Discover and read the best of Twitter Threads about #HealthEquity

Most recents (24)

STOP Criminalizing "Patient Centered Care" & End Systemic Health Discrimination - Sign the Petition!

@aander1987 @life_is_art___ @Irishbrat1966 @fightpaindaily @ChadDKollas @ibdgirl76 @jillyannjiggs @tal7291 @speakingabtpain @PlayLynny4U

chng.it/8zjTsGnx via @Change
"Disabled individuals with incurable painful diseases and debilitating injuries are experiencing systemic discrimination which has left them without any good options. Their choices are to exist in agony, attempt to self-medicate via the black market, or suicide.
To ensure health equity, reduce discriminatory practices in medicine and improve the quality of life and function to disabled individuals, we respectfully request the following actions be considered to correct this grievous inequity.
Read 7 tweets
Happy Monday to all my new/existing follows! So excited many people are willing to share their experiences with racism and are READY to dismantle it! I’m a nurse, speaker @NSB_Speakers, writer @ByBlacks, medical contributor @CBCNews @globalnews @CP24 and podcaster @GrittyNurse! Image
I discuss & advocate for #mentalhealth #healthequity #poverty.
I am mom of neurodivergent twins and a little girl. I am a #autism & #disability advocate and anti-racism educator who specializes in anti-racism in healthcare. I’m also an intersectional feminist! #Speaker
I have also advocated for #nursing as a profession, discussed the intersection of policy and healthcare and openly advocate for healthy and safe work environments free from bullying and harassment (got no time for bullies!) #NurseTwitter
Read 5 tweets
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 3/ Social determinants of health #SDOH
👉Conditions in places where people live, learn, work, & play shaped by 💰wealth, power, & resources that affect a wide range of health risks/outcomes
📌SDOH can lead to unfair & avoidable differences in health status w/in pops #disparities Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 4/ #SDOH impact health outcomes
📌Unemployed >6yrs👉2x⬆️mortality
📌Chicago area👉16yrs⬇️ life expectancy
📌Social isolation👉2x⬆️ risk of CAD
📌Unsafe childhood👉5x⬆️risk mental health disorder
📌Dual M/M ins👉24%-67% ⬆️readmission
📌Language services👉60% ⬆️risk ED utilization Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 5/ How do #SDOH impact pts w/ #IBD?

📌 Low socioeconomic status (SES) in pts w/ IBD 👉
⬆️ICU admissions
⬆️hospitalizations 🏥
⬆️mortality risk
⬆️use of steroids >2,000mg/yr
⬆️outpatient visits
⬆️narcotic/psych med use

#MondayNightIBD
Read 21 tweets
And others.

"Need to effectively utilize #CNMs has never been greater," says Kohl from midwife.org

Finding a supervising provider may prove difficult.
Body of evidence has consistently shown that although these barriers do not improve care.
Kohl:
"Time to follow the economics and evidence and remove supervision of practice"

Notes that team based care is the "future of #healthcare in the US"
Read 56 tweets
Today I asked @AdrianDix whether he thinks that having a for-profit corporation that delivers profits to shareholders also delivering healthcare in BC is aligned with the principles of equitable, universal, public health care. 1/ #bcpoli #HealthCare #Health #HealthEquity
In BC, access to virtual health care, covered by MSP, is happening through Telus. But at the same time, @TELUSHealth is charging $1000 for annual screenings. But that is not all. 2/ #bcpoli #HealthCare #health
There is also LifePlus, offering the care we expect from a family clinic. The annual cost of enrolment in LifePlus is $4000 for the first year, and $3000 every year after. 3/ #bcpoli #HealthCare #health
Read 5 tweets
The @CDCgov is listening! Today, @EthnicMediaSvc hosts a roundtable with Bhutanese, Burmese, and Uyghur refugees and how these communities have managed the pandemic. #refugees #COVID19 #healthequity #publichealth #RIM
Speakers include: Faustina Palmatier, Karen Society of Buffalo; Aung M. Naing, President and Co-founder, Network of Myanmar American Associations @netmaa Sudarshan Pyakurel, Executive Director, Bhutanese Community of Central Ohio
Also: Parshuram Chamlagai: Bhutanese Community Association of Pittsburgh; Omer Kanat, Founder and President, Uyghur Human Rights Project @Omerkanat1 @uyghurproject
Read 27 tweets
(1/10) ❗️Disclaimer❗️: Not an #intersectionality expert but care about #intersectionality & #healthequity. I want my research to reflect personal values. Below are just some of my musings on this ⬇️
(2/10) In my #epidemiology research, often constrained by what data is available to me...

