 |
 |


 |
|
 |
 |
| Office of Community-Based Public
Health |
Racial and Ethnic Health Disparities
The Office of Community-Based Public Health has been involved in a number of
activities focused on addressing racial and ethnic health disparities. The OCBPH
has organized and partnered to obtain funding to bring trainers from the
People’s Institute for Survival and Beyond to Arkansas to conduct Undoing Racism
workshops, which have been made available to the entire campus, formal community
partner organizations, and other institutions (including the University of
Arkansas at Little Rock (UALR) and the Arkansas Division of Health).
Out of these workshops has grown a critical mass
of faculty, students, staff, and community partners with a common language for
discussing concerns about the role racism plays in creating and maintaining
racial and ethnic health disparities and in building a critical mass of people
focused on change. One of the offshoots of this work is the development of the
campus-wide Racial and Ethnic Health
Disparities Taskforce which focuses on
the role UAMS can play in addressing health disparities.
UAMS Racial and
Ethnic Health Disparities Taskforce
This racially and
ethnically diverse group of UAMS physicians, administrators, faculty, and staff
organized in early 2005 to spearhead development of a fully coordinated,
institution-wide strategy to reduce health and health care disparities,
integrating the latest science and best practices. In 2006, the UAMS chancellor
recognized the taskforce as a campus-wide advisory body and appointed additional
members to round out representation from all colleges. The task force focuses on
ways to reduce racial and ethnic disparities through three areas relevant to the
work of UAMS: 1) quality of care: 2) education; and 3) workforce diversity. The
task force assisted with planning for the campus-wide retreat on health
disparities conducted as part of the Engaged Institutions Initiative (described
below). Members of the task force are currently analyzing data from a campus
wide survey of students about their impressions of whether the climate at UAMS
promotes diversity, cultural competency, and an understanding of health
disparity
Engaged
Institutions Initiative.
In
2005, the OCBPH headed up an effort in which the COPH and each of the primary
COPH community partners completed a self-assessment on community engagement and
racial and ethnic health disparities. The self-assessment findings supported
planning discussions for an application for the W.K. Kellogg
Foundation-sponsored Engaged Institutions Initiative of Community-Campus
Partnerships for Health (http://www.ccph.info/).
This initiative was developed by Kellogg because of their recognition that
eliminating racial and ethnic health disparities will require collaborative
solutions that bring communities and institutions together. The College was
selected through a competitive grant review process as one of 12 schools and
programs nationally to participate.
Through this initiative, the COPH received consultation from
national experts and sponsored two retreats. The first round of consultations
took place on Sept. 21-22, 2006 with visits from public health experts Larry
Green and Ella-Moton Greene who conducted forums, workshops, and a College-wide
retreat focused on advancing understanding about and participation in
community-based participatory research (CBPR) and community-based public health
(CBPH).
The second set of consultants, Tom LaVeist and Vickie Ybarra, visited UAMS in
May 2007 as a part of this initiative. During their visit, the COPH held a
retreat in partnership with the UAMS Racial and Ethnic Health Disparities Task
Force (REHDTF) to examine strategies for reducing racial and ethnic health
disparities. Dr. LaVeist and Ms. Ybarra served as speakers for the retreat and
expert consultants for the task force. In addition, Ms. Ybarra conducted a
workshop with the COPH’s community partners and Dr. LaVeist held a town hall
meeting at Philander Smith College. The retreat was attended by faculty, staff,
and several campus deans, as well as the Chancellor and members of the senior
administration. This retreat led to several positive developments, including
support from two of the Deans (COPH and College of Health Related Professions)
for a part-time research assistant to support the work of the REHDTF, including
fielding a student survey on campus climate related to diversity (described
below).
(Click Here) for a copy of the Summary Report detailing retreat and pre-retreat
activities and consultant presentations.
Arkansas Health
Disparities Service-Learning Collaborative.
The self-assessment and
findings from the Engaged Institutions Initiative retreats sparked discussion of
ways to more fully involve students with communities. These evolved into
planning discussions for the Arkansas Health Disparities Service Learning
Initiative, funded from March 2007 through March 2010 by the Corporation for
National Community Service through Campus Community Partnerships for Health,
through which the COPH established specific service-learning (preceptorship)
opportunities and a health disparities service learning course (see below). The
overall goal of this initiative is to reduce racial and ethnic health
disparities by engaging public health and other health professions students and
faculty in tailored service learning partnerships with community-based
organizations, state and local agencies, policymakers, and others.
Health Disparities Service Learning Course Information
Course number:
PBHL 5843
Course name:
Racial and Ethnic Health Disparities: Theory, Experience and Elimination
Course
Instructors: Kate Stewart, Creshelle Nash and David Briscoe
Course Description
This
elective course explores racial and ethnic health disparities in the United
States. Students examine the literature on health and
health care disparities and issues of measurement; the historical and social
structural determinants pertinent to the etiology of
disparities; the role of genomics; and policy and programmatic strategies for
reducing disparities. This course uses traditional approaches to learning (such
as didactic lectures, assigned readings, analysis, and discussion) combined with
personal and group experiential learning. Students are required to participate
in service learning activities which include preparation, reflection and
practice components. Therefore students will spend time both in class with
instructors and in the community with community based partners.
Expanding Community-Linked Infrastructure to
Support Disparities Research: Helping Researchers and Communities Work Together
Multiple factors have been identified as negatively
affecting minority participation in research, including lack of trust, power
differences, limited access to healthcare and research opportunities,
participant burden, and lack of perceived relevance. This body of research also
identifies a critical need for community engagement in efforts to increase
minority participation in research. Community engagement is facilitated by
intentional structural support such as community advisory boards, financial and
other resources, involvement of minority researchers, community health workers,
and community-based participatory approaches.
This project seeks to establish a community-based research
infrastructure that responds to these needs by adapting a successful model of
community engagement—the Community Connector Program (CCP). This model is
employed by the TriCounty Rural Health Network, a partner of the University of
Arkansas for Medical Sciences (UAMS) Fay W. Boozman College of Public Health.
The proposed project will adapt this approach to encompass a broader
vision/goal—establishing a community-linked infrastructure that will
increase minority participation and community engagement in research and improve
healthcare quality to reduce racial and ethnic health disparities.
Once established, the infrastructure will be sustainable
through the Community Engagement Key Function of the NIH-funded UAMS Center for
Clinical and Translational Research, which brings together stakeholders in lay,
health practice, and academic communities. These communities will build the
proposed infrastructure through six specific aims:
-
Adapt the existing CCP approach to facilitate health
science research;
-
Adapt the existing CCP electronic database so Community
Health Connectors can use it to identify lay community members, their
health-related needs, and their service and research interests;
-
Expand the existing CCP resource directory to include
services and research opportunities that address community priorities;
-
Establish contact with community residents and assist
in connecting them to services and research opportunities relevant to their
identified priorities;
-
Provide practitioners and researchers with lay input
regarding ways to improve healthcare quality and address
community-identified barriers to service utilization, health improvement,
and research participation in partnership with the Pine Bluff Area Health
Education Center; and
-
Evaluate the community-linked research infrastructure
with a focus on chronic disease prevention and management.
Accomplishing these aims will 1) further NIH’s mission by
increasing community engagement in both medical and behavioral research, leading
to practice applications that reduce disparities in health and healthcare and 2)
establish a sustainable infrastructure that enables bidirectional flow of
information among key stakeholder communities.
If you are a researcher or community member who would like
to participate in this project, learn more, or be kept abreast of our progress,
please email
jcparks@uams.edu or call 501-526-6632.
|