SlideShare a Scribd company logo
What’s Health Equity?
            2011 Health Equities Leadership Institute
            Friday, April 1, 2011

            Katherine D. Ellington
            Vice President, Program Development
#2011HELI   American Medical Student Association
Wake Up
About Katherine
About Katherine @katellington

  •   New York City native from an African-
      American family with Southern
      roots, traditions and sensibilities

  •   Born and raised in Queens, one of the
      most racially and ethnically diverse
      communities in America

  •   Untraditional path to medical school

  •   Moving toward family medicine and
      community health
The conscious recognize the need for
change, awakening the unconscious
      is apart of that process.
Moments in Time
from moments to movements


    We saw a white, Catholic, Republican federal judge murdered
    on his way to greet a Democratic woman, member of
    Congress, who was... Jewish. Her life was saved initially by a
    Mexican-American college student... and eventually by a
    Korean-American combat surgeon… And then it was all
    eulogized and explained by our African-American president.

    And... that's a remarkable statement about the country.


                                          ~Mark Shields PBS Newshour
                                                     January 14, 2011
Inspiration
What’s Health Equity?

Overview
   Definitionsand framework
   “Unnatural Causes” clips and quiz

   County Health Rankings

   Another story

   Implicit Association Test   1. novice
                                2. advanced-beginner
   Dialgoue                    3. competent
                                  4. proficient
                                  5. expert
What is Health Equity?

    A broad definition:
     The absence of socially unjust or
     unfair health disparities.
What is Health Equity?



                     HEALTH
  “The presence of physical, psychological, social, economic
  and spiritual well being not merely the absence of disease
  or infirmity” (based on the WHO definition of health)
What is Health Equity?



                     EQUITY

  An ethical concept based on fairness, distributive justice
  and, is normative.
What is Health Equity?
  “Health equity is the realization by ALL people of the
  highest attainable level of health. Achieving health
  equity requires valuing all individuals and populations
  equally, and entails focused and ongoing societal
  efforts to address avoidable inequalities by assuring
  the conditions for optimal health for all groups,
  particularly for those who have experienced historical
  or contemporary injustices or socioeconomic
  disadvantage.”
What's Health Equity?
What is Health Equity?

   Health equity is the absence of systematic
   disparities in the health (or its social determinants)
   between more and less advantaged groups.

     .
Racial and ethnic healthcare
disparities

     Pervasive
     Associated with systemic social advantage/disadvantage
     Complex and interrelated factors
     Root causes are found upstream
     Requires fundamental changes in underlying social and/or
      economic structures
Health Disparities
                                                               Healthcare
                                                               sysems, polices
                                                               and
                                                               infrastructure




                                                                                        Individual at the
                                                                                        patient-provider
                                                                                        level.
  Differences, disparities and discrimination. Populations with equal access to
  healthcare. SOURCE: Gomes and McGuire, 2001.



  Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health
  care. Smedley BD, Stith AY, Nelson AR, eds. 2003 National Academies Press. Washington, DC.
Health Disparities

 Finding 1-1: Racial and ethnic disparities in
  healthcare exist and, because they are
  associated with worse outcomes in many
  cases, are unacceptable.
 Recommendations 2-1: Increase awareness of
  racial and ethnic disparities in healthcare among
  the general public and key stakeholders.
 Recommendations 2-2: Increase healthcare
  providers’ awareness of disparities.

  Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care.
  Smedley BD, Stith AY, Nelson AR, eds. 2003 National Academies Press. Washington, DC.
Health inequities have been
defined as differences in
health that are unnecessary,
avoidable, unfair and unjust.

Whitehead,M. The concept and principles of equity in health.
Int J Health Serv1992;22:429-445. first published in Europe
Social Determinants of Health

                    The social determinants of health
                    are the circumstances in which
                    people are born, grow
                    up, live, work and age, and the
                    systems put in place to deal with
                    illness. These circumstances are in
                    turn shaped by a wider set of
                    forces: economics, social
                    policies, and politics.

                                         #sdoh
Social Determinants of Health



                                Social
                                gradient
                                exists, glo
                                bally.




                                #sdoh
What's Health Equity?
Social Determinants of Health

 There’s more to
 health than
 health care.



 What about where your live, go to
 work, attend school and play?
                                     #sdoh
What’s Health Equity?