e.g. forced to conflate #sex & #gender, treat gender as binary construct, collapse #ethnicity into meaningless categories etc. This is not good research! ☠️
(3/10) Most importantly, not doing justice to the people my research is aimed to serve. Want to change that.
Read 10 tweets
Encouraged by a very + response to the "RFA" for our new Summer Research Institute (SRI) Heart +Lung +Blood Program (CHP2SRIP) for undergraduate students from under-represented backgrounds, funded by @nih_nhlbi (R25 HL158295) and now part of the SRI Program at @ChildrensPgh 1/3
Indeed, we had 67 undergraduate students from groups URiM apply to the @ChildrensPgh SRI Program this year, compared with 5 such applicants last year (a nearly 14-fold increase)! Very grateful for the leadership + help from Drs. Sunder Sims-Lucas + Michelle Manni in our team. 2/3
Very appreciative of help from friends at @PittTweet, other institutions, + @atscommunity for "spreading the word". First step of a long journey, but looking forward to the future! @NHLBI_LUNGDir @PittPediatrics #NextGen #RepresentationMatters #HealthEquity #Diversity #SiSePuede
Read 4 tweets
Dr. Wong's recent MS is 1 of 31 papers authored+co-authored by our T32 post-doctoral fellows since 2016. Grateful to @nih_nhlbi for funding our Training Program (T32 HL129949), given a pressing need for physician-scientists and scientists in pediatric pulmonary medicine. 1/3
Thankful for our T32 fellows -Drs. Tim Perkins, Anjani Ravindra, @catarmbruster, Rob Abood, @EricaLStevensMD, Soyeon Kim, @jeremy_landeo, Bo Zhai, Kristina Gaietto, + Matt Wong, our outstanding mentors and faculty, and our Exec. Committee-Drs. @EForno+ John Alcorn+ @morrisa1668
And very appreciative to our External Advisory Board - Drs. Tom Ferkol + Ed Silverman + Ben Gaston, @PittPediatrics + @ChildrensPgh. @NHLBI_LUNGDir
#BestGeneration #FundTheFuture #HealthEquity #Innovation #Discovery #Asthma #CF #ALI
Read 4 tweets
1/ So tired of smug garbage thought pieces in pubs like @TheAtlantic trivializing #COVID mass death & #HealthInequity

Thousands dying daily & cont'd health inequity means we haven't done what's needed to stop mitigations or "open" things that aren't even closed #UrgencyOfEquity
2/ Pieces like this endorse society brushing past those who remain at most risk from #COVID to move to a past inequitable "normal," while making a passing, half-hearted "that's tragic" comment about continued COVID health inequities & suffering. theatlantic.com/ideas/archive/…
3/ Interesting that the author expressed concern that "Many white-collar workers still haven’t returned to the office" but failed to mention healthcare, retail, or factory workers. #UrgencyOfEquity #COVID
Read 22 tweets
.@JCScottPCMA you say PBMs advocate for patients by ensuring drug access, yet when CVS Caremark dropped Eliquis from formulary it forced 150,000 stable heart patients off their effective therapy for non-medical reasons. Have a position @pcmanet? 16 nonprofits do. #StopTheSwitch
Here's the letter the American Society of Hematology sent Caremark. They also met with execs. Still Caremark went 🤷‍♂️
"gravely concerned"
"serious impact" on patients
"ASH urges CVS to reconsider"
They cite clinical data showing bleed risk, outcomes
hematology.org/-/media/hemato…
And here's 14 additional nonprofits urging CVS to reverse course because:
"this abrupt change will be dangerously disruptive for patients"
"unquestionably exacerbate health equity concerns that exist in cardiovascular care"
Still CVS went 🤷‍♂️
static1.squarespace.com/static/56e6efd…
Read 13 tweets
In a country that grows SO much food, it's unjust & unethical that this is real:

#PlantBased diets are at the cornerstone of every national rec for disease prevention, and yet...

