Advancing Health Equity: Reducing Maternal-Fetal Mortality in Hawai'i through Community-Academic Partnership.

Embedding Racial Justice and Advancing Health Equity at the American Medical Association

У статті аналізуються поняття «комунікація», «міжкультурна комунікація», «мовленнєвий етикет». Розглянуто проблему формування здатності особистості до ефективної міжкультурної комунікації як засобу розуміння ментальних особливостей різних культур, що є гарантом ефективного діалогу культур у сучасному світі. Підкреслюється важлива роль мовленнєвого етику у міжкультурному спілкуванні. Подано характеристику міжкультурних непорозумінь у процесі комунікації.

The effectiveness of community-based participatory research (CBPR) partnerships to address health inequities is well documented. CBPR integrates knowledge and perspectives of diverse communities throughout the research process, following principles that emphasize trust, power sharing, co-learning, and mutual benefits. However, institutions and funders seldom provide the time and resources needed for the critical stage of equitable partnership formation and development. Since 2011, the Detroit Urban Research Center, collaborating with other entities, has promoted the development of new community-academic research partnerships through two grant programs that combine seed funding with capacity building support from community and academic instructors/mentors experienced in CBPR. Process and outcomes were evaluated using mixed methods. From 2011 to 2021, 50 partnerships received grants ranging from $2,500 to $30,000, totaling $605,000. Outcomes included equitable partnership infrastructure and processes, innovative pilot research, translation of findings to interventions and policy change, dissemination to multiple audiences, new proposals and projects, and sustained community-academic research partnerships. All partnerships continued beyond the program; over half secured additional funding. Keys to success included participation as community-academic teams, dedicated time for partnership/relationship development, workshops to develop equity-based skills, relationships, and projects, expert community-academic instructor guidance, and connection to additional resources. Findings demonstrate that small amounts of seed funding for newly forming community-academic partnerships, paired with capacity building support, can provide essential time and resources needed to develop diverse, inclusive, equity-focused CBPR partnerships. Building such support into funding initiatives and through academic institutions can enhance impact and sustainability of translational research toward advancing health equity.

Introduction:Shining the Light on Asian American, Native Hawaiian, and Pacific Islander Health Winston Tseng, PhD (bio) and Simona C. Kwon, DrPH, MPH (bio) The United States’s diverse Asian American and Native Hawaiian and Pacific Islander (AA and NHPI) populations have grown faster than those of any other racial/ethnic group over the past three decades.*1,2 Out of the shadows and into the light, the health and health care issues faced by our AA and NHPI communities across the U.S., its territories, and freely associated states matter more and more to the vitality and future of the nation.3 In 2015, we mark the 30th anniversary of the Heckler Report,4 the seminal Report of the Secretary’s Task Force on Black and Minority Health documenting national health inequities by race and ethnicity, which led to the establishment of the Office of Minority Health by Congress in 1986.5 Notably, the report concluded that Asian/Pacific Islanders in aggregrate were healthier than any other racial group in the U.S. In this supplement, Ponce and colleagues† retrace the story of the first national AA and NHPI data initiatives and key milestones for data equity that were established as a direct response to this report, and specifically to dispel the so-called model minority myth, to strengthen AA and NHPI voices, and to advance federal efforts to promote health issues facing AA and NHPI communities. Indeed, the Heckler Report spawned the creation of two of our communties’ national institutions, the Asian & Pacific Islander American Health Forum (APIAHF) and the Association of Asian Pacific Community Health Organizations (AAPCHO). Over the past 30 years, tremendous strides have been made in documenting and monitoring persistent and increasing health inequities disfavoring AAs and NHPIs and the critical steps needed to address gaps in the evidence base to focus on unequal health [End Page vii] by race, ethnicity, language, and other social determinants.6–11 Ko Chin and Caballero* present a community perspective on the leadership of Assistant Secretary for Health, Dr. Howard Koh, and his work in shepherding new national health equity initiatives, including the Patient Protection and Affordable Care Act of 2010, the reauthorization of the Office of Minority Health (OMH), the creation of the first national U.S. Department of Health and Human Services (HHS) Plan for Asian American, Native Hawaiian, and Pacific Islander Health,12 and the new HHS data standards for race, ethnicity, sex, primary language, and disability status from Section 4302 of the Affordable Care Act (ACA).13,14 In addition, the National Standards for Culturally and Linguistically Appropriate Service in Health and Health Care were updated in 2013 to provide a comprehensive framework of health and health care organizations for the delivery of culturally respectful and linguistically responsive care and services to all.15 We honor the heroes and transformative ideas that have worked to advance AA and NHPI health equity.16 Asian American and NHPI advocates, researchers, and community leaders have also made tremendous strides in building local and regional community coalitions to document health disparities and advance health equity on behalf of our diverse communities over the past decades.17,18 In this supplement, Trinh-Shevrin and colleagues† present the critical need to shift the public health paradigm from a biomedical health framework to a population health equity framework in order to address the relevant health issues facing Asian Americans and other underserved communities of color. Other articles showcase innovative and creative stakeholder coalitions‡§¶ and community-academic partnerships**†† that are being implemented for disease prevention and health promotion in AA and NHPI communities across the continental U.S., Hawaii, and the Pacific Islands. The articles also document the critical roles of communities, environment, historical and political forces for advancing health equity. Health topic areas explored [End Page viii] in this supplement include childhood obesity,*†‡ diabetes and cardiovascular disease,§¶ cancer, and mental health.** The community-based studies and interventions in this issue underscore the critical need to adapt evidence-based strategies to the community where they are adopted to fit the socio-cultural context of AAs and NHPIs. They also highlight the value of sub-population research. Community-based studies or interventions focused on...