                    DISCUSSION

                                #publichhealth

    #sdoh
                         #countyhealthrankings


#2011HELI
What’s Health Equity?              #PublicHealth




“The new public health
operates out front, in the full
light of day, connecting the
dots, building
partnerships, and creating
collaborative relationships
that reach far into every
corner of the community.”
President CEO RisaLavizzo-
Mourey, MD, MBA, Robert
Wood Johnson Foundation


    www.countyhealthrankings.org    #2011HELI
What’s Health Equity?




        DISCUSSION
1.   novice
2.   advanced-beginner
3.   competent
4.   proficient
5.   expert




          What’s Health Equity?
                         Another story
What's Health Equity?
http://www.charactersunite.com/
http://www.charactersunite.com/
What's Health Equity?
Implicit Association Research
         The Psychology of Blink: Level 2


          Mental operations
            First level: higher, deliberate, rational, thoughtful
            Second level: lower, automatic, impulsive, unthinking




Unconscious cognition
                                               Implicit Association
                                               Research is a glimpse
                                               into “Level 2”

 We work to overcome Level 2 and IAT is a start
Implicit Association Research
The Psychology of Blink: Level 2


 The Blink part comes from a reference to Greenwald's work
  in chapter three of Gladwell's book



 Leading researchers
  o Anthony Greenwald, Ph.D., University of Washington
  o MahzarinBanaji, Ph.D., Harvard University
  o Brian Nosek, Ph.D., University of Virigina
  o Lisa Cooper, MD, MPH, Johns Hopkins
Project Implicit


 Interactive studies that examine thoughts and
  feelings that exist either outside of conscious
  awareness or outside of conscious control
 Educational and engaging experience
Project Implicit


 A safe, secure, and well-designed virtual environment to
  investigate psychological issues and, at the same time,
  provide visitors and participants
 Collaborative research effort between researchers at
  Harvard University, the University of Virginia, and
  University of Washington
What's Health Equity?
What’s Health Equity?



        DIALOGUE
What’s Health Equity?

Review
   Heal Equity, defined
   Racial and ethnic healthcare
    disparities
   Social determinants of health

   County Health Rankings       1. novice
                                 2. advanced-beginner
   IAT                          3. competent
                                 4. proficient
                                 5. expert
What’s Health Equity?



      CONCLUSION
When the end is the beginning…
What’s Health Equity?

         Katherine D. Ellington
            vpp@amsa.org
       @katellington on Twitter
    Katherine Ellington on Facebook
        Phone: 347.993.7877
          Skype/IM: ellkatd

More Related Content

What's hot

Social Determinants of Health
Social Determinants of HealthSocial Determinants of Health
Social Determinants of Health
rheaju
 
Social determinants of health
Social determinants of healthSocial determinants of health
Social determinants of health
Dr. Anees Alyafei
 
Triple burden of disease
Triple burden of diseaseTriple burden of disease
Triple burden of disease
SushantLuitel1
 
Social determinant of health
Social determinant of healthSocial determinant of health
Social determinant of health
Abdur Rouf
 
Social Determinants of Health: Why Should We Bother?
Social Determinants of Health: Why Should We Bother?Social Determinants of Health: Why Should We Bother?
Social Determinants of Health: Why Should We Bother?
Renzo Guinto
 
DALYs and QALYs by samrat gurung
DALYs and QALYs by samrat gurungDALYs and QALYs by samrat gurung
DALYs and QALYs by samrat gurung
Samrat Gurung
 
Globalisation and Health
Globalisation and HealthGlobalisation and Health
Globalisation and Health
meducationdotnet
 
Health system-evaluation-and-monitoring
Health system-evaluation-and-monitoringHealth system-evaluation-and-monitoring
Health system-evaluation-and-monitoring
Ahmed-Refat Refat
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengthening
Juan Seclen
 
Public health ethics
Public health ethicsPublic health ethics
Public health ethics
Ashok Pandey
 
Health policy in developing countries
Health policy in developing countriesHealth policy in developing countries
Health policy in developing countries
Dr. Ankit Mohapatra
 
Introduction to ethical issues in public health, Public Health Institute (PHI...
Introduction to ethical issues in public health, Public Health Institute (PHI...Introduction to ethical issues in public health, Public Health Institute (PHI...
Introduction to ethical issues in public health, Public Health Institute (PHI...
Dr Ghaiath Hussein
 
