CHALLENGE: What will Academic Health Centers and health organizations learn about #healthequity and #antiracism from COVID-19 Vaccination?
🧵1/8
We learn by doing: by running a public health campaign we can see more clearly what works, and what changes are urgent for equity. See our full article with P Shorett- Lessons in Equity from Front Lines of COVID Vaccination ja.ma/3240ADj via @JAMAHealthForum
1. STAY ACCOUNTABLE TO RELIABLE DATA: we need to reliably collect and share stratified data📊--about race, ethnicity, language, SES/geography...and more. No quality without 📷equity lens. kff.org/08ffa5c/
2. ADDRESS DIGITAL DIVIDE and SDH INTENTIONALLY. Portal or Email outreach alone will not➡️Equity @translatedmed @CourtneyRLyles @WF_Parker @DrMonicaPeek @GovindPersad Build intentional resourced outreach to marginalized communities with ⬆️ SDH challenges
3. SPEAK OUR PATIENTS' LANGUAGES & BUILD TRUST-Metaphorically and literally, we can only communicate if we use meaningful words, concepts and trusted messengers. No equity without language access. @AliciaFMD @KBibbinsDomingo @elainekhoong @LashNolen @gcsmd
4. BRING DIVERSE STAKEHOLDERS, COMMUNITY, & PATIENT VOICES INTO THE ROOM WHERE IT HAPPENS
@TheLizArmy @AnupamBJena @ReedeScholars @LisaRotenstein @https://www.nejm.org/doi/full/10.1056/NEJMp2032224#.YHJzuMlQhsU.twitter
5. EMBRACE EQUITY AND ANTI-RACISM AS GUIDING PRINCIPLES & VALUES -Brave leaders 🫂 change ➡️less powerful can speak up and be heard. Inclusive cultures empower higher quality care🙏BILH
Utibe R. Essien, MD, MPH | The Urgency of Now: ... via @YouTube
As Eduardo Galeano said: We are what we do, especially what we do to change what we are. #BILHproud #BIDMCproud #Latinosinmedicine ⚽️⚽️

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More from @lfernandezi

23 Mar
Words Matter. More patients are reading their notes (aka #opennotes). Clinicians wonder:

What do patients find judgmental OR offensive in their notes?

This #medthread is an overview of what we learned. Read the full paper in @JournalGIM: link.springer.com/article/10.100…

#medtwitter 1/8
Image
Sharing notes w/patients can help w/care.

We can use #opennotes to explain, build trust, clarify & remind patients of plan.

BUT notes also offer patients a window into how clinicians view them & their conditions.

Some patients may feel offended or judged by our words. 2/8
Read 9 tweets

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