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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.
RELEASE DATE:
Other
This episode from the podcast 99 Percent Invisible reflects on how the COVID-19 pandemic exposed the American public to a long-standing problem: the disjointed nature of the U.S. health system. Because state and local health departments largely operate independently and use their own data collection and analysis tools, health systems across the country lack standardized data definitions and systems. These inconsistencies made it nearly impossible to collect and analyze comprehensive, standardized data on COVID-19 cases, deaths, and vaccines administered amid the pandemic. Health experts featured on this episode believe that the pandemic made the need for an overhaul of America’s informatics system very apparent. When rebuilding this system, it’s important to focus on remedying existing inequalities in data collection and classification that in some cases render the health status of certain populations – think Native American communities and other communities of color – completely invisible in the data. By virtue of being small populations, it can be difficult for health departments to collect sufficient and/or statistically significant data on minority communities. Another issue discussed in this episode is the use of broad racial categories like “other,” “multiple races,” or even “Asian American,” which, if not disaggregated, obscures the health status of diverse populations who are grouped under the same category. Without comprehensive and inclusive health data, it’s difficult to identify disparities and implement policies and programming that promote social mobility and health equity.
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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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.
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 review of state data collection and reporting practices during the COVID-19 pandemic found inconsistencies and gaps in data collected by race and ethnicity. Improved standardization across the U.S.–which may come in the form of a federally-operated centralized database–would address some of the concerns in data representation of all Americans.
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 analysis explores regional variation in COVID-19 death rates across America. It unpacks the “two Americas” narrative of some parts of the country having high demand for vaccines and others having widespread vaccine hesitancy, and shows that a divide between rates of exceeds death existed prior to the introduction in vaccines. This difference is likely due to a difference in mask use, social distancing, and other behaviors. Results underscore the importance of excess mortality measures such as wastewater testing to get a more accurate picture.
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
This study analyzes different epidemic models of COVID-19. It demonstrates the variability of models’ ability to predict COVID-19 transmission and outbreak. It advises public health practitioners to exercise caution when formulating public health strategies based on the prediction results of mathematical models due to this variability.
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 article details a systematic review of current literature sources to identify how the Latinx community experiences disparities during the COVID-19 pandemic. The review found literature using population data that showed policies impacting access to health insurance, health care, sick leave, childcare, and historic wage disparities remain consequential in perpetuating existing disparities. A review of the results of all studies selected for the review is available within the article.
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 summarizes the factors contributing to COVID-19 inequities among immigrant communities. The review concludes with the overarching recommendation of engaging and empowering immigrant communities. Facilitating factors to address health inequities in this population include providing linguistically appropriate services, addressing poverty, and ensuring undocumented immigrants have access to public benefits.
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
A review of best practices for COVID-19 infection prevention and control in long-term care facilities. These included establishing surveillance measures, revising staffing and visitor policies, and clearly communicating health measures and case numbers. The authors highlight the need for additional support and resources for long-term care facilities to address the pandemic over time. The article also provides updated guidelines for rapid situation analyses.
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 article presents the results of a rapid review of community engagement strategies used in response to three recent epidemics, Ebola, Zika, and H1N1. The review included 32 studies representing 37 initiatives as well as 11 guideline articles, included for reference and context purposes. Facilitators and barriers to implementing equitable community interventions are described, in addition to best practices and a discussion of how prior lessons learned can be implemented for COVID-19.