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Dennis OConnor

A more practical guide to incorporating health equity domains in implementation determi... - 0 views

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    Suggested by Gina Soloperta Abstract Background: Due to striking disparities in the implementation of healthcare innovations, it is imperative that researchers and practitioners can meaningfully use implementation determinant frameworks to understand why disparities exist in access, receipt, use, quality, or outcomes of healthcare. Our prior work documented and piloted the first published adaptation of an existing implementation determinant framework with health equity domains to create the Health Equity Implementation Framework. We recommended integrating these three health equity domains to existing implementation determinant frameworks: (1) culturally relevant factors of recipients, (2) clinical encounter or patient-provider interaction, and (3) societal context (including but not limited to social determinants of health). This framework was developed for healthcare and clinical practice settings. Some implementation teams have begun using the Health Equity Implementation Framework in their evaluations and asked for more guidance. Methods: We completed a consensus process with our authorship team to clarify steps to incorporate a health equity lens into an implementation determinant framework. Results: We describe steps to integrate health equity domains into implementation determinant frameworks for implementation research and practice. For each step, we compiled examples or practical tools to assist implementation researchers and practitioners in applying those steps. For each domain, we compiled definitions with supporting literature, showcased an illustrative example, and suggested sample quantitative and qualitative measures. Conclusion: Incorporating health equity domains within implementation determinant frameworks may optimize the scientific yield and equity of implementation efforts by assessing and ideally addressing implementation and equity barriers simultaneously. These practical guidance and tools provided can assist implementation rese
Dennis OConnor

Department of Family Medicine and Public Health | UC San Diego - 0 views

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    "Our mission is to improve public health through prevention research, education, and clinical care." The department's clinical care and community-based initiatives aim to transform health care in San Diego through the practice of family medicine, preventive medicine, sports medicine, integrative medicine, and research that is practice-based. We have a robust portfolio of innovative clinical and public health focused research projects that address contemporary public health challenges through tools from biostatistics/bioinformatics, behavioral medicine, epidemiology, policy, and dissemination and implementation science. We have established Centers of Excellence in cardiovascular epidemiology, health behavior and equity, integrative health, tobacco control, wireless and population health, and women's health. Innovative, interdisciplinary partnerships are ongoing with Qualcomm Institute/Calit2, Moores Cancer Center, the Scripps Institute of Oceanography, Center for Microbiome Innovation, and many other departments.
Dennis OConnor

Recommendations to Advance Telehealth during and after the COVID-19 Pandemic - 0 views

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    "The use of telehealth services has expanded dramatically since the onset of COVID-19, driven by necessity and enabled by emergency changes to the policy landscape. To assess the implications of this broad expansion, the Milken Institute Center for the Future of Aging, Center for Public Health, and FasterCures analyzed recent policy updates and trends related to telehealth and put forward a series of actionable recommendations. This brief discusses recent legislative and regulatory changes and identifies opportunities to scale access to services, foster health equity, and support innovation in the months and years ahead."
Dennis OConnor

Social, Behavioral, and Environmental Enablers for Healthy Longevity - 1 views

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    A Workshop for the Global Roadmap for Healthy Longevity Initiative Nov. 6 (1 PM ET) - Nov. 8 (12:30 PM ET) Live Webcast Join us via live webcast for a 2-day public workshop that will examine the social, behavioral, and environmental enablers for healthy longevity. Workshop participants will discuss the challenges and opportunities, as well as potential solutions and disruptive approaches to enhance social structures that would enable healthier and socially fulfilled lives and ultimately create thriving societies around the world. Sir Michael Marmot, Director of the Institute of Health Equity at University College London, will deliver the keynote address. 
Dennis OConnor

How a decades-old database became a hugely profitable dossier on the health of 270 mill... - 0 views

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    "As a repository of sensitive patient information, the company's databases churn silently behind the scenes of their medical care, scooping up their most guarded secrets: the diseases they have, the drugs they're taking, the places their bodies are broken that they haven't told anyone but their doctor. The family of databases that make up MarketScan now include the records of a stunning 270 million Americans, or 82% of the population. The vast reach of MarketScan, and its immense value, is unmistakable. Last month, a private equity firm announced that it would pay $1 billion to buy the databases from IBM. It was by far the most valuable asset left for IBM as the technology behemoth cast off its foundering Watson Health business."
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