A5026311640- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Food Security and Health in Diverse Populations
- Homelessness and Social Issues
- Geriatric Care and Nursing Homes
- Reproductive Health and Technologies
- Substance Abuse Treatment and Outcomes
- Global Public Health Policies and Epidemiology
- Opioid Use Disorder Treatment
- Global Health Workforce Issues
- LGBTQ Health, Identity, and Policy
- Alcohol Consumption and Health Effects
- Public Health Policies and Education
- Obesity and Health Practices
- Migration, Health and Trauma
- Health Promotion and Cardiovascular Prevention
- Disaster Response and Management
- COVID-19 and healthcare impacts
- Frailty in Older Adults
- Psychiatric care and mental health services
- Pain Management and Opioid Use
- Cannabis and Cannabinoid Research
- Pediatric Pain Management Techniques
- Indigenous Studies and Ecology
- Prenatal Substance Exposure Effects
Hennepin Healthcare Research Institute
2019-2025
University of Minnesota Medical Center
2020
Hennepin County Medical Center
2018
Racial minorities in the United States have reported experiencing widespread racism throughout all aspects of life, from housing to education employment. Existing research has examined role racism, discrimination, and violence one's interaction with health care system their association poorer mental physical health. Systemic that underlies fabric society often manifests itself prominent institutions, such as law enforcement agencies, regardless individual intent. Overt covert racist laws...
Racial and ethnic minority populations in the United States experience disparities their health care that arise from a combination of interacting factors, including racism discrimination, social drivers health, access quality, individual behavior, biology. To ameliorate these disparities, American College Physicians (ACP) proposes comprehensive policy framework recognizes confronts many elements U.S. society, some which are intertwined compounding, contribute to poorer outcomes. In addition...
Lesbian, gay, bisexual, transgender, queer, or other sexual and gender minorities (LGBTQ+) populations in the United States continue to experience disparities health care. Discrimination both care society at large negatively affects LGBTQ+ health. Although progress has been made addressing reducing social inequality for these populations, new challenges have emerged. There is a pressing need physicians professionals take stance against discriminatory policies as renewed federal state public...
Alcohol is used by more people in the United States than tobacco, electronic nicotine delivery systems, or illicit drugs. Several health conditions, including cancer, cardiovascular disease, and liver are associated with excessive alcohol use disorder. Nearly 30 million aged 12 years older reported past-year disorder 2022, but-despite its prevalence-alcohol undertreated. In this policy brief, American College of Physicians outlines effects disorder, calls for changes to increase availability...
Environmental health refers to the effects associated with environmental factors, such as air pollution, water contamination, and climate change. hazards are poor outcomes in common diseases, including diabetes heart disease. In this position paper, American College of Physicians (ACP) seeks inform physicians about offers policymakers recommendations reduce adverse consequences change, improve quality, exposure toxic substances, address injustice. ACP affirms that all communities, people...
The onset of the COVID-19 pandemic revealed significant gaps in United States' and public health emergency response system. At federal level, government responses were undercut by a lack centralized coordination, inadequately defined responsibilities, an under-resourced national stockpile. Contradictory unclear guidance throughout early months pandemic, along with inconsistent funding to agencies, also created notable variance state local responses. coordinated added pressure already...
Access to safe and stable housing has both a direct indirect effect on health. Experiencing homelessness instability can induce stress trauma, worsening behavioral health substance use. The absence of living conditions make it challenging rest, recuperate, recover from ailments pose barriers treatment adherence. Homelessness is associated with high rates numerous diseases chronic conditions. Its cyclical relationship other social drivers exacerbate disparities. As result, unhoused persons...
Food insecurity functions as a social driver of health, directly negatively impacting health status and outcomes, which can further impact employment income increase medical expenditures-all exacerbates food insecurity. Progress in meaningfully reducing the food-insecurity rate has stalled recent years. Although rates have decreased since their peak during Great Recession, these gains been reversed by economic implications COVID-19 pandemic. As federal government is largest provider...
Rural communities throughout the United States experience disparities in health and access to care. Low population densities, isolating terrain, vast geographic distances other centers create barriers attracting retaining physicians professionals. The characteristics of rural also pose facilitating robust economic activity conducive production presence care facilities. As such, have faced high levels hospital closures "diseases despair," such as opioid misuse suicide. heterogeneity...