ABSTRACT: Academic-Community Partnerships: Change Agents for Advancing Health EquityThe fifth annual summer research summit organized by the Center of Excellence (COE) in Health Equity, Training and Research, Baylor College of Medicine (BCM), was held on May 17, 2022. The theme of this year’s summit was ‘Academic-Community Partnerships: Change Agents for Advancing Health Equity.’ Given the ongoing pandemic, the summit was conducted virtually through digital platforms. This program was intended for both BCM and external audiences interested in advancing health equity, diversity, and inclusion in healthcare among healthcare providers and trainees, biomedical scientists, social workers, nurses, and individuals involved in talent acquisition and development, such as hiring managers (HR professionals), supervisors, college and hospital affiliate leadership and administrators, as well as diversity and inclusion excellence practitioners. We had attendees from all regions of the United States as well as from Saudi Arabia. The content in this Book of s encapsulates a summary of the research efforts by the BCM COE scholars (which includes post-baccalaureate students, medical students, clinical fellows, and junior faculty from BCM) as well as the external summit participants. The range of topics in this year’s summit was quite diverse, encompassing disparities in relation to maternal and child health (MCH), immigrant health, cancers, vaccination uptakes, and COVID-19 infections. Various solutions were ardently presented to address these disparities, including community engagement and partnerships, improvement in health literacy, and the development of novel technologies and therapeutics. With this summit, BCM continues to build on its long history of educational outreach initiatives to promote diversity in medicine by focusing on programs aimed at increasing the number of diverse and highly qualified medical professionals ready to introduce effective and innovative approaches to reduce or eliminate health disparities. These programs will improve information resources, clinical education, curricula, research, and cultural competence as they relate to minority health issues and social determinants of health. The year’s summit was a great success!Copyright © 2022 Dongarwar et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