Social Epidemiology: Social determinants of health
Social Epidemiology: Social determinants of healthSocial Epidemiology: Social determinants of health
Social Epidemiology: Social determinants of health
NajMah Usman
 
Social Determinants of Health Inequities
Social Determinants of Health InequitiesSocial Determinants of Health Inequities
Social Determinants of Health Inequities
Renzo Guinto
 
Basic concepts of health planning
Basic concepts of health planningBasic concepts of health planning
Basic concepts of health planning
Sumudu Himesha Meawela
 
Population Health Management Presentation
Population Health Management PresentationPopulation Health Management Presentation
Population Health Management Presentation
CANorfolk
 
Health Inequalities
Health InequalitiesHealth Inequalities
Health Inequalities
unipal390
 
Epidemiologic Transition
Epidemiologic Transition Epidemiologic Transition
Epidemiologic Transition
TARIQ JAVED GILL
 
Epidemiologic transition
Epidemiologic transitionEpidemiologic transition
Epidemiologic transition
Dr. Animesh Gupta
 
Health promotion (2)
Health promotion (2)Health promotion (2)
Health promotion (2)
University of Khartoum
 

What's hot (20)

Social Determinants of Health
Social Determinants of HealthSocial Determinants of Health
Social Determinants of Health
 
Social determinants of health
Social determinants of healthSocial determinants of health
Social determinants of health
 
Triple burden of disease
Triple burden of diseaseTriple burden of disease
Triple burden of disease
 
Social determinant of health
Social determinant of healthSocial determinant of health
Social determinant of health
 
Social Determinants of Health: Why Should We Bother?
Social Determinants of Health: Why Should We Bother?Social Determinants of Health: Why Should We Bother?
Social Determinants of Health: Why Should We Bother?
 
DALYs and QALYs by samrat gurung
DALYs and QALYs by samrat gurungDALYs and QALYs by samrat gurung
DALYs and QALYs by samrat gurung
 
Globalisation and Health
Globalisation and HealthGlobalisation and Health
Globalisation and Health
 
Health system-evaluation-and-monitoring
Health system-evaluation-and-monitoringHealth system-evaluation-and-monitoring
Health system-evaluation-and-monitoring
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengthening
 
Public health ethics
Public health ethicsPublic health ethics
Public health ethics
 
Health policy in developing countries
Health policy in developing countriesHealth policy in developing countries
Health policy in developing countries
 
Introduction to ethical issues in public health, Public Health Institute (PHI...
Introduction to ethical issues in public health, Public Health Institute (PHI...Introduction to ethical issues in public health, Public Health Institute (PHI...
Introduction to ethical issues in public health, Public Health Institute (PHI...
 
Social Epidemiology: Social determinants of health
Social Epidemiology: Social determinants of healthSocial Epidemiology: Social determinants of health
Social Epidemiology: Social determinants of health
 
Social Determinants of Health Inequities
Social Determinants of Health InequitiesSocial Determinants of Health Inequities
Social Determinants of Health Inequities
 
Basic concepts of health planning
Basic concepts of health planningBasic concepts of health planning
Basic concepts of health planning
 
Population Health Management Presentation
Population Health Management PresentationPopulation Health Management Presentation
Population Health Management Presentation
 
Health Inequalities
Health InequalitiesHealth Inequalities
Health Inequalities
 
Epidemiologic Transition
Epidemiologic Transition Epidemiologic Transition
Epidemiologic Transition
 
Epidemiologic transition
Epidemiologic transitionEpidemiologic transition
Epidemiologic transition
 
Health promotion (2)
Health promotion (2)Health promotion (2)
Health promotion (2)
 

Similar to What's Health Equity?

Culture, translation, and genre: The emergence of health literacy interventions
Culture, translation, and genre: The emergence of health literacy interventionsCulture, translation, and genre: The emergence of health literacy interventions
Culture, translation, and genre: The emergence of health literacy interventions
Philip Girvan
 
What is Social justice in a Nursing Context
What is Social justice in a Nursing ContextWhat is Social justice in a Nursing Context
What is Social justice in a Nursing Context
griehl
 
02 keynote address_efraintalamantes
02 keynote address_efraintalamantes02 keynote address_efraintalamantes
02 keynote address_efraintalamantes
Sea Mar Community Health Centers
 
Social justice CNUR 100
Social justice CNUR 100Social justice CNUR 100
Social justice CNUR 100
griehl
 
