Topic Page for Lunch Break Reading
links for 2008-8-29
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Download the full report.
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A sweeping new report by the World Health Organization challenges governments to improve world health through smart social policy
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Posted by: David Porter on August 29, 2008
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Category: Lunch Break Reading
links for 2008-8-27
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A Case Study of Intra-institutional Determinants of Uncompensated Care at Healthcare Institutions With Differing Ownership Models.
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African-American children are 40 percent less likely to have preventive dental sealants than their white classmates. Among adults aged 35 to 44 years, 40 percent of African-Americans have tooth decay as compared to 23 percent of whites, according to the U.S. Department of Health and Human Services.
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Posted by: David Porter on August 27, 2008
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Category: Lunch Break Reading
links for 2008-8-26
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Small-town medicine in the Internet age
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U.S. nonprofit hospitals face mounting pressures that could adversely affect their bottomlines, according to reports released on Monday.
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Role model or rotten failure? That's what lots of Americans are asking themselves these days about Canadian healthcare.
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Posted by: David Porter on August 26, 2008
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Category: Lunch Break Reading
links for 2008-08-25
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According to a review of lobbyists' spending in Washington, D.C. during 2007, the health care industry itself spent $445 million dollars (nearly half a billion dollars) on lobbying contributions, 15.9% of all lobbying money spent during that calendar year.
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Four in 10 Americans had trouble paying for medical care in 2007, according to the Commonwealth Fund's latest study on medical debt.
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Posted by: David Porter on August 25, 2008
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Category: Lunch Break Reading
links for 2008-08-23
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In my work as a nurse care manager for inner city Latinos over the course of the last decade, I have witnessed first-hand how culturally appropriate health care can be delivered to under-served populations despite barriers of language, education, and socioeconomics
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Paddlings, swats, licks. A quarter of a million schoolchildren got them in 2006-2007 - and blacks, American Indians, and children with disabilities got a disproportionate share of the punishment, according to a study.
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Posted by: David Porter on August 23, 2008
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Category: Lunch Break Reading
links for 2008-8-22
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In my work as a nurse care manager for inner city Latinos over the course of the last decade, I have witnessed first-hand how culturally appropriate health care can be delivered to under-served populations despite barriers of language, education, and socioeconomics
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Paddlings, swats, licks. A quarter of a million schoolchildren got them in 2006-2007 - and blacks, American Indians, and children with disabilities got a disproportionate share of the punishment, according to a study.
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Posted by: David Porter on August 22, 2008
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Category: Lunch Break Reading
links for 2008-08-21
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Shifting financial responsibility to individuals has been an uphill climb.
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Diet, genetics, lifestyle and environmental factors could explain the higher rates of liver, stomach and gallbladder cancers.
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A 30-year-old Mexican man in a coma at the University of Illinois Medical Center at Chicago has ignited a dispute over a little-known practice
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Posted by: David Porter on August 21, 2008
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Category: Lunch Break Reading
links for 2008-08-13
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A Pew Hispanic Center report released today found that more than one-fourth of Hispanic adults in the U.S. lack a regular health care provider.
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A higher proportion of people in Appalachia abuse prescription painkillers than in the rest of the nation, and the problem is even greater in coal-mining areas such as Eastern Kentucky, according to a federal study.
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The report also states more safety-net hospitals are restricting care for uninsured people out of their areas -days after The Plain Dealer's report on MetroHealth's decision to block care to out-of-county patients.
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A Lorain County health center that served more than 12,000 low-income patients last year is running out of money and in danger of closing by year's end.
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The investigators report that stroke fatality at discharge was 5.7 percent among subjects younger than 59 years of age, 8.6 percent among those between the ages of 60 and 69 years, 13.4 percent among those 70 to 79 years old, and 24.2 percent among those 80 years of age and older.
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Hospitals meant to serve the indigent are increasingly looking for ways to shun them.
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Posted by: David Porter on August 13, 2008
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Category: Lunch Break Reading
links for 2008-08-12
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The NHS enters its 61st year in pretty good shape. However, despite improvements in health, there are enduring and widening health inequalities which should dampen the birthday celebrations.
