8,457 results
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2. Culturally Congruent Health Care of COVID-19 in Minorities in the United States: A Clinical Practice Paper From the National Coalition of Ethnic Minority Nurse Associations.
- Author
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Cuellar, Norma G., Aquino, Elizabeth, Dawson, Martha A., Garcia-Dia, Mary Joy, Im, Eun-Ok, Jurado, Leo-Felix M., Lee, Young Shin, Littlejohn, Sandy, Tom-Orme, Lillian, and Toney, Debra A.
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NURSES' associations , *BLACK people , *COALITIONS , *ETHNOPSYCHOLOGY , *HEALTH services accessibility , *HEALTH status indicators , *HISPANIC Americans , *NATIVE Americans , *MEDICAL care , *PSYCHOLOGY of Minorities , *RACE , *CULTURAL competence , *HEALTH & social status , *COVID-19 - Abstract
Introduction: Race and ethnicity along with social determinants of health have been identified as risk factors for COVID-19. The purpose of this clinical paper is to provide an overview of the National Coalition of Ethnic Minority Nurse Associations (NCEMNA), present COVID-19 epidemiological data on five racial–ethnic groups, identify culturally congruent health care strategies for each group, and provide directions for practice and research. Method : NCEMNA collaborated to provide a clinical paper that addresses information about COVID-19 and culturally congruent health care in five racial–ethnic groups. Results : Every organization presented common themes across the different groups and unique perspectives that each group is faced with during this challenge. Discussion : This article provides an introduction to the issues that minority groups are facing. It is imperative that data are collected to determine the extent of the impact of COVID-19 in diverse communities in the country. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
3. Exhibit 9: Position Papers.
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MEDICAL education ,DENTAL care ,DENTISTS ,MEDICAL care - Abstract
The article offers several position papers related to dental education by the American Dental Education Association (ADEA) in the U.S. The papers, approved by the 2003 House of Delegates, are presented as reference for dental education, dental educators and institution in the educational program. Specifically, it discusses freedom and responsibilities of individuals and institutions, health care, and due process for students in dental education.
- Published
- 2003
4. White paper on designing a risk evaluation and mitigation strategies (REMS) system to optimize the balance of patient access, medication safety, and impact on the health care system.
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HEALTH risk assessment ,HEALTH services accessibility ,MEDICAL care ,PATIENT education ,PHARMACISTS ,QUALITY control - Abstract
Objective: To convene a group of expert stakeholders to develop recommendations for standardizing systems for the implementation of risk evaluation and mitigation strategies (REMS). Data sources: On July 15, 2009, the American Pharmacists Association convened an expert panel of stakeholders to explore standardized solutions to REMS development and implementation. Meeting participants included pharmacists from various practice settings, physicians, researchers, patient advocates, and a nursing delegate, and the meeting was observed by a U.S. Food and Drug Administration representative. The stakeholders' recommendations were combined with themes arising from discussion of their experiences with existing REMS, and a review of the literature on REMS and risk management was performed by the author. Summary: A systematic, standardized REMS process that balances the need to control the risks of medications with the need to minimize the impact on patient access is required. A standardized REMS system could address various aspects of development and implementation, including the creation of specific REMS "levels," centralized systems for data management and program structure, public education, individualized patient education, provider education, access to medications, pilot testing, outcomes monitoring, and quality of care. Conclusion: Several strategies to streamline the development and implementation of a REMS system are feasible. Incorporating such strategies is necessary to manage the rapidly growing number of individual and diverse REMS programs that patients and health care providers must navigate. Furthermore, a standardized REMS system could be used to improve quality of care and support patient education and empowerment. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
5. A Call to Action: The Role of Antiretroviral Stewardship in Inpatient Practice, a Joint Policy Paper of the Infectious Diseases Society of America, HIV Medicine Association, and American Academy of HIV Medicine.
