14 research outputs found

    Achieving Equity in Health for Children and Families in New Mexico Through the Affordable Care Act (ACA)

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    The 2010 Patient Protection and Affordable Care Act (ACA) can help New Mexico achieve health equity by expanding access to care, bolstering public health and prevention programs, and improving the health-care safety net. A number of provisions under the ACA focus on reducing health disparities, particularly among racial and ethnic populations. This study provides a point-in-time snapshot of the progress in implementing ACA provisions aimed at advancing health equity for children and families living in New Mexico.Drawing from multiple sources of evidence — census data, geo-mapping, 55 stakeholder interviews, and a comprehensive review of the literature and policy documents — this study:(1) provides a baseline of children's insurance coverage needed for ongoing monitoring and tracking of progress toward health equity;(2) reviews the health equity provisions in the ACA and highlights those New Mexico is implementing;(3) researches and gathers information about the challenges of implementing specific provisions of the ACA focusing on health equity;(4) summarizes implementation benchmarks and timelines; and(5) provides solutions for moving forward to achieving health equity for children and their families.

    The promise of community-based participatory research for health equity: a conceptual model for bridging evidence with policy.

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    Insufficient attention has been paid to how research can be leveraged to promote health policy or how locality-based research strategies, in particular community-based participatory research (CBPR), influences health policy to eliminate racial and ethnic health inequities. To address this gap, we highlighted the efforts of 2 CBPR partnerships in California to explore how these initiatives made substantial contributions to policymaking for health equity. We presented a new conceptual model and 2 case studies to illustrate the connections among CBPR contexts and processes, policymaking processes and strategies, and outcomes. We extended the critical role of civic engagement by those communities that were most burdened by health inequities by focusing on their political participation as research brokers in bridging evidence and policymaking

    Understanding the Socio-Economic, Health Systems & Policy Threats to Latino Health: Gaining New Perspectives for the Future

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    The emergence of the Latino population as the largest and diverse minority group in the U.S. presents challenges and opportunities for health practitioners, leaders and policy makers. Some evidence suggests that Latinos, and immigrants in particular, exhibit better health outcomes than would be expected given their average socio-economic status. Yet, overshadowing this positive health outlook are socio-economic, health system and policy barriers which disproportionately impact Latino health and well-being. This paper briefly discusses the Latino health paradox. It identifies the socio-economic, health systems barriers and public policies that threaten any potential health advantage. Finally, it suggests policy and prevention strategies for promoting the health of the largest emerging minority group in the U.S. Latinos

    Understanding the Socio-Economic, Health Systems & Policy Threats to Latino Health: Gaining New Perspectives for the Future

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    Abstract The emergence of the Latino population as the largest and diverse minority group in the U.S. presents challenges and opportunities for health practitioners, leaders and policy makers. Some evidence suggests that Latinos, and immigrants in particular, exhibit better health outcomes than would be expected given their average socio-economic status. Yet, overshadowing this positive health outlook are socio-economic, health system and policy barriers which disproportionately impact Latino health and well-being. This paper briefly discusses the Latino health paradox. It identifies the socio-economic, health systems barriers and public policies that threaten any potential health advantage. Finally, it suggests policy and prevention strategies for promoting the health of the largest emerging minority group in the U.S. Latinos

    Place as a predictor of health insurance coverage: A multivariate analysis of counties in the United States

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    This study assessed the importance of county characteristics in explaining county-level variations in health insurance coverage. Using public databases from 2008 to 2012, we studied 3112 counties in the United States. Rates of uninsurance ranged widely from 3% to 53%. Multivariate analysis suggested that poverty, unemployment, Republican voting, and percentages of Hispanic and American Indian/Alaskan Native residents in a county were significant predictors of uninsurance rates. The associations between uninsurance rates and both race/ethnicity and poverty varied significantly between metropolitan and non-metropolitan counties. Collaborative actions by the federal, tribal, state, and county governments are needed to promote coverage and access to care
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