Welcome!

Bi-Weekly Meetings on Tuesdays 6:00 - 7:00 pm

Study Tables Hosted During “off” Weeks
Meetings available in person (Lazenby 001) or online (tinyurl.com/MAPSOSUZOOM)
Today’s Meeting:
● Health Outcomes for Black Patients
● Social Determinants of Health
● Solutions to Address Them
● History of Black Americans in Medicine
Health Disparities
● Minority Patients are at higher risk
of poor health outcomes.
● Examples Include:
○ High Blood Pressure
○ Diabetes
○ Strokes
○ Cardiovascular Disease
○ Maternal Mortality
Brainstorm:
● What factors impact your health before and after you’re diagnosed with an
illness?
Social Determinants of Health
● Economic
● Physical Environment
● Education
● Nutrition
● Community and Social Context
● Health Care
Economics and
Health
● Impacts Ability to Afford
Treatment
● Impacts Ability to Afford
Basic Needs
● Overlaps with most other
SDOH
Education and Health
● Impacts Economic Standing
● Impacts Health Literacy
Nutrition and
Health

● Access to Food
● Access to Healthy
Food
● Affordability of Food
Community &
Social Context

● Support Systems
● Exposure to Stress and
Discrimination
● Community
Engagement and Social
Integration
Health Care
● Insurance (Uninsured, Underinsured,
Insured)
● Proximity & Availability of Providers
● Quality of Care (Bias, Discrimination,
Language Barriers, etc.)
● Access to Specialists
Physical Environment
and Health
● Stability of Housing
● Availability of Transportation
● Safety of Environment
● Ability to Exercise ( Parks, Walkability,
Playgrounds)
● Exposure to Toxins
Case Study 1:
● You are an emergency room physician at Wexner Medical Center in your
third year of residency. Because of the COVID-19 pandemic you know it is
important to utilize the ER only for emergencies to avoid unnecessary
exposures. However, you continually see the same patients come in and out
of the ER for non-emergent concerns. How do you address this?
Case Study 2:
● You are an attending primary care physician at Wexner Medical Center.
You’re growing frustrated with one of your patients who was recently
diagnosed with Type 2 diabetes because they have missed 3 consecutive
appointments. When they finally return they have not filled the medication
that you prescribed for their high blood pressure and have not made any
lifestyle adjustments.
Solutions Brainstorm
This is bad, what now?

How do we go from discussion to action?

Possible Solutions:
● Increased Diversity in Health Care Workforce
● Increase in Number of Primary Care Providers
● Increased Access and Affordability to Care and Insurance
● Improved Quality of Public Health Education
Increasing Diversity of Healthcare Workforce

Goal:
● Decreasing Bias and Discrimination
● Improving Care and Reducing Distrust for Minority Patients

How:
● Supporting minority students who aspire to work in healthcare
● Implementation of Holistic Review to take into account the applicant as a whole.
Improved Health Literacy

Goal:
● Improved lifestyle choices and health decisions.
● Increased Trust in the Healthcare System

How:
● Improved Public Health Education and Messaging
Improved Access to Insurance

Goal:
● Reduce Number of Uninsured & Underinsured
● Shorten Lapses in Coverage
● Reduce Cost Barrier Associated with Medical Care
● Increase Access to Care

How:
● Decrease Cost of Insurance
● Education on Insurance Options and Eligibility
Inc. Access to Primary & Preventive Care

Goal:
● Consistent Access to Non-Emergent Care
● Decreased Emergency Room Visits & Wait Times
● Increased Access to Preventative Care

How:
● Educate Future Physicians on Importance of Primary Care
● Accelerate Path to Practicing
● Decrease Burden of Cost
Inc. Access to Primary & Preventive Care

Routine Check-Ups Enable:

● Early Intervention and Prevention
● Early Detection and Early Treatment

Examples:
● Cancer Screening
● Hypertension and Diabetes Screening
● Cholesterol Tests
● Vaccination
Increased Patient Advocacy

Patient Advocacy- Working on Behalf of the Patient to Improve their Quality of Care

Examples:
● Amongst Colleagues/Supervisors
● In Favor of Policy Reforms
● With Outside Entities like Insurance Companies
● For Yourself or a Loved One
● Humility
Case Study 5:
Examples of Real World Action:
● Black Impact 100:

https://medicine.osu.edu/why-choose-us/annual-report/black-impact-100-a-
community-effort-to-heal-a-community