RESUMO
OBJECTIVE: Access to healthcare, a national priority, may be better understood through medical surveillance programs like the World Trade Center Health Program (WTCHP). METHODS: Measures of healthcare access and utilization for 1159 9/11 rescue and recovery workers ("responders") at the Rutgers Clinical Center of Excellence (CCE) were assessed using negative binomial modeling of the Benefits Eligibility Assessment Screening Tool and compared with 174 9/11 responders in the 2017 New York City Community Health Survey (NYCCHS) using z-testing. RESULTS: Approximately 10.8% of Rutgers CCE respondents lacked at least one aspect of healthcare access. Problems accessing healthcare and basic needs were positively associated with CCE utilization and differed between Rutgers CCE and NYCCHS respondents. CONCLUSIONS: Some 9/11 responders bridge healthcare access gaps via participation in the WTCHP. Surveillance survey tools may help to identify healthcare disparities.
Assuntos
Ataques Terroristas de 11 de Setembro , Acessibilidade aos Serviços de Saúde , Humanos , Cidade de Nova Iorque , Saúde PúblicaAssuntos
Anfetamina/efeitos adversos , Hipertermia/induzido quimicamente , Doenças Profissionais/induzido quimicamente , Adolescente , Adulto , Humanos , Hipertermia/mortalidade , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/mortalidade , Índice de Gravidade de Doença , Estados Unidos/epidemiologiaRESUMO
The American College of Preventive Medicine Policy Committee makes policy guidelines and recommendations on Preventive Medicine and Public Health topics for Public Health decision makers. After a review of the current evidence available in 2016, the College is providing policy recommendations designed to inform public health investment. The American College of Preventive Medicine advocates for policies that recognize the health and economic value of public health funding and promote investment in these vital capabilities. Shortfalls in public health infrastructure, particularly workforce funding, must be corrected to ensure lasting benefits. Contingency funding for public health emergencies should be established and fully funded to adequately respond to emerging threats.
Assuntos
Apoio Financeiro , Formulação de Políticas , Saúde Pública/economia , Política Pública , Humanos , Sociedades Médicas , Estados UnidosRESUMO
The current US health care environment requires and encourages the development and implementation of training programs focusing on quality improvement and patient safety. This article offers a new resource that details the basic characteristics of such physician-inclusive training programs. Specifically, program type, objectives, eligibility, cost, training length, and modality are aggregated and displayed to provide health care professionals with a new tool to facilitate individual education in the field of quality improvement and patient safety.
