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#social determinants of health
alwaysbewoke · 6 days
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dudeinthestacks · 11 months
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Haven’t had Big Emotions about Father’s Day in at least a decade. Today’s emotions are sponsored by my mother’s need to inform me that my dad’s brother got bumped up the organ donor list three years and would be receiving the same organ my dad died waiting on (it was not malicious, but she didn’t think about how the info would land before she called me), and by medical racism.
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truths89 · 2 years
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When the heart develops through an entrainment with malnutrition, the soul’s diet is a source of conflict, as life progresses; for the palate of one’s emotional appetite becomes so disordered that binging on avoidance leads to psychic anorexia.
Zisa Aziza
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living400lbs · 9 months
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"The link between sleep deprivation and stress to the development of chronic diseases is real. [My father] had major health issues at a young age: diabetes, obesity, high blood pressure, heart disease, and sleep apnea. An internalized grind culture set things in motion for an early death at fifty-five.
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Grind culture killed my father and is killing us physically and spiritually. Sleep deprivation is a public health issue and a racial justice issue. There is a large body of research that points to the sleep gap that exists between Black Americans and white Americans."
From Rest Is Resistance by Tricia Hersey
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m00narchives · 1 year
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Sometimes it feels like they do not want people to win- as in too much knowledge and power will be dangerous for the systems that are built against us. This is why CRT (critical race theory) is important to learn. You’ll see how institutional racism is ingrained within these organizations that keep people in a box. Why are fast food places more popular than healthy spots? Why not just make healthy foods affordable so everyone can access them? We are poisoning our bodies and not living to our full potential by feeding into these habits. Maybe if they were to put a sugar tax there would be less of a motive to buy it. But that is not always the person’s choice, there are a lot of social determinants that one has to consider: income, location, and accessibility. But if these foods were lowered in price and sold everywhere then it would be much easier to get a hold of them. Imagine how sharp we’d be if we eliminated processed foods and had grains and fish and beans. Getting sugar intake from fruits and not artificial sweeteners. A study that I will link below states how junk food can cause depression, proving my point of a consumer and capitalist cycle that then sends us to another market to buy something to treat that problem. The same goes for alcohol and drugs, they fuck with our brain chemistry and will slowly deteriorate all functions. Just like they have banned cannabis and mushrooms, plants and fungi that were NOT manmade and are natural. This is all the governments way of trying to be in charge of their society. These drugs allow us to dive deep in the subconscious and they do not want that?? WHY?!! People need to go beyond surface level thinking. These are sacred practices in some cultures that require a shaman and it’s for a reason- it’s spiritual and people here abuse it. Everything is a ripple effect. If we were eating nutritional foods we would naturally be more in touch with ourselves and society and the outside world. We’d have the capacity for other things beyond only ourselves. We’d have more compassion and sympathy.
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Studies show that Asian people live longer than white people because their lifestyles are much more balanced than white people. They exercise and eat nutrition filled foods. Americans are so lazy, the world offers so many different and free resources to utilize to workout and yet they don’t use it. You can walk around your block if you cannot afford a gym membership. You can stretch while watching TV, you can substitute chips for celery and peanut butter- a snack that only benefits anxiety but also helps with sleep. All alternatives to a pharmaceutical industry that seems to be the popular go-to.
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that-gay-jedi · 1 year
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I'm always surprised when I see people in places where weed is still illegal celebrating steps toward legalization bc I forget that not everyone knows how legal cannabis in Canada only further harmed the same people prohibition had been harming.
It basically put all the good dealers out of business and legitimized the shitty ones, screwed disabled people over in favour of ableds, suffused everything with a cringey weed mom culture with all the same fucked up elements as wine moms, and previous users are now paying more for a lower quality product that's worse for the environment.
Legalization did not bring decriminalization to the majority of people already serving time or living with a criminal record for it, did not reduce the racism involved, and all but halted research into remaining unknowns about how cannabis works.
What it did do was largely cause the kinds of people whose voices are most likely to be heard to forget about decriminalization, medical use, public education on cannabis, and so on. Apparently the only time moneyed, abled and/or white people cared about any of those issues was when it inconvenienced them and now that they can just buy from a government-run covid farm that looks like an Apple store it's out of sight, out of mind.
There's a broader lesson here about how social change does not always equal social progress and you can't trust any system built on exploitation and violence to do anything except find new and more egregious ways to be exploitative and violent.
The only cultural changes that improve things are ones which fundamentally alter how agency, worth, visibility and control are determined and distributed among the living beings belonging to or in contact with the impacted culture. Changes to specific taboos and norms are useless if they leave the load-bearing elements of injustices intact.
I'm already seeing the logical continuation of this in how hallucinogens that might be (re)legalized within my lifetime are being approached. Social assistance in Canada still won't cover anything except CBT and (some) medication, and even their coverage of CBT is tenuous (and the CBT that's covered is of dubious quality). You really think people who could benefit from new treatments are going to have them?