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Volunteer clinicians play a critical role in the current U.S. safety-net health care system and in many health care coverage expansion proposals. Yet, bureaucracy and red tape make it excruciatingly difficult for well-intentioned clinicians to donate their time.
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The president of the Navajo Nation has vetoed a ban on smoking and chewing tobacco in public places.
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As an African American woman, a physician, and a reproductive-health specialist, I see on a daily basis the real-life consequences of unequal access to good health care.
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When we wrote last month about some new rules mandating better manners among hospital staff, it didn't occur to us that doctors were actually throwing scissors.
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Posted by: David Porter on August 12, 2008
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Category: Lunch Break Reading
links for 2008-8-11
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People who've exchanged wedding vows tend to be healthier than their single, divorced or widowed peers, but new research shows that health gap may be narrowing.
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Blogs written by medical professionals may pose a threat to patient privacy, because the authors of the blogs may inadvertently reveal patient information, says a U.S. study that's the first to examine the issue.
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A new report says Pacific Islanders are more likely than other King County ethnic groups to smoke, to have premature and unhealthy babies, to die young, and to be obese and poor.
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Posted by: David Porter on August 11, 2008
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Category: Lunch Break Reading
links for 2008-08-08
Male and Female Adult Population Health Status in China
Males had better health status than females in terms of self-perceived wellbeing, presence of illness, chronic disease, and quality of life.
Medicaid patients in Columbus may soon have one hospital choice
Medicaid patients in Franklin County may soon have just one choice of a hospital system after OhioHealth and Mount Carmel hospital systems announced plans to end contracts with Medicaid managed-care plan
The Dutch Health System: A Performance Report
The Dutch health care system obliges everyone living in the Netherlands to be insured against health costs. Hence, a basic package of health care is accessible to everybody.
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Posted by: David Porter on August 08, 2008
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Category: Lunch Break Reading
links for 2008-08-07
Perceived Medical Discrimination and Cancer Screening Behaviors of Racial and Ethnic Minority Adults
Researchers find a link between perceived medical discrimination and cancer screening behaviors.
HIV drug resistance found in China's poorest
More than 17 percent of HIV patients being treated for their infection in China developed resistance to available drugs by 2006 and 2007, according to a new nationwide survey.
Hospitals Charged With Using Homeless to Defraud Medicare
One of those stories you have to read to believe.
Ontario doctor uses lotteries to pare down patient list
Doctors in Canada are playing the lottery
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Posted by: David Porter on August 07, 2008
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Category: Lunch Break Reading
links for 2008-08-06
Millions of uninsured with chronic conditions not getting needed services
Most of the uninsured with chronic diseases, the study found, forgo doctor's visits and instead rely solely on emergency room visits for care.
Child health in India, China key to attaining world health goals
Despite stunning economic growth in China and India, child mortality rates remain high amid widening health disparities in the world's two most populous countries, a UN report said Tuesday.
Beckley conference on minority health disparity
The Fourth Minority Health Disparities in Rural Appalachia Conference is scheduled to take place Aug. 7 and 8 in Beckley.
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Posted by: David Porter on August 06, 2008
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Category: Lunch Break Reading
links for 2008-08-05
Picture project helps MetroHealth patients reduce blood pressure
A picture's worth a thousand pills.
School Districts launch diabetes program for Native American Youth
One in three Americans will develop diabetes in their lifetime, and the rate is even higher among American Indians.
Growing Epidemic in Gay and Bisexual Men in the United States
"The new estimates confirm that a vast majority of new infections in the U.S. occur in gay and bisexual men, and that Blacks are significantly more heavily impacted than other racial/ethnic categories. However, the data fail to clearly link the two, perpetuating a longstanding, damaging polarization," explained Walt Senterfitt, CHAMP board co-chair and an epidemiologist living with HIV who served as a Visiting Scientist at CDC's Division of HIV/AIDS Prevention. "We need CDC to clearly show the HIV incidence numbers in gay men and other MSM of color."
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Posted by: David Porter on August 05, 2008
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Category: Lunch Break Reading
links for 2008-08-04
Los Angeles Bars Hospitals from Dumping Homeless Patients
In Los Angeles, a new city ordinance makes it a misdemeanor for health facilities to transport a patient to a place other than his or her residence without written consent, the WSJ reports.
