Deonna Reese-White MD, MBA

View Original

5 Ways to Continue Working Towards Health Equity

As a neurology resident who identifies as a Queer Woman of Color, I am deeply passionate about health equity and advocating for marginalized communities. Throughout my journey, I have learned that improving health equity requires a multifaceted approach that addresses the social determinants of health, promotes access to healthcare, and addresses systemic barriers in medicine. In this blog post, I want to share five ways that we can work towards improving health equity in underserved communities.

  1. Advocate for Medicaid Expansion

    Medicaid expansion is a crucial component of improving access to healthcare for low-income individuals and families. Unfortunately, not all states have chosen to expand Medicaid, leaving many vulnerable populations without access to essential healthcare services. By advocating for Medicaid expansion, we can ensure that more people have access to healthcare, reducing healthcare costs and improving health outcomes.

    Personally, I have seen the impact of Medicaid not being expanded in my own community. I live in a low-income area where many families struggle to afford basic healthcare services. Despite the Affordable Care Act's (ACA) aim to increase access to healthcare for all Americans, the decision not to expand Medicaid in my state has left many individuals without coverage. I have witnessed firsthand the toll that this lack of access to healthcare has taken on people's lives. I have seen patients delay necessary medical treatment because they cannot afford it, and I have seen families go bankrupt trying to pay for healthcare expenses out of pocket. The consequences of not expanding Medicaid are far-reaching and affect the most vulnerable members of our society, including children, people with disabilities, and low-income seniors. It is imperative that we address this issue and work towards ensuring that everyone has access to affordable healthcare.

  2. Address Food Insecurity

    Food insecurity is a significant issue in many underserved communities, and it can have a profound impact on health outcomes. When individuals and families lack access to nutritious food, they are more likely to experience chronic health conditions, such as diabetes and heart disease.

    One way to address food insecurity is to support community-based initiatives that increase access to healthy food options. In many low-income neighborhoods, residents may not have easy access to fresh fruits and vegetables or other nutritious foods. This lack of access can contribute to poor health outcomes and exacerbate existing health disparities. Community-based initiatives, such as urban gardens, farmers' markets that accept WIC and EBT, and community-supported agriculture programs, can help to address these issues by providing affordable and accessible sources of healthy food. These initiatives not only provide individuals and families with healthy food options but also support local agriculture and promote community engagement. Additionally, initiatives like these can provide educational opportunities for community members on topics such as nutrition, gardening, and sustainable agriculture. By supporting these community-based initiatives, we can work towards reducing food insecurity and promoting healthier, more sustainable communities.

  3. Support Mental Health Initiatives

    Mental health is a crucial aspect of overall health, and it is often overlooked in underserved communities. Access to mental health services can be limited, and the stigma surrounding mental health can prevent individuals from seeking care.Supporting mental health initiatives, such as increasing funding for mental health services and reducing the stigma surrounding mental health, can improve access to care and promote better health outcomes. Mental health disorders affect millions of people worldwide and can have a significant impact on an individual's quality of life, ability to work, and overall health. However, many people still face barriers when it comes to accessing mental health services due to factors such as affordability, availability, and stigma. Increasing funding for mental health services can help to improve access to care for those in need and ensure that individuals receive the treatment and support they require. Additionally, reducing the stigma surrounding mental health can help to encourage individuals to seek help and reduce feelings of shame or embarrassment. By supporting mental health initiatives, we can work towards creating a more supportive and inclusive society that values and prioritizes mental health as a critical component of overall wellbeing. As a neurology resident, I have seen firsthand how mental health can impact physical health, and I am committed to advocating for increased access to mental health services.

  4. Promote Health Education

    Health education is a critical component of improving health outcomes in underserved communities. Many individuals lack access to accurate health information, and this can lead to a lack of understanding of essential health concepts, such as the importance of regular check-ups and preventative care.

    By promoting health education initiatives, such as community health fairs and health education programs in schools, we can improve health literacy and empower individuals to take control of their health. As a former high school science teacher, I have seen the impact of health education on students' understanding of essential health concepts, and I believe that promoting health education initiatives can have a significant impact on improving health outcomes.

  5. Advocate for Diversity and Inclusion in Medicine

    Finally, advocating for diversity and inclusion in medicine is crucial for improving health equity. The lack of diversity in our healthcare workforce can lead to health disparities and a lack of understanding of the unique challenges faced by underserved communities.

    By advocating for policies that promote diversity and inclusion in medicine, such as increasing diversity in medical schools and residency programs, we can ensure that our healthcare workforce is equipped to address the needs of all patients. Healthcare providers who come from diverse backgrounds can provide valuable perspectives and insights into the unique healthcare needs of different patient populations. Additionally, research has shown that patients who receive care from healthcare providers who share their race or ethnicity have better health outcomes and are more likely to adhere to treatment plans. By promoting diversity and inclusion in medicine, we can also help to address healthcare disparities that disproportionately affect marginalized communities. This includes ensuring that all patients receive culturally responsive care that is respectful of their individual needs and values. Ultimately, by creating a more diverse and inclusive healthcare workforce, we can improve the quality of care for all patients and promote better health outcomes across our communities.

Conclusion

Improving health equity in underserved communities requires a multifaceted approach that addresses the social determinants of health, promotes access to healthcare, and addresses systemic barriers in medicine. By advocating for Medicaid expansion, addressing food insecurity, supporting mental health initiatives, promoting health education, and advocating for diversity and inclusion in medicine, we can work towards a more equitable healthcare system.

It's important to remember that improving health equity is not a one-time fix, but an ongoing process that requires sustained effort and dedication. As pre-med students, medical students, residents, and healthcare professionals, we all have a role to play in advocating for equitable healthcare for all.

Personally, as a QWOC in medicine I am committed to advocating for marginalized communities and addressing health disparities. I have seen firsthand how systemic barriers can prevent individuals from receiving quality healthcare, and I am dedicated to breaking down these barriers and working towards a more equitable healthcare system.

By working together and advocating for policies that promote health equity, we can make a difference in the lives of underserved communities and ensure that everyone has access to quality healthcare. Let's continue to strive towards a more equitable healthcare system, one step at a time.