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Digital Innovation for Healthcare in COVID-19 Pandemic: Strategies and Solutions ; : 109-136, 2022.
Article in English | Scopus | ID: covidwho-2027769


Throughout history, pandemics have paved the way for the development of public health. The current COVID-19 pandemic is no different as it is taking advantage of our flat and interconnected world, posing a threat to global health at a pace as never seen before. This chapter presents an analysis of how digital health and gender empowerment can bridge the inequity gap caused and sustained by disparities related to social determinants of health. COVID-19 has struck certain groups disproportionately;this has increased the need for availability and accessibility of health services. Our findings suggest that COVID-19 is a gender-sensitive virus relying on access to digital health means. Multiple examples and case studies are provided to illustrate the relationship between inequity, gender, and digital health. Moving forward, the pandemic has crystallized the need for paradigm shifts. In this regard, the achievement of equity in health is one of the only ways to control and ultimately eradicate COVID-19 in order to leave no one behind. © 2022 Elsevier Inc. All rights reserved.

Urban Geography ; : 13, 2022.
Article in English | Web of Science | ID: covidwho-1852691


This paper describes a 2020 effort by the Cities Research Group of the University of Orange, United States, to create and pilot educational materials that could help organizations participate in collective recovery from the converging crises of the Covid-19 pandemic, racial oppression and climate change. Because of "shelter-in-place" strategies for reducing pandemic spread, the city as a site of human activity was fundamentally altered, undermining the "solid ground" the urban space had provided for collective life. Building on previous experience with mobilizing organizations for disaster recovery, the Cities Research Group launched, "What is ours to do?" an initiative centered on mobilizing organizations to stand in place of the public space and sphere and to enable recovery by serving as the "site of community and human connection" [Sorkin, Michael (1992a). Introduction: Variations on a theme park. In M. Sorkin (Ed.), Variations on a theme park: The New American city and the end of public space (pp. xi-xv). Hill & Wang]. "What is ours to do?" asks every organization to consider, in light of their original roles and obligations, how they might contribute to the people's needs for resources, justice and a sense of "solid ground." The assumption of organizational responsibility helps to provide these necessities for people in times when the ground has shifted, thereby lifting morale, saving lives and pointing the way to a just future.

SpringerBriefs Public Health ; : v-vi, 2022.
Article in English | EMBASE | ID: covidwho-1717007
American Journal of Respiratory and Critical Care Medicine ; 203(9):1, 2021.
Article in English | Web of Science | ID: covidwho-1407052
American Journal of Respiratory and Critical Care Medicine ; 203(9), 2021.
Article in English | EMBASE | ID: covidwho-1277348


RATIONALE: Communities of color are bearing a disproportionate burden of coronavirus disease 2019 (COVID-19) morbidity and mortality. Social determinants of health have resulted in higher prevalence and severity of COVID-19 among minority groups. Published work on COVID-19 disparities has focused on higher transmission, hospitalization, and mortality risk among people of color, but studies on disparities in the post-acute care setting are scarce. Our aim was to identify socioeconomic disparities in health resource utilization after hospital discharge. METHODS: This was a retrospective study. We identified adult patients who were hospitalized at CUIMC or the Allen Hospital from March 1st through April 30th 2020, had a positive RT-PCR for severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), developed severe hypoxemic respiratory failure requiring invasive mechanical ventilation, and were successfully discharged from the hospital without need for ventilator support. Patients who received a tracheostomy and were weaned off the ventilator prior to discharge were included. Exclusion criteria included transfer from or to another institution, prior tracheostomy, in-hospital death, and discharge with a ventilator. RESULTS: We identified 195 patients meeting inclusion criteria. The median age was 59 (IQR 47-67), and 135 (66.5%) were men. There were 25 (12.8%) patients who were uninsured and 116 (59.5%) patients who had public insurance. There were 121 (62%) Hispanic, 34 (17%) Black, and 18 (9%) White patients. Uninsured patients within our cohort were more likely to be Hispanic and Spanish-speaking (p=0.027;p<0.001, respectively). Uninsured patients were also more likely to be discharged to home (p<0.001) than to a rehabilitation facility. 8.8% of patients were readmitted to CUIMC within 30 days and 41.5% saw a medical provider at CUIMC within 30 days of discharge. Insurance status did not predict 30-day re-hospitalization or completion of outpatient follow-up, although our study was underpowered to answer these questions. CONCLUSION: Our study demonstrated that race/ethnicity and primary language are associated with insurance status with Hispanic and Spanish-speaking patients being more likely to be uninsured. Uninsured patients were more likely to be discharged home after hospitalization, rather than to facility for further care and rehabilitation. We did not demonstrate any short-term differences in 30-day re-hospitalization rates or follow-up visits but we suspect socioeconomic disparities represent a significant barrier to adequate follow-up care in the long term. We plan to investigate this further with longitudinal follow-up and survey data.