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The Health Disparities Podcast
49 minutes | 7 days ago
Meeting people where they are has been key to equitable COVID-19 vaccine rollout.
This week our panel discusses the approaches that their organizations, community leaders and faith leaders have taken with bringing pandemic vaccine clinics to underserved populations, and their commitment to equitable vaccine distribution. From Baton Rouge, Coletta Barrett discusses how the Franciscan Missionaries of Our Lady Health System quickly stood up accessible clinics in the areas of highest need, and how they worked to diffuse hesitancy. Dr. Carla Harwell reports from Ohio, where strong leadership from Governor Mike DeWine facilitated inclusive access, and Podcast host Sharon LaSure-Roy shares some insights from Jacksonville, Florida.
49 minutes | 14 days ago
Community Interventions: The Ward Infinity Initiative in SE DC, & Operation Change in five other cities.
The community health design and innovation team at Sibley Memorial Hospital, a member of Johns Hopkins Medicine, invited communities in DC’s Wards 7 & 8 to help define their own solutions to health disparities and inequities. The resulting Ward Infinity social innovation program is now a model for community intervention. Likewise, Operation Change from Movement is Life has developed a participatory model that connects communities with local resources and amplifies health knowledge. In this episode, leaders from both programs discuss their strategies, the importance of consultation, and enabling historical concerns to be voiced. With Marissa McKeever, Dr. Veronica X. Vela, Steven Ragsdale, Dr. Yashika Watkins, and host Dr. Mary O’Connor. For more information on Ward Infinity: https://www.hopkinsmedicine.org/about/community_health/sibley-memorial-hospital/ward-infinity.html
50 minutes | 21 days ago
Bruce Johnson: Author, health advocate & much-loved CBS reporter discusses health inequities.
For many years a familiar face on CBS in Washington DC, and winner of 22 Emmys, Bruce Johnson has made health awareness and equity part of his life’s mission. In this episode Bruce joins podcast host Dr. Mary O’Connor to explore the power of the media to solve our health disparities crisis. How can we end the decades old pattern of inequities and disparities in terms of access to care, disparities in prevalence of chronic diseases, and the systemic biases that unfortunately permeate our systems of care? He also discusses how a heart attack inspired his book “Heart to Heart”, his subsequent involvement with the Mended Hearts organization, and the importance of facing up to past abuses. Bruce Johnson article: https://www.medpagetoday.com/infectiousdisease/covid19/90847
31 minutes | a month ago
Human Resources: Employers play an important role in promoting health equity.
More than 181 million Americans receive health coverage through employers, the largest source of health coverage for the nonelderly, covering 58% of the U.S. population. As there is increasing focus on health equity, how can employer-based insurance plans, and the HR professionals that select and administer benefits, encourage more equitable systems and structures of care? To explore this question, and many more, Bill Finerfrock discusses with Sean Sullivan, Chief Human Resource Officer at the Society for Human Resource Management, or SHRM. https://www.shrm.org/
40 minutes | a month ago
Fund Black Scientists: How inequitable NIH funding perpetuates the disparities divide.
Dr. Omolola (Lola) Eniola-Adefeso and Dr. Kelly Stevens are part of a nationwide network of BME women faculty who are collectively arguing that the racial funding disparity by NIH is the most “insidious barrier to success of Black faculty in our profession”. A commentary paper co-authored by 18 members of the collective was published earlier this year which calls for NIH to recognize the systemic racism at play, and to take action to bring about an equitable distribution of grant funding. Together with podcast host Dr. Mary O’Connor, the panel discuss the wider implications of funding disparities, and how diverse teams having fewer blind spots leads to better solutions. Commentary paper: https://www.cell.com/cell/pdf/S0092-8674(21)00011-8.pdf
40 minutes | a month ago
Podcast to Podcast: Dr. Mary O’Connor meets “Flip the Script” podcast host and health equity advocate Max Jordan Nguemeni Tiako.
Recently featured in the Forbes 30 under 30 list, M.D. candidate Max Jordan Nguemeni Tiako, M.S. channels a passion for health equity and racial equity to produce and host “Flip the Script”, a highly rated podcast on SoundCloud, iTunes and Spotify. There he discusses societal and healthcare issues that disproportionately affect the health of minorities, including racial and ethnic minorities, sexual and gender minorities, both on a national and global scale. These discussions are centered around the work of healthcare, public health and health humanities professionals who dedicate their work in various ways to addressing health disparities. Regular Health Disparities Podcast host Dr. Mary O’Connor finds many common areas of interest during this wide-ranging discussion. Find “Flip the Scrip” at https://podcasts.apple.com/us/podcast/flip-the-script/id1402777078
39 minutes | 2 months ago
Bronx and Brooklyn healthcare provider Dr. Nereida Correa discusses how the complexities of payment systems impacts her patients.
