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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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Journal
This editorial from The Lancet Respiratory Medicine discusses the growing public health crisis of Long COVID. It highlights that over 65 million people worldwide are estimated to have post-acute sequelae of COVID-19, and there is an urgent need for preventive, rehabilitative, and therapeutic strategies to address this issue. The article emphasizes the importance of vaccination against SARS-CoV-2 in reducing the risk of Long COVID and mentions the potential benefits of early outpatient treatment in preventing it. However, challenges remain in defining Long COVID, diagnosing it reliably, and understanding its causes and mechanisms. The article calls for large-scale research initiatives to explore these aspects, identify diagnostic and prognostic biomarkers, and develop targeted interventions. It also emphasizes the importance of considering the needs of vulnerable populations and providing patient-centered care for Long COVID.
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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White Paper/Brief
This study from the American Journal of Managed Care identifies the main factors influencing the implementation and sustainability of cross-sector data sharing between a community-based organization and an academic medical center via a case study of the Mid-Ohio Farmacy (MOF) produce referral program. The MOF is a unique program developed by the Mid-Ohio Food Collective and Ohio State University Wexner Medical Center (OSUWMC) to provide food insecure patients who have a qualifying chronic condition with money to purchase produce from food pantries on a monthly basis. Researchers conducted a series of key informant interviews with OSUWMC and Mid-Ohio Food Collective representatives to characterize the challenges of data sharing between the academic medical center and the community-based organization. Challenges were grouped into three main buckets: data sharing regulations, data exchange capabilities, and cross sector data integration. Some keys findings from this paper include the need for clarification around HIPPA regulations for data exchange between covered and non-covered entities, the importance of incorporating social-risk data (such as a food security screening tool) into the electronic health record, and the need for additional research and guidance around how to create fully integrated shared databases between health care and social service agencies.
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:
Other
The article discusses the challenges and frustrations surrounding Long COVID research in the United States. Despite substantial investments and numerous research efforts, progress in understanding and treating Long COVID has been slow and disappointing. Experts and patient advocates have criticized the research community for its focus on disease development rather than direct patient care, duplication of studies, and a lack of clinical trials. The authors propose a new hypothesis that Long COVID may be a form of post-infectious syndrome or chronic fatigue syndrome, suggesting that traditional biomedical research approaches may not yield meaningful results. Instead, they advocate for a shift towards health services research and measures that directly impact patients’ welfare, including prevention, improved prognosis, access to empathetic care, and quality of life issues. They emphasize the need for collaboration between researchers, patients, and advocacy groups to reset the research agenda effectively.
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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White Paper/Brief
The article highlights the lessons learned from the COVID-19 pandemic and their influence on preparations for future public health emergencies. While the federal Public Health Emergency for COVID-19 is set to end in May 2023, the FDA emphasizes the continued importance of COVID-19 vaccines and treatments. Addressing misinformation and strengthening supply chain resilience are key priorities, and the FDA is developing more efficient inspection planning systems. Modernizing FDA authorities and maintaining a commitment to planning for the future are also emphasized to enhance national security and public health preparedness.
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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White Paper/Brief
This study investigates deaf American Sign Language (ASL) users’ access to telehealth and outpatient encounters during the pandemic. The findings emphasize the importance of optimizing proactive accommodation planning and access including in telehealth platforms.
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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White Paper/Brief
Director of the Health Equity Core at Harvard Medical School, Professor Sprague Martinez has organized a team of partners to identify the impact of long COVID on Black and Latinx communities in Massachusetts and barriers they experience in accessing treatment. The project is part of the Massachusetts Consortium on Pathogen Readiness, which aims to address the challenges of COVID-19 and future pandemics. The Health Equity Core focuses on understanding the impact of long COVID on diverse communities, increasing access to treatment and resources, and influencing relevant policies. The team includes partners from various institutions and will emphasize community engagement, data collection, dissemination, and policy advocacy efforts.
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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White Paper/Brief
This article discusses strategies to promote equity in COVID-19 antiviral treatment. It highlights the disproportionate effect of the pandemic on marginalized groups and the need to address inequities in access to antiviral medications. The authors discuss barriers to equity, such as low awareness, limited access to healthcare, scarcity of therapeutics, and treatment prioritization. They propose strategies to overcome these barriers, including community-driven outreach campaigns, addressing healthcare costs for uninsured patients, transparent allocation of therapeutics, and monitoring data to ensure equity. The article emphasizes the importance of proactive and transparent approaches to promote health equity in COVID-19 treatment.
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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White Paper/Brief
This article discusses the Foundation for Opioid Response Efforts (FORE) distribution of $1.3 million in grants to organizations studying the potential permanent adoption of COVID-19 care access measures to promote health equity in opioid use disorder treatment. The grants aim to investigate the impact of temporary policies, such as virtual care, on access to care and patient outcomes. The studies will explore how relaxed prescribing policies for buprenorphine, telehealth strategies, and other COVID-19 measures have affected patient access and outcomes, particularly among underserved populations. The research will inform evidence-based policies to sustain access to better care beyond the pandemic and address the ongoing opioid crisis.
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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White Paper/Brief
This article identifies four key steps to preparing for the next the next public health emergency. First, public health must invest in a modernized data infrastructure that connects health and public health systems. Second, the contact tracing and disease investigation specialist workforce should be expanded, and processes set up to grow this workforce quickly during times of acute crisis. Third, better contact tracing policies should be put into place prior outbreaks to support public health systems’ ability to respond effectively. And finally, increase public awareness of and trust in their local public health infrastructure.
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:
White Paper/Brief
The COVID-19 pandemic underscored the role systemic inequities play in health and health care. Health professions education and training should include guidance on how to address these inequities and how to have deep conversations within our learning institutions. This article outlines a novel framework for training health professionals and health professional educators to communicate about diversity, equity, and inclusion more effectively. The framework embraces a dialogue model called “medical improv.” Key elements of this model include examinations of identity and positionality, caretaking and team-making, and conversations with a skeptic.