Whenever people excitedly share news about psilocybin-assisted psychotherapy being approved for certain patients or results of yet another study into the effects of such substances on lingering trauma symptoms etc etc I think, "Great, one more goddamn thing that traumatized people who are already struggling to access various broadly accepted or established treatments won't get to use."
It's all repainting the walls without replacing the rotten foundation. And the building is going to fall just as soon and just as hard as it was going to before, with just as many people inside.
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unrealcities · 2 years
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Although the physician presents himself as “the doctor who heals the wounds of humanity,” Fanon writes, he is in reality “an integral part of colonization, of domination, of exploitation.” Both the European colonial physician and the native Algerian physician are “economically interested in the maintenance of colonial oppression,” which yields them profit and elevated status. One of the chief services doctors provide to the perpetuation of oppressive systems, Fanon notes, is the use of scientific objectivity to obscure the role of politics in driving the sickness and death they dutifully treat and then bury in medical statistics.
Are Fanon’s criticisms of medicine’s complicity with politically structured violence relevant today for those of us working in the world’s richest health system? Though much separates us from 1950s Algeria, everyday life in the United States is also built on enduring systems of segregation and domination enforced by inequalities in policing, incarceration, education, economic opportunity, housing, and health care, driving thousands of preventable deaths each year. And as has been made especially clear during COVID-19, the U.S. economy has long operated by treating low-paid workers as expendable. Alongside these conditions, American physicians enjoy distinctive status and economic privileges, including highest-in-the-world physician incomes that are, on average, almost ten times greater than those of their patients.
Although they treat the sequelae of poverty every day, doctors in the United States have historically failed to use their collective influence to address political etiologies of disease. Now, for the last year, the pandemic has preyed on America’s racial and economic inequalities. This reality has awakened many more doctors to the political determinants of health—the fact that health is not just about health care and is inseparable from power and political struggle. It has also fractured the traditional medical objectivity that records politics as biological misfortune. During the pandemic, calls for equity, justice, and decolonization have grown louder within health care, echoing traditions of social medicine that have long been relegated to the fringes of American medicine.
- Eric Reinhart, Medicine for the People
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broadlyepi · 3 months
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MMWR Booster #38:  Racial and Ethnic Disparities in Outpatient Treatment of COVID-19 ― United States, January–July 2022
Top 5 Takeaways
Pronounced Disparities: From April to July 2022, Paxlovid treatment among COVID-19 patients aged ≥20 years was significantly lower for Black (35.8% less) and Hispanic (29.9% less) patients compared to White and non-Hispanic patients, respectively.
Increased Paxlovid Use Over Time: The percentage of COVID-19 patients treated with Paxlovid rose from 0.6% in January to 34.3% in July 2022, though this increase was not equally distributed among all racial and ethnic groups.
Underlying Factors: Factors contributing to these disparities include limited access to treatment facilities in high-poverty, majority-minority areas, previous negative healthcare experiences, and potential biases in healthcare provision.
Immunocompromised Patients Affected: Racial and ethnic disparities in treatment were more pronounced among high-risk patient groups, including those aged ≥50 years and those who were immunocompromised.
Public Health Implications: Addressing these disparities requires expanding awareness and access to COVID-19 treatments, particularly among high-risk groups and minority communities.
Full summary link: BroadlyEpi.com
Enjoying these summaries? Check back every day at 8am and 4pm Pacific Time (UTC - 8) for a new MMWR Booster. A reblog would also be greatly appreciated, and thanks to everyone who already has! BroadlyEpi hopes to make Epidemiology and Public Health more approachable to anyone who's interested.
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innonurse · 4 months
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Study: Generative AI models can effectively highlight social determinants of health within doctors’ notes
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- By InnoNurse Staff -
Because patients' social circumstances are frequently under-documented in electronic health records, a finely calibrated algorithm created by Mass General Brigham investigators may aid clinical care and research.
Read more at Mass General Brigham
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Other recent news and insights
AI-powered eye exams enhance screening rates for diabetic youth, according to a study (Johns Hopkins Medicine)
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harmonyhealinghub · 7 months
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The Crucial Need for Indigenous Health Care: Honouring Cultural Identity and Overcoming Disparities
Shaina Tranquilino
October 5, 2023
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Indigenous communities around the world have rich cultural traditions spanning thousands of years. Yet, these communities often face significant health disparities compared to non-Indigenous populations. Addressing this imbalance requires recognizing the importance of Indigenous health care, not only as a means to improve well-being but also as a way to honour their unique cultural identity. In this blog post, we will explore the significance of Indigenous health care and highlight the steps necessary to bridge the gap in healthcare access and outcomes.
