Now Viewing: Featured Posts

If Patients Are Flipped Out by Today's Physician Encounters, Why Not "Flip" The Clinic?

Mar 3, 2014, 5:34 PM, Posted by Susan Dentzer

“I am stressed.”

“I am feeling pressured.”

“I have been through all this before.”

“Why is it taking so long?”

If you’ve ever had any of these feelings while biding your time in a doctor’s office, you’re not alone.  There are a myriad ways in which the classic physician visit can often be sub-optimal: Spending a long time in a waiting room before a too-short doctor’s visit; barely understanding or absorbing what the physician says before he or she rushes off to see the next patient.

The experience could try the patience of the most self-confident of patients—and positively overwhelm the more nervous among us.  Small wonder that some patients experience “white coat syndrome,” or elevated blood pressure during a clinical encounter.  It’s believed to be brought on by some combination of apprehension about a potential disease or diagnosis, or even intimidation at the sight of the doctor in a white coat.

View Full Post

Progress, Hope, and Commitment

Feb 28, 2014, 10:55 AM, Posted by Risa Lavizzo-Mourey

RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA

Nearly seven years ago, this Foundation made a major commitment to reversing the nation’s childhood obesity epidemic. We had many reasons, but chief among them was the decades of data showing more and more young people in America facing greater challenges to growing up healthy. We, and many others, knew it was an unsustainable path. So we pledged $500 million to reverse the trend, and joined forces with a wide range of partners to address the many different facets that an effort of this magnitude would require. Big challenges require big commitments.

This week has been one of the most exciting in the last seven years. Research published Tuesday shows a major decline in the obesity rate among children ages 2 to 5 over the last eight years. This is a very real sign of progress, because we know that preventing obesity at an early age is likely to help children maintain a healthy weight into adulthood. The significant decline measured by researchers with the Centers for Disease Control and Prevention follows progress we’ve started to see over the last 18 months.

View Full Post

ACOG Issues New Guidelines to Curb Overuse of C-Sections

Feb 27, 2014, 5:27 PM, Posted by Tara Oakman

Tara Oakman Tara Oakman

While I knew that having children would turn my world upside down, I assumed that this transition would be more metaphorical than literal. Ha! Moments before I was discharged from a Maryland hospital a few days after my twins were delivered by c-section, the ground shook violently. My husband had just left the hospital room to get the car, so I was alone with two newborns and a painful surgical wound. All I could think was ... “This is an earthquake! I have two babies. And I can’t move!

One of the scariest parts of the experience was that I couldn’t respond to my maternal instinct to quickly pick up and protect my babies because I had just had major abdominal surgery. Granted, managing in an earthquake is not a common part of recovery from a C-section, but there can be many other dangerous complications that occur more frequently, such as infection, emergency hysterectomy or heavy blood loss. It can also lead to greater difficulty with breastfeeding. C-sections are also very costly, even if there are no major complications. They are much more expensive than vaginal delivery.

View Full Post

Coming to the Rescue of Young Men of Color

Feb 27, 2014, 4:30 PM, Posted by Maisha Simmons

The Alameda County Public Health Department's EMS Corps program is supported by the Robert Wood Johnson Foundation.

When he was 17, Dexter Harris was good at two things: football and hustling. Although he went to school, he spent most of his time trying to earn money. He wasn’t thinking about his future. He was thinking about surviving the here and now.

Instead of finishing his senior year, Dexter found himself in a California juvenile facility. There, he met a mentor named Mike who told Dexter about a new program, EMS Corps, that offered far more than emergency medical training (EMT) classes. EMS Corps also provided tutoring, mentoring and leadership classes, and was looking for people from the community who were willing and ready to serve in the emergency services field.

After hearing about EMS Corps, something changed for Dexter. He weighed his options and saw that with EMS Corps he could actually have the chance for a different life. Dexter threw himself into studying, and eventually graduated first in his EMS Corps class. As a certified EMT, Dexter now has a career with Paramedics Plus and returns to the juvenile facility to teach other young people about being a First Responder.

Dexter Harris Dexter Harris

In every community there are young men like Dexter who have the potential to succeed.  But like most young people, they need help and support to bring out their best.

Today, I was honored to be present at the White House as President Obama helped to add more momentum to a growing movement to expand opportunity for young men of color. I was joined by leaders from both the public and private sector committing their intellect, creativity, passion and resources to continue to identify solutions for men and boys of color.

I was inspired by the continuing and new energy to ensure that every young man has the opportunity make healthy choices and has the tools to live a healthy life. That includes skills to succeed in school and work. EMS Corps is just one bright light among the many innovative and inspiring approaches that the Robert Wood Johnson Foundation has been proud to support as part of its effort to create a culture of health and opportunity for all young people.  This new national initiative announced at the White House brings a new chance to build upon this exciting and important work.

It’s not just EMS Corps. Look at our Forward Promise partners to see the richness of programs already lifting up young men. It’s not just the White House and our Foundation colleagues in this movement either. There are thousands of teachers, police chiefs, state and local legislators, judges, church leaders, and community based organizations from across the country that are taking steps to ensure that all young people in America, including our young men of color, have the opportunity to succeed. If our job is to build a culture of health for all young men, then those collective efforts are its vital building blocks.

As I arrived at the White House this afternoon, I couldn’t help but think of Dexter. And of all of the “Dexters” who will benefit from this unprecedented moment of commitment to hope, change, and opportunity for our sons, brothers, students and neighbors. I’m proud to be a part of the Robert Wood Johnson Foundation and of this larger movement. Together we can bring out the best in our young men. And they—in achieving their promise—can bring out the best in all of us.