Anne johnson community engagement consultant sa
Anne johnson  community engagement consultant saAnne johnson  community engagement consultant sa
Anne johnson community engagement consultant sa
BiteTheDust
 
lecture 5.pptx
lecture 5.pptxlecture 5.pptx
lecture 5.pptx
aidamohamed12
 
Health Disparities and Health Equity: The Issue Is Justice
Health Disparities and Health Equity: The Issue Is JusticeHealth Disparities and Health Equity: The Issue Is Justice
Health Disparities and Health Equity: The Issue Is Justice
Jim Bloyd, DrPH, MPH
 
Social determinants of health
Social determinants of healthSocial determinants of health
Social determinants of health
Syed hassnasin shah
 
Sociology 2 concept of health and disease
Sociology 2 concept of health and diseaseSociology 2 concept of health and disease
Sociology 2 concept of health and disease
monaaboserea
 
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Delaware State Chamber
 
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Delaware State Chamber
 
1HealthcareStudent’s NameInstitutional A
1HealthcareStudent’s NameInstitutional A1HealthcareStudent’s NameInstitutional A
1HealthcareStudent’s NameInstitutional A
EttaBenton28
 
Health determinants
Health determinantsHealth determinants
Health determinants
Anubha Pal
 
Social factors in health & Disease by Dr. Mumux
Social factors in health & Disease by Dr. MumuxSocial factors in health & Disease by Dr. Mumux
Social factors in health & Disease by Dr. Mumux
Mumux Mirani
 
Health equity
Health equityHealth equity
Health equity
Benson Babu
 
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
MubarakDanjuma1
 
Concepts of health and disease
Concepts of health and diseaseConcepts of health and disease
Concepts of health and disease
Atul Yadav
 
unit.1- introduction to community health.pptx
unit.1- introduction to community health.pptxunit.1- introduction to community health.pptx
unit.1- introduction to community health.pptx
Veena Ramesh
 
Mental health wellbeing sfs
Mental health wellbeing sfsMental health wellbeing sfs
Mental health wellbeing sfs
Bikash Bage
 
phc3.pdf
phc3.pdfphc3.pdf
phc3.pdf
DevSharma177371
 

Similar to What's Health Equity? (20)

Culture, translation, and genre: The emergence of health literacy interventions
Culture, translation, and genre: The emergence of health literacy interventionsCulture, translation, and genre: The emergence of health literacy interventions
Culture, translation, and genre: The emergence of health literacy interventions
 
What is Social justice in a Nursing Context
What is Social justice in a Nursing ContextWhat is Social justice in a Nursing Context
What is Social justice in a Nursing Context
 
02 keynote address_efraintalamantes
02 keynote address_efraintalamantes02 keynote address_efraintalamantes
02 keynote address_efraintalamantes
 
Social justice CNUR 100
Social justice CNUR 100Social justice CNUR 100
Social justice CNUR 100
 
Anne johnson community engagement consultant sa
Anne johnson  community engagement consultant saAnne johnson  community engagement consultant sa
Anne johnson community engagement consultant sa
 
lecture 5.pptx
lecture 5.pptxlecture 5.pptx
lecture 5.pptx
 
Health Disparities and Health Equity: The Issue Is Justice
Health Disparities and Health Equity: The Issue Is JusticeHealth Disparities and Health Equity: The Issue Is Justice
Health Disparities and Health Equity: The Issue Is Justice
 
Social determinants of health
Social determinants of healthSocial determinants of health
Social determinants of health
 
Sociology 2 concept of health and disease
Sociology 2 concept of health and diseaseSociology 2 concept of health and disease
Sociology 2 concept of health and disease
 
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
 
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
 
1HealthcareStudent’s NameInstitutional A
1HealthcareStudent’s NameInstitutional A1HealthcareStudent’s NameInstitutional A
1HealthcareStudent’s NameInstitutional A
 
Health determinants
Health determinantsHealth determinants
Health determinants
 
Social factors in health & Disease by Dr. Mumux
Social factors in health & Disease by Dr. MumuxSocial factors in health & Disease by Dr. Mumux
Social factors in health & Disease by Dr. Mumux
 
Health equity
Health equityHealth equity
Health equity
 
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
MEDICAL SOCIOLOGY, SOCIAL PERSPECTIVE...
 