Preserving Cultural Identity:
Indigenous people possess distinct knowledge systems regarding wellness, healing practices, and medicinal plants that are deeply rooted in their culture and ancestral wisdom. By incorporating traditional healing methods into mainstream healthcare services, we can foster an environment that respects and preserves their cultural identity. This integration enables Indigenous individuals to feel more comfortable seeking medical assistance while ensuring their treatment aligns with their beliefs and values.
Holistic Approach:
Indigenous health care emphasizes holistic approaches to well-being, considering physical, mental, emotional, and spiritual aspects as interconnected elements of one's overall health. Traditional healers or medicine people play a vital role in delivering culturally appropriate care by addressing not only symptoms but also underlying causes of illnesses. Incorporating these holistic approaches into mainstream healthcare can enhance patient-centred care models for all populations.
Overcoming Health Disparities:
Health disparities faced by Indigenous communities are multifaceted, stemming from historical trauma, social determinants of health, limited access to quality healthcare facilities, discrimination within the healthcare system, and inadequate funding for Indigenous-specific programs. Recognizing these barriers is crucial in designing policies and interventions aimed at reducing such inequities.
Culturally Competent Healthcare Providers:
To deliver effective Indigenous health care, it is essential to train healthcare providers on culturally competent practices. Culturally competent care acknowledges diverse perspectives and ensures patients' cultural beliefs and practices are respected. By fostering empathy, understanding, and inclusivity among healthcare professionals, we can cultivate an environment where Indigenous patients feel comfortable seeking care and have their unique needs met.
Collaboration and Community Engagement:
Engaging Indigenous communities in the decision-making process regarding their own health is paramount. Collaboration between governments, local authorities, healthcare providers, researchers, and Indigenous leaders can help identify community-specific health challenges and develop tailored interventions. Active involvement of Indigenous peoples in designing healthcare policies ensures that solutions are culturally appropriate and sustainable.
Investing in Infrastructure:
Improving infrastructure within Indigenous communities is essential to enhance access to quality healthcare services. This includes increasing the number of clinics, hospitals, and healthcare professionals within these areas while prioritizing culturally sensitive environments that respect traditional healing practices. Additionally, improving transportation systems and telehealth initiatives can bridge geographical barriers faced by remote communities.
Recognizing the importance of Indigenous healthcare goes beyond addressing disparities; it is about honouring diverse cultures, preserving ancestral knowledge, and ensuring equitable access to quality healthcare for all. By valuing holistic approaches to well-being, investing in infrastructure development, promoting cultural competence among healthcare providers, and engaging with Indigenous communities directly, we can take significant strides towards achieving health equity for Indigenous populations worldwide. Only through collective efforts can we forge a path towards a future where every individual's right to good health is upheld without compromising their cultural identity.
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roshni99 · 9 months
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doctorbonzo · 10 months
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Introducing:
HEALTH EQUITY - A Guide for Clinicians, Medical Educators, & Healthcare Organizations”
In the book I admit to my own past mistakes related to 12 thematic elements of health inequities. Then I present a framework for achieving health equity by using evidence-based strategies to overcome personal biases and systemic barriers that exist for each of these elements and their related patient groups.
I hope you enjoy it! Link for pre-sales below!
https://publishyourgift.lpages.co/bonzo/
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nuadox · 1 year
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HIMSS23: Day 4 highlights
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- By Danielle Siarri , Nuadox -
Here are our Day 4 highlights of the 2023 HIMSS Global Health Conference & Exhibition in Chicago (April 17-21).
Executives from Snowflake, Elevance Health, the U.S. Department of Veteran Affairs and ABACUS Insights had an interesting session on data science and health outcomes. A key point was that legacy technology, if not properly managed, can exponentially derail digital transformation plans.
Christopher Kunney, Senior VP of Digital Acceleration at Divurgent, and a member of the HIMSS Global Equity Committee gave a mini interview; talked about social determinants of health and cultural bias.
Read Also
HIMSS23: Day 1 highlights
HIMSS23: Day 2 highlights
HIMSS23: Day 3 highlights
HIMSS23: Day 5 highlights
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Most Effective Social Determinants of Health
Upwell Search Partners is one of the leading retained search firms that have healthcare executive recruiters who can help healthcare search firms ingrain complex recruiting experience by providing the right insights, people, and culture on digital healthcare. https://upwellsearchpartners.com/executive-search/
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comrademango · 1 year
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Coworker's daughter's cesarean section cost them 100k Php in a private hospital with Philhealth deductions that's fucking sick
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nationallawreview · 1 year
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Environmental Justice Update: EPA Announces $100 Million in EJ Grants to Local Groups and Issues Guidance Outlining Potential Federal 'Cumulative Impact' Claims
“Environmental justice” (EJ) continues as the primary leitmotif of Biden Administration environmental policy in the first weeks of 2023. Below, we unpack two recently announced EJ efforts: a grant program for groups in environmentally overburdened communities and guidance on legal resources to address “cumulative impacts” issued by the US Environmental Protection Agency’s (EPA) Office of Legal…
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