Immigrants Facing Deportation by U.S. Hospitals
What happened next set the stage for a continuing legal battle with nationwide repercussions: Mr. Jiménez was deported — not by the federal government but by the hospital, Martin Memorial.
Care for poor grows heavier for downtown Detroit hospitals
When it comes to the national problem of caring for the rising numbers of uninsured, Detroit is the canary in the coal mine.
Dilemma of declining revenues and patient care
Health providers want to provide quality care and improve patient satisfaction. Really, they do. It's just that pesky problem of declining reimbursements getting in the way of meeting those two key business objectives.
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Posted by: David Porter on August 04, 2008
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Category: Lunch Break Reading
links for 2008-07-31
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FLorida health department figures show that from 2000 to 2006, the number of black-infant deaths in Orange County increased from 41 to 61 a year. In 2000, a black baby died every 11 days. In 2006, it was every six days.
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An individual’s health is affected by her social world, and that world can shift dramatically when the distance between the rich and poor widens. With a secure income people have a sense of control of their lives. But, when people adopt a pattern of con
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Minority patients and those with lower SES were less likely to have survival knowledge and more likely to be uncertain as to recurrence. Location of treatment and provider characteristics did not affect knowledge disparities.
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Posted by: David Porter on July 31, 2008
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Category: Lunch Break Reading
links for 2008-07-30
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Data from the federal Centers for Disease Control and Prevention show that a nearly decadelong decline in infant-mortality rates has stalled, and that African-American children are twice as likely as white babies to die before their first birthday.
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Posted by: David Porter on July 30, 2008
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Category: Lunch Break Reading
links for 2008-07-29
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Under a new law, the fats long linked to health problems must be excised from restaurants and retail baked goods.
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From what has been called a perfect storm of disgruntled patients, legislators and medical professionals, the quality movement in health care has been born.
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OMNA on Tour is a traveling education program designed to inform communities around the nation about the significance and impact on community well-being of ethnic and racial disparities in mental health.
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African-American infants are more than twice as likely as white infants to die before their first birthday, and the racial gap has gotten wider over time. That startling statistic has prompted efforts to address race-based disparities in infant mortality,
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In 2005... 87 percent of all Franklin County homicide victims younger than 18 were black. “And they're roughly 20 percent of the population,” said Kathleen Cowen of Columbus Public Health. “So that's the disparity.”
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Posted by: David Porter on July 29, 2008
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Category: Lunch Break Reading
links for 2008-07-28
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Posted by: David Porter on July 28, 2008
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Category: Lunch Break Reading
links for 2008-07-24
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...if you live in the American South, chances are you take more medications than you would if you lived on the other side of the Mason-Dixon Line.
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In recent years many children in CA have moved from private insurnace to public programs. Looming budget cuts may leave those children uninsured.
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Using kidneys from donors who died of cardiovascular causes may help reduce disparities for black patients awaiting a kidney transplant, says a study by researchers at the Johns Hopkins Medical Institutions.
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Posted by: David Porter on July 24, 2008
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Category: Lunch Break Reading
links for 2008-07-23
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The reports, one on men's health disparities and the other on the status of women and girls, are both "part of a project we started last year to look at the needs of the community," said Claude-Alix Jacob, the city's chief public health officer. "We want
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With gas prices hovering around $4 a gallon, my patients are cutting back on medical care. A 59-year-old woman decided not to have a mammogram this year. At her age, she should be screened for colon cancer, too, but she is holding off until she becomes el
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Jill McGivering investigates if there can be a health system which provides universal access, quality care and a healthier population at an acceptable price. (MP3)
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Government rhetoric on choice and localism rings hollow in a community where more and more decisions are being taken by agencies in which we have no say.
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Americans expect that our children will be better off than their parents, and that scientific breakthroughs will eventually conquer disease. Evidence that health care in this country is slipping backward is, therefore, deeply troubling.
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Posted by: David Porter on July 23, 2008
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Category: Lunch Break Reading
links for 2008-07-22
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When Planned Parenthood representatives began handing out free condoms during an information session with recent Vietnamese immigrants in Orange County last year, a hush fell over the room.