Concepts of health and disease
Concepts of health and diseaseConcepts of health and disease
Concepts of health and disease
 
unit.1- introduction to community health.pptx
unit.1- introduction to community health.pptxunit.1- introduction to community health.pptx
unit.1- introduction to community health.pptx
 
Mental health wellbeing sfs
Mental health wellbeing sfsMental health wellbeing sfs
Mental health wellbeing sfs
 
phc3.pdf
phc3.pdfphc3.pdf
phc3.pdf
 

More from Katherine Ellington

Women Medical Students' and Residents' Interest in Academic Medicine Careers
Women Medical Students' and Residents' Interest in Academic Medicine CareersWomen Medical Students' and Residents' Interest in Academic Medicine Careers
Women Medical Students' and Residents' Interest in Academic Medicine Careers
Katherine Ellington
 
Bearing Witness Writers' Institute
Bearing Witness Writers' InstituteBearing Witness Writers' Institute
Bearing Witness Writers' Institute
Katherine Ellington
 
Physicians' storytelling via webinar
Physicians' storytelling via webinar Physicians' storytelling via webinar
Physicians' storytelling via webinar
Katherine Ellington
 
National Writers' Institute: Bearing Witness
National Writers' Institute: Bearing WitnessNational Writers' Institute: Bearing Witness
National Writers' Institute: Bearing Witness
Katherine Ellington
 
The Danger of a Single Story presentation (HELI 2010)
The Danger of a Single Story presentation (HELI 2010)The Danger of a Single Story presentation (HELI 2010)
The Danger of a Single Story presentation (HELI 2010)
Katherine Ellington
 
Invisible Hope: HIV/AIDS and Women
Invisible Hope: HIV/AIDS and WomenInvisible Hope: HIV/AIDS and Women
Invisible Hope: HIV/AIDS and Women
Katherine Ellington
 
Stories Worth Telling
Stories Worth TellingStories Worth Telling
Stories Worth Telling
Katherine Ellington
 
Bearing Witness
Bearing Witness Bearing Witness
Bearing Witness
Katherine Ellington
 

More from Katherine Ellington (8)

Women Medical Students' and Residents' Interest in Academic Medicine Careers
Women Medical Students' and Residents' Interest in Academic Medicine CareersWomen Medical Students' and Residents' Interest in Academic Medicine Careers
Women Medical Students' and Residents' Interest in Academic Medicine Careers
 
Bearing Witness Writers' Institute
Bearing Witness Writers' InstituteBearing Witness Writers' Institute
Bearing Witness Writers' Institute
 
Physicians' storytelling via webinar
Physicians' storytelling via webinar Physicians' storytelling via webinar
Physicians' storytelling via webinar
 
National Writers' Institute: Bearing Witness
National Writers' Institute: Bearing WitnessNational Writers' Institute: Bearing Witness
National Writers' Institute: Bearing Witness
 
The Danger of a Single Story presentation (HELI 2010)
The Danger of a Single Story presentation (HELI 2010)The Danger of a Single Story presentation (HELI 2010)
The Danger of a Single Story presentation (HELI 2010)
 
Invisible Hope: HIV/AIDS and Women
Invisible Hope: HIV/AIDS and WomenInvisible Hope: HIV/AIDS and Women
Invisible Hope: HIV/AIDS and Women
 
Stories Worth Telling
Stories Worth TellingStories Worth Telling
Stories Worth Telling
 
Bearing Witness
Bearing Witness Bearing Witness
Bearing Witness
 

Recently uploaded

High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
sonamrawat5631
 
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
ailynolive
 
BCBR MCQs with Answers.pdf for exam for NMC promotions
BCBR MCQs with Answers.pdf for exam for NMC promotionsBCBR MCQs with Answers.pdf for exam for NMC promotions
BCBR MCQs with Answers.pdf for exam for NMC promotions
sathya swaroop patnaik
 
Prakinsons disease and its affect on eye.
Prakinsons disease and its affect on eye.Prakinsons disease and its affect on eye.
Prakinsons disease and its affect on eye.
Riya Bist
 
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpanaGAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
AparnaNandakumar12
 
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
MARIALUISADELROGONZL
 
Hypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentationHypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentation
riyaramesh2003
 
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Trustlife
 
Lymphoma Made Easy , New Teaching Lectures
Lymphoma Made Easy , New Teaching LecturesLymphoma Made Easy , New Teaching Lectures
Lymphoma Made Easy , New Teaching Lectures
MiadAlsulami
 
