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Established Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by previous studies that are consistent with the objectives of the activities.
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Peer Review Study
This study assessed differences in COVID-19 cases and mortality rates in traditional nursing homes and Green Houses. Green Houses are smaller, more intimate residential living environments that promote personalized care and more tight-knit communities of residents and care givers. Using CMS data, researchers found that, adjusting for age, gender, and disability status, small and large nursing homes had higher COVID-19 cases and mortality rates compared to Green Houses.
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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Case Study
The El Bari Clinic launched a telemedicine initiative during the COVID-19 pandemic to reduce in-person visits and reduce transportation as a barrier to accessing health care. This cases study notes that the clinic offers patient-centered and culturally competent care to under and uninsured community members, which largely includes working-class ethnic minorities.
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 details an analysis of data from the University of Maryland family medicine and immediate care (UFM) practices to examine an association between COVID-19 infections and demographic and socioeconomic factors. Results found that Black and Hispanic patients were more likely test positive for COVID-19, and those living in areas with a high Area Deprivation Index score experienced higher risks of infections.
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 discusses the use of wastewater surveillance to indicate new levels of COVID-19 or other infection in congregate housing settings. The study sampled wastewater from a hospital and a wastewater treatment plant to detect levels of COVID-19 in the individuals residing in the hospital. The results were able to indicate levels of COVID-19 in the wastewater, but were unable to distinguish between new infection levels and residual viral shed from previously infected patients. This study shows the potential of wastewater management, and calls for the increased refinement of the process to more accurately monitor viral spread in vulnerable living situations.
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 compares Veterans Association (VA) Electronic Health Records data with county-level sociodeterminant factors to determine correlations between income inequality and COVID-19 incidence rates for veterans. Results found that female, Black, urban, low-income, and disabled veterans are more likely to test positive for COVID-19.
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 looked at COVID-19 surveillance and outcome data and analyzed positivity rates, hospitalizations, and mortality rates by sociodemographic and comorbidity factors to determine if specific factors are associated with a higher likelihood of COVID-19 infection. Results found that non-Hispanic Black people and Hispanic individuals had higher infection rates.
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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White Paper/Brief
This brief outlines The Public Health Alliance of Southern California’s priority areas for elevating public health & equity in the COVID-19 response. This includes outlining what is needed in infrastructure, health and safety, economic security, food security, housing stability, and data.