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Cultural Context and System Change: Partners or Odd Couple for Eliminating Heath Inequalities

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Air date: Monday, June 14, 2010, 3:00:00 PM
Time displayed is Eastern Time, Washington DC Local
Views: Total views: 62 * This only includes stats from October 2011 and forward.
Category: BSSR - Behavioral and Social Sciences
Runtime: 01:12:53
Description: Introduction: Seven years after the Institute of Medicine’s landmark report, Unequal Treatment, and well after US medical schools and healthcare institutions have mandated nearly universal training programs on culturally competent care, less favorable treatment outcomes, shorter survival time, and excess mortality continue to fuel persistent racial and ethnic health inequities. Recognition is growing in health disparities research for applied collaborative approaches, such as CBPR, and alternative methodologies, such as systems science. For community members and researchers to be engaged equitably in systems thinking, what would be the common language and framework? To achieve racial equity in cancer care, what would systems change look and feel like?

Methods: To address these questions, the Greensboro Health Disparities Collaborative (GHDC) in North Carolina has been engaged for 7 years in grounding its 35 community, academic, and health professional members in CBPR principles and the vocabulary and framework of Undoing Racism(UR). GHDC codified the UR framework of “systems of power and authority” for achieving health equity through: the methodologies of Power Analysis, Story Telling on experiencing or contributing to racism in the healthcare system, and Critical Incident Technique interview; a Full Value Contract; Research Ethics Certification for Non-Traditional Investigators; Guidelines for Publications and Dissemination; GHDC By-Laws; and Health Equity Training for medical residents.

Results: We will define the key concepts and terminology for: (1) the historical context of race-based inequities; (2) the complex mix of behavioral, economic, and social factors of health inequities; and (3) their effects on equitable engagement in systems thinking. Findings will be presented from our NCI-funded (R21), Cancer Care and Racial Equity Study: A CBPR Approach, on transparency and accountability as essential elements for system change in cancer care. Implications for systems change intervention research will be discussed, using as an example our pending R01 application, Accountability for Cancer Care through Undoing Racism and Equity.
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NLM Title: Cultural context and system change : partners or odd couple for eliminating health inequalities [electronic resource] / Eugenia Eng.
Series: Behavioral and Social Sciences Research lecture series
Author: Eng, Eugenia.
National Institutes of Health (U.S.). Office of Behavioral and Social Sciences Research.
Publisher:
Other Title(s): Behavioral and Social Sciences Research lecture series
Abstract: (CIT): Introduction: Seven years after the Institute of Medicine's landmark report, Unequal Treatment, and well after US medical schools and healthcare institutions have mandated nearly universal training programs on culturally competent care, less favorable treatment outcomes, shorter survival time, and excess mortality continue to fuel persistent racial and ethnic health inequities. Recognition is growing in health disparities research for applied collaborative approaches, such as CBPR, and alternative methodologies, such as systems science. For community members and researchers to be engaged equitably in systems thinking, what would be the common language and framework? To achieve racial equity in cancer care, what would systems change look and feel like? Methods: To address these questions, the Greensboro Health Disparities Collaborative (GHDC) in North Carolina has been engaged for 7 years in grounding its 35 community, academic, and health professional members in CBPR principles and the vocabulary and framework of Undoing Racism (UR). GHDC codified the UR framework of systems of power and authority for achieving health equity through: the methodologies of Power Analysis, Story Telling on experiencing or contributing to racism in the healthcare system, and Critical Incident Technique interview; a Full Value Contract; Research Ethics Certification for Non-Traditional Investigators; Guidelines for Publications and Dissemination; GHDC By-Laws; and Health Equity Training for medical residents. Results: We will define the key concepts and terminology for: (1) the historical context of race-based inequities; (2) the complex mix of behavioral, economic, and social factors of health inequities; and (3) their effects on equitable engagement in systems thinking. Findings will be presented from our NCI-funded (R21), Cancer Care and Racial Equity Study: A CBPR Approach, on transparency and accountability as essential elements for system change in cancer care. Implications for systems change intervention research will be discussed, using as an example our pending R01 application, Accountability for Cancer Care through Undoing Racism and Equity.
Subjects: Health Care Reform
Health Status Disparities
Socioeconomic Factors
United States
Publication Types: Lectures
Webcasts
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NLM Classification: WA 300 AA1
NLM ID: 101535332
CIT Live ID: 9366
Permanent link: https://videocast.nih.gov/launch.asp?15958