Dr. Nereida Correa, who began her career as a registered nurse, became the first Hispanic woman to be named chair of the department of obstetrics and gynecology at Lincoln Medical and Mental Health Center, a large, hospital-based group practice in the Bronx. She is also an Associate Professor of Family and Social Medicine. As a women’s health physician in the Bronx, Dr. Nereida Correa has been active in mentoring and promoting cultural sensitivity to diverse ethnic communities. Today she discusses the changing face of healthcare payment systems with host Dr. Minerva Campos, together exploring ways in which recent changes can create additional barriers to care for vulnerable patients. Read the “Values Defined by Whom?” report at https://bit.ly/37YyWuJ
32 minutes | 2 months ago
Community Health Workers get an up-close view of the ways that patients experience healthcare. Insights from a patient-centered vantage point.
With new payment models further complicating a difficult situation, are some Kentucky residents struggling to get the care they need and the respect they deserve from rural healthcare systems that are under increasing strain? Dr. Joyce Gonzalez explores the patient perspective with Amanda Goolman, a community health worker with Kentucky Homeplace, a Center of Excellence in Rural Health, providing essential care and support in a region with high levels of cancer, heart disease, hypertension, asthma, and diabetes. Read the “Values Defined by Whom?” report at https://bit.ly/37YyWuJ
40 minutes | 2 months ago
Nurse Practitioners in West Virginia and Wyoming discuss ways that value-based models of care impact vulnerable populations.
With more and more physicians choosing specialty care over primary care, Nurse Practitioners have an increasingly important role as providers on the front line, serving more vulnerable populations who experience limitations in accessing healthcare, particularly in rural areas. Joyce Knestrick, PhD, FNP-BC, FAANP, FAAN, past-president of the American Association of Nurse Practitioners, joins Nurse Practitioner Mary Behrens for a discussion about ways that value-based models of care can negatively impact vulnerable populations who are already experiencing healthcare access challenges. Read the “Values Defined by Whom?” report at https://bit.ly/37YyWuJ
54 minutes | 2 months ago
Specialty care in small-town America: health disparities, the impact of COVID-19, and some upsides of rural life for physicians.
Rural communities experience significant health disparities along with the above-average prevalence of chronic conditions, and a lower-than-average ratio of providers to patients. The COVID-19 pandemic has introduced additional challenges, leading to a significantly changed environment. Orthopedic surgeons Dr. Tamara Huff (in Georgia) and Dr. Oluwasean Akimbo (in Kansas) join host Bill Finerfrock, Executive Director of the National Association of Rural Health Clinics, for a wide-ranging discussion about the state of rural health, and how living in the country has its upsides.
78 minutes | 3 months ago
Black Physician Assistants Matter: A “JEDI” discussion.
Podcast host and NYC Physician Assistant Klarisse Mathis welcomes two colleagues and mentors. Infectious disease specialist Sondra Middleton, MHS, PA-C, is Assistant Professor at the Touro School of Health Sciences, and Associate Director of Physician Assistant Manhattan. Daytheon Sturges, MPAS, PA-C, CAHIMS, CHES, Associate Program Director, Assistant Professor, Justice, Equity, Diversity, & Inclusion (JEDI) Chair at University of Washington – School of Medicine – MEDEX Northwest PA Program. Together they explore the role of advanced practitioners in general, and the importance of a diverse workforce specifically, and the disparate impact of COVID-19. All views expressed are the participants own.
31 minutes | 3 months ago
Unique payer-provider structure, new models of patient-centered care.
Dr. Dwight Burney welcomes back orthopedic surgeon and outcomes expert Dr. MaCalus Hogan, M.D., M.B.A. to the podcast. Dr. Hogan is the Vice Chair of Education, and Residency Program Director, in the Department of Orthopaedic Surgery at the University of Pittsburgh Medical Center, a health system serving 3 million patients. This discussion explores value-based payment models in the contexts of population health management and the social determinants of health, and from the perspective of a unique payer-provider system aiming to provide truly patient-centered care. All views expressed are the participants own.
46 minutes | 3 months ago
Mitigating the unintended consequences of health policy.
Dr. Jannifer Harper welcomes rural health and legislative affairs expert Bill Finerfrock, and Root Cause Coalition Director Tom Dorney, who previously served as Senior Policy Advisor to Congressman John Lewis. Together they delve into the origins and unintended consequences of new payment models, and how new legislation could mitigate some of the negative impacts these new models have on certain disadvantaged populations who are seeking joint replacement. All views expressed are the participants own.
45 minutes | 3 months ago
Value-based payments: a health economics perspective.
Dr. Mary O’Connor hosts a discussion about the potentially detrimental impact of value-based care models on vulnerable populations, and how the safety-net hospitals that serve these patients are further strained, particularly in rural and inner-city areas. Featuring cardiologist and leading health economist Dr. Karen Joynt Maddox, M.D., co-director of the Center for Health Economics and Policy at Washington University in St. Louis. All views expressed are the participants own.
