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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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slide1

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)

slide2

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

slide3

HEALTH DISPARITIES AND INEQUITIES

MUST BE MEASURED AND ADDRESSED

AT THE LOCAL LEVEL.

slide4

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

slide5

PUBLIC HEALTH SURVEILLANCE

=

TURNING INFORMATION

INTO ACTION

slide6

“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

slide7

“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’

slide8

Detected Asthma CasesPercent Population <20

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

slide9

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

Source: NM Health Policy Commission

slide10

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

Source: NM Health Policy Commission

slide11

Mean Annual Hospitalization Rates - Persons Under 5 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission

slide12

Mean Annual Hospitalization Rates - Persons 5 to 19 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission

slide13

Mean Annual Hospitalization Rates - Persons 20 to 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission

slide14

Mean Annual Hospitalization Rates - Persons over 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission

slide15

Mean Annual Diagnoses Persons over 64 years

Selected ICD-9s, 1998 - 2002

Data Source: NM Health Policy Commission

slide16

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

Data Source: NM Health Policy Commission

slide17

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

Data Source: NM Health Policy Commission

slide18

Mean Annual Death Rate

From Selected ICD-9s

Persons 20 - 64 yrs, 1999 - 2001

Data Source: NM Vital Statistics & Health Records

slide19

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

Source: NM Health Policy Commission

slide20

ALBUQUERQUE, NM

Latino or Hispanic Population

Data Source: US Census 2000

-15-

slide21

ALBUQUERQUE, NM

Unemployment Rate

Data Source: US Census 2000

-19-

slide22

ALBUQUERQUE, NM

Latino or Hispanic Population

Data Source: US Census 2000

-15-

slide23

ALBUQUERQUE, NM

Unemployment Rate

Data Source: US Census 2000

-19-

slide24

ALBUQUERQUE, NM

Persons 25 Years or Older Who Have Not Completed High School

Data Source: US Census 2000

-37-

slide25

ALBUQUERQUE, NM

Infant Deaths, 1996 to 2000 Mean Annual Rates

Data Source: NMDOH, Vital Records and Health Statistics

-57-

slide26

MEDICALLY UNDERSERVED AREAS IN ALBUQUERQUE

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

slide27

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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