Health Equity and Access Weekly Roundup: April 13, 2024
This week the Center on Health Equity and Access spotlighted National Minority Health Month with the launch of a podcast and feature series. Also, new data on "deaths of despair," medication, and clinical access.
In celebration of National Minority Health Month, The American Journal of Managed Care® launched a month-long podcast series in partnership with
Mitzi Joi Williams, MD, founder and medical director of Joi Life Wellness Multiple Sclerosis (MS) Center, shed light on the challenges of recruiting and retaining minority populations for clinical trials, particularly in MS research. With an emphasis on the need to enhance awareness and accessibility of clinical trials, she urged clinicians to adopt inclusive trial designs and engage in community outreach efforts. Williams further stressed the importance of addressing issues such as lack of awareness, mistrust, and accessibility barriers faced by minority communities, advocating for a multistakeholder approach to improve trial accessibility.
A new study analyzed prescriptions of uninsured patients in a charitable care program at an academic medical center. Most prescriptions were for cardiovascular disease, diabetes, and pain, with over half filled externally. The medical center covered 44% of prescriptions filled internally, costing $111,052. The researchers highlighted the need for a sustainable medication access mechanism and suggested developing a charitable medication formulary to improve care quality and cut costs.
Contrary to previous assumptions, a recent analysis published in JAMA Psychiatry found escalating mortality rates related to "deaths of despair," including suicide, drug overdose, and alcoholic liver disease, particularly impacting Black and Native American communities. Previous research identified the trend in middle-aged Americans; however, the highest rates were among White individuals. The latest study spans a longer period and included racial and ethnic groups previously excluded.
Despite widely publicized maternal morbidity and mortality rates, the root causes, particularly racial disparities, remain complex. Multiple experts from various areas of maternity care and coverage contributed to the first part of this feature series. Implicit biases contribute significantly, impacting care delivery and exacerbating systemic challenges. Initiatives like doula support show promise in mitigating disparities, but systemic changes, including policy mandates and financial incentives, are needed to address the maternal health crisis effectively.
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