists’ Digest of Urban Cardiology, titled “Healthcare Reform” and “Healthcare Discrepancies in Minorities.” At the time, I was convinced that with a consistent, energized and committed effort, the CV community would soon recognize the negative impact of the multitude of inequities that resulted in poorer CV outcomes for underrepresented minorities and women. I was also convinced that once enlightened, our community of providers would accept the challenge and provide the necessary tools, leadership and resources required to resolve the disparities gap. The first acknowledgement of the disparities gap in

    Initiative takes on HIV and AIDS

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    A group of African-American newspaper publishers have enlisted the support of historically black colleges and churches to wage war against HIV/AIDS using their outlets to inform readers, advocate for prevention, and save lives. By next January, publishers of more than 50 black newspapers in the South say they plan to start a campaign that address the AIDS crisis and what their readers can do to protect themselves against the disease. The region these papers represent is where more than 41 percent of those living with AIDS in the United States reside and where the highest number of new AIDS cases

    Health Care's Blind Side: The Overlooked Connection between Social Needs and Good Health

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    A national survey reveals that physicians believe unmet social needs are directly leading to worse health for Americans — and that patients’ social needs are as important to address as their medical conditions. Medical care alone cannot help people achieve and maintain good health if they do not have enough to eat, live in a dilapidated apartment without heat or are unemployed. Physicians report that their patients frequently express health concerns caused by unmet social needs beyond their control. This is health care’s blind side: Within the current health care system, physicians do not have the time or sufficient staff support

    Invitation to a Dialogue: A National Health Plan

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    In “Will Health Care Reform Survive the Courts?” (State of Play, Sunday Review, Aug. 21), Philip M. Boffey states that “reforms would work far less well without an individual mandate” that requires citizens to buy health insurance or pay a penalty. I disagree. Health care reform could provide better care at less cost by replacing individual mandates with a single-payer national health care plan financed by taxes. Congress’s power to mandate purchase of private products sold at a profit is disputable, but Congress’s power to tax is not

    Identifying the impact of social determinants of health on disease rates using correlation analysis of area-based summary information.

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    Area-based measures of socioeconomic variables can be used to identify risk factors associated with a disease of interest. When correlation analysis is used to identify risk factors, potential confounding from other variables must be taken into account

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