Category Archives: Underserved populations

Dec 17 2013
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Safety-Net Settings Study: If You Train Docs There, They’ll Likely Return

Newly minted physicians who train in underserved health facilities are much more likely to continue practicing in such facilities after completing their residency training, according to research by the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, an independent research unit of the American Academy of Family Physicians (AAFP).

The study, “Do Residents Who Train in Safety Net Settings Return for Practice?,” found that up to half of medical residents who trained in rural health clinics, critical access hospitals, and federally qualified health centers—which serve most of the nation's uninsured and underinsured patients—returned to practice in those settings. The study is published in the December issue of Academic Medicine.

“Overall, between one-third and one-half of the residents we identified in any of these settings during training were also identified as practicing in these same settings after training,” writes Robert Phillips, MD, MSPH, and his co-authors.

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Dec 3 2013
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The “Next Best Thing” to Being There: Robots Expand Physicians’ Reach

Telepresence robots are expanding access to specialists in rural hospitals experiencing shortages of physicians, and in other hospitals throughout the country, reports the Associated Press.

Devices such as the RP-VITA, introduced earlier this year, can be controlled remotely with a desktop computer, laptop, or iPad, allowing physicians to interact with patients through video-conferencing via a large screen that projects the doctor's face. An auto-drive function allows the robot to find its way to patients' rooms, and sensors help it avoid obstacles. It also gives the physician access to clinical data and medical images.

Dignity Health, a hospital system with facilities in Arizona, California, and Nevada, started using telepresence robots five years ago to promptly evaluate patients who had potentially suffered strokes.  Dignity now has robots in emergency rooms and intensive care units at about 20 California hospitals, giving them access to specialists in areas such as neurology, cardiology, neonatology, pediatrics, and mental health.

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Nov 26 2013
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Empathy and Appreciation for the Impact of the Social Determinants of Health

Gretchen Hammer, MPH, is executive director of the Colorado Coalition for the Medically Underserved. She works with local and state health care leaders and policy-makers to improve Colorado’s health care system.

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Healing is both an art and a science. On one hand, clinicians are intensely driven by the quantifiable, the measurable, and the evidence-based algorithms that lead to accurate diagnosis and treatment as well as allow us to develop new innovations in medicine. However, healing is also an art. Patients are not just a collection of systems that can be separated out and managed in isolation of the whole patient. Each patient and their family has a unique set of values, life experiences, and resources that influence their health and ability to heal. Recognizing the wholeness and uniqueness of each patient is where the art of healing begins.

Empathy is defined as “the ability to understand and share the feelings of another.” It takes presence of mind and time to be empathetic. For clinicians, finding the balance between the necessary detachment to allow for good clinical decision making and empathy can challenging.  This balance can be particularly difficult for students and new clinicians.

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Oct 18 2013
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Who Will Benefit From Medicaid Expansion and What Will it Mean for These Patients?

Tammy Chang, MD, MPH, MS, is an assistant professor in the Department of Family Medicine at the University of Michigan Medical School and an alumnus of the Robert Wood Johnson Foundation Clinical Scholars program.

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Over kitchen tables as well as on Capitol Hill, the discussion continues over the Affordable Care Act including who will benefit and what it means for everyday Americans.

To shed light on this debate, my co-author Matthew Davis, MD, MAPP, and I recently published a study that describes the characteristics of Americans potentially eligible for the Medicaid expansion under the Affordable Care Act.  The study, published in the Annals of Family Medicine, uses a national source of data used by many other researchers who look at national trends—such as high blood pressure and obesity—called the National Health and Nutrition Examination Survey (NHANES).

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Sep 13 2013
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An Opportunity for Collaboration

Richard Rieselbach, MD, is an alumnus of the Robert Wood Johnson Foundation Health Policy Fellows program and a professor emeritus and health policy consultant for the University of Wisconsin Medical Foundation.

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In the last decade, the nation’s community health centers (CHCs) have doubled their capacity. They now provide care for more than 22 million underserved children and adults in every state. But they’re going to need to do it again. By 2019, some 40 million patients will be in need of care.

The United States does not have enough primary care providers to serve these new patients, and our public investment in health professions education—graduate medical education (GME)—is failing to produce the pipeline we need. Medical students are choosing specialties over primary care at an alarming rate, and a policy vacuum keeps the GME program from being held accountable.

An initiative was launched in 2011 that I think holds great promise: the Teaching Health Center Graduate Medical Education initiative. This five-year, $230 million program was funded by the Affordable Care Act and created to increase the number of primary care graduates trained in community settings.

My colleagues and I have proposed a modified and expanded version of this initiative, called “CHAMP” Teaching Health Centers (CHAMP THCs). Our teaching model would pair CHCs with academic medical centers to develop a THC track that would encourage students to graduate in primary care and practice in urban and rural underserved areas.

