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Quality Enhancement Plan (QEP) Resource Portal

The resource portal is intended to provide resources in support of the educational program development and implementation towards social determinants of health (SDOH).

Literature

Definitions

Health People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.”

Office of Disease Prevention and Health Promotion. (2008). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

A health disparity should be viewed as a chain of events signified by a difference in: (1) environment, (2) access to, utilization of , and quality of care, (3) health status, or (4) a particular health outcome that deserves scrutiny. Such a difference should be evaluated in terms of both inequality and inequity, since what is unequal if not necessarily inequitable.

Carter-Pokras, O., & Baquet, C. (2002). What is a "health disparity"? Public Health Reports,117(5),426-34. PMID: 12500958
 

 

Literature on health disparities in Memphis City and Shelby County (17 references. Click the link for the complete list)

  1. Vidal, G., Bursac, Z., Miranda-Carboni, G., White-Means, S., & Starlard-Davenport, A. (2017). Racial disparities in survival outcomes by breast tumor subtype among African American women in Memphis, Tennessee. Cancer Medicine, 6(7), 1776-1786. doi:10.1002/cam4.1117 PMID: 28612435  
  2. Maclin-Akinyemi, C., Krukowski, R. A., Kocak, M., Talcott, G. W., Beauvais, A., & Klesges, R. C. (2017). Motivations for weight loss among active duty military personnel. Military Medicine, 182(9), e1816-e1823. doi:10.7205/milmed-d-16-00380 PMID: 28885942
  3. Khan, N. R., Fraser, B. D., Nguyen, V., Moore, K., Boop, S., Vaughn, B. N., & Klimo, P., Jr. (2017). Pediatric abusive head trauma and stroke. Journal of Neurosurgery: Pediatrics, 20(2), 183-190. doi:10.3171/2017.4.peds16650 PMID: 28574318
  4. Feliz, A., Holub, J. L., Azarakhsh, N., Bachier-Rodriguez, M., & Savoie, K. B. (2017). Health disparities in infants with hypertrophic pyloric stenosis. American Journal of Surgery, 214(2), 329-335. doi:10.1016/j.amjsurg.2016.07.009 PMID:   27586849
  5. Chisholm-Burns, M. A., Spivey, C. A., Gatwood, J., Wiss, A., Hohmeier, K., & Erickson, S. R. (2017). Evaluation of racial and socioeconomic disparities in medication pricing and pharmacy access and services. American Journal of Health-System Pharmacy, 74(10), 653-668. doi:10.2146/ajhp150872  PMID: 28377378
  6. Wester, C., Rebeiro, P. F., Shavor, T. J., Shepherd, B. E., McGoy, S. L., Daley, B., . . . Pettit, A. C. (2016). The 2013 HIV continuum of care in Tennessee: Progress made, but disparities persist. Public Health Reports, 131(5), 695-703. doi:10.1177/0033354916660082 PMID: 28123210  
  7. Otey, T. D., & Miller, W. R. (2016). A mid-south perspective: African American faith-based organizations, HIV, and stigma. Journal of the Association of Nurses in AIDS Care, 27(5), 623-634. doi:10.1016/j.jana.2016.04.002  PMID: 27209431
  8. White-Means, S., Rice, M., Dapremont, J., Davis, B., & Martin, J. (2015). African American women: Surviving breast cancer mortality against the highest odds. International Journal of Environmental Research and Public Health, 13(1), ijerph13010006. doi:10.3390/ijerph13010006 PMID: 26703655
  9. Pichon, L. C., Rossi, K. R., Ogg, S. A., Krull, L. J., & Griffin, D. Y. (2015). Social support, stigma and disclosure: Examining the relationship with HIV medication adherence among Ryan white program clients in the Mid-South USA. International Journal of Environmental Research and Public Health, 12(6), 7073-7084. doi:10.3390/ijerph120607073 PMID: 26103592  
  10. Ware, J. L., Webb, L., & Levy, M. (2014). Barriers to breastfeeding in the African American population of Shelby County, Tennessee. Breastfeeding Medicine, 9(8), 385-392. doi:10.1089/bfm.2014.0006 PMID: 24972117

Gilbert, K.L., Ray, R., Siddiqi, A., Shetty, S., Baker, E.A., Elder, K., & Griffith, D.M. (2016). Visible and invisible trends in Black men's health: Pitfalls and promises for addressing racial, ethnic, and gender inequities in health. Annual Review of Public Health, 37,295-311. doi: 10.1146/annurev-publhealth-032315-021556. PMID: 26989830.
 

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Learning Modules

Conscious & Unconscious Biases in Health Care: This course was developed by the Georgetown University National Center for Cultural Competence (NCCC). It focuses on conscious and unconscious biases in health care and their impact on people who are disproportionately affected by disparities in health and health care. It will offer an array of innovative activities, based on current evidence and best practices, that are intended to diminish the negative impact of biases. These are the content experts who contributed to the module development. 

Education-Centered Medical Home (ECMH): A learning module, created by the Northwestern University Feinberg School of Medicine, provides students with early and comprehensive educational exposure to team-based medicine in an authentic outpatient environment. Students work with the same preceptor and peers over four years to help care for patients and measure their progress. This learning model helps students build a professional identity as early as the first year of medical school, offers 360-degree assessment opportunities, and allows for patients, peers and preceptors to give feedback on the student's progress in their eight core competencies.

Prevention and Population Health Teaching Module: These innovative teaching modules were created by the Association for Prevention Teaching and Research (APTR). All seven modules feature presentations produced by subject matter experts, supplemental materials to facilitate small group learning, and a bibliography of key resources. For example, Module 1: Determinants of Health 

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Resources by Category

AccessMedicine -- Log in with UTHSC NetID and password

  • Egede, L. E., Ford, M. E., & Williams, J. L. S. (2014). Health disparities. In R. S. Greenberg (Ed.), Medical epidemiology: Population health and effective health care, 5e. New York, NY: McGraw-Hill Education.
  • Sweat, M. D., & T. Brady, K. (2014). Social determinants of health. In R. S. Greenberg (Ed.), Medical epidemiology: Population health and effective health care, 5e. New York, NY: McGraw-Hill Education.

LaVeist, T.A. (2005). Minority populations and health: An introduction to health disparities in the United States. San Francisco, CA, Jossey-Bass. Call number: WA 300 L399m 2005

Marmot, M. (2015). The health gap: The challenge of an unequal world. New York, NY: Bloomsbury Press. (The library will order a copy).

Barr, D. A. (2008). Health disparities in the United States: Social class, race, ethnicity, and health. Baltimore,MD: Johns Hopkins University Press. Call number: WA 300 B268h 2008

Agency for Healthcare Research and Quality. (2015).  2014 national healthcare quality & disparities report chartbooks. Retrieved from http://www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/index.html 

Accreditation Council for Graduate Medical Education. (2016). National report of findings 2016 issue brief No. 4: Health care disparities. Retrieved from http://www.acgme.org/Portals/0/PDFs/CLER/CLER_Health_Care_Disparities_Issue_Brief.pdf

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Health Disparities Data Search