- Author
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Koren, David E, Scarsi, Kimberly K, Farmer, Eric K, Cha, Agnes, Adams, Jessica L, Pandit, Neha Sheth, Chang, Jennifer, Scott, James, and Hardy, W David
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MEDICATION error prevention , *ANTI-infective agents , *COMMUNICABLE diseases , *DRUG utilization , *HIV infections , *HOSPITAL care , *HOSPITAL patients , *MEDICAL care , *HEALTH policy , *MEDICAL records , *MEDICATION errors , *MEDICAL practice , *ANTIRETROVIRAL agents , *HUMAN services programs , *MEDICATION reconciliation , *ACQUISITION of data methodology - Abstract
Persons living with human immunodeficiency virus (HIV) and others receiving antiretrovirals are at risk for medication errors during hospitalization and at transitions of care. These errors may result in adverse effects or viral resistance, limiting future treatment options. A range of interventions is described in the literature to decrease the occurrence or duration of medication errors, including review of electronic health records, clinical checklists at care transitions, and daily review of medication lists. To reduce the risk of medication-related errors, antiretroviral stewardship programs (ARVSPs) are needed to enhance patient safety. This call to action, endorsed by the Infectious Diseases Society of America, the HIV Medicine Association, and the American Academy of HIV Medicine, is modeled upon the success of antimicrobial stewardship programs now mandated by the Joint Commission. Herein, we propose definitions of ARVSPs, suggest resources for ARVSP leadership, and provide a summary of published, successful strategies for ARVSP that healthcare facilities may use to develop locally appropriate programs. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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6. “You Lie!” Identity, Paper, and the Materiality of Information.
- Author
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Robertson, Craig
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UNITED States citizenship ,HEALTH care reform ,NATIONAL health insurance ,DOCUMENTATION ,MEDICAL care - Abstract
This article uses the problems associated with citizenship verification in U.S. government health insurance programs to argue that paper needs to be analyzed as a media technology. To examine paper as a media technology is to ask, “How does paper work?” and “What are the rules and habits that enable paper to be used in paperwork?” To consider paper as a media technology, this article makes 2 arguments. First, it argues that there is a set of skills and knowledge associated with paper documents that need to be recognized as a distinct form of literacy. Second, this article argues that the relation between paper and identity is an argument about the materiality of information. In focusing on how paper facilitates the materialization of information, this case study illustrates how distinct practices of use create specific relationships between technology and information that give information a distinct functional presence. [ABSTRACT FROM PUBLISHER]
- Published
- 2014
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7. Supporting the Health and Well-Being of Indigenous Communities: A Position Paper From the American College of Physicians.
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Serchen, Josh, Mathew, Suja, Hilden, David, Southworth, Molly, Atiq, Omar, Beachy, Micah, Curry, William, Hollon, Matthew, Jumper, Cynthia, Mellacheruvu, Pranav, Parshley, Marianne, Sagar, Ankita, Slocum, Jamar, Tan, Michael, Van Doren, Vanessa, and Yousef, Elham
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NATIVE Americans ,INDIGENOUS peoples ,WELL-being ,PHYSICIANS ,MEDICAL care - Abstract
Indigenous peoples in the United States experience many health disparities and barriers to accessing health care services. In addition, Indigenous communities experience poor social drivers of health, including disproportionately high rates of food insecurity, violence, and poverty, among others. These challenges are unsurprising, given historical societal discrimination toward Indigenous peoples and government policies of violence, forced relocation with loss of ancestral home, and erasure of cultures and traditions. Indigenous peoples have displayed resilience that has sustained their communities through these hardships. Through treaties between the federal government and Indigenous nations, the federal government has assumed a trust responsibility to provide for the health and well-being of Indigenous populations through the direct provision of health care services and financial support of tribally operated health systems. However, despite serving a population that has endured substantial historical trauma and subsequent health issues, federal programs serving Indigenous peoples receive inadequate federal funding and substantially fewer resources compared with other federal health care programs. Access to care is further challenged by geographic isolation and health care workforce vacancies. Given the history of Indigenous peoples in the United States and their treatment by the federal government and society, the American College of Physicians (ACP) asserts the federal government must faithfully execute its trust responsibility through increased funding and resources directed toward Indigenous communities and the undertaking of concerted policy efforts to support the health and well-being of Indigenous people. ACP believes that these efforts must be community-driven, Indigenous-led, and culturally appropriate and accepted, and center values of respect and self-determination. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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8. Lesbian, Gay, Bisexual, and Transgender Health Disparities: Executive Summary of a Policy Position Paper From the American College of Physicians.