Only 1/10 Americans eats the recommended amounts of fruits/vegetables.

cdc.gov/mmwr/volumes/7…
And this is a pretty low bar...

The 2020-2025 Dietary Guidelines for Americans recommend only 2 cups of fruits and 3 cups of vegetables daily!
And, of course, tragic to see that "meeting vegetable intake recommendations was... lowest among those living below or close to the poverty level (income to poverty ratio [IPR] <1.25) (6.8%)."

#FoodIsMedicine #HealthEquity

@MassGenBrigham @elsiemt @Kristenrisley @FoodisMedMA
Read 5 tweets
Our new piece: #Racism as a Leading Cause of Death in the US. "To address racism, understand its impact on health, & identify remedies, a national set of metrics is needed to galvanise action & promote accountability." bmj.com/content/376/bm… @bmj_latest #HealthEquity @YaleMed Image
@bmj_latest @YaleMed "Black people in the US are more likely to die young—not because there is some intrinsic biological risk, but because of racism… For many racial & ethnic minority groups, particularly for descendants of enslaved Africans, equality in health and longevity remain beyond reach."
@bmj_latest @YaleMed "The excess deaths associated with race can be understood as a toll that is in large part a result of racism in the United States. There is no biological reason, independent of social context, that Black people should die younger than White people."
Read 6 tweets
(1/6)

If the aim is for cultural humility, which is an ongoing attitude about how we approach DEI learning instead of competence, which is a one-time accomplishment, why do we solve DEI issues with one-time trainings?

What if we had equity practices instead?

🧵
(2/6) An Equity Practice is a routine habit of creating space to continually examine our biases, advance our understanding of social justice, and take action to minimize inequities. Like a meditation practice, the more consistent you are, the more you get out of it.
(3/6) We are not what we say we are, what we think we are, nor what we project to the world that we are. We are what we do repeatedly. Practice > training. Cultural humility > competence.
Read 7 tweets
Hey Team Twitter, do you have a spare 5 minutes?
Put it to good use.
Help #VaccinateTheWorld in 2022. Here’s how…

Our #VaccinateTheWorld plan is simple: we get the UK government to offer more support to the international community (detailed actions below)
/1
How? It’s a two pronged attack…

Step 1: Trigger a debate in parliament by signing this petition. 100,000 signatures = debate
petition.parliament.uk/petitions/6051…

/2
Step 2:
Find your MP using this link: members.parliament.uk/FindYourMP
/2
Read 6 tweets
In hours, I & 150,000 patients will be forced off the life-saving blood thinner our doctor ordered. Since @CVSHealth leaders would meet with top docs last week about it but not patients, I want @AlanLotvinMD to know one they are hurting. This is my life. THREAD.
Please amplify.
2) Here’s the house—er single wide trailer—I grew up in on a dirt road in eastern North Carolina. No silver spoon here. My dad worked at a meat packing plant 21 years doing maintenance. Strong work ethic. Never lacking for love. ♥️
3) Family raised a little livestock on the side $. I loved the goats best. This is Lollipop. I took her to Show n’ Tell at school in first grade. 🐐😍
Read 32 tweets
A few months ago, I “called in” @SketchyLearning for their stereotypical and ahistorical depictions of Native Americans in their Pharmacology, Pathophysiology, and Microbiology Units. Today, I have some great news to share. @ANAMS1975 @IndianCountry
I am finally able to share that a few months ago I worked with @AndrewBergMD, the co-founder of Sketchy, and several others to secure more than $30,000 worth of Sketchy subscriptions for 75+ Native medical students from dozens of Tribes nationwide. @ANAMS1975.
Moving forward, @SketchyLearning Scholars will be providing up to $1 million in subscriptions to organizations like @ANAMS1975 and the @SNMA in support of student success and healthcare diversity.
Read 5 tweets
It's #UHCDay!