Follow Maisha on Twitter

A New Way of Looking at Health

Feb 18, 2014, 3:58 PM, Posted by Andrea Ducas, Thomas Goetz

Putting outbreaks of disease into context “Putting outbreaks of disease into context” via VizHealth.org. The VizHealth site and the associated content are available under GNU Lesser General Public License version 3.0 (LGPL-3.0) and Creative Commons Attribution 3.0 United States licenses.

It’s not always easy to think in statistics.

While that statement might seem obvious, applying that knowledge when it comes to health and health care is anything but.

Think, for example, about your last visit to the doctor. (Doctors, put on your patient hats and bear with us.) In the first couple of minutes, you (we hope) had your blood pressure, weight, and other vital signs checked. You might have also talked about changes you could make—like exercising more or quitting smoking—and how they might decrease your risk of developing a chronic disease or help you live longer.

As a patient, all of this information is valuable, but it is not often meaningful or actionable: what does a systolic blood pressure of 175 actually mean? Exercising regularly might bring my risk for diabetes down, but by how much? And what does that difference translate to for me?

There are lots of ways to answer these questions, but up until recently there hasn’t been much clarity at all when it comes to how to communicate those answers effectively. That’s why we’re so excited to announce the launch of our newest project, Visualizing Health.

View Full Post

Getting Ready for the Oscars: Three Things that the Movie “Gravity” Has in Common with Health Insurance Exchanges

Feb 18, 2014, 10:32 AM, Posted by Susan Dentzer

Sandra Bullock in "Gravity"

The Academy Awards are just a few short weeks away, much as is the end of this year’s open enrollment period for the health insurance exchanges. We health policy geeks who also love movies can now give out our own award—for the film that most closely resembles the rollout of the marketplaces under the Affordable Care Act.

As far as I’m concerned, there’s only one real candidate: “Gravity,” the science-fiction space drama directed by Mexican-born Alfonso Cuaron and starring the actors Sandra Bullock and George Clooney.

The film wins because its big themes are the same ones reflected in the experience of the exchanges: the omnipresence of Murphy’s Law and human perseverance overcoming calamity. What’s more, gravity—the real star of “Gravity”—is a universal force that can’t be overcome (and is one of the few scientific aspects of the movie that the critics agree the filmmakers got right). Is it too much to see a parallel to the Affordable Care Act’s coverage expansion, which is inching forward despite the formidable odds stacked against it?

View Full Post

We Are All in This Together

Feb 11, 2014, 4:41 PM, Posted by Risa Lavizzo-Mourey

presidents_message_billboard_v0.1

Building a culture of health means recognizing that while Americans’ economic, geographic, or social circumstances may differ, we all aspire to lead the best lives that we can.

For the Foundation, it also means working hand-in-hand with all Americans to inform the dialogue and build demand for health by pursuing new partnerships, create new networks to build momentum, and stand on the shoulders of others striving to make America a healthier nation.

Learn more in our President’s Message
Risa Lavizzo-Mourey, MD, MBA, is president and CEO of the Robert Wood Johnson Foundation

 

 

Investing in Children to Improve the Nation's Health

Jan 27, 2014, 6:28 PM, Posted by Susan Dentzer

RWJF recently convened a panel of distinguished guests for a Google+ Hangout to examine targeted interventions that could help America’s youngest children live healthier, happier, and safer lives. Here's an archived version of the Hangout.

"It is easier to build strong children than to repair broken men," wrote Frederick Douglass, the 19th century African-American social reformer, writer and orator. A century and a half later, to improve the health of Americans, it's essential to start with kids.

That’s a preeminent conclusion of the new report of the RWJF Commission to Build a Healthier America called Time to Act: Investing in the Health of Our Children and Communities. The report focuses on ways to influence the upstream determinants of Americans' generally poor health, including low levels of education and incomes, unsafe environments, and non-nutritious food. Of the panel's three top recommendations, the first is distinctly child-centric: "Invest in the foundations of lifelong physical and mental well-being of our youngest children." Were he alive today, Douglass would surely agree.

View Full Post

On the Way to Better Health, a Call to Educate the Consumer With Complete and Useful Information

Jan 24, 2014, 2:41 PM, Posted by Tara Oakman

“An educated consumer is our best customer...”

A big sign with these words welcomed me and others into the local department store, Syms. I’m definitely not the only one who noticed. In fact, an educated consumer of this blog would know that it resonated with Susan Dentzer as well.

As a child, this statement baffled me. On the plus side, pondering its meaning gave me something to do during seemingly interminable shopping expeditions with my parents. Why, I wondered, does a department store care about how much consumers know? Don’t they just want them to buy clothes?

Now I get it.

View Full Post

Simple, Small Changes Can Lead to Healthier Food Choices

Jan 21, 2014, 11:20 AM, Posted by Deborah Bae

traffic light graphic border

At this time of year, many of us find ourselves trying hard to stick to that New Year’s resolution to eat healthier. Here is some good news: simple changes in our environment can have meaningful, sustained effects on our ability to make healthy food choices.

Committing to a healthier diet and trying to lose weight is hard, and many people believe they can do it as long as they have the right motivation and attitude. We’ll say things like, “I’m going to eat better” or “I’m going to eat fewer unhealthy foods.” But that commitment can be tough when people face a variety of unhealthy choices and just a few healthy ones. Or when it’s hard to tell which is which.

Researcher and physician Anne Thorndike and her colleagues at Massachusetts General Hospital tested a novel idea: if all healthy food and drinks sold in the hospital cafeteria were labeled green, and all unhealthy items had red labels, would people make healthier choices?

View Full Post