Category Archives: Center for Health Policy at Meharry Medical College
Nadia Winston, MSPH, is a graduate student at the University of Illinois at Chicago, School of Nursing, pursuing dual nurse practitioner studies in family practice and occupational health. She has a master of science in public health degree from Meharry Medical College and is a former scholar with the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College. This post is part of the “Health Care in 2014” series.
Cardiovascular disease is the number one killer of African American women. It has become imperative for the nation to take back the reins of its health status and educate the public about this threat. The statistics are alarming. Black women are twice as likely to suffer from cardiovascular disease as women of other ethnicities. And according to the American Heart Association, cardiovascular disease kills nearly 50,000 African-American women annually. The reason for this disparity can be attributed to a lack of health knowledge, being overweight or obese, and lack of physical activity. Early intervention and action has been identified as the key to reducing this population’s risk of mortality from cardiovascular disease and related diagnoses.
Addressing and raising awareness of the health risks associated with cardiovascular diseases for African American women has been quite challenging. Recognizing this issue, Vanessa Jones Briscoe, PhD, MSN, then a Health Policy Associate at the Center for Health Policy at Meharry Medical College, developed and implemented a culturally appropriate health education program to educate minority populations about unhealthy lifestyles. It is called the “Be Heart Smart” program.
On Martin Luther King, Jr. Day, an RWJF Scholar and Soon-to-Be Physician Resolves to Help End Health Disparities
Cheryl Chun, MS, MA, is a Robert Wood Johnson Foundation Health Policy Scholar (2011) at the Center for Health Policy at Meharry Medical College and a medical student at Meharry Medical College. She received a BS degree from George Washington University and an MA from American University. She taught for Teach for America for two years.
Every year on Martin Luther King, Jr. Day, our country takes a moment to reflect on the progress we have made toward becoming the nation we have always strived to be—one of equality. And while many of us would agree that significant headway has been made, we all know that we still have so much farther to go before we can truly achieve Dr. King’s dream.
I read the local and national news regularly and there always seems to be another article or story that speaks to the ongoing challenges of realizing this equity, including the educational achievement gap, health disparities, and even policies that allow inequalities to continue to exist across our society. It is almost scary that so many critical components of our lives are determined solely by our place of residence. In fact, it’s one’s zip code that often has the greatest impact on the quality of one’s education, one’s future health status, and even the types of food and nutritional resources to which one has access. These social determinants of health ultimately decide who will remain healthy throughout life and who will eventually become unwell.
Courtney Sinclair Thomas, BS, is a health policy fellow at the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College and a doctoral student in the Department of Sociology at Vanderbilt University. Her research interests are maternal and child health, specifically social factors that contribute to the high rate of infant mortality in the African American community.
I recently presented at two conferences in New York: the American Sociological Association (ASA) and the Society for the Study of Social Problems (SSSP). Overall, they were great experiences. It was my first year attending such large conferences within the field of sociology, so I found myself nervous, yet excited about meeting new people and hearing about new research.
Although the two annual meetings were quite different, I gained a wealth of knowledge from them both. The SSSP meeting was held August 9th to 11th and this year’s theme was “Moving Beyond Social Constructionism,” challenging the way we, as scholars, think about society’s problems. I presented a paper titled, “The Black Middle Class: New Insights for the Study of Racial and Ethnic Inequality,” during a thematic session with other scholars who study race and identity. There were four other panelists and we each had time to share our work with the audience and engage in conversation about the themes that emerged among the different projects.
Taylor Hargrove is a PhD student in the sociology department at Vanderbilt University and a graduate fellow at the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College. Her research interests focus on racial/ethnic stratification, health disparities, social determinants of health, and stress. Her M.A. thesis examines the adequacy and utility of the stress process model among African Americans.
As a rising third year in the sociology doctoral program at Vanderbilt University, I recently attended my first annual meeting of the American Sociological Association (ASA). I didn’t really know what to expect. I suppose I thought it would be like any other conference I had been to, which, up to that point, had been pretty laid back.
The day I went to check-in, I realized I had been mistaken. I stepped inside the doors of the conference hotel and immediately became part of the swarm of sociologists from all around the world. I became instantly overwhelmed. Not only were there a ton of people walking around, but I knew that there was so much knowledge and expertise surrounding me. I also knew that scholars I had, and continue to, read extensively were just inches away from me somewhere.
Helena Dagadu is a fellow at the Robert Wood Johnson Foundation (RWJF) Center for Health Policy at Meharry Medical College and a PhD student in the Department of Sociology at Vanderbilt University. Dagadu’s research and professional interests include comparative health and health policy, health disparities, social determinants of health, and international medical migration.
Presenting and attending academic conferences are important components of a scholar’s development. Not only are such meetings important venues to present one’s work and receive constructive feedback, they also provide a less formal environment to meet scholars outside one’s academic home, exchange ideas, and foster lifelong academic relationships.
From August 10th to 13th, I participated in the 108th annual meeting of the American Sociological Association (ASA) in New York City. The theme for this year’s meeting was “Interrogating Inequality.” Given its distinct character as a global city and its rich history of diversity, New York provided the prime backdrop to examine how, in the words of ASA President Cecilia Ridgeway, PhD, “inequality, in all its multi-dimensional complexity, is produced in contemporary societies.”
