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ASSESSING COMMUNITY ENVIRONMENTAL HEALTH NECESSARY COMPONENTS

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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ASSESSING COMMUNITY ENVIRONMENTAL HEALTH NECESSARY COMPONENTS

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  1. 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)

  2. 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

  3. HEALTH DISPARITIES AND INEQUITIES MUST BE MEASURED AND ADDRESSED AT THE LOCAL LEVEL.

  4. 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

  5. PUBLIC HEALTH SURVEILLANCE = TURNING INFORMATION INTO ACTION

  6. “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

  7. “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’

  8. Detected Asthma CasesPercent Population <20 Source: NMDOH, Children's Medical Services, Children's Chronic Conditions Registry, Jan 2001

  9. Hospitalizations for Asthma Children 5 to 14 Mean Annual Rates, 1996-2000 Source: NM Health Policy Commission

  10. Hospitalizations for Asthma All Ages Mean Annual Rates, 1996-2000 Source: NM Health Policy Commission

  11. Mean Annual Hospitalization Rates - Persons Under 5 years Selected ICD-9s, 1998 - 2002 Data Source: NM Health Policy Commission

  12. Mean Annual Hospitalization Rates - Persons 5 to 19 years Selected ICD-9s, 1998 - 2002 Data Source: NM Health Policy Commission

  13. Mean Annual Hospitalization Rates - Persons 20 to 64 years Selected ICD-9s, 1998 - 2002 Data Source: NM Health Policy Commission

  14. Mean Annual Hospitalization Rates - Persons over 64 years Selected ICD-9s, 1998 - 2002 Data Source: NM Health Policy Commission

  15. Mean Annual Diagnoses Persons over 64 years Selected ICD-9s, 1998 - 2002 Data Source: NM Health Policy Commission

  16. Mean Annual Hospitalization Rates Poisonings or Exposure to Noxious Substances - Persons 20 to 64 yrs 1998 - 2002 Data Source: NM Health Policy Commission

  17. Mean Annual Hospitalization Rates for Poisonings or Exposure to Noxious Substances - Persons over 64 yrs 1998 - 2002 Data Source: NM Health Policy Commission

  18. Mean Annual Death Rate From Selected ICD-9s Persons 20 - 64 yrs, 1999 - 2001 Data Source: NM Vital Statistics & Health Records

  19. Hospitalizations for Asthma Children 5 to 14 Mean Annual Rates, 1996-2000 Source: NM Health Policy Commission

  20. ALBUQUERQUE, NM Latino or Hispanic Population Data Source: US Census 2000 -15-

  21. ALBUQUERQUE, NM Unemployment Rate Data Source: US Census 2000 -19-

  22. ALBUQUERQUE, NM Latino or Hispanic Population Data Source: US Census 2000 -15-

  23. ALBUQUERQUE, NM Unemployment Rate Data Source: US Census 2000 -19-

  24. ALBUQUERQUE, NM Persons 25 Years or Older Who Have Not Completed High School Data Source: US Census 2000 -37-

  25. ALBUQUERQUE, NM Infant Deaths, 1996 to 2000 Mean Annual Rates Data Source: NMDOH, Vital Records and Health Statistics -57-

  26. MEDICALLY UNDERSERVED AREAS IN ALBUQUERQUE Map prepared by:http://circ.rupri.org, 5/8/2007.

  27. 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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