opening remarks david reyes
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Striving for La Vida Buena y Sana | Innovative Approaches for Latino Health EquityOpening Remarks: Latino Health Forum
David Reyes, DNP, MPH, RN, APHN-BCOctober 20, 2016
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La Vida Buena y SanaReyes_Opening Remarks_102016
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Determinants of Health
Health Be-haviors 30%
Access to Care 10%
Quality of Care 10%
Physical Envi-ronment
10%
Social & Economic Factors 40%
http://www.countyhealthrankings.org/Reyes_Opening Remarks_102016
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Source: http://www.pewhispanic.org/states/state/wa/; http://www.cdc.gov/nchs/data/hus/hus15.pdf
Hispanics/Latinos 12% of WA State Population
Life-expectancy for men= 79.2 yrs.
Child Poverty Rate: 29% Avg. Personal Earnings:
$22KHome Ownership: 42%
20% of all K-12 Students
21% w/out Health Insurance
Life-expectancy for women= 84 yrs.
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What is Health Equity?
“…Conditions that give everyone the opportunity to reach their best health. This requires valuing all individuals and populations equally. It means addressing inequities in the places where people are born, grow, live, work, learn and age.” (American Public Health Association)
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“The attainment of the highest level of health for all people.” (US DHHS)
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https://healthequity.sfsu.edu/ 8Reyes_Opening Remarks_102016
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Inequity & DisparityInequities are created when barriers prevent individuals and communities from accessing these conditions and reaching their full potential. Inequities differ from health disparities, which are differences in health status between people related to social or demographic factors such as race, gender, income or geographic region. Health disparities are one way we can measure our progress toward achieving health equity. (American Public Health Association)
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AvoidableUnfairUnjust
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Poor vs. High In-
come
Black vs. White
Hispanic vs. White
AI/AN vs. White
Asian vs. White
65+ vs. 18-44
6% 14% 22%10%
24%44%
47%45%
39% 61%54% 18%
47% 41% 39%29% 26%
39%
Better Quality of CareSame Quality of CareWorse Quality of Care
AI/AN = American Indian or Alaska Native.SOURCE: AHRQ, “National Healthcare Disparities Report, 2011, http://www.ahrq.gov/qual/qrdr11.htm
Disparities in Quality of CarePercent of quality measures for which groups experienced worse, same, or
better quality of care:
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White Afr ican-American Hispanic Am. Indian/ A laska Native
Asian/ Pacific Islander
14%23%
36%29%
19%
9%
21%
18%22%
10%
77%
56%46% 49%
71%
Uninsured Medicaid Private/Other
NOTE: Includes women ages 18 to 64. Other includes Medicare, TRICARE, and other coverage.SOURCE: Kaiser Family Foundation and Urban Institute analysis of March 2013 Current Population Survey, U.S. Bureau of the Census.
Women of Color More Likely to be Uninsured or Covered by Medicaid, 2012
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Children who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as wanted, by
preferred language and ethnicity, 2002-2013
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
0
5
10
15
20
25Hispanic Non-Hispanic White
Perc
ent
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey, 2002-2013.Note: For this measure, lower rates are better. For 2010 and 2013, data for children who spoke a language other than English did not meet the criteria for statistical reliability, data quality, or confidentiality.
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16King County, 2015. 16Reyes_Opening Remarks_102016
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A Model for Population Health
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Social Determinants
of Health
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Action for Equity & Social Justice
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Raise Voices, Join Together, Unexpected
Collaborations
INDIVIDUAL
SYSTEMCOMMUNITY
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Determinants of Equity & Social Justice
20King County Equity & Social Justice Annual Report, 2014.Reyes_Opening Remarks_102016 20
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“To my inexperience it seemed certain that
conditions such as these were allowed because people did not know.”
~ Lillian Wald
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Gracias!Reyes_Opening Remarks_102016