Building a more equitable society: Psychology’s role in achieving health equity.

Kelly, Jennifer F.

doi:10.1037/amp0001019

Cited by 10 publications

(9 citation statements)

References 46 publications

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“… 43 Health disparities are often the result of persistent unjust and discriminatory practices that increase the risk of poor health in vulnerable populations. 44 In addition, the certain health knowledge and skills are needed to be developed for promoting BCF in TGD parents.…”

Section: Discussionmentioning

confidence: 99%

Rates of breastfeeding or chestfeeding and influencing factors among transgender and gender-diverse parents: a cross sectional study

Yang¹,

Na²,

Zhang³

et al. 2023

eClinicalMedicine

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Section: Discussionmentioning

confidence: 99%

Rates of breastfeeding or chestfeeding and influencing factors among transgender and gender-diverse parents: a cross sectional study

Yang¹,

Na²,

Zhang³

et al. 2023

eClinicalMedicine

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“…It is considered as a tradition and a special benefit of a medical staff which is a major cause for dissatisfaction and complain of many patients. Providing healthcare service based on social is also against health equity principle of “giving people what they need when they need it, and in the amount, they need” [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Organizational culture and barriers to change in University of Gondar Comprehensive Specialized Hospital Cardiac Unit

Mengstie

Biks

Cherlin³

et al. 2023

BMC Health Serv Res

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Background Cardiovascular disease is a major contributor to high mortality in Ethiopia. Hospital organizational culture affects patient outcomes including mortality rates for patients with cardiovascular disease. Therefore, the purpose of this study was to assess organizational culture and determine barriers to change in the Cardiac Unit of University of Gondar Comprehensive Specialized Hospital. Methods We used a mixed methods approach with a sequential explanatory design. We collected data through a survey adapted from a validated instrument measuring organizational culture (n = 78) and in-depth interviews (n = 10) with key informants from different specialty areas. We analyzed the quantitative data using descriptive statistics and the qualitative data through a constant comparative method of thematic analysis. We integrated the data during the interpretation phase to generate a comprehensive understanding of the culture within the Cardiac Unit. Results The quantitative results indicated poor psychological safety and learning and problem solving aspects of culture. On the other hand, there were high levels of organizational commitment and adequate time for improvement. The qualitative results also indicated resistance to change among employees working in the Cardiac Unit as well as other barriers to organizational culture change. Conclusion Most aspects of the Cardiac Unit culture were poor or weak, signaling opportunities to improve culture through identifying culture changing needs, implying the need to be aware of the subcultures within the hospitals that influence performance. Thus, it is important to consider hospital culture in planning health policy, strategies, and guidelines. Recommendations It is of paramount importance to strengthen organizational culture through fostering a safe space that enables workers to express divergent views and actively considering such views to improve the quality of care, supporting multidisciplinary teams to think creatively to address problems, and investing in data collection to monitor changes in practice and patient outcomes.

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“…“Fairness and justice entitle all persons to access to and benefit from the contributions of psychology.” (Principle D of Ethical Principles of Psychologists , APA 2017, p. 4). Unfortunately, this entitlement seems unfulfilled (Kelly, 2022). Although developing an effective HPI can be difficult even without constraints on time, energy, expertise, and other resources, the real challenge may be to develop effective HPIs that use widely available, inexpensive resources so we can reach all of the many people who need our help.…”

Section: Cost-inclusive Research In Health Psychologymentioning

confidence: 99%

Cost-inclusive research on health psychology interventions: Why, how, and what next.

Yates¹

2023

Health Psychology

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Cost-inclusive research (CIR) uses observations, interviews, self-reports, and archival records to collect data on the types, amounts, and monetary values of resources that make health psychology interventions (HPIs) possible in healthcare and community settings. These resources include time of practitioners, patients, administrators, space in clinics and hospitals, computer hardware, software, telecommunications, and transportation. CIR adopts a societal perspective by including patient resources such as time spent participating in HPIs, income foregone for participation, travel time and transportation to and from HPI sites, patients’ information devices, and child- and eldercare necessitated by HPI participation. This comprehensive approach to HPIs also distinguishes between costs and outcomes of delivery systems, and of techniques used in HPIs. CIR can help justify funding of HPIs by including not only problem-specific outcomes (effectiveness), but also monetary outcomes (benefits) of HPIs, including changes in patient use of services for health and education, patient criminal justice involvement, financial assistance to patients, and changes in patient income. By measuring the types and amounts of resources consumed in specific activities of HPIs, and monetary and nonmonetary outcomes of HPIs, we can better understand, budget for, and disseminate interventions that work and are accessible by most people who need them. Combining effectiveness findings with data on costs and benefits can build a more complete evidence base for optimizing impacts of health psychology, including empirically selected stepwise interventions to deliver the best interventions in health psychology to the most patients for the least amount of necessary societal and healthcare resources.

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Building a more equitable society: Psychology’s role in achieving health equity.

Cited by 10 publications

References 46 publications

Rates of breastfeeding or chestfeeding and influencing factors among transgender and gender-diverse parents: a cross sectional study

Rates of breastfeeding or chestfeeding and influencing factors among transgender and gender-diverse parents: a cross sectional study

Organizational culture and barriers to change in University of Gondar Comprehensive Specialized Hospital Cardiac Unit

Cost-inclusive research on health psychology interventions: Why, how, and what next.

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