The #COVID19 pandemic emphasized and exacerbated health inequities around the 🌍 . WHO calls on governments, donors and leaders to prioritize 👇

| ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄ ̄|
#HealthEquity
|_________|
(\__/) ||
(•ㅅ•) ||
/   づ
On #UHCDay, we must remind everyone that it's not just #COVID19 that’s killing people. It's:
-underprivilege
-lack of access
-years of living with health conditions that haven't been properly managed because of their skin colour, ethnicity, or social group
We all have different health needs, but our right to health is the same. Health systems must be ready to provide the full spectrum of
🏥promotive
🏥preventative
🏥curative
🏥rehabilitative
🏥palliative
services based on our needs, not our ability to pay.
That means #HealthForAll! Image
Read 28 tweets
PHASE 1 LAUNCH! New study reveals yawning gap in medical care for energy-impaired
thisiswellless.com

#pwME #NEISvoid #FBLC #LongCovidWork #LongCovidCosts #TreatLongCovid #CountLongCovid #miilionsmissing #HealthEquity #patientled #medtwitter #wellless

A THREAD > Image shows 'energy' used for patient activities on a graph
Long-Covid visual report quantifies money, time, work and energy spent on the battle to get medical care, and introduces new language of the “well-less” to improve patient awareness and support.
@long_covid @longcovidwork @actionforme @chronicinclude #EDS #PoTS #postviral Image shows a new healthcare spectrum from Well[ness] throug
I tracked and analysed my own health interactions from 2020 across nine different self-data sources, including @BupaUK @Bupa , @LloydsBank , @timspector (Zoe Covid Symptom Tracking App(, email, SMS, mobile and calendar data #Datavisualization #selfanalytics #dataviz
Read 25 tweets
One of the points we made in our article last month (👇🏾) is that #Pharmacoequity extends beyond prescription drug access to the entire therapeutic cascade. A couple of interesting papers led by @ashwin_nathan & @ACFanaroff on TAVRs and #HealthEquity.

jamanetwork.com/journals/jama/…

1/
@ashwin_nathan @ACFanaroff @SameedKhatana @petegroen @jaygirimd @hmartinjulien @bnallamo In @CircOutcomes, the team examined socioeconomic & geographic factors of hospitals that developed TAVR (newer, less invasive treatment for aortic stenosis) programs and found that hospitals serving wealthier patients were ⬆️ likely to start programs.

2/

ahajournals.org/doi/10.1161/CI…
3/3 A month later, the team showed in @JAMACardio that zip codes with ⬆️ rates of Black & Hispanic patients and those with more socioeconomic disadvantages had ⬇️ rates of TAVR, adjusting for age and clinical conditions.

So much to be done in this space.

jamanetwork.com/journals/jamac…
Read 4 tweets
🧵1. My final contribution to this matter & its deeply personal & relevant. When I was 8 my right index finger got jammed in the door & nearly amputated the tip. At local ER my mother was told they would just have to amputate….
2. Bone was visible but not fractured. She stood firm that they should suture it the best they can and at least give it a chance to heal. By the grace of God & destiny (which we will get to later) it healed. We were grateful it did…
3. It was only later I realized the disparity in treatment received. There was no call to hand or plastics & no referral to the children’s level 1 trauma center that was only 30 min away. We were by no means well off, but had private insurance…
Read 5 tweets
1. Very scary moment this week. My daughter fell at school & had a decent gash on her face. Pretty deep involving the eyebrow. Although the ER physician felt confident in being able to repair it, I asked for the professional courtesy of calling plastics.
2. The @EmoryMedicine plastics fellow came & repaired it in 2 layers & I know she will do well. I’ve thought a lot about the situation this week for 2 reasons. First, I’m blessed to be in a position to know the benefits of the repair by plastics & to be able to make that request
3. Second, the knowledge that a poorly healed scar on my daughter’s face will significantly affect her future socially, emotionally & even economically based upon what career she may want to pursue. Not thinking abt modeling but more about sales & any other client facing career.
Read 5 tweets
In July of 2021, the @CDCgov announced a decrease in US life expectancy of 1.5 years, the biggest one-year decline since #WWII. Even before COVID-19, however, the US has seen several years of declining life expectancy in the past decade. #ph260720 #COVID
cdc.gov/nchs/pressroom…
Meanwhile, we see a widening gap in medical care between those with high and low status, leading to much larger declines in life expectancy for black and brown populations during #COVID19. How do you think these gaps came to be? #ph260720 #Healthcare
#hospitals continue to #Innovate and improve their medical care, following charters to improve health and care for the needy. However, they often fail to address the non-medical needs of their community, the “social determinants of health” #ph260720 #CommunityHealth
Read 13 tweets

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