Health disparities persist, posing significant health, social and economic challenges. Digital health technologies (DHTs) present a promising opportunity to address these inequities and advance health equity. Despite this potential, a comprehensive and structured overview of existing frameworks and guidelines on advancing health equity and a clear understanding of the potential of DHTs in their implementation to systematically close the healthcare gap is yet to be done. To this end, our objectives are twofold: first, to identify frameworks and guidelines that promote health equity and second, to pinpoint the role of DHTs as an avenue for their implementation. We conducted a scoping review informed by Arksey and O'Malley's five-stage framework, methodological guidelines by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. A comprehensive search was conducted across seven databases on 6 December 2023: PubMed, EMBASE, Cochrane, PsycINFO, Scopus, Web of Science and WISO. We included primary and secondary studies published in English between 2010 and 2023 focusing on advancing health equity for priority populations. For the analysis, we applied multistaged coding approaches to answer our twofold objective. The search identified 6419 studies, of which 38 met our final inclusion criteria and were included in this review. We extracted 559 recommendations on advancing health equity and synthesised these into 82 distinct recommendations across five levels of initiative and 19 areas of initiative. Thereby, 24% of the included studies explicitly mentioned the use of (digital) technology with 10 impact opportunities on advancing health equity. Our synthesis offers key insights into the advancement of health equity across different levels of initiative and the role of DHTs in their implementation. This offers practitioners and researchers alike a comprehensive overview to make health equity advancement more tangible and actionable. https://osf.io/94pht.

The Future of Nursing 2020–2030: Charting a path to achieve health equity

Community engagement is a pivotal public health tool for addressing population health challenges and advancing health equity. Community–academic partnerships that use community-engaged approaches can prioritize community strengths and ensure that resources and interventions match local needs. In 2021–2022, a community-academic partnership, guided by the principles of community engagement, collaborated with residents of Milwaukee’s Near West Side (NWS) to identify strengths and assets and prioritize actions to improve health and quality of life. To inform the development of a planned community resource center, residents were invited for group concept mapping (GCM).GCM includes idea generation, sorting and rating, and developing cluster maps. Residents (N = 165) generated 71 unique ideas in response to the question, “To make the Near West Side a healthier community we need _____.” Residents sorted ideas into clusters based on conceptual similarity and prioritized the importance of each. Data were managed with The Concept System Global MAX Software. By using the 71 ideas, a cluster map with 9 domains best fit the data. Domains were high-quality and affordable housing, community-engaged public safety, health and wellness services, strong and inclusive neighborhoods, investments in young people, public infrastructure, sustainable businesses, alternative modes of transportation, and vibrant social spaces. Eight of the 9 domains were highly rated for importance. These domains became focus areas for our partnership’s efforts to advance health and well-being in NWS. Our work highlights the significance of projects incorporating community engagement principles within the context of a community–academic partnership to generate mutually beneficial solutions that are strength-based and aligned with partners’ priorities.

Medicaid can and should play an active role in advancing health equity.

OBJECTIVES/GOALS: The Mission: Health Equity Challenge Series is a four-part multimedia, interdisciplinary series that raises awareness about health disparities and health equity, cultivates environments for collaboration, and encourages participants to apply learnings via film screenings, a book discussion, community research panel, and un-meeting. METHODS/STUDY POPULATION: Methods used to collect data include: REDCap for participant profile storage and surveys, Zoom polls and chats, and informal, unsolicited feedback from e-mail communications. Our primary study population includes researchers and healthcare professionals. Secondary populations include: administrative staff and community members. We had approximately 500 individuals, across four of our hospital institution stakeholders (Cleveland Clinic, University Hospitals, MetroHealth, and the VA Northeast Ohio Health Care System), the community at-large, and others from CTSA hubs and related entities participated in one or more of the challenges. RESULTS/ANTICIPATED RESULTS: We anticipate that participants in the Mission: Health Equity Challenge Series, whether they participated in one or more of the challenges, will gain increased awareness about health disparities and how research can help close preventable gaps in health outcomes amongst underserved communities as well as advance health equity. Additionally, we suspect that due to the diverse nature of each challenge and attraction of nontraditional audiences to spaces with researchers and healthcare professionals, we will foster environments where cross-institutional, interdisciplinary collaboration can thrive. This is the type of collaboration needed to address complex problems that prevent health equity. DISCUSSION/SIGNIFICANCE: This challenge series elevates the relationship between advancing health equity and clinical and translational science and is one way to create opportunities for the existing research community to meet and collaborate with individuals that are not typically included in the ideation, design, implementation, and dissemination of research.

IntroductionHealthcare systems around the world exhibit inherent systemic inequities that disproportionately impact marginalised populations. Digital health technologies (DHTs) hold promising potential to address these inequities and to play a pivotal...