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
paridubey2024#G05
 
Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
Dr. Dheeraj Kumar
 
anthelmintic-drugs.pptx pharmacology dep
anthelmintic-drugs.pptx pharmacology depanthelmintic-drugs.pptx pharmacology dep
anthelmintic-drugs.pptx pharmacology dep
sapnasirswal
 
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
FFragrant
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga
 
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptxEXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
AbhashSingh12
 
Post infectious bronchiolitis obliterans
Post infectious bronchiolitis obliteransPost infectious bronchiolitis obliterans
Post infectious bronchiolitis obliterans
drfardosy
 
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
NephroTube - Dr.Gawad
 
Pernacious Anamia. payhophysiology..pptx
Pernacious Anamia. payhophysiology..pptxPernacious Anamia. payhophysiology..pptx
Pernacious Anamia. payhophysiology..pptx
Dr. vaishali Kadam
 
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
hf66550
 
MEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate careMEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate care
Debre Berhan University
 

Recently uploaded (20)

High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
High Class Girls Call Delhi 9711199171 Provide Best And Top Girl Service And ...
 
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
Verified Girls Call Mumbai 🎈🔥9930687706 🔥💋🎈 Provide Best And Top Girl Service...
 
BCBR MCQs with Answers.pdf for exam for NMC promotions
BCBR MCQs with Answers.pdf for exam for NMC promotionsBCBR MCQs with Answers.pdf for exam for NMC promotions
BCBR MCQs with Answers.pdf for exam for NMC promotions
 
Prakinsons disease and its affect on eye.
Prakinsons disease and its affect on eye.Prakinsons disease and its affect on eye.
Prakinsons disease and its affect on eye.
 
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpanaGAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
GAIRIKA.pptx for Rasashastra and Bhaisajya kalpana
 
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
The impact of CD160 deficiency on alloreactive CD8 T cell responses and allog...
 
Hypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentationHypothyroidism / Underactive thyroid gland presentation
Hypothyroidism / Underactive thyroid gland presentation
 
Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...Article - Design and evaluation of novel inhibitors for the treatment of clea...
Article - Design and evaluation of novel inhibitors for the treatment of clea...
 
Lymphoma Made Easy , New Teaching Lectures
Lymphoma Made Easy , New Teaching LecturesLymphoma Made Easy , New Teaching Lectures
Lymphoma Made Easy , New Teaching Lectures
 
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
Bangalore @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girl...
 
Introduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptxIntroduction to Interventional Radiology.pptx
Introduction to Interventional Radiology.pptx
 
anthelmintic-drugs.pptx pharmacology dep
anthelmintic-drugs.pptx pharmacology depanthelmintic-drugs.pptx pharmacology dep
anthelmintic-drugs.pptx pharmacology dep
 
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
Safeguarding Reproductive Health- Preventing Fallopian Tube Blockage After a ...
 
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
Osvaldo Bernardo Muchanga- MALE CIRCUMCISION, ITS Vs SOCIOCULTURAL BELIEFS (C...
 
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptxEXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
EXTRACTION,_PHYTOCHEMICAL_SCREENING_&_FORMULATION_OF_BOERRHAVIA.pptx
 
Post infectious bronchiolitis obliterans
Post infectious bronchiolitis obliteransPost infectious bronchiolitis obliterans
Post infectious bronchiolitis obliterans
 
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
Hemodialysis: Chapter 10, AVF and AVG - Complications (Diagnosis and Manageme...
 
Pernacious Anamia. payhophysiology..pptx
Pernacious Anamia. payhophysiology..pptxPernacious Anamia. payhophysiology..pptx
Pernacious Anamia. payhophysiology..pptx
 
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
High Girls Call Ranchi 000XX00000 Provide Best And Top Girl Service And No1 i...
 
MEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate careMEDICAL PROFESSIONALISM Class of compassionate care
MEDICAL PROFESSIONALISM Class of compassionate care
 

What's Health Equity?