Italo M. Brown, MPH, is a rising third-year medical student at Meharry Medical College. He holds a BS from Morehouse College, and an MPH in epidemiology and social & behavioral sciences from Boston University, School of Public Health. He is a Health Policy Scholar at the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College. Read all the blog posts in this series.
In 1986, Congress took a step in the direction of patient advocacy by passing the Consolidated Omnibus Budget Reconciliation Act (COBRA). One part of this act, the Emergency Medical Treatment and Labor Act (EMTALA), has served as the precedent for federally mandated care and has largely shaped our understanding of urgent care delivery in America. While some have touted EMTALA as a public health victory, many have scrutinized the federal mandate, citing its imperfection and labeling it as a strong contributor to the current ailments of our emergency medical system.
However, 27 years after EMTALA became law, a greater emphasis is placed on preventive measures and comprehensive care, rather than urgent care, as a means to reduce negative health outcomes. Naturally, champions of cost-efficient comprehensive care have suggested that a federal mandate should be explored.
Adrian L. Ware, MSc, is a third-year graduate student in public health at Meharry Medical College. He holds a BSc in biology from Alabama Agricultural and Mechanical University, and an MSc in biology and alternative medicine from Alabama Agricultural and Mechanical University. He is a Health Policy Scholar at the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College. He aspires to become a Christian psychiatrist serving the poor and underserved. Read all the blog posts in this series.
With innovation, brilliance, passion, and robust planning, public health students and practitioners ask: How can we protect the health of the nation? According to the Centers for Disease Control and Prevention, seven out of ten deaths in the United States are caused by chronic disease. The need for more cost-effective, comprehensive care has never been greater. Within the world of public health, there are three levels of prevention: primary, secondary, and tertiary.
Primary prevention reduces both the incidence and prevalence of a disease, because the focus is on preventing the disease before it develops. This can change the health of the nation for the better. Secondary and tertiary prevention are also significant.
It is well known that emergency care is vastly important, given the sheer complexity of episodic clinical cases that present to the emergency room in “life or death” situations. These “provisions” are necessary for the United States to uphold its high ideals of liberty and justice for all. Adequate, culturally competent, comprehensive health care for all citizens is a social justice issue, and a fundamental right. To this point, our health system’s extreme emphasis on tertiary care is amongst the most fiscally irresponsible ways to improve the health of the nation.
Italo M. Brown, MPH, is a third year medical student at Meharry Medical College. He holds a BS from Morehouse College, and an MPH in epidemiology and social and behavioral sciences from Boston University, School of Public Health. He is a Health Policy Scholar at the Robert Wood Johnson Foundation Center for Health Policy at Meharry Medical College.
In an ad-hoc poll among classmates, I recently inquired about the most important date (in 2013) to a second year medical student. The overwhelming majority of respondents cited their respective STEP 1 exam dates as most important, followed closely by the season finales of ABC’s Scandal and Grey’s Anatomy. While the top three responses are noteworthy, the one date that should bear the most gravity in the minds of medical students across cohorts is October 1st.
This October marks the launch of open enrollment for health insurance exchanges, a much-anticipated provision of the Affordable Care Act (ACA). The ACA seeks to reduce the number of nonelderly uninsured Americans by half; in other words, a projected 20 million new patients will enter the health care system over the next 18 months.
Regina Stokes Offodile, MD, CHSE, is an assistant professor in the Department of Medical Education, Division of Clinical Skills and Competencies at Meharry Medical College. She currently instructs first- and second-year medical students on clinical skills, physician patient interaction, and clinical correlations of breast disease. Her research interests include cultural competency. She is pursuing a Masters in Health Professions Education at Vanderbilt University. This is part of a series of posts looking at diversity in the health care workforce.
Cultural diversity in the health care workforce may be something that many have not thought about or considered a topic of concern. It is a concept that health care providers, health care delivery systems, and hospitals need to have on their radar. Having a culturally diverse workforce is a matter of patient safety. Employing a diverse workforce increases the likelihood of having employees who understand how a wide cross section of patients looks at disease, its diagnosis and treatment. A diverse workforce may also address the language barriers and cultural disconnect that may exist in some health care delivery systems.
In order to meet the increasing culturally diverse patrons of health care, there will be a need to have a corresponding change in the health care workforce. There will also be a burden on medical schools and residency training programs to produce culturally competent physicians, and to increase the number of physicians who are able to interact with and treat a culturally diverse patient population.
The Robert Wood Johnson Foundation (RWJF) Center for Health Policy at Meharry Medical College will graduate six scholars with certificates in health policy during Meharry Medical College’s 138th Commencement Exercise this weekend. Having completed the Center’s health policy education program, the scholars are poised to join the nation's leading health policy experts, researchers, and analysts. They will focus on caring for minority and underserved communities in their careers.
The graduating scholars are:
- Kevin Blythe, MSPH, School of Medicine
- Lamercie Saint Hilaire, School of Medicine
- Ashley Huderson, School of Graduate Studies and Research
- Brandon Morgan, School of Dentistry
- Rebbie S. Timmons, School of Graduate Studies and Research
- Nadia Winston, School of Graduate Studies and Research