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Aug 21 2013
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Influencing Young Doctors

The news media has recently covered some innovative programs that are influencing the choices and attitudes of the next generation of doctors.

American Medical News reports on the Buddy Program, which pairs first-year medical students with early-stage Alzheimer’s patients and their caregivers. The program empowers patients, and also serves as a valuable learning tool for the students, heightening “their sensitivity and empathy toward people with the disease.” The program was developed at the Northwestern University Alzheimer’s Disease Center in Chicago; Boston University, Dartmouth College, and Washington University have replicated it.

NPR reports on a program at the University of Missouri School of Medicine that is encouraging more young doctors to pursue primary care in rural areas. During the summers, the school has been sending medical students to work alongside country doctors. While school officials caution they can’t be sure about the reasons, they have discovered that students who took part in the summer program were more likely to become primary care doctors who practice family medicine.  Some 46 percent of participants are choosing to work in the country after completing their medical training.

Read more about the Buddy Program in American Medical News.
Read more about the University of Missouri’s summer in the country program on NPR.org.

Jun 11 2013
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The Chicago Parent Program: An Effective Tool for Low-Income, Urban Parents

Deborah Gross, DNSc, RN, FAAN, is the Leonard and Helen Stulman Endowed Chair in Mental Health & Psychiatric Nursing at the Johns Hopkins University Schools of Nursing, Medicine, and Public Health. She is also an alumna of the Robert Wood Johnson Executive Nurse Fellows program (2006-2009).

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As a child psychiatric nurse, my mission is to make a difference in the lives of families with young children, particularly those living in low-income, urban communities. 

There is now wide consensus that early childhood is the most cost-effective time for targeting prevention and early intervention. The foundation for children’s mental health is formed during the first five years of life, when 90 percent of brain development occurs. Since parents are the primary mediators of their young children’s earliest social and learning environments, any effort to promote mental health in young children must first and foremost engage parents and help them build up their strengths and caregiving capacities.

Nearly 20 years ago, I began searching the literature for parenting programs that had a strong evidence base and demonstrated substantial and enduring effects on parenting quality and children’s behavior. What I discovered is that the strongest programs available had been originally developed and tested on White, middle-class families. As a result, their content and delivery methods were often built on values and assumptions many families I knew could not relate to. 

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May 17 2013
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Meharry Health Policy Scholars Set to Graduate

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

Learn more about the scholars and what lies ahead for each graduate in the health policy arena.
Learn more about the RWJF Center for Health Policy at Meharry Medical College.

Jan 16 2013
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Time to Understand and Eliminate the Destructive Racial Disparities that Plague Our Health Care System

Gaurdia Elane Banister, RN, PhD, is executive director of the Institute for Patient Care at the Massachusetts General Hospital in Boston, and an alumna of the Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellows program. This post is part of the "Health Care in 2013" series.

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Historically, it seems that we are a country that takes a step forward only to take two steps back. Consider that May will mark 59 years since our schools were desegregated, yet it required the efforts of the National Guard to allow the “Little Rock Nine” entry into Central High School three years after this declaration. In July we will mark 49 years since President Johnson signed the Civil Rights Act of 1964, one-month after which the bodies of three civil rights workers were found in shallow grave. And, of course, the 20th of this month will mark four years since we inaugurated our first African-American President of the United States, though our health care system is still woefully deficient in providing care to minority groups.

The Affordable Care Act, in many ways, addresses the grave disparities that exist in health care due to race and ethnicity. Extending coverage to the nearly 46 million uninsured Americans—more than half of whom are minorities—will address a serious need, but this act alone will not begin to resolve the larger issue at hand.

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Oct 9 2012
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Meet the RWJF Center for Health Policy at the University of New Mexico

This is part of a series introducing programs in the Robert Wood Johnson Foundation (RWJF) Human Capital Portfolio. The RWJF Center for Health Policy at the University of New Mexico is working to increase the diversity of those with formal training in the fields of economics, political science and sociology who engage in health services and health policy research, and to become a nationally recognized locus for health policy research that will support work to inform health policy debates at multiple levels.

The Robert Wood Johnson Foundation Center for Health Policy at the University of New Mexico is poised to have a far-reaching impact on the nation. The Center is the only institution dedicated to increasing the number of leaders from Latino and American Indian communities who will help shape the future of our nation’s health and health care.

At the heart of this work is the academic and professional development of its doctoral and post-doctoral fellows, a diverse group who are on their way to careers in health policy, academia, philanthropy, and health care financing and delivery systems. 

The Center is dedicated to preparing these future leaders through on-the-job research, policy analysis training, leadership development, and community capacity building. Through interdisciplinary research with health care professionals, and by partnering with other researchers and professional organizations, fellows pursue resolutions for complex policy issues affecting our nation’s health, especially in Latino and American Indian communities.

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