ASSESSING COMMUNITY ENVIRONMENTAL HEALTH
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ASSESSING COMMUNITY ENVIRONMENTAL HEALTH NECESSARY COMPONENTS. HEALTH STATUS INFO (Morbidity, Mortality, Access, Quality, Benefit). CONCERTED ACTION BY AN INFORMED COMMUNITY. HAZARD AND SOURCE INFO (Air, Surface and Ground Water, Assessment of Industry).

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ASSESSING COMMUNITY ENVIRONMENTAL HEALTH

NECESSARY COMPONENTS

HEALTH STATUS INFO (Morbidity, Mortality, Access, Quality, Benefit)

CONCERTED ACTION

BY AN

INFORMED COMMUNITY

HAZARD AND SOURCE INFO (Air, Surface and Ground Water, Assessment of Industry)

SOCIOECONOMIC INFO (Education, Income, Assets, Demographics)

EXPOSURE INFO (Residence, Work and Medical History)


Health Equity: A world in which any group of individuals defined by age, gender, race-ethnicity, class or residence can achieve its full health potential


HEALTH DISPARITIES AND INEQUITIES

MUST BE MEASURED AND ADDRESSED

AT THE LOCAL LEVEL.


How is Health Equity Measured and Monitored?

•Correct the first injustice - making people count: vital registration systems with local ownership.

•Regular reporting of inequities - need better measurement tools for policy

•Prospective assessment of health system policy - Health equity impact assessments


PUBLIC HEALTH SURVEILLANCE

=

TURNING INFORMATION

INTO ACTION


“The patient has the right to receive

information from physicians and to

discuss the benefits, risks, and costs of

appropriate treatment alternatives”

-American Medical Association Policy E-10.01


“The community has the right to receive

information from public health and to

discuss the benefits, risks, and costs of

appropriate treatment alternatives”

-’Local Public Health Epidemiology Policy, 2007’


Detected Asthma CasesPercent Population <20

Source: NMDOH, Children's Medical Services, Children's Chronic Conditions Registry, Jan 2001


Hospitalizations for Asthma Children 5 to 14 Mean Annual Rates, 1996-2000

Source: NM Health Policy Commission


Hospitalizations for Asthma All Ages Mean Annual Rates, 1996-2000

Source: NM Health Policy Commission


Mean Annual Hospitalization Rates - Persons Under 5 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Hospitalization Rates - Persons 5 to 19 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Hospitalization Rates - Persons 20 to 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Hospitalization Rates - Persons over 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Diagnoses Persons over 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Hospitalization Rates Poisonings or Exposure to Noxious Substances - Persons 20 to 64 yrs 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Hospitalization Rates for Poisonings or Exposure to Noxious Substances - Persons over 64 yrs 1998 - 2002

Data Source: NM Health Policy Commission


Mean Annual Death Rate to Noxious Substances - Persons over 64 yrs

From Selected ICD-9s

Persons 20 - 64 yrs, 1999 - 2001

Data Source: NM Vital Statistics & Health Records


Hospitalizations for Asthma to Noxious Substances - Persons over 64 yrs Children 5 to 14 Mean Annual Rates, 1996-2000

Source: NM Health Policy Commission


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Latino or Hispanic Population

Data Source: US Census 2000

-15-


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Unemployment Rate

Data Source: US Census 2000

-19-


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Latino or Hispanic Population

Data Source: US Census 2000

-15-


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Unemployment Rate

Data Source: US Census 2000

-19-


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Persons 25 Years or Older Who Have Not Completed High School

Data Source: US Census 2000

-37-


ALBUQUERQUE, NM to Noxious Substances - Persons over 64 yrs

Infant Deaths, 1996 to 2000 Mean Annual Rates

Data Source: NMDOH, Vital Records and Health Statistics

-57-


MEDICALLY UNDERSERVED AREAS IN ALBUQUERQUE to Noxious Substances - Persons over 64 yrs

Map prepared by:http://circ.rupri.org, 5/8/2007.


Resident Physicians' Preparedness to Provide Cross-Cultural Care: Implications for Clinical Care and Medical Education Policy

Residents felt that poor handling of patients' cross-cultural issues often had negative consequences for clinical care, including longer office visits, patient noncompliance, delays obtaining informed consent, ordering of unnecessary tests, and lower overall quality of care.

-Commonwealth Fund pub. no. 1026, May 2007, available online at www.commonwealthfund.org.


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