the health disparities of rural an women final draft

8/9/2019 The Health Disparities of Rural an Women Final Draft

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National Breast and Cervical Cancer Early Detection Program. This program, and many like it, assist

lower-income and rarely or never-screened women in receiving needed cancer prevention services.

Significantly, it addresses the issues of out of pocket money and transportations issues. The universities,

research groups, and community outreach services for breast cancer and cervical cancer in the region has

developed community programs. Using their service will take adapting and implementation of community

based program that intertwine with local care providers. Navigating care in the Appalachian region has a

number of challenges. Work groups must somehow get the communities involved in telling stories and

providing facts that inform in a trusted setting. Schools, churches, womens groups, and survivor

advocates who can tell their stories must combine efforts to make awareness of the importance of early

detection screening.

Revolutionaries are the ones who impact the lives of others. They have a cause and they make things

happen. This is what has made the rural Appalachian region healthcare align with the health system

delivery. They have adapted, advocated, and advised the health care providers and community public

health care services. These adaptations help to understand the population of this unique culture of the

rural Appalachian region. The health care partnership of different organizations continues to meet the

many challenges and dilemmas for quality accessible rural health care.

In a lecture form in the ETSU College of Public Health Leading Voices, Dr. Nicole Laurie, MD,

MSPH, new scientific evidence says the study of epigenetic, in changing illnesses, scientific observation

notes that changes in epigenetic modification seen in animal and humans have changes occur across a

wide range of illnesses. Those changes can be transmitted into the next generation. There are some things

that science can change through environmental and social changes.

According to Dr. Laurie, Biological embedding occurs early in the first three years of childhood.

Sadly, where you live does matter. We have seen evidence in this research. Location affects your biology

and neighboring socioeconomic health. If you choose to claim yourself as a rural Appalachian woman,


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especially in the sub-region of Appalachia, then these are some of the expected problems. The effects of

stereotyping have been evident in the Appalachian Region. There is a classification called Appalachian

identity. Because of this stereotyping, there can be unequal treatment in the following areas: access to

care, quality of care, stereotyping and discrimination, lack of ownership, and the lack of specialist

healthcare providers. (Lecture: Leading Voices)

Many doctors/physicians are skeptical that inequalities in care exist. One of the problems is outside

the health care profession; the issue of economics comes heavily into play in the area of healthcare. The

educational training at the ETSU College of Public Health requires students to have hands-on study

within the surrounding communities.

Work groups, community base participatory approach, healthcare providers, patients and primary

physicians partnerships each sector plays a role in addressing inequalities. Quality improvement efforts

improve processes but not the outcomes in communities. The use of tele-health communication has