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representatives from seven South Dakota tribes discussed health issues with Sanford officials and former U.S. House speaker Newt Gingrich. The health disparities research center, which is one of Sanford's five research institutes, works with 27 different
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"Up until now, previous reports have shown that with non-small cell lung cancer, the differences (between the races) in survival rates may have had something to do with biological differences," Bryant said. "We wanted to evaluate that: Is there really a b
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Posted by: David Porter on July 22, 2008
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Category: Lunch Break Reading
links for 2008-07-21
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peer nutrition education has a positive influence on diabetes self-management and breastfeeding outcomes, as well as on general nutrition knowledge and dietary intake behaviours, among Latinos in the US.
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Comparing the way people of different races and incomes get prescriptions may sound like an obscure bit of research.
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last week the 61-year-old was told he could have the free treatment if he paid Health at Home nurses £1,000 a month to administer it. Mr Clark faces having to come up with the cash if he decides to go ahead.
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Posted by: David Porter on July 21, 2008
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Category: Lunch Break Reading
links for 2008-07-18
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Global warming will affect the health and welfare of every American, but the poor, elderly, and children will suffer the most, according to a new White House science report released Thursday.
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Global variation in cancer survival was very wide. 5-year relative survival for breast, colorectal, and prostate cancer was generally higher in North America, Australia, Japan, and northern, western, and southern Europe, and lower in Algeria, Brazil, and
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Posted by: David Porter on July 18, 2008
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Category: Lunch Break Reading
links for 2008-07-17
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American medical care may be the most expensive in the world, but that does not mean it is worth every penny.
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The United States of America is becoming less united by the day. A 30-year gap now exists in the average life expectancy between Mississippi, in the Deep South, and Connecticut, in prosperous New England. Huge disparities have also opened up in income, he
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Kent State officials are considering a plan to create a school of public health. It would be the second public health school in Ohio.
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Editorial cartoon on kids and prescription drugs
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Posted by: David Porter on July 17, 2008
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Category: Lunch Break Reading
links for 2008-07-16
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Lying in her hospital bed, Jeronna Pierre was told the baby girl she carried for eight months had died in her womb. Nine months later, at three months pregnant, she lost a baby again. Pierre, an Aventura resident, is part of a disturbing trend in Miami-Da
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One of the primary topics of discussion at the NAACP’s 99th Convention, being held this week in Cincinnati, is health disparities affecting the African-American community.
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Posted by: David Porter on July 16, 2008
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Category: Lunch Break Reading
links for 2008-07-14
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Letting outside auditors scour Medicare bills sure can turn up a lot of overbilling. A pilot program that netted the government nearly $700 million from three states is now being expanded to recover more Medicare money gone astray.
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Americans forked over $49 billion for pet products and services last year, up $11.5 billion from 2003; other than consumer electronics, pet products are the fastest-growing retail segment.
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Interesting article on inequality and the need for institutional change.
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f your provider says that some medication will be helpful to you, it is very important that both you and your provider handle your prescriptions in a responsible way to be sure you are getting what you need. The following steps can help you with your pres
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Posted by: David Porter on July 14, 2008
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Category: Lunch Break Reading
links for 2008-07-11
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When children see others in pain, their brains respond as if it were happening to them, U.S. researchers said on Friday.
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The medical profession must have diversity in the physician workforce—equivalent to that in the general population—and equity in health care delivery for all persons. A unity of purpose must be achieved among all physicians, and the associations that
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This is called a "silent health crisis," because society often does not focus on men's health, while men tend to lead unhealthy lifestyles and take more risky behaviors than women, the Duval County Health Department reported.
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Posted by: David Porter on July 11, 2008
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Category: Lunch Break Reading
links for 2008-07-10
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The American Medical Association is issuing a formal apology for more than a century of discriminatory policies that excluded blacks from participating in a group long considered the voice of U.S. doctors.
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We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand.
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Posted by: David Porter on July 10, 2008
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Category: Lunch Break Reading
links for 2008-07-09
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A 15-year-old boy who needs a new liver has been taken off a hospital's waiting list because of his unstable home life, the Miami Herald reports.
