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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
In this project, RAND Corporation researchers identified existing health equity measurement approaches that might fit with Medicare’s VBP programs, quality reporting efforts, and confidential reports. The project had two objectives: identify health equity measurement approaches, and decide which of these approaches merit consideration for inclusion in Medicare’s VBP programs, quality reporting efforts, and confidential reports. This report describes the methods and findings of the project and delineates potential first steps for the U.S. Department of Health and Human Services to consider as it continues to evaluate the prospect of incorporating health equity measures and domains in Medicare’s VBP and reporting programs.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This study looks at survey data from the 2020 U.S. Household Pulse Survey to estimate the associations between state-specific mobility restrictions and well-being across historically excluded groups, including those groups at the intersections of race/ethnicity, sex, and income categorizations. Results found that low-income and African American populations are most likely to be affected by lockdown restrictions, including unemployment, food insufficiency, mental health problems, inaccessibility of medical care, rent or mortgage defaults, and class cancellations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article describes the survey results of 33 Black adolescents (ages 12-17) living in Southeastern United States during the COVID-19 pandemic. The survey illustrates stressors and barriers for these teenagers, citing financial issues, access to health care, and increased mental health strain as key issues during the pandemic. These answers could provide context for addressing issues within this population.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
This article examines the relationship between changes in health-related socioeconomic risks (HRSRs) and mental health for women ages 18-90 during the COVID-19 pandemic. Data was collected through a survey that asked questions about any patterns of change in HRSRs (food insecurity, housing instability, interpersonal violence, and difficulties with utilities and transportation). The results found that 40% of women had one or more prepandemic HRSRs, with an increase in HRSRs experience during the pandemic. The odds of depression, anxiety, and post-traumatic stress symptoms are two or three times higher among women who reported at least one HRSR.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
This study looks at COVID-19 ICU admission, hospitalization, and mortality rates for patients with schizophrenia in France. From February to June 2020, the study team analyzed patient data and compared those experiencing schizophrenia to those without severe mental illness. Results showed that those with schizophrenia are more likely to be admitted to the ICU and hospital and, ultimately, have an increased mortality rate than their control group. This disparity is more prevalent with age, as people older than 65 have a significantly higher rate of mortality.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
RELEASE DATE:
Peer Review Study
This study uses electronic medical records to categorize ethnic differences in clinical presentation and outcomes from COVID-19 among older adults. The data showed no difference in outcomes, hospitalizations, or death between older Hispanic adults and non-Hispanic patients with COVID-19.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This study examined telemedicine utilization patterns for one healthcare system during the COVID-19 pandemic to determine if environmental, racial or ethnic, or other social determinants of health impact an individual’s access and usage of telemedicine. Results showed that older age, rural status, and lower socioeconomic status, as well as Asian, Black, and Hispanic ethnicities are most likely to be associated with a lower telemedicine use. Efforts toward digital literary outreach and distribution of telemedicine infrastructure are needed.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
This study used data from Mass General Brigham in Boston, Mass., to identify the drivers of differences in use of telemedicine and telehealth during the COVID-19 pandemic. Results found that Hispanic adults older than 65 with limited English proficiency were more likely to experience a digital divide in health care.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
The aim of this study was to understand better perceptions of risk and responses to COVID-19 of members of the Muslim community living in the Northwest England, and to understand the facilitators and barriers to adherence to restrictions and guidance measures.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
The authors explored the ways Ultra-Orthodox Jews in Israel learned about the pandemic and examined their COVID-19-related decision-making. Drawing on the disproportionate magnitude of COVID-19-related morbidity on Israel’s Ultra-Orthodox Jews, the authors examined their processes of COVID-19 health decision-making. Survey results show that both religious and health-related justifications were common for personal decisions, yet a disparity was found between the ways social distancing guidelines were perceived in the general education context compared to a religious context, signaling the importance for inclusive models of science communication that account for religious sensibilities and state-minority relations.