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Daniel, Hilary and Butkus, Renee
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HEALTH equity , *LGBTQ+ people , *HEALTH of LGBTQ+ people , *HEALTH policy , *PHYSICIANS' attitudes , *WELL-being , *MEDICAL care - Abstract
In this position paper, the American College of Physicians examines the health disparities experienced by the lesbian, gay, bisexual, and transgender (LGBT) community and makes a series of recommendations to achieve equity for LGBT individuals in the health care system. These recommendations include enhancing physician understanding of how to provide culturally and clinically competent care for LGBT individuals, addressing environmental and social factors that can affect their mental and physical well-being, and supporting further research into understanding their unique health needs. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
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9. White paper addresses VBP opportunities, challenges for BH providers.
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Canady, Valerie A.
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VALUE-based healthcare ,ASSOCIATIONS, institutions, etc. ,COST control ,HEALTH services accessibility ,MEDICAID ,MEDICAL care ,HEALTH policy ,MENTAL health ,POLICY sciences ,QUALITY assurance ,PATIENT Protection & Affordable Care Act ,ELECTRONIC health records ,MEDICAL laws - Abstract
Health care payments continue to evolve and shift away from fee‐for‐service payment systems that typically reward volume and move to value‐based payment (VBP) models that incentivize high‐quality, cost‐effective care. While this is happening more for physical health services, there's more uncertainty about the role of behavioral health. A new white paper aims to tackle that question with information about existing models that have been implemented along with recommendations for federal and state policymakers. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
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10. The Challenges of Teaching Ambulatory Internal Medicine: Faculty Recruitment, Retention, and Development: An AAIM/SGIM Position Paper.
- Author
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Fazio, Sara B., Chheda, Shobhina, Hingle, Susan, Lo, Margaret C., Meade, Lauren, Blanchard, Melvin, Hoellein, Andrew, Brandenburg, Suzanne, and Denton, G. Dodd
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INTERNAL medicine , *MEDICAL education , *MEDICAL care , *TRAINING of medical students , *HEALTH programs - Published
- 2017
- Full Text
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11. NAPCRG ANNUAL MEETING DISTINGUISHED PAPERS.
- Author
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Robinson, Kristin
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CONFERENCE papers , *SCHOLARLY publishing , *PRIMARY care , *HOME care services , *MEDICAL care - Abstract
The article presents the selected papers for the 2013 Annual Meeting of the North American Primary Care Research Group to be held in Ottawa, Ontario from November 9-13. Among the papers chosen focus on topics lie primary healthcare improvement, patient-centered medical home patient benefits and patient engagement intervention. The factors for the qualification of these papers such as excellence, relevance and overall impact are also mentioned.
- Published
- 2013
- Full Text
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12. Principles Supporting Dynamic Clinical Care Teams: An American College of Physicians Position Paper.
- Author
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Doherty, Robert B. and Crowley, Ryan A.
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MEDICAL care , *PHYSICIANS , *CLINICAL trials , *HEALTH policy - Abstract
The U.S. health care system is undergoing a shift from individual clinical practice toward team-based care. This move toward team-based care requires fresh thinking about clinical leadership and responsibilities to ensure that the unique skills of each clinician are used to provide the best care for the patient as the patient's needs dictate, while the team as a whole must work together to ensure that all aspects of a patient's care are coordinated for the benefit of the patient. In this position paper, the American College of Physicians offers principles, definitions, and examples to dissolve barriers that prevent movement toward dynamic clinical care teams. These principles offer a framework for an evolving, updated approach to health care delivery, providing policy guidance that can be useful to clinical teams in organizing the care processes and clinician responsibilities consistent with professionalism. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
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13. Health Care for Our Nation's Veterans: A Policy Paper From the American College of Physicians.
