scholarly journals Teaching Racial Affinity Caucusing as a Tool to Learn About Racial Health Inequity Through an Experiential Workshop

2020 ◽  
Vol 52 (9) ◽  
pp. 656-660
Author(s):  
Jessica Guh ◽  
Laura Krinsky ◽  
Tanya White-Davis ◽  
Tanmeet Sethi ◽  
Ronni Hayon ◽  
...  
Keyword(s):  
Panel Discussion ◽  
Ethnic Disparities ◽  
Posttest Score ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Pretest Score ◽  
Residency Programs ◽  
Unequal Treatment ◽  
Experiential Workshop ◽  
And Training

Background and Objectives: In its landmark report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, the Institute of Medicine concluded that unconscious or implicit negative racial attitudes and stereotypes contribute to poorer health outcomes for patients of color. We describe and report on the outcome of teaching a workshop on the tool of racial affinity caucusing to address these issues. Methods: Applying the framework described by Crossroads Antiracism Organizing and Training, we developed a 90-minute workshop teaching racial affinity caucusing to family medicine educators interested in racial health disparities. The workshop included didactic and experiential components as well as a panel discussion. We administered pre- and posttests. Results: Participants’ (n=53) impression of and confidence in implementing racial affinity caucusing significantly increased following the workshop from a mean pretest score of 5.40 to a mean posttest score of 7.12 (P<.01) on a scale of 1 to 9. Ninety-two percent of participants indicated that the workshop made them more likely to think about implementing this tool at their home institutions (P<.01). Conclusions: This study demonstrated the first exploration in medical education of racial affinity caucusing and illustrated that it can be easily implemented in residency programs as an effort to address racial health inequities. Though the participating educators were mostly unfamiliar with it, the workshop was an effective introduction to this tool and by the end, educators reported increased comfort and enthusiasm for racial affinity caucusing, regardless of their preexisting levels of knowledge of or comfort with the tool. In addition, the overwhelming majority of the participants felt they could implement it at their respective institutions.

Community Partnerships: The Cornerstone of Community Health Research

2004 ◽  
Vol 22 (1) ◽  
pp. 315-329 ◽  
Author(s):  
CARMEN J. PORTILLO ◽  
CATHERINE WATERS
Keyword(s):  
Health Care ◽  
Ethnic Disparities ◽  
Community Partnerships ◽  
Community Research ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Community Based ◽  
Community Based Research ◽  
Care Community ◽  
Unequal Treatment

Community partnerships have been recognized as the cornerstone of community research. The recent Institute of Medicine report, Unequal Treatment, puts forth the idea of creating community partnerships as a strategy to address racial and ethnic disparities in health care. Community-based research is frequently reported in the literature as a study conducted in the community versus with the community. The objective of this review is to examine models of community partnerships, to consider their implications for community-based research, and to identify directions for future nursing research.

scholarly journals Clinical Uncertainty and Healthcare Disparities

2003 ◽  
Vol 29 (2-3) ◽  
pp. 203-219 ◽  
Author(s):  
Ana I. Balsa ◽  
Naomi Seiler ◽  
Thomas G. McGuire ◽  
M. Gregg Bloche
Keyword(s):  
Healthcare System ◽  
Minority Groups ◽  
Healthcare Access ◽  
Insurance Coverage ◽  
Ethnic Disparities ◽  
Clinical Encounter ◽  
Racial And Ethnic Disparities ◽  
Institute Of Medicine ◽  
Unequal Treatment

The Institute of Medicine Report, Unequal Treatment: Confronting Racial and Ethnic Disparities, affirms in its first finding: “Racial and ethnic disparities in healthcare exist and, because they are associated with worse outcomes in many cases, are unacceptable.” The mechanisms that generate racial and ethnic disparities in medical care operate at the levels of the healthcare system and the clinical encounter. Research demonstrates the role of healthcare system factors, including differences in insurance coverage and other determinants of healthcare access, in producing disparities. Research also shows, however, that even when insurance status and other measures of access are controlled for by statistical methods, racial and ethnic disparities persist. These disparities remain when researchers try by various methods to control for patients’ clinical characteristics. Disparities are especially well documented through comparisons between white patients and African Americans and Latinos, but they are believed to affect other minority groups. As a result, many members of minority racial and ethnic groups receive less or inferior care.