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I know it seems ridiculous that a sparsely-populated rural area would need THREE hospitalist programs, but you might appreciate some of the subtleties after reading the following.
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More and more doctors are fed up with private insurers. It’s not just a question of how stingy they are, but how difficult it is to get reimbursed. Paperwork, phone calls, insurers who play games by deliberately making reimbursement forms difficult to
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he preferred treatment for kidney failure is an organ transplant. But although African-Americans suffer from kidney disease at higher rates than whites, they are less likely to be referred for transplants, less likely to be placed on a waiting list and le
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In reviewing the charts of 4,556 white patients and 2,258 black patients treated by 90 physicians, researchers found that black patients often had worse outcomes than white patients.
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Across the state, minorities and residents of rural areas are under-represented in cancer trials, according to a new study from University of Maryland researchers. And the study found that rates of participation among African-Americans are dropping.
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Posted by: David Porter on July 09, 2008
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Category: Lunch Break Reading
links for 2008-07-08
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African-American children with mild to moderate kidney disease have worse anemia than their white counterparts, report researchers from the Johns Hopkins Children's Center in what is believed to be the first study of anemia among children with milder fo
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About one-fifth of Americans live in rural areas, and providing health care to them is a challenge financially and logistically. Only 10 percent of the nation's doctors practice in rural areas, and rural residents tend to be poorer and less likely to have
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With the release of a study that details how Cambridge men are dying at higher rates than their female counterparts, the Cambridge Public Health Department is moving forward with its programs targeting men’s health.
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Humphreys’ book indicts many people in power in the government, the Sanitary Commission, and the army for decisions "great and small, careless and deliberate" that doomed thousands of black soldiers to an early grave. The historian’s tale, however, ca
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Posted by: David Porter on July 08, 2008
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Category: Lunch Break Reading
links for 2008-07-07
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Now through mid-October, a series of ''local conversations'' will take place in Akron and 13 other Ohio communities as part of a national effort to determine the barriers to health-care equality for blacks, as well as Asian-Americans, Native Americans and
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With the health of Maori in this district showing little improvement, it was time to set a date for equality, said Maori Ora Associates senior health adviser Dr Peter Jansen.
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Quality improvement rates are lower than widely documented increases in health care spending. The Centers for Medicare & Medicaid Services estimate health care expenditures rose by a 6.7 percent average annual rate over the same period.
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This paper serves as a blueprint for translating principles for the elimination of racial–ethnic disparities in health care into specific actions that are relevant for individual clinical practices. We describe what is known about reducing racial–ethn
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Posted by: David Porter on July 07, 2008
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Category: Lunch Break Reading
links for 2008-07-03
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The gulf between rich and poor is still wide, with a high degree of inequality, the author of a study ranking New Zealand's richest and poorest areas says.
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Does the UK have one health system or four?
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Posted by: David Porter on July 03, 2008
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Category: Lunch Break Reading
links for 2008-07-02
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There is reason to believe that these concepts promoted for the developing world broadly apply within the United States. More than 11 million southern, low-income, and urban blacks have health outcomes worse than residents of low- to middle-income develop
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The Center for Community Solutions hopes that a two-year community dialogue project it recently wrapped up will result in more men accessing more local health services.
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On June 19, a woman collapsed and lay face down on the floor of the waiting room at a Brooklyn hospital for an hour before anyone checked on her. By that time, she was dead.
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The study looks at the prevalence of asthma among 10 racial and ethnic groups in New York City and how housing and neighborhood conditions can contribute to a disparity in prevalence.
