Apr 26, 2018, 11:00 AM, Posted by
The 20th United States Surgeon General Jerome Adams joined RWJF President and CEO Rich Besser to discuss how the power of partnerships can help transform communities and advance equity.
As a child, the United States Surgeon General Jerome Adams, MD, MPH, suffered from asthma so severe that he spent months at time in the hospital, even once being airlifted to a children’s hospital in Washington, D.C. During these stays he was struck by the fact that he’d never encountered a black physician. That finally changed when as an undergraduate he met a prominent African-American doctor who had overcome his own significant life obstacles. Seeing another African-American making important contributions to the field of medicine inspired the young Jerome Adams to decide, “I can do that too.”
With that resolve, he embarked on a path that led to becoming an anesthesiologist and culminated in his appointment as the nation’s 20th surgeon general.
Reflecting on his journey, Dr. Adams notes, “that’s why your efforts at the Robert Wood Johnson Foundation (RWJF) are so important. You’re providing mentorship and leadership opportunities to those who wouldn’t otherwise know how to navigate the world of public health.”
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Feb 1, 2018, 12:38 PM, Posted by
David Adler, Ginger Zielinskie
New research shows that seniors who participate in the SNAP program are much less likely to be admitted to nursing homes and hospitals, demonstrating the power of investing in social services to reduce health care costs and improve health outcomes.
The fresh fruit, frozen vegetables and salad Karen Seabolt eats help her “do more of what I need to do to live a better life,” she says. The 66-year-old from Tulsa, Oklahoma, has diabetes and is paralyzed on her right side from a stroke.
As a diabetic, Karen needs to eat the fresh fruits and vegetables her doctors recommend, and the $15 dollars per month she gets from SNAP—the Supplemental Nutrition Assistance Program—help her do that.
“It really comes in handy towards the end of the month. You may run out of money, but you always have your SNAP benefits. They’re for food only, so you’re not tempted to do without medicine to get food,” she told us.
SNAP benefits go far beyond a healthy meal. We now know that they can be a critical link to lower health care costs and better health for millions of seniors like Karen. A new study suggests—for the first time—that accessing SNAP benefits helps keep low-income seniors out of nursing homes and reduces hospital admissions.
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May 11, 2017, 11:00 AM, Posted by
From his Princeton roots to his experiences as a pediatrician, public health practitioner and journalist, Rich Besser shares stories and lessons from a career dedicated to service in this Q&A.
Rich Besser was a fourth-year medical student when he found himself performing his first (and last!) solo emergency Cesarean section at a hospital tucked within a rural Himalayan village in Manali, India.
He had come to Lady Willingdon Hospital eager to learn about health problems facing people within the developing world, and worked under a gifted local surgeon, Dr. George “Laji” Varghese. Providing care for the underserved population there was no small feat. For instance, the power would often go out during surgeries, requiring someone to hold a flashlight over the operating table.
Dr. Laji one day left Rich in charge as he departed for a week-long meeting. Before leaving, as a precaution, he walked Rich through how to perform an emergency Cesarean section since they were high up in the mountains and hours away from the next health care facility.
Sure enough, a few days later a woman who’d struggled through labor for over a day arrived. A senior nurse noted that the baby’s heart didn’t sound good.
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Oct 5, 2016, 9:35 AM, Posted by
Laura Leviton, Susan Mende
Disease registries designed to support clinical research can be reimagined to create a new and more effective kind of patient-centered care. Just take a look at Sweden.
Large-scale collection of patient data into disease-specific databases, or registries, is vital to research. These registries house standardized information on patients’ diagnoses, care, and outcomes, supporting large-scale comparison and analysis which can lead to better population health management and interventions. But can disease registries also help to move us closer to patient-centered care?
We’re learning from examples overseas that, with the help of new interactive technologies, they can.
Sweden created a disease registry for rheumatology that is much more than a data storage house. The Swedish Rheumatology Quality Registry (SRQ) is an interactive tool that helps patients and doctors prepare for and make better use of their office visits. It helps them to work like a team—to “co-produce” care together.
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Aug 30, 2016, 9:28 AM, Posted by
Jill Vialet’s idea to transform the school day through the power of play started with just two schools and now serves more than 1,300 nationwide. The CEO and founder of Playworks shares the tough lessons she learned about scale during her journey.
I was visiting an elementary school back in 1996 when the frazzled principal desperately turned to me and asked if I could “do something” about what was happening at recess. Just moments before I arrived she had reprimanded three fifth grade boys in her office for fighting on the playground. It clearly wasn’t the first time they had been there for the same offense.