Barriers for people of color to RD in the US

2018 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Jill White
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Ethnic Disparities ◽  
Health Care Delivery System ◽  
People Of Color ◽  
Institute Of Medicine ◽  
Unequal Treatment ◽  
Nutrition Programs ◽  
Health Care Practitioners ◽  
The Us

The Healthy People 2010 objective of eliminating health disparities was prompted by the  Institute of Medicine (IOM) report Unequal Treatment; Confronting Racial and Ethnic Disparities in Health Care . The report documented racial inequities within the U.S. health care delivery system, including differential treatment on the basis of race demonstrated by health care practitioners.  Recommendation 5-3 was to Increase the proportion of underrepresented U.S. racial and ethnic minorities among health professionals .Between 2002 and 2008 the number of people of color entering undergraduate Nutrition programs increased by 67 %,  while the number admitted to internships decreased by 11% . Of particular concern is the 58% decrease in African American's admitted into dietetic internships over the past decade.   This paper is a discussion of barriers to RD that have been identified by African Americans in five studies, in hopes of shedding light on how to address and reverse this trend. 

scholarly journals PELATIHAN TEKNIK BUDIDAYA UBIKAYU NUABOSI MENGGUNAKAN TEKNOLOGI POLA TANAM TUMPANGSARI DENGAN TANAMAN LEGUM DI DESA RANDOTONDA KECAMATAN ENDE KABUPATEN ENDE

2020 ◽  
Vol 3 (2) ◽  
pp. 92
Author(s):  
Willy Brordus Lanamana ◽  
Kristono Yohanes Fowo ◽  
Laurentius Dominicus Gadi Djou ◽  
Yohanes Pande
Keyword(s):  
Weed Control ◽  
Community Service ◽  
Posttest Score ◽  
Training Methods ◽  
Pretest Score ◽  
Specific Objective ◽  
Service Activity ◽  
Cultivation Technique ◽  
Irregular Spacing ◽  
And Training

AbstrakMitra dalam pelaksanaan kegiatan pengabdian ini adalah kelompok tani Kema Tau Pawe, yang dibentuk tahun 2010. Salah satu komoditas tanaman pangan yang dibudidayakan yaitu ubikayu varietas lokal Nuabosi. Ubikayu ini merupakan komoditas unggulan daerah. Permasalahan utama, teknik budidaya masih dilakukan secara konvensional, petani belum membuat guludan, tanpa pemupukan, jarak tanam yang tidak teratur, dan jarang melakukan pembersihan gulma, sehingga produktivitasnya rendah. Tujuan pelaksanaan pengabdian untuk melakukan perbaikan teknis budidaya menggunakan teknologi pola tanam tumpangsari ubikayu dan tanaman legum. Metode yang digunakan, penyuluhan dan pelatihan. Kegiatan pengabdian ini diawali dengan penyuluhan teknik budidaya. Materi pelatihan meliputi, teknik pembuatan guludan, pemanfaatan sereza dan pengaplikasian promi, pelatihan pola tanam tumpangsari serta pelatihan pembersihan gulma dan pembumbunan. Dari pretest dan posttest yang diberikan terjadi peningkat nilai yang signifikan pada posttest. Pada materi teknik pembuatan guludan rata-rata pretest 5,68, posttest meningkat sebesar 12,6, materi pemanfaatan sereza dan pemberian promi, rata-rata pretest 5,52, posttest meningkat sebesar 13,64, materi pola tanam tumpangsari rata-rata pretest 5,6, posttest meningkat sebesar 13,56 dan untuk materi pembumbunan dan pembersihan gulma, rata-rata  pretest 5,52, posttest meningkat sebesar 14,2. Perbaikan teknis budidaya meliputi; pembuatan guludan, pemanfaatan sereza dan pengaplikasian promi, polatanam tumpangsari, pembersihan gulma dan pembumbunan.      Kata Kunci: Tumpangsari Legum, Ubikayu Nuabosi   AbstractPartner in the implementation of community service activity was Kema Tau Pawe farmer group, which was formed in 2010. One of the food crop commodities cultivated by this farmer group was Nuabosi cassava, in which this cassava was their regional superior commodity. The main problem of Nuabosi cassava cultivation was that the cultivation technique was still performed conventionally, in which farmers did not make mounds, did not perform fertilization, planted the plants in irregular spacing, and rarely performed weed control, so that it led to the low productivity. The specific objective of the implementation of this service activity was to carry out technical improvements in Nuabosi cassava cultivation using the Nuabosi cassava intercropping system with legumes. Methods used were counseling and training methods. The community service activity was begun with counseling about cultivation techniques. There were four materials provided in training, such as techniques for making mounds, the use of cereals and application of promi, training in intercropping system and training for weed control and embellishments. Based on pretest and posttest given to famer group for the four materials, it was found that there was significant increase in the posttest score. First, in the material containing techniques for making mounds, the average of pretest score was 5.68, and it increased in the posttest, which was 12.6. Next, in the material about the use of cereals and application of promi, the average of pretest score was 5.52, and it increased in the posttest, which was 13.64. Then, in the material about intercropping system the average of pretest score was 5.6, and it increased in the posttest, which was 13,56. The last, in the material about weed control and embellishments, the average of pretest score was 5.52, and it increased in the posttest, which was 14.2. Technical improvements for cultivation include; making mounds, the use of cereals and application of promi, intercropping, weed control and embellishments.    Keywords: Intercropping Legumes, Nuabosi Cassava

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