The Health Disparities Podcast

What role can hospital rankings play in promoting health equity?

Hospitals and health systems can play a major role in addressing healthcare disparities in our nation. In our latest episode – part of our hospitals and health equity series – we zero in on hospital rankings and how the metrics that are used can compel health systems to take much-needed action on health equity. 
“If hospitals were to focus more on health equity, they would be fulfilling both a moral responsibility as well as a legal responsibility,” says Tavia Binger, a health data analyst at U.S. News and World Report. “Nonprofit hospitals are actually required to spend portions of their revenue on community benefit activities – like providing care that is free or at a reduced cost for patients who can't afford to pay – in exchange for their tax exempt status.”
In addition to the latest U.S. News Best Hospitals rankings, published on July 16, U.S. News has also introduced health equity measures and has released a list of hospitals excelling in health equity by “providing vulnerable populations with substantial access to high-quality care,” Binger says.
Health Disparities podcast host Dr. Mary O’Connor speaks with Binger about how U.S. News and World Report is working to promote health equity. They also discuss how healthcare consumers can use hospital rankings to understand whether the hospitals in their communities are doing their part to provide care that is both high-quality and equitable.
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Hospitals & Health Equity: The importance of understanding patients' cultural backgrounds in healthcare

Every person brings their own cultural background into their encounters with the healthcare system.
But this doesn’t mean that every healthcare provider needs to develop an encyclopedic knowledge of every culture in order to provide equitable, high-quality care to every patient.
“The truth of the matter is: that could never be done. I'm Puerto Rican, Latino, and even among Puerto Ricans, there's a great difference in lived experience, exposure to health care and the like,” says Dr. Joseph Betancourt, president of the Commonwealth Fund.
But there will be times when a person’s cultural background affects their ability to access the health care they need. In those cases, Betancourt says it’s important that providers be equipped with the right tools and resources to assess how those cultural factors may come into play.
Health Disparities podcast host Dr. Mary O’Connor speaks with Betancourt about the importance of culturally competent care — what it is, and what it’s not. They also discuss the need for ongoing training to address cultural differences and structural barriers, and share about recent developments in health policy and health care that give them hope.
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Can predictive AI reduce health disparities in orthopedic surgery? This UK researcher aims to find out

Artificial Intelligence is transforming health care. The promise of this technology is enormous and is already being realized to increase the accuracy of diagnoses, promote patient engagement, increase efficiency in health care and lower costs.
It’s even being used to identify patients at risk of disease and predict patients who might be good candidates for medical procedures. 
Done well, AI tools can help ensure patients with the greatest need for orthopedic surgery are prioritized for care, and help reduce health care disparities, says Luke Farrow, an orthopedic and trauma surgeon and clinical researcher at the University of Aberdeen in Scotland. 
But without proper considerations, “you can ultimately end up with AI systems that worsen those health disparities, which is obviously the last thing we want. And there is definitely evidence out there to suggest that does happen if we're not careful.”
Health Disparities podcast host Dr. Mary O’Connor spoke with Farrow about AI and health equity, and about his ongoing research on the use of AI to help general practitioners in the UK know when it is appropriate to refer patients to orthopedic surgeons for consideration of hip and knee replacement surgeries. 
Never miss an episode – subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts, YouTube, or wherever you get your podcasts.

Healthcare hurdles: Exploring disparities and solutions for underserved communities

For too many people in the U.S., health care is unaffordable and not accessible. Even patients who have health insurance coverage can be confronted with barriers that keep them from accessing the health care that they need.
And research shows health disparities are rampant, with health care access — and outcomes — worse for people of color and other marginalized groups.
The new State of Patient Access report from the PAN Foundation breaks down these disparities and highlights next steps for creating more equitable access to care. 
“Our goal with the project was really to understand the challenges that adults living with chronic conditions every single day face accessing the care they need,” says Amy Niles, the PAN Foundation’s health policy expert and Chief Mission Officer. “More importantly, our goal was to understand what disparities exist, and there were some significant disparities between various groups and communities.”
To learn more about the report, and what can be done to help overcome barriers to care for underserved communities, Health Disparities podcast host Dr. Ramon Jimenez spoke with  Niles, along with Adrianna Nava, president of the National Association of Hispanic Nurses.

