Health researchers view social determinants of health as one of the underlying causes of health inequities in the United States. There has been an increasing demand for health professionals to become more educated about the role of social determinants of health—one strategy that addresses this is experiential education programs as part of health professions training….
Community-based doulas provide essential services and expertise which address inequities and systemic gaps in perinatal care. However, as they work to improve perinatal health, doulas themselves are providing equity work amidst an inequitable system and with insufficient political or financial support. Increased compensation and systemic support which acknowledges the breadth of services provided are needed…
Research has shown evidence of doulas’ positive impacts on maternal health outcomes, particularly among underserved populations. Such research supports expanding access to doula services. However, health workforce-related barriers challenge the development of robust doula services in the US. This article published in the Journal of Perinatal Education investigates organizations’ barriers regarding training, recruitment, and employment of doulas.
Under the Affordable Care Act (ACA), the Obama Administration created the federal Health Insurance Navigator Program, which seeks to reduce the rate of uninsured in the United States. Under this program, navigators help people procure insurance coverage through federally facilitated Marketplaces (or Exchanges). During COVID-19, financial insecurity and substantial budget cuts created increased shortages and…
The Indian Health Service (IHS) provides federal healthcare that his specific to the American Indian/Alaska Native (AI/AN) population. Because the vast majority of AI/ANs do not belong to federally recognized tribes and other factors limiting the accessibility of IHS services, a better understanding of how AI/ANs obtain healthcare outside the IHS is needed. This brief…
The COVID-19 pandemic has intensified long-standing workforce issues and further weakened the financial position of many rural health facilities as they have attempted to mobilize their workforce while struggling to absorb the added costs of patient care and invest in the additional resources needed for pandemic response. The federal government has addressed some of these…
Birth doulas, who support pregnant women during the perinatal period, have positive impacts on pregnancy and birth outcomes, particularly among underserved populations. However, health workforce-related barriers challenge the development of robust doula services in the United States. This article examines various approaches to train, recruit, and employ doulas, as well as what system-level changes are…
Navigators in the federal Insurance Navigator Program provide enrollment assistance, outreach, and education to individuals who are eligible for health insurance coverage. Their work is key to public health efforts to address inequities but continues to be poorly understood and undervalued. This article examines the navigator profession to better understand the equity work they do,…
Implicit bias of healthcare providers often influences patient care. Bias awareness is a key element included in implicit bias education and can help motivate behavior change. This article discusses a study that evaluated whether exposure to a brief online course on implicit bias increased bias awareness for health providers.
Background checks are intended to ensure a quality workforce, but they may also exclude qualified workers. Though these background checks may appear straightforward, they rely on information from a variety of sources, and are governed by a complex regulatory environment. Various laws, industry norms, and court precedents shape what background information is gathered and/or maintained….
