Module 5

Question 1

What is Health Equity

Answer 1

Having the personal agency and fair access to resources and opportunities needed to achieve the best possible physical, emotional, and social well-being

Question 2

What are health inequities

Answer 2

Systematic and preventable differences in health outcomes, closely linked to social, economic, and environmental conditions

Question 3

What are the three foundational concepts that underly the health equity framework?

Answer 3

Equity is at the core of health outcomes

Multiple, interacting spheres of influence

Historical, life-course perspective

Question 4

What are the four spheres of influence included in the HEF under “multiple, interactive spheres of influence”?

Answer 4

Systems of power
Relationships and networks
Individual factors
Physiological pathways

Question 5

What are the PRESS stages to effective interventions

Answer 5

Problem awareness
Root-cause analysis
Empathy
Strategies for addressing the problem
Sacrifice - a willingness to put resources and time to solving the problem

Question 6

Strategies to drive change include three categories of activity

Answer 6

1. personal attitudes
2. informal cultural norms
3. formal institutional policies

Question 7

What are the 6 steps outlined by the RWJF to address health disparities

Answer 7

1. Recognize disparities and commit to reducing them
2. Implement a basic quality improvement structure
3. Make equity an integral part of quality improvement
4. Design interventions
5. Implement and evaluate interventions
6. Sustain interventions

Question 8

What were the cross-cutting themes shared by effective interventions that address health inequities?

Answer 8

Multi-factoral
Culturally tailored
Multi disciplinary teams
Interactive educational tools/approaches
Patient navigation that actively involved family and community members

Question 9

What are the 6 levels of Interventional Influence

Answer 9

Patient - change the knowledge or behaviors

Provider - change the knowledge or behaviors

Microsystems - and new members or shift responsibilities across the care team

Organization - change organizational operations

Community - work with organizations outside the traditional healthcare setting

Policy - influence laws, policy, and resource allocation