From Crisis to Care: How Boston's BEST Program is Redefining Mental Health Support

Mental health is an important part of our overall health, but many people confront barriers that keep them from accessing the mental health care they need.
A program in Boston aims to  address mental health disparities by disrupting traditional health care models. The Boston Emergency Services Team, or BEST, is led by Dr. David Henderson, chief of psychiatry at Boston Medical Center. 
BEST brings together mental health providers, community resources, law enforcement, and the judicial system to deliver care to people in need of mental health services.
Henderson says bringing mental health providers alongside police responding to calls for service for mental health needs has helped reduce the number of people with mental illness ending up in jails and prisons.
“The criminal justice system has, by default, become one of the largest mental health systems … around the country as well,” Henderson says. “People with mental illness are in jails and prisons, at a percentage that they really should not be.”
Henderson speaks with Health Disparities podcast host Hadiya Green about what it takes to ensure people in need of mental health services get the help they need, why it’s important to train providers to recognize unconscious biases, and what it means to provide trauma-informed and culturally sensitive care.

Dr. Jerome Adams on why the words we use matter in efforts to promote health equity

Former U.S. Surgeon General Dr. Jerome Adams has the following message for health equity advocates: forge respectful relationships with people with different viewpoints — and pay close attention to the words you use.
“We need to learn to speak in a language that resonates with folks,” Adams says. “When that happens, you will get better policy making.”
Adams recounts his experience – both as the 20th U.S. Surgeon General and as the former state health commissioner for Indiana – in an interview with Health Disparities podcast host Claudia Zamora.
He also discusses his new book, Crisis and Chaos: Lessons From the Front Lines of the War Against COVID-19, explains why diversity in medicine matters, and talks about the importance of dismantling stigma to increase access to mental health care and addiction treatment.

Addressing the legacy of racism in education and health care

There’s a long history of racism in both education and health care. But some health equity advocates — including Michellene Davis, President and CEO at National Medical Fellowships — are holding onto hope that real change is possible.
“The only reason why I like the name, the title ‘social determinants of health,’ is because anything that has been socially constructed can be socially deconstructed,” Davis said. “Health disparities do not naturally occur in nature, they have been manmade, right? So now it's time for us to unmake them.” 
In this week’s episode, host Dr. Tamara Huff speaks with Davis, along with Jennifer Holmes, Senior Counsel with the Legal Defense Fund, who works on cases that advance racial justice in the areas of educational equity, economic justice, and voting rights.

Artificial Intelligence and Health Equity: A Cautionary Tale

How cross-collaborative partnerships can improve lifelong health trajectories

It’s important that health care workers provide quality health care. But when it comes to addressing health disparities, clinical care can only go so far, says Dr. Diana E. Ramos, an OB/GYN who now serves as California’s first Latina surgeon general. 
“It would be wonderful if that 10-minute appointment that a patient just saw me for made the biggest difference in the patient's life. That's not the reality,” Ramos said. “We have to [take] into consideration the environment that the people live in.”
Ramos says cross-collaborative partnerships between health care providers and community partners are critical to addressing health disparities.
In the latest episode of the Health Disparities podcast, host Dr. Claudia Zamora speaks with Dr. Ramos about what these kinds of cross-collaborative partnerships can look like, and what it takes to improve the health and wellbeing of people in California – and the nation.

How to be a health equity influencer

Many envision influencers as social media stars with vast followings. But being an influencer is so much more than that. In today’s episode, we redefine the term across various sectors, from health to social justice, and delve into how you can activate your network by using your influence.
One thing influencers do is share information throughout their communities to spread awareness about important issues, says Beth O’Connor, the executive director of the Virginia Rural Health Association, 
“People want to know more,” O’Connor says. “And people who are often in those mineral age groups are thrilled to be able to share that information with the people in their communities helping to influence health care policy.”
This week on the Health Disparities podcast, hosts Sharon LaSure-Roy and Sarah Hohman discuss strategies for being an influencer and making a difference with O’Connor, along with Taelor Bakewell, vice president of influence marketing with Edelman, Jerail Fennell, director of marketing and communications at 904WARD, and Dr. Maria Portela Martinez, chief of family medicine at the department of emergency medicine with George Washington Medical Faculty Associates.