I was originally there to discuss an artist residency program for a children’s art museum I was running in Oakland, California. Instead, I listened to the principal lament how recess had become the most dreaded part of the school day. Kids were getting into trouble, getting hurt, and feeling left out. As far as this principal was concerned, the real tragedy was the distraction from teaching and learning, something she just couldn’t accept.
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Aug 22, 2016, 1:45 PM, Posted by
As the National Park Service celebrates its 100th anniversary of beauty, recreation, and conservation this summer, we asked six leaders why access to public land is vital to everyone's physical and mental health.
The National Park Service celebrates its centennial this week, and our national parks have never been more appreciated; visitors made a record-breaking 307.2 million visits to them in 2015. But what many park goers may not realize is that the access to natural scenery and park activities national parks provide play a role in improving health. In fact, research shows that using public parks—even tiny local ones in your neighborhood—contributes to health in a number of ways, from promoting physical activity to improving mental health and even having the potential to reduce health care costs.
To celebrate this milestone in American history, the Culture of Health blog's editorial team asked six leaders to give us their reasons why parks matter for health.
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Jun 1, 2016, 12:30 PM, Posted by
Katherine Hempstead, Victoria Brown
Innovative approaches in health insurance can help support youth development and prevent chronic diseases.
While research shows that access to safe neighborhood spaces for physical activity along with affordable healthy foods help families and kids maintain a healthy weight, it’s often not enough.
Health care economist Mike Bertaut illustrated this reality through a deeply personal and passionate post last month. He opened up about his lifelong struggle with obesity and shared some important lessons about how the health care sector can help children maintain a healthy weight. It’s a moving piece worth reading.
As Mike shows us, health care providers—and health insurers—have a critical role to play, especially for children and families at highest risk for obesity and obesity-related disease.
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May 25, 2016, 2:04 PM, Posted by
Why is the organization that coined the term “social entrepreneur” putting an emphasis on children's well-being? Because it's a critical step in fostering changemakers in our communities.
Did you know that a playground for elephants needs water, plants and rhino playmates? Or that ‘Frogtown,’ the Kermit-friendly analog, needs a rainforest canopy to enable sound sleep and protection for eggs? At least, that was the case during an empathy exercise at Ashoka’s “Bring Your Child to Work Day.”
Even at a young age, children understand the multiple facets of wellbeing: safety and physical fitness, but also emotional attachment. As caregivers for the imaginary animals that populated their cardboard playgrounds, our children wanted a culture of health. As a father to three little girls, I want that same thing.
But in the United States, we don’t often operate from a mindset of wellbeing—or rather, we’re preoccupied with a very limited definition of wellbeing. The individuals, communities, and societies that surround us tend to view wellbeing as only material or physical wellness. Is that playground really safe? How many children are visiting the hospital every year? How many are living outside of homes? This approach to wellbeing creates structures which are reactionary, deficit-oriented and focused on reducing the negative effects of physical harm. We can do better.
Fortunately, leading social entrepreneurs like Dr. Terrie Rose are on the case. Using her venture, Baby’s Space, to transform the norms of childcare in low income neighborhoods, Terrie is ensuring that young children are not only safe, but are also offered emotional stability and opportunities for attachment with their caregivers. Tomas Alvarez is another example. Through Beats Rhymes and Life, Tomas works with mental health workers to offer a hip-hop-based therapy alternative to kids that have felt marginalized by traditional services.
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May 17, 2016, 10:03 AM, Posted by
Kids spend more time at school than anywhere outside their homes, making schools where we have the greatest chance of improving kids' health trajectory through physical, social and emotional development.
My sister, Katy, and I grew up in a family of teachers. My mother, my father and my aunt all dedicated themselves to educating, inspiring, encouraging and supporting each student who came through their classrooms. While I chose to go into public health, Katy followed in their footsteps and is a fifth-grade teacher. Many of her students experience challenges at home that no child should have to face. So in order for her students to be engaged in learning, not only does she need to know her lesson plans, she also needs to know whether a student has eaten breakfast that day or is suffering from trauma that’s gone untreated. When a student acts out, she needs to understand what underlying issues are causing them to behave that way. She’s seen first-hand how difficult it is for her students to learn when many of their needs go unaddressed. And every day, I can see how the work we’re each doing in our respective fields intersects.
As the research shows, your education has far-reaching implications for your health. The more educated you are, the more likely you are to live a longer, healthier life. Now, more than ever, having a high school diploma can predict your likelihood of having diabetes, heart conditions or other diseases. And across racial and ethnic groups, life expectancy improves with increasing years of education.
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