Assuntos
Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Previsões , Disparidades em Assistência à Saúde/história , História do Século XX , História do Século XXI , Humanos , Grupos Minoritários/história , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division/história , Racismo , Determinantes Sociais da Saúde , Estados Unidos , United States Dept. of Health and Human Services/históriaRESUMO
The COVID-19 pandemic halted research operations at academic medical centers. This shutdown has adversely affected research infrastructure, the current research workforce, and the research pipeline. We discuss the impact of the pandemic on overall research operations, examine its disproportionate effect on underrepresented minority researchers, and provide concrete strategies to reverse these losses.
Assuntos
Centros Médicos Acadêmicos , COVID-19/epidemiologia , Escolha da Profissão , Pandemias , SARS-CoV-2/fisiologia , Pesquisa Biomédica/economia , Humanos , Grupos Minoritários , Apoio à Pesquisa como Assunto/economiaRESUMO
The US health care system has recently begun to account for patients' unmet social needs in care delivery and payment reform. This article presents a twenty-year qualitative case study of five stages of diffusion-testing and learning, standardization, replication, shifting from doing to enabling, and catalyzing broad adoption-of a practical approach for integrating social needs into clinical care. This case study of Health Leads and its funders confirms the importance of focusing on a clear aim, investing in model testing and standardization to enable subsequent responsiveness to the market, and the willingness of innovators and their investors to cede control of a model to allow local adaption and accelerate broad adoption.
Assuntos
Adaptação Psicológica , Atenção à Saúde/tendências , Reforma dos Serviços de Saúde , Ciência da Implementação , Assistência Alimentar , Humanos , Estudos de Casos Organizacionais , Pesquisa QualitativaAssuntos
Pesquisa Biomédica/métodos , Financiamento Governamental/tendências , Promoção da Saúde/métodos , Necessidades e Demandas de Serviços de Saúde/tendências , Obesidade Infantil/prevenção & controle , Pesquisa Biomédica/economia , Pesquisa Biomédica/tendências , Promoção da Saúde/economia , Promoção da Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/economia , Humanos , Obesidade Infantil/epidemiologia , Estados Unidos/epidemiologiaAssuntos
Redes Comunitárias/organização & administração , Comportamento Cooperativo , Promoção da Saúde/organização & administração , Saúde Pública , Relações Comunidade-Instituição , Órgãos Governamentais , Política de Saúde , Humanos , Desenvolvimento de Programas , Determinantes Sociais da Saúde , Estados UnidosAssuntos
Reforma dos Serviços de Saúde , Promoção da Saúde , Patient Protection and Affordable Care Act , Comportamento Cooperativo , Competição Econômica , Custos de Cuidados de Saúde , Humanos , Pessoas sem Cobertura de Seguro de Saúde/estatística & dados numéricos , Participação do Paciente , Melhoria de Qualidade , Programas Médicos Regionais/organização & administração , Estados UnidosRESUMO
The United States spends $2.7 trillion a year on health care, more than any other country by far, and yet the U.S. population is not healthy. In fact, the United States loses $227 billion in productivity each year because of poor health. This is not sustainable-and it is the reason behind the Robert Wood Johnson Foundation's Culture of Health initiative. Culture of Health means so much more than simply not being sick. It means embracing a definition of health as outlined by the World Health Organization-a state of complete physical, mental, and social well-being. And it means shifting the values-and the actions-in the United States so that health becomes a part of everything we do. Health is the bedrock of personal fulfillment. It is the backbone of prosperity and the key to creating a strong and competitive nation. With health, children can grow up making the most of life's opportunities. Businesses can rely on the vitality of workers to stay competitive, and the military can perform at its highest level. But there is no single way to cultivate health. This Commentary explores the principles behind the Culture of Health initiative and examines the role of academic medicine in achieving this vision. Different communities must come up with the approaches that serve them best. Only by working toward a common goal in unique ways will a true Culture of Health be attainable in the United States.
Assuntos
Centros Médicos Acadêmicos/organização & administração , Promoção da Saúde/organização & administração , Cultura Organizacional , Qualidade da Assistência à Saúde/organização & administração , Fundações , Custos de Cuidados de Saúde , Necessidades e Demandas de Serviços de Saúde , Nível de Saúde , Humanos , Estados UnidosRESUMO
Despite the well-known benefits of youths engaging in 60 or more minutes of daily physical activity, physical inactivity remains a significant public health concern. The 2008 Physical Activity Guidelines for Americans (PAG) provides recommendations on the amount of physical activity needed for overall health; the PAG Midcourse Report (2013) describes effective strategies to help youths meet these recommendations. Public health professionals can be dynamic change agents where youths live, learn, and play by changing environments and policies to empower youths to develop regular physical activity habits to maintain throughout life. We have summarized key findings from the PAG Midcourse Report and outlined actions that public health professionals can take to ensure that all youths regularly engage in health-enhancing physical activity.