PurposeProgress toward health equity is necessary to reduce health disparities, and health literacy is key to achieving this goal. Because libraries provide access to knowledge and insights about their communities, they are effective partners in advancing health equity and implementing programs to reduce health disparities. A literature review on library programs and activities that focus on promoting health equity was conducted.Design/methodology/approachA literature review on library programs and activities concerning health equity and social determinants of health was conducted. Relevant literature was identified from searches of databases, library publications and grey literature.FindingsThe authors found 224 eligible sources and many types of libraries advancing health equity. Libraries frame their role in advancing health equity through external programs in three ways: (1) providing access to high-quality health information, (2) delivering health literacy training and resources and (3) connecting their communities with community health services. Libraries also advance health equity by focusing on internal library operations and providing research services focused on cultural humility and competence as they apply to health care.Originality/valueThis literature review will help the National Library of Medicine (NLM) develop a strategy to support libraries advancing health equity through information made available by programs and activities of NLM and the Network of the National Library of Medicine.

Health equity remains a critical global health priority, with nurses playing a pivotal role in addressing systemic disparities that affect health outcomes. This review examines strategies and outcomes in nursing practice aimed at advancing health equity, guided by two foundational frameworks: the World Health Organization (WHO) Health Equity Framework and the National Academies’ “Culture of Health” Model. The WHO Framework emphasizes structural and intermediary determinants of health, including policies, socioeconomic factors, and access to essential services, while the Culture of Health Model promotes shared values of health, cross-sector collaboration, and systemic integration to foster equitable and healthier communities. The review identifies key nursing strategies that align with these frameworks, including community-based interventions, policy advocacy, culturally competent education, and clinical practice reforms. Specific initiatives such as nurse-led outreach programs, advocacy for social justice policies, and integration of social determinants of health screening within clinical settings are analyzed for their effectiveness. Evidence from multiple studies highlights positive outcomes, including reductions in chronic disease disparities, increased preventive care access, improved community resilience, and strengthened healthcare systems’ responsiveness. Despite demonstrated successes, significant challenges persist. These include resource limitations, institutional resistance to equity-focused changes, and methodological barriers in evaluating long-term equity outcomes. To overcome these challenges, the review recommends strengthening interdisciplinary partnerships, scaling successful nursing-led models, improving data collection on equity metrics, and advancing leadership development programs for nurses engaged in equity work. This framework-guided review underscores the central role of nursing in advancing health equity through evidence-based, community-engaged, and systems-oriented approaches. It calls for sustained investment in nursing initiatives that integrate the WHO Health Equity Framework and the Culture of Health Model to build more just and equitable healthcare systems globally. Nurses, as trusted and accessible health professionals, are uniquely positioned to lead this transformation.

Health equity-focused implementation research requires using definitions and approaches that are relevant and meaningful to implementation partners. We examined how health equity was operationalized and addressed at Federally Qualified Health Centers (FQHCs). We conducted semi-structured interviews with leadership (n = 19) and staff (n = 12) at 10 FQHCs in an implementation science partnership network for cancer control equity to understand how they operationalized and addressed health equity. We performed rapid qualitative analysis and shared findings with a larger group of 13 community health centers (including the 10 FQHCs) at an Implementation Learning Community (ILC) to identify action areas for research and practice, followed by a second phase of synthesizing qualitative codes into themes and mapping themes onto a framework for advancing health equity in healthcare organizations. Participants defined health equity as central to the mission of FQHCs, and identified barriers (e.g. financing models) and facilitators (e.g. interpreter services) to advancing health equity at FQHCs. These findings resonated with ILC participants who emphasized the challenge of addressing root cause social determinants of inequities using limited available resources in FQHCs and the importance of developing meaningful collaboration with communities for data collection, data interpretation, data use, and data ownership. Themes captured recommendations to advance health equity in daily work at FQHCs, including investments in staffing, training, and resources. Mapping qualitative themes from health equity-centered interviews with FQHC partners onto a framework for advancing health equity in healthcare organizations can provide clear, context-specific direction for actions aimed at improving health and healthcare equity.

The power of Hispanic nurses in advancing health equity: The career of Henrietta Villaescusa