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Posted by: David Porter on July 02, 2008
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Category: Lunch Break Reading
links for 2008-07-01
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Health officials found the overall death rate for males in Cambridge was 34 percent higher than for females. Men also had higher rates of death from heart disease and cancer, as well as a greater chance of becoming infected with HIV/AIDS, according to the
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Parenting while poor almost always leads to suspicion. At least 60 percent of child-welfare cases in the United States involve solely allegations of neglect, usually for inadequate food, clothing, shelter or inadequate supervision or guardianship. Not sur
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Posted by: David Porter on July 01, 2008
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Category: Lunch Break Reading
links for 2008-06-30
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A national study conducted by UC Davis researchers reveals that blacks, Asians and Hispanics are less likely to undergo colorectal cancer screening than whites. Among blacks and Hispanics, the disparity in screening appears to be primarily due to socioeco
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"There is very strong evidence that hospital staff are more likely to suspect drug use on the part of black mothers and these mothers are more likely to have their children removed and put in foster care," said Dorothy Roberts, the Kirkland & Ellis profes
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Posted by: David Porter on June 30, 2008
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Category: Lunch Break Reading
links for 2008-06-27
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A new study suggests that American men are much more likely than women are to be unaware that they suffer from high blood pressure. African-American men with the condition are at the highest risk, with only one in seven both aware of their illness and ab
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One in five people put off a trip to the doctor or went without health care last year, often because of money.
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Will there be universal internet access before universal health care?
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A wonderful post by Dr. Val
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Posted by: David Porter on June 27, 2008
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Category: Lunch Break Reading
links for 2008-06-26
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As it stands, the contours of the national health system are steep and uneven. Health care quality, like education or justice, is one yardstick by which to measure nationhood as designated by functioning national institutions. More should be done by polic
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Until he was 17, Charles Goodwin spent most of his teen years living with foster families and interacting with caseworkers who never fully understood him for a basic reason: None shared his Native American heritage.
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[M]embers of the N.C. Commission of Indian Affairs, spoke Wednesday about their work to improve access to education, reduce health disparities, encourage economic development and preserve cultural identity. The American Indian Center at UNC-Chapel Hill or
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Posted by: David Porter on June 26, 2008
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Category: Lunch Break Reading
links for 2008-06-25
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The number of underinsured has risen by 60 percent since 2003. When added to those who are uninsured at some point during the year, 42 percent of all adults—and 72 percent of those with incomes below twice the poverty level—are inadequately or unstabl
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A study by the Agency for Healthcare Research and Quality found that lower-income children made almost twice as many visits to hospital emergency departments than higher-income children in 2005.
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Black men in Jacksonville, Fla., are less likely than white men to have a primary care physician or health insurance, according to a recent report by the Duval County Health Department, the Florida Times-Union reports.
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Availability of the gold standard treatment for heart attack varies across England and Wales, a report says.
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Posted by: David Porter on June 25, 2008
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Category: Lunch Break Reading
links for 2008-06-24
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How do you navigate the complex U.S. health care system? Easy, you hire a $100,000/year tour guide.
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"Despite all the worsening economic news we are hearing - from the housing slump, to gas surpassing $4 a gallon, there is some light. We do not have to face a darker economic outlook in health care if we properly address health disparities. That's a cost
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Determinants of racial/ethnic CRC screening disparities vary among minority groups, suggesting the need for different interventions to mitigate those disparities. Whereas socioeconomic, access, and language barriers seem to drive the CRC screening dispari
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[John Babb] cited estimates that place the number of medically uninsured Latinos in the United States at around 37 percent. The number of uninsured for the rest of America is at 16 percent. He estimated that only one of 11 Latinos with a mental health dis
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..children across the city experienced many improvements in health, economic and educational status during 2006 – yet disparities in health, wealth and opportunity for New York City's young persist between various neighborhoods and ethnicities, accordin
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Overcrowded hospitals that try to cope with growing patient loads by churning them through more quickly may be helping the spread of drug-resistant germs, Australian researchers
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Posted by: David Porter on June 24, 2008
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Category: Lunch Break Reading
links for 2008-06-23
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Officials say the region's No. 1 health care disparity is the lack of a Level 2 trauma center, which provides comprehensive trauma care and 24-hour availability of essential personnel and equipment. Last week's announcement that the trauma center at St. J
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Cancer patients with low socioeconomic status (SES) have more advanced cancers at diagnosis, receive less aggressive treatment, and have a higher risk of dying in the five years following cancer diagnosis, according to a new study. The study, which will a
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The report by the Florida Council for the Social Status of Black Men and Boys highlights a number of disparities between black males and the rest of society:
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Citing other disparities, such as how the poor must pay more for utility deposits, [Barbara Ehre