In Pursuit of a Deeper Understanding of Racial Justice and Health Equity

Ayanian, John Z.; Buntin, Melinda Beeuwkes

doi:10.1001/jamahealthforum.2020.0765

Cited by 22 publications

(21 citation statements)

References 11 publications

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“…It is also remarkable that in the early months of the COVID-19 pandemic, TA events focused specifically on social justice, racial equity, and health disparities were not the most frequently offered but were the most heavily attended. The murder of George Floyd, subsequent protests across the country, and the pronounced health disparities highlighted through the differential impact of COVID-19 on communities of color likely increased the behavioral health workforce's collective interest in these topics [19,20]. The TTCs had developed considerable TA programming in this area since the Addiction TTC Network's inception in 1993.…”

Section: Discussionmentioning

confidence: 99%

Providing behavioral workforce development technical assistance during COVID-19: adjustments and needs

Molfenter

2021

Translational Behavioral Medicine

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COVID-19 social distancing policies have triggered a historic shift in the delivery of behavioral health prevention and treatment services. Among the first responders to this monumental workforce development challenge were the Substance Abuse and Mental Health Services Administration-funded Technology Transfer Centers (TTCs), which are charged with building the behavioral health workforce’s capacity to provide evidence-based prevention, treatment, and recovery services. TTCs documented unprecedented attendance at their events in the early months of the pandemic. This study applied content analysis to identify the most common COVID-related technical assistance (TA) topics and examine attendance by topic from March to July 2020. Across 393 events, TA topics explicitly related to COVID-19 encompassed eight emergent themes: (a) delivering services via telehealth, (b) providing support and services to behavioral health consumers, (c) promoting workforce self-care, (d) understanding new laws/policies, (e) delivering evidence-based practices, (f) advancing racial equity, (g) offering networking spaces, and (h) altering organizational management and communication infrastructure. The most heavily attended events focused on the TA themes “Advancing Racial Equity” (average = 352) and “Telehealth Service Delivery” (average = 271). There was a documented shift from more intensive TA to briefer, more targeted TA provision. The TTCs rapidly virtualized training and TA offerings to address workforce needs and serve as a model for providing remote workforce development support during the COVID-19 pandemic and future national crises.

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Section: Discussionmentioning

confidence: 99%

Providing behavioral workforce development technical assistance during COVID-19: adjustments and needs

Molfenter

2021

Translational Behavioral Medicine

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“…However, some participants may still have perceived political bias in some items, such as "environmental issues" and "abortion laws and reproductive issues"; this perception may have influenced responses, particularly among conservative students. Finally, our survey was conducted prior to the COVID-19 pandemic, which has highlighted health disparities in minority populations, [53,54] and the widespread Black Lives Matter protests following the murder of George Floyd [55]. These events may have influenced medical student attitudes toward civic engagement, particularly around issues with indirect links to health.…”

Section: Discussionmentioning

confidence: 99%

The future of physician advocacy: a survey of U.S. medical students

et al. 2021

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Background Advocacy is a core component of medical professionalism. It is unclear how educators can best prepare trainees for this professional obligation. We sought to assess medical students’ attitudes toward advocacy, including activities and issues of interest, and to determine congruence with professional obligations. Methods A cross-sectional, web-based survey probed U.S. medical students’ attitudes around 7 medical issues (e.g. nutrition/obesity, addiction) and 11 determinants of health (e.g. housing, transportation). Descriptive statistics, Kruskal-Wallis tests, and regression analysis investigated associations with demographic characteristics. Results Of 240 students completing the survey, 53% were female; most were white (62%) or Asian (28%). Most agreed it is very important that physicians encourage medical organizations to advocate for public health (76%) and provide health-related expertise to the community (57%). More participants rated advocacy for medical issues as very important, compared to issues with indirect connections to health (p < 0.001). Generally, liberals and non-whites were likelier than others to value advocacy. Conclusions Medical students reported strong interest in advocacy, particularly around health issues, consistent with professional standards. Many attitudes were associated with political affiliation and race. To optimize future physician advocacy, educators should provide opportunities for learning and engagement in issues of interest.

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“…Equally compelling, increased recognition of community voice and engagement creates an exciting opportunity for systemic change. 6 Engaging the community in clinical health research grounds the science for both the community and intended research. Community-based participatory research (CBPR), widely recognized as a collaborative approach involving all partners in the research process, recognizes the unique strengths each member brings.…”

mentioning

confidence: 99%