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Crowley, Ryan, Atiq, Omar, Hilden, David, Cooney, Thomas G., Beachy, Micah, Brislen, Heather, Curry, William, Dhingra, Menaka, Engel, Lee, Henry, Tracey L., Hollon, Matthew, Mathew, Suja, Shoushtari, Christiana, Southworth, Molly, Tan, Michael, and Health and Public Policy Committee of the American College of Physicians*
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INTEGRATED health care delivery ,MEDICAL care ,HEALTH facilities ,MEDICAL personnel ,TRAINING of medical residents ,HEALTH policy ,HEALTH services accessibility ,PRIVATE sector ,MEDICAL care research ,HOLISTIC medicine ,PRIMARY health care ,MENTAL health services administration ,HEALTH care teams ,POLICY sciences ,MEDICAL education ,TELEMEDICINE ,MEDICAL societies - Abstract
The Veterans Health Administration (VHA) is the United States' largest integrated health care delivery system, serving over 9 million enrollees at nearly 1300 health care facilities. In addition to providing health care to the nation's military veterans, the VHA has a research and development program, trains thousands of medical residents and other health care professionals, and conducts emergency preparedness and response activities. The VHA has been celebrated for delivering high-quality care to veterans, early adoption of electronic medical records, and high patient satisfaction. However, the system faces challenges, including implementation of an expanded community care program, modernization of its electronic medical records system, and providing care to a population with complex needs. The position paper offers policy recommendations on VHA funding, the community care program, medical and health care professions training, and research and development. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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14. Why my disease is important: metrics of disease occurrence used in the introductory sections of papers in three leading general medical journals in 1993 and 2003.
- Author
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Gouda, Hebe N. and Powles, John W.
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MEDICAL periodicals , *INTERNET in medicine , *MEDICAL care , *THERAPEUTICS - Abstract
Background: We assessed the metrics used in claims about disease importance made in the introductory sections of scientific papers published in 1993 and 2003. We were interested in the choice of metric in circumstances where establishing the relative social importance of a disease was, presumptively, a primary objective. Methods: This study consisted of a textual examination of the introductory statements from papers retrieved from MEDLINE. Papers were published in the New England Journal of Medicine, The Lancet, and the Journal of the American Medical Association during the first halves of 1993 and 2003, and were selected on the basis of keywords found in a pilot study to be associated with claims about disease importance. Results: We found 143 papers in 1993 and 264 papers in 2003 included claims about disease importance in their introductory sections, and characteristics of these claims were abstracted. Of the quotes identified in the papers and articles examined, most used counts, prevalence, or incidence measurements. Some also used risk estimates and economic quantities to convey the importance of the disease. There was no change in the types of metrics used between 1993 and 2003. Very few articles, even in 2003, used metrics that weighted disease onsets by the expected consequent loss of healthy time - such as years of life lost, quality-adjusted life years, and/or disability-adjusted life years. Conclusions: Claims about the relative importance of diseases continued to be overwhelmingly expressed in terms of counts (of deaths and disease onsets) and comparisons of counts, rates, and risks. Where the aim is to convey the burden that a given disease imposes on a society, "event-based" metrics might be less fit for the purpose than "time-based" metrics. More attention is needed to how the choice of metric should relate to the purpose at hand. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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15. Legal Issues in the Care of Pressure Ulcer Patients: Key Concepts for Health Care Providers: A Consensus Paper from the International Expert Wound Care Advisory Panel.
- Author
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Ayello, Elizabeth A., Capitulo, Kathleen Leask, Fife, Caroline E., Fowler, Evonne, Krasner, Diane L., Mulder, Gerit, Sibbald, R. Gary, and Yankowsky, Kevin W.
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MEDICAL care , *PRESSURE ulcers , *MEDICAL care costs , *MEDICAL personnel , *PATIENTS - Abstract
The article presents consensus paper regarding legal healthcare issues in caring for pressure ulcer patients prepared by the International Expert Wound Care Advisory Panel in the U.S. It notes that patients with pressure ulcers carry heavy burden due to human suffering and expensive health care costs. It states that the consensus paper is created to promote legal issue awareness on pressure ulcers and provide medical guidance to health care providers.
- Published
- 2009
- Full Text
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16. HIV Policy: The Path Forward—A Joint Position Paper of the HIV Medicine Association of the Infectious Diseases Society of America and the American College of Physicians.