48 minutes | 3 months ago
Dr. O’Connor hosts panel discussing how the perception of risk in surgery can widen health disparities.
Risk is an intrinsic part of medical decision making. Every drug and every procedure must justify their benefit relative to any risks involved, so healthcare providers are very conscious of these risks and outcomes. In this podcast discussion with a panel of fellow orthopedic surgeons, Dr. Mary O’Connor (Yale New Haven Hospital) leads a discussion about ways that perceptions of risk can influence medical practice when additional financial consequences are added to the mix – a result of changing reimbursement and payment models. When patients are not considered an acceptable risk for surgery, does the selection and rejection assessment introduce bias, and are certain patient populations disadvantaged by this process? Featuring Dr. Ramon Jimenez, Dr. Charles Nelson, and Dr. Chick Yates.
27 minutes | 4 months ago
Educators discuss why more Hispanics should enter the healthcare workforce. Part 2, featuring Dr. Sherry Segura.
Dr. Sherry Segura continues our exploration of Hispanic education and workforce diversity. Dr. Segura is CEO of the Foundation for Hispanic Education in San Jose, California, where she is deeply involved in community efforts to ensure high quality and innovative educational services are available to all students. As she observes, Hispanic families may have more limited access to healthcare and this limits their exposure to the myriad of opportunities in the medical field as a potential career, not just doctors and nurses. Hispanic families may also be daunted by how expensive a healthcare education path is perceived to be, and be unaware of the support opportunities to offset costs that do exist. Dr. Segura discusses some initiatives that break down these barriers, and explores the role of parents and community stakeholders in increasing healthcare workforce diversity, and encourages people from all facets of the medical field to visit schools and be prepared to be role models. Hosted by Dr. Ramon Jimenez, orthopedic surgeon.
39 minutes | 4 months ago
Educators discuss how more Hispanics can enter the healthcare workforce. Part 1, featuring Ed Alvarez.
Ed Alvarez is President at the Latino Education Advancement Foundation in the San Francisco bay area, collaborating with other experienced nonprofits in developing initiatives focusing on college and career pathways, college persistence and completion. He is often joined in his work by podcast host Dr. Ramon Jimenez, an orthopedic surgeon who is deeply invested in his community and its ability to produce the diverse healthcare workforce of the future. Dr. Jimenez regularly visits local schools to encourage students to consider a career in healthcare, and help them see that there are many options beyond the most well-known careers of doctor and nurse. In this podcast Ed Alvarez and Dr. Jimenez discuss why it is so important for communities to participate in healthcare, not only as a great career, but also for the benefits a diverse workforce brings to a diverse patient population.
20 minutes | 4 months ago
Perspectives on health disparities through an epidemiology lens. Featuring Dr. Leigh Callahan.
Dr. Leigh Callahan is Professor of Medicine & OAAA. As an epidemiologist, Dr. Callahan seeks to understand how outcomes of osteoarthritis are influenced by factors such as race, ethnicity, gender, age, location, and social determinants of health (such as socioeconomic status). In this week’s podcast Dr. Callahan shares some important findings and discusses how a range of disparate outcomes and health disparities could be addressed. Dr. Callahan also discusses how it is vital that everyone has access to fundamental healthcare services, physical activity, and nutrition. She also considers the importance of health literacy, and the role of systemic bias. Hosted by Eileen Bodie
22 minutes | 4 months ago
Are rural health disparities being widened by bundled payments? Featuring Donna Kurek.
When healthcare quality management expert Donna Kurek made the switch to a more rural hospital system, she realized that there exists a whole different set of social determinants to consider in Appalachia, especially in the context of bundled payments. This reimbursement system can impact more complex patients negatively, especially in the presence of comorbidities such as diabetes and obesity, both of which disproportionately impact rural populations. In today’s podcast she discusses Appalachian health disparities, the contrast between urban and rural environments, and reflects on how the bundled payment system has made the role of the coordinated care team even more crucial. She shares insights into the role health literacy plays in improving health decisions and outcomes, and she explores valid concerns from advocates that some patients may be excluded from elective surgery in ways that could be considered inequitable. With podcast host Eileen Body.
28 minutes | 5 months ago
Physician Assistants have an increasingly important role in healthcare. Featuring Klarisse Mathis.
Physician Assistants are a relatively new specialty created in response to the shortage of primary care physicians in rural areas, and the PA profession is now well established with over 100,000 graduates of accredited PA programs. The training time is a little shorter than that for a primary care physician, which does make the profession comparatively accessible and more cost effective. Klarisse Mathis is based in Manhattan and sees patients from all kinds of backgrounds, including providing care to immigrant and refugee children – New York City has every aspect of diversity. In today’s podcast Klarisse talks about her life as a Manhattan PA, the challenges and rewards, and shares her observations on health disparities and meeting the needs of minority populations. With podcast host Eileen Body.
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