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Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Systematic Review/Meta-Analysis
This article is an overall summary of long COVID, its risk factors, and ways to address it. Many of the risk factors identified are clinical, yet some management options include self-treatment.
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, Systematic Review/Meta-Analysis
This literature review outlines support for mobile health clinics as a successful and cost-effective method of healthcare delivery, especially towards underserved populations. Although financial and logistical challenges exist when implementing mobile health clinics, they ultimately help eliminate common barriers to health access. “Serving as a stepping-stone between the clinic and the community, MHCs are able to address both medical and social determinants of health, and have the potential to play an important role in our evolving healthcare system.”
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:
Systematic Review/Meta-Analysis
This review offers to provide context for the indirect health effects of the COVID-19 pandemic thus far, including its impact on health service delivery and utilization. Results found an overall decrease in utilization of health services for non-COVID-19 related care, which could lead to an increase in chronic diseases in the future as patients are not receiving timely checkups.
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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Commentary
This articles discusses the need for policy that promotes equitable access to holistic support in pregnancy care to address racial disparities in maternal care. The authors outline recommendations to increase access to medical care and social support for pregnant patients, particularly for the most vulnerable.
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:
Commentary
This story is part of a series, “Race Matters.” It highlights the problems with inconsistent data collection and reporting for Native Hawaiians and Pacific Islanders. Native Hawaiians and Pacific Islanders are often grouped with Asians or not tracked at all.
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:
Systematic Review/Meta-Analysis
In an effort to help build the evidence base around social determinants of health (SDOH), the Assistant Secretary for Planning and Evaluation (ASPE) engaged RAND in a project to evaluate the current evidence from programs and policies targeting SDOH and identify research questions, data sources, and data gaps. RAND used a multi-methods approach that included an environmental scan of the published and gray literature of SDOH interventions; key informant interviews with subject matter experts; and a convening of U.S. Department of Health and Human Services agencies and operating divisions to review the results of the environmental scan and offer insights on findings.
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:
Systematic Review/Meta-Analysis
This systematic review examines COVID-19 literature on infections, hospitalizations, or deaths by race and ethnicity in the United States. Results found that Black and Hispanic populations experience higher rates of COVID-19 infection and COVID-19 related mortality, but similar rates of case fatality.
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:
Commentary
The authors discuss the need for a formal evaluation of the health equity impact of a new intervention, as these evaluations are hardly ever performed as part of a health technology assessment to understand its value. An evidence-based quantitative assessment of the health equity impact can help decision makers develop coverage policies, program designs, and quality initiatives focused on optimizing both total health and health equity, given the treatment options available. The authors outline the conceptual basis of how a new intervention can impact health equity and adopt distributional cost-effectiveness analysis based on decision-analytic models to assess this quantitatively, using a newly FDA-approved drug for Alzheimer’s disease (aducanumab) as an example.
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:
Systematic Review/Meta-Analysis
There are widespread concerns that ethnic minorities and migrants may have inadequate access to COVID-19 vaccines. Improving vaccine uptake among these vulnerable groups is important towards controlling the spread of COVID-19 and reducing unnecessary mortality. The data from this systematic review shows that low confidence in COVID-19 vaccines among Black ethnic minorities driven by mistrust and safety concerns led to high vaccine hesitancy in this group. For migrants, convenience factors such as language barriers, fear of deportation, and reduced physical access to COVID-19 vaccines. Building trust, reducing physical barriers and improving communication transparency about vaccine development through healthcare workers, and religious and community leaders can improve access and facilitate uptake of the COVID-19 vaccines among ethnic minority and migrant communities.
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.
RELEASE DATE:
Systematic Review/Meta-Analysis
Structural inequality during the pandemic has likely compounded health care access barriers for low-income individuals and people of color, who face not only disproportionate health risks, but also greater difficulty in transportation access and heightened economic hardship due to COVID-19. Partnerships between health and transportation systems hold promise for jointly addressing disparities in health- and transportation-related challenges, but are largely limited to Medicaid-enrolled patients. Findings of this study suggest that transportation and health care providers should look for additional strategies to ensure that transportation access is not a reason for delayed medical care during and after the COVID-19 pandemic. Transportation stakeholders need to collaborate to increase access to transportation services. This paper focused on specific health care needs including dialysis, prenatal care, cancer treatment, mental-health and substance use treatment, and health care for people with disabilities.