  • 1. What’s Health Equity? 2011 Health Equities Leadership Institute Friday, April 1, 2011 Katherine D. Ellington Vice President, Program Development #2011HELI American Medical Student Association
  • 4. About Katherine @katellington • New York City native from an African- American family with Southern roots, traditions and sensibilities • Born and raised in Queens, one of the most racially and ethnically diverse communities in America • Untraditional path to medical school • Moving toward family medicine and community health
  • 5. The conscious recognize the need for change, awakening the unconscious is apart of that process.
  • 6. Moments in Time from moments to movements We saw a white, Catholic, Republican federal judge murdered on his way to greet a Democratic woman, member of Congress, who was... Jewish. Her life was saved initially by a Mexican-American college student... and eventually by a Korean-American combat surgeon… And then it was all eulogized and explained by our African-American president. And... that's a remarkable statement about the country. ~Mark Shields PBS Newshour January 14, 2011
  • 8. What’s Health Equity? Overview  Definitionsand framework  “Unnatural Causes” clips and quiz  County Health Rankings  Another story  Implicit Association Test 1. novice 2. advanced-beginner  Dialgoue 3. competent 4. proficient 5. expert
  • 9. What is Health Equity? A broad definition: The absence of socially unjust or unfair health disparities.
  • 10. What is Health Equity? HEALTH “The presence of physical, psychological, social, economic and spiritual well being not merely the absence of disease or infirmity” (based on the WHO definition of health)
  • 11. What is Health Equity? EQUITY An ethical concept based on fairness, distributive justice and, is normative.
  • 12. What is Health Equity? “Health equity is the realization by ALL people of the highest attainable level of health. Achieving health equity requires valuing all individuals and populations equally, and entails focused and ongoing societal efforts to address avoidable inequalities by assuring the conditions for optimal health for all groups, particularly for those who have experienced historical or contemporary injustices or socioeconomic disadvantage.”
  • 14. What is Health Equity? Health equity is the absence of systematic disparities in the health (or its social determinants) between more and less advantaged groups. .
  • 15. Racial and ethnic healthcare disparities  Pervasive  Associated with systemic social advantage/disadvantage  Complex and interrelated factors  Root causes are found upstream  Requires fundamental changes in underlying social and/or economic structures
  • 16. Health Disparities Healthcare sysems, polices and infrastructure Individual at the patient-provider level. Differences, disparities and discrimination. Populations with equal access to healthcare. SOURCE: Gomes and McGuire, 2001. Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Smedley BD, Stith AY, Nelson AR, eds. 2003 National Academies Press. Washington, DC.
  • 17. Health Disparities  Finding 1-1: Racial and ethnic disparities in healthcare exist and, because they are associated with worse outcomes in many cases, are unacceptable.  Recommendations 2-1: Increase awareness of racial and ethnic disparities in healthcare among the general public and key stakeholders.  Recommendations 2-2: Increase healthcare providers’ awareness of disparities. Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. Smedley BD, Stith AY, Nelson AR, eds. 2003 National Academies Press. Washington, DC.
  • 18. Health inequities have been defined as differences in health that are unnecessary, avoidable, unfair and unjust. Whitehead,M. The concept and principles of equity in health. Int J Health Serv1992;22:429-445. first published in Europe
  • 19. Social Determinants of Health The social determinants of health are the circumstances in which people are born, grow up, live, work and age, and the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics. #sdoh
  • 20. Social Determinants of Health Social gradient exists, glo bally. #sdoh
  • 22. Social Determinants of Health There’s more to health than health care. What about where your live, go to work, attend school and play? #sdoh
  • 23. What’s Health Equity? DISCUSSION #publichhealth #sdoh #countyhealthrankings #2011HELI
  • 24. What’s Health Equity? #PublicHealth “The new public health operates out front, in the full light of day, connecting the dots, building partnerships, and creating collaborative relationships that reach far into every corner of the community.” President CEO RisaLavizzo- Mourey, MD, MBA, Robert Wood Johnson Foundation www.countyhealthrankings.org #2011HELI
  • 26. 1. novice 2. advanced-beginner 3. competent 4. proficient 5. expert What’s Health Equity? Another story
  • 31. Implicit Association Research The Psychology of Blink: Level 2  Mental operations  First level: higher, deliberate, rational, thoughtful  Second level: lower, automatic, impulsive, unthinking Unconscious cognition Implicit Association Research is a glimpse into “Level 2” We work to overcome Level 2 and IAT is a start
  • 32. Implicit Association Research The Psychology of Blink: Level 2  The Blink part comes from a reference to Greenwald's work in chapter three of Gladwell's book  Leading researchers o Anthony Greenwald, Ph.D., University of Washington o MahzarinBanaji, Ph.D., Harvard University o Brian Nosek, Ph.D., University of Virigina o Lisa Cooper, MD, MPH, Johns Hopkins
  • 33. Project Implicit  Interactive studies that examine thoughts and feelings that exist either outside of conscious awareness or outside of conscious control  Educational and engaging experience
  • 34. Project Implicit  A safe, secure, and well-designed virtual environment to investigate psychological issues and, at the same time, provide visitors and participants  Collaborative research effort between researchers at Harvard University, the University of Virginia, and University of Washington
  • 37. What’s Health Equity? Review  Heal Equity, defined  Racial and ethnic healthcare disparities  Social determinants of health  County Health Rankings 1. novice 2. advanced-beginner  IAT 3. competent 4. proficient 5. expert
  • 39. When the end is the beginning…
  • 40. What’s Health Equity? Katherine D. Ellington vpp@amsa.org @katellington on Twitter Katherine Ellington on Facebook Phone: 347.993.7877 Skype/IM: ellkatd

