Race and ethnicity
Innovations
A portable clinic uses specially designed equipment to bring full-service dental care to elementary schools serving impoverished, immigrant, and uninsured children.
Low-income, African-American, rural HIV patients receive regular self-written text message reminders that encourage them to regularly access HIV/AIDS primary care, leading to greater retention in care and enhanced quality of life.
Two safety net clinics offered low-income Hispanic patients with both diabetes and depression culturally appropriate care (including medication and/or psychotherapy) and ongoing support led by trained, bilingual social workers, leading to improvements in medication adherence, depression-related symptoms, and patient satisfaction.
A culturally tailored smoking cessation program significantly reduces tobacco use among members of an American Indian tribe.
Community-based primary care physicians receive support from specialist physicians and a multidisciplinary team, leading to enhanced access to high-quality care for HIV-positive patients.
Culturally appropriate videos provide first-person narratives of patients living with hypertension, leading to significant improvements in blood pressure among low-income, inner-city African Americans with previously uncontrolled hypertension.
A culturally appropriate, interactive decision aid placed at health fairs and in safety net clinics generates high levels of engagement among underserved Hispanic and Latino smokers, leading to well above-average quit rates.
An inner-city clinic hosts a weekly group program with parents and children that includes an individual medical visit, group education, and time for exercise, leading to improved health-related behaviors, stable body mass index in children, and weight loss in adults who participate frequently.
Using electronic templates, nurses and physicians provide a personalized report to patients at virtually every visit, with the goal of improving health-related behaviors; the program has contributed to a leveling off in the prevalence of overweight/obesity, above-average quit rates among smokers, better blood glucose control, and fewer racial disparities in chronic care.
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.
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