Hospitalized patients are frequently treated with opioids for pain control, and receipt of at hospital discharge may increase the risk future chronic opioid use.To compare inpatient analgesic prescribing patterns patients' perception control in United States non-US hospitals.Cross-sectional observational study.Four hospitals US seven other countries.Medical inpatients reporting pain.Opioid analgesics dispensed during first 24-36 hours hospitalization discharge; assessments beliefs about...
The steady growth of corporate interest and influence in the health care sector over past few decades has created a more business-oriented system United States, helping to spur for-profit private equity investment. Proponents say that this trend makes efficient, encourages innovation, provides financial stability ensure access improve care. Critics counter such moves favor profit erode patient-physician relationship. American College Physicians (ACP) underscores physicians are permitted earn...
The United States' public health sector plays a crucial role in preventing illness and promoting health. Public drove massive gains life expectancy during the 20th century by supporting vaccination campaigns, motor vehicle safety, treating tobacco use. However, is underfunded underappreciated, forcing field to do more with fewer resources. In this position paper, American College of Physicians (ACP) updates its 2012 policy recommendations on strengthening nation's infrastructure. ACP calls...
The American College of Physicians (ACP) has a long-standing commitment to improving the health all Americans and opposes any form discrimination in delivery care services. ACP is committed working toward fully understanding supporting unique needs incarcerated population eliminating disparities for these persons. In this position paper, offers recommendations policymakers administrators improve well-being persons adult correctional facilities.
The legal landscape around access to reproductive health care services was substantially altered after the Supreme Court decision in Dobbs v Jackson Women's Health Organization. In aftermath of decision, some state governments have begun impose stringent restrictions and complete bans on provision abortion, whereas others sought protect expand access. Some gone as far imposing criminal civil penalties physicians other clinicians who provide evidence-based, clinically indicated information...
Indigenous peoples in the United States experience many health disparities and barriers to accessing care services. In addition, communities poor social drivers of health, including disproportionately high rates food insecurity, violence, poverty, among others. These challenges are unsurprising, given historical societal discrimination toward government policies forced relocation with loss ancestral home, erasure cultures traditions. have displayed resilience that has sustained their through...
Team-based care models such as the Patient-Centered Medical Home are associated with improved patient health outcomes, better team coordination and collaboration, increased well-being among professionals. Despite these attributes, hindrances to wider adoption remain. In addition, some professionals have sought practice independent of physician-led team, potentially undermining access physicians who skills training deliver whole-person, comprehensive, longitudinal care. this paper, American...
Cannabis, also known as marijuana, is the dried flowers, stems, seeds, and leaves of
Ideas and Opinions5 June 2018Integrated Inpatient Medical Psychiatric Care: Experiences of 5 InstitutionsAubrey C. Chan, MD, PhD, Christopher A. Burke, Ellen M. Coffey, David R. Hilden, MPH, Diego L. Coira, Jessy Warner-Cohen, Margaret Grady, MSN, APN-C, Philip Muskin, MA, Gen Shinozaki, MDAubrey PhDUniversity Iowa Hospitals Clinics, City, (A.C.C., G.S.), MDLong Island Jewish Center, New Hyde Park, York (C.A.B., J.W.), MDHennepin County Minneapolis, Minnesota (E.M.C., D.R.H.), MPHHennepin...
The number of Americans aged 65 years or older is expected to increase in the coming decades. Because risk for disability increases with age, more persons will need long-term services and supports (LTSS) help bathing, eating, dressing, other everyday tasks. Long-term are delivered nursing homes, assisted living facilities, person's home, settings. However, LTSS sector faces several challenges, including keeping patients staff safe during COVID-19 pandemic, workforce shortages, quality...
During the past 2 decades, voter turnout in U.S. presidential elections has ranged from 51.7% to 66.9% of eligible population. Low rates and inequitable electoral institutions, such as gerrymandered districts, can skew policy decisions toward preferences a smaller group further exclude individuals communities who have been historically marginalized excluded decision-making processes. Voting health are directly connected through institution policies by ballot initiative election officials...
The Veterans Health Administration (VHA) is the United States' largest integrated health care delivery system, serving over 9 million enrollees at nearly 1300 facilities. In addition to providing nation's military veterans, VHA has a research and development program, trains thousands of medical residents other professionals, conducts emergency preparedness response activities. been celebrated for delivering high-quality early adoption electronic records, high patient satisfaction. However,...