Editor's Notes

  1. With the sunrise you observe power that is positional, steady and consistent.
  2. New York City native from an African-American family of Southern roots and traditionsBorn and raised in Queens in a close-knit neighborhoods where the 2009 H1N1 outbreak had it genesis, one of the most racially and ethnically diverse communities in America.Prior to medical school, worked in business and community development in New York, southern Africa and the Caribbean.
  3. Dr. Troutman’s webinar – review it.
  4. http://www.pbs.org/newshour/bb/politics/jan-june11/shieldsbrooks_01-14.htmlMo
  5. Follow a few champions!
  6. Pushing forward and carrying on
  7. Inequity does carry moral tones and may considered inflammatory, judgmenta, accusatory.Avoid using the following termsAny variation of equal, equality or equalizingLeveling the playing fieldCreating balanceYou should also avoidUnjust/injusticeOutrage ImmoralUnconscionable
  8. The net effect is a health-wealth gradient, in which every descending rung of the socioeconomic ladder corresponds to worse health. And it’s not just the poorest among us who are suffering, but the middle classes too. Louisville Metro Public Health Department data maps reveal 5- and 10-year gaps in life expectancy between the city’s rich, middle and working-class neighborhoods. We also see how racial inequality imposes an additional burden on people of color.
  9. Pushing forward and carrying on
  10. Social advantage or disadvantage refers to wealth, power and/or prestige – how people are grouped in hierarchies
  11. Systemic, avoidable, unfair and unjust differences in health status and mortality rates and in the distribution of disease and illness across population groups. They are sustained over time and generations and beyond the control of individuals
  12. Social gradient exists, globally
  13. Historically, federal Indian policies have been destructive to Native American communities - ranging from removal to assimilation and termination. These policies have had a negative impact on health and health-related behaviors. More recent trends towards self-determination and tribal control provide reason to hope.
  14. Influenceson Health: Broadening the Focus Health is shaped by many influences, including age, sex, genetic make-up, medical care, individual behaviors and other factors not shown in this diagram. Behaviors, as well as receipt of medical care, are shaped by living and working conditions, which in turn are shaped by economic and social opportunities and resources.
  15. .
  16. http://www.countyhealthrankings.org/take-action/health-care-professionals-and-advocates
  17. .
  18. Stephanie Summerville is an actress and a Broadway theater usher living in New York City.She has performed regionally in both the U.S. and abroad. Her New York credits include “Howling” (LaMaMa ETC.), “We Are Your Sisters” (Blue Heron Theatre) and “Medea” (National Black Theatre of Harlem). Currently she is in residence with the Instant Shakespeare Company, performing the Bard’s entire canon in branches of the New York Public Library, for nine months out of the year. She is a proud graduate of Sarah Lawrence College, and an alumna of the NY Shakespeare Festival Lab at the Joseph Papp Public Theater.
  19. Dr. Greenwald’s talk http://www.youtube.com/watch?v=xRUs9Ni3Bv8&feature=relmfuDr. Cooper’s talk http://www.youtube.com/watch?v=Vx3h332Sd90&feature=relmfu
  20. Dr. Greenwald’s talk http://www.youtube.com/watch?v=xRUs9Ni3Bv8&feature=relmfuDr. Cooper’s talk http://www.youtube.com/watch?v=Vx3h332Sd90&feature=relmfu
  21. Collaborative research effort between researchers at Harvard University, the University of Virginia, and University of Washington
  22. https://implicit.harvard.edu/implicit/demo/takeatest.html