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Clinical and Translational Science Center

Clinical and Translational Science Center

Center for Reducing Health Disparities

Resource List - Policy Recommendations to Reduce Health Disparities

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Multicultural Principles for a Healthy California: A Systematic Approach to Eliminating Racial and Ethnic Health Disparities. California Pan-Ethnic Health Network. 2004.
This two-page document summarizes the set of seven principles guiding efforts of the CPEHN to reduce health disparities: systemic social, economic, and environmental inequalities must be addressed to eliminate health disparities; all institutions and sectors are responsible for eliminating health disparities; communities of color must be integral players in efforts to eliminate health disparities; universal access to affordable quality health care is essential for eliminating health disparities; all services must be culturally and linguistically accessible in order to eliminate health disparities; data and research are critical to the elimination of health disparities; and eliminating health disparities must be a priority for California.

Overcoming Disparities in U.S. Health Care. 
Health Affairs. Frist W. Volume 24, Number 2: 445-451. March/April 2005.
There are many dimensions of health disparities which include race, ethnicity, socioeconomic status, and geography.  However, it is important for policymakers to define the problem correctly so that the solutions address the intended goal.  U.S. efforts to eliminate disparities must be part of the broader effort to transform health care and thus, must focus on improving the quality of care delivered to the individual patient.

Health for All: California’s Strategic Approach to Eliminating Racial and Ethnic Health Disparities. 
The California Campaign to Eliminate Racial and Ethnic Disparities in Health. November 2003.
This report is a result of collaboration between the American Public Health Association and the California Health and Human Services Agency.  It’s two primary goals are to: (1) prevent the development of illness and injury by fostering healthy behaviors, healthy community environments, and institutional support of good health outcomes, and (2) to reduce the severity of illness and injury by providing high-quality medical care to all.  The report identifies 9 Priority Medical Issues that result in poor health outcomes.  The report also identifies 20 Community Factors that contribute to health disparities in CA.  The report delineates how government and private institutions can work with communities to eliminate health disparities in CA.

Restructuring Government to Address Social Determinants of Health. 
Report from the Healthier America California Convening in Sacramento, CA. Prepared by Prevention Institute on behalf of Trust America’s Health. May 2008.
Focusing on the untapped potential to prevent illness and injury is essential for improvements in health care and the government has a significant role to play. Ensuring good health for all Americans requires addressing the underlying community factors that influence health—from the built environment to jobs to protection from environmental hazards.  The document calls for the establishment of a health system that addresses underlying determinants of health.  There are 8 summary recommendations in the document aimed at federal and state government agencies.

Asian Tobacco Education and Cancer Awareness Research Population Network – A Model for Reducing Asian American Cancer Health Disparities 
Uninsured and underserved Asian Americans are vulnerable to cancer health disparities due to inherent cultural and linguistic barriers that prevent them from utilizing mainstream healthcare systems.  Asian Tobacco Education and Cancer Awareness Research (ATECAR) is a community-based network that has empowered Asian communities through infrastructure building, creating sustainable partnerships, and providing technical assistance.  These efforts are based on the ATECAR logic model which includes a needs assessment, partnership building, training, mentorship, evaluation, and diffusion with community involvement at every level.