- Author
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Lubinski, Christine, Aberg, Judith, Bardeguez, Arlene D., Elion, Richard, Emmanuel, Patricia, Kuritzkes, Daniel, Saag, Michael, Squires, Kathleen E., Weddle, Andrea, Rainey, Jennifer, Zerehi, M. Renee, Ralston, J. Fred, Fleming, David A., Bronson, David, Cooke, Molly, Cutler, Charles, Ejnes, Yul, Gluckman, Robert, Liebow, Mark, and Musana, Kenneth
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HIV infections , *HIV , *LENTIVIRUS diseases , *VIRAL contamination , *COMMUNICABLE diseases , *PUBLIC health , *MEDICINE , *MEDICAL care - Abstract
The article offers information on the updated position paper on the policies relating to HIV infection in the U.S. The position paper on HIV policy has been established in collaboration with the HIV Medicine Association of the Infectious Diseases Society of America and the American College of Physicians. The updated HIV policy highlights major advances on the treatment of HIV infection, the expansion of HIV as a pandemic and the prevalence of HIV transmission in health care settings. Details on these updates emphasizing public health and clinical imperatives in identifying HIV infection are discussed.
- Published
- 2009
- Full Text
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17. Implementation of Peer Support Demonstration Project for HIV+ Caribbean Immigrants: A Descriptive Paper.
- Author
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Thomas, Laurine, Clarke, Thomas, and Kroliczak, Alice
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SERVICES for immigrants , *HIV-positive persons , *PEERS , *MEDICAL care - Abstract
The purpose of this paper is to describe the Caribbean HIV Evaluation Support demonstration program, a five-site HRSA-funded demonstration project that aimed to implement a peer support intervention to help HIV-positive Caribbeans living in the United States. This paper provides a framework of the demonstration including the rationale for the program, program requirements, and eligibility of participants. In addition, this paper describes each of the five programs including, Brookdale University Hospital and Medical Center, Brooklyn, NY; Lutheran Medical Center, Brooklyn, NY; Community Healthcare Network, New York, NY; University of Miami, Miami, FL; and Montefiore Medical Center, Bronx, NY. The background of each program description includes: setting, theoretical frameworks, peer training, client recruitment & staffing and content of the intervention. Finally, lessons learned including the utility and feasibility of the peer-support intervention program is identified at the closing. [ABSTRACT FROM AUTHOR]
- Published
- 2008
- Full Text
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18. Practice Paper of the American Dietetic Association: Nutrient Density: Meeting Nutrient Goals within Calorie Needs
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NUTRITION , *DIETETICS , *MEDICAL care - Abstract
Abstract: Practice Papers are evaluative summaries of scientific and/or evidence-based topics. They are meant to provide key opportunities for critical reasoning on timely topics and quality improvement in dietetics practice and to include peer-reviewed perspectives from content practitioners and other experts. How does a practice topic become a Practice Paper? Proposals may be generated by any member of the American Dietetic Association via submission of a topic identification proposal, which may be obtained by contacting ADA headquarters at 800/899-4835 or ppapers@eatright.org. The Association Positions Committee oversees the development of Practice Papers and welcomes proposals from members. [Copyright &y& Elsevier]
- Published
- 2007
- Full Text
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19. The Impact of Cultural Humility in Prehospital Healthcare Delivery and Education a Position Paper from the National Association of EMS Educators (NAEMSE): Adopted by the NAEMSE Board of Directors on 7/15/2019.
- Author
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Khalsa, Sahaj, Barnes, Leaugeay, Audet, Robert, Sweeney, Michele, Leggio, William, Linder, Lawrence, MacArthur, Jane, Flint, Diane C., Cottell, Dwayne, and Epstein, Jonathan L.
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EMERGENCY medical services ,EMERGENCY medicine ,HEALTH services accessibility ,HEALTH status indicators ,LABOR supply ,MEDICAL care ,CULTURAL pluralism ,CULTURAL awareness ,CULTURAL competence - Abstract
EMS personnel in the U.S. continue to be overwhelmingly Caucasian and male, with 75% being male and 85% identifying as nonminority. While the population of the United States becomes more diverse in ethnicity, religion, and race, the EMS workforce remains largely homogenous and does not reflect the diversity of the population it serves. Given the growing diversity across the country, EMS personnel will increasingly be responding to calls for service involving patients with different cultural backgrounds than their own. This growing gap between providers and the population they serve may exacerbate already existing disparities in care. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
20. Books Received.
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BOOKS ,PUBLISHING ,MEDICAL care - Abstract
Presents information on various books related to health care published in the U.S. as of August 1, 2003. Subjects under which these books have been categorized; Authors of these books; Costs. [ABSTRACT FROM AUTHOR]
- Published
- 2003
- Full Text
- View/download PDF
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