卫生公平

Family physicians develop deep relationships with patients and take a holistic approach to patient health. 这种与患者及其社区的独特联系使我们能够在解决可能影响我们不同患者群体的医疗保健差异方面发挥重要作用。我们了解健康的社会决定因素(SDoH),包括教育、就业、社会经济地位、社会支持网络和社区特征,是健康不平等的主要驱动因素,对患者的整体健康结果有很大影响——我们的澳门威尼斯人注册网站研究反映了这一认识。

我们的大部分澳门威尼斯人注册网站研究都是以健康公平的视角进行的,我们的澳门威尼斯人注册网站研究与广泛领域的健康公平有交叉,包括母婴健康、社区健康、移民健康、物质使用障碍和专科护理。When appropriate, we collaborate with government, community groups, and health and social service organizations to affect positive change for the populations we serve. In all our research, we strive to mitigate health inequities to support the highest level of health for all people.

澳门威尼斯人注册网站研究领域包括:

  • Improving health care access and equity for immigrant and refugee patients: This body of work aims to improve health access and equity for immigrant and refugee patients, many of whom are non-literate or non-English-language speakers, by determining what interventions would be most helpful in reducing barriers to health care access.
  • 利用针灸促进卫生公平:我们在这一领域的工作重点是证明针灸在卫生保健中的安全性、可接受性和有益贡献,特别是在边缘化人群中,并为将针灸纳入各种治疗环境提供支持。
  • 利用实施科学改善安全网环境中的护理服务:大多数发现和循证实践未用于临床护理和公共卫生。实施科学旨在缩小这种“知道做什么”的差距。这是促进卫生公平的重要途径,因为往往是边缘化和少数群体得不到循证护理。Our faculty have used implementation science to overcome language barriers for patients with limited English proficiency, improve the hospital discharge process, increase detection of non-alcoholic fatty liver disease, and address the overuse of antibiotics.
  • 支持改善母乳喂养结果:本工作侧重于卫生系统和以社区为基础的澳门威尼斯人注册网站研究,以促进更多地获得母乳,并帮助家庭实现其婴儿喂养目标,特别是在弱势、高风险和少数群体中,如难民、非英语使用者和有物质使用障碍的人。Multiple systemic and social factors contribute to lower rates of breastfeeding among Black families, worsening maternal and infant health disparities. 通过支持改善母乳喂养结果,我们可以解决这些差距。
  • Developing global health competencies for family medicine residents to better address local health: This project is working to refocus medical schools from hospital-based medical education to training local doctors in the communities in which they work. Our programs are focused on providing health care services to communities that have no or little access to health care, training local teachers, doctors and leaders to ensure sustainability.
  • Strengthening primary health care systems in low- and middle-income countries in Southeast Asia: This project works with medical schools to develop curricula in primary care and family medicine and to revise outdated undergraduate medical curricula. 其目标是让所有人都能接触到训练有素的家庭医生。
  • 宗教、医药和治疗;intersections of American Muslim identities: This research examines the way that multiple cultural identities affect how communities, families, institutions, and healthcare workers provide and receive care to address physical, mental, social, and spiritual health concerns. 这项工作的目标是倾听个人和团体寻求改变他们的社区,教会和家庭,并倡导消除公民身份,就业,交通,住房,教育,保险和获得优质医疗保健的结构性障碍的政策。
  • 使用丁丙诺啡治疗阿片类药物使用障碍:本系列项目探讨丁丙诺啡治疗对阿片类药物使用障碍患者健康结果的影响。相关主题包括丁丙诺啡剂量的影响,特别是对某人保持护理的可能性的影响,以及丁丙诺啡高质量治疗的获得是否因性别、种族和人口统计学等特征而异。
  • Primary care utilization among low-income populations: This area of research aims to understand who gets access to care, what kind of care, and where disparities emerge in receipt of primary care among low-income populations.
  • Access to substance use treatment: This group of projects aims to understand factors that influence access to treatment for patients with substance use disorders (SUDs). Specific examples include how policy changes around residential treatment influences residential utilization, and the way that telehealth influences receipt of primary care services for patients with SUDs.
  • 恢复性司法和讲故事治疗医疗不信任:这项工作考察了恢复性司法和讲故事治疗医疗不信任的功效。
  • 领先的临床试验让社区合作伙伴参与进来:我们的医生正在领导一项国际澳门威尼斯人注册网站研究的当地分支机构,评估辉瑞的Paxlovid对感染COVID-19的高风险儿童的影响。这些试验特别使用了社区参与的方法,包括在社区活动中举行会议,让参与者记录和讲述他们的故事,以与传统上不参加临床试验的社区建立信任。
  • Building the voice of our community: Our team was awarded a CTSI grant to build and evaluate best practices for hospital-based youth advisory boards. 这项工作的高潮是我们的安全网医院创建了第一个青年咨询委员会,这是一个强有力的声音,继续帮助制定医院的政策和澳门威尼斯人注册行动。
  • 解决医疗不信任的课程:这项工作是基于正在进行的NIH社区参与联盟(CEAL)资助,该资助使用恢复性司法和讲故事来建立课程,将医疗提供者和社区成员聚集在一起,建立信任关系。

澳门威尼斯人注册网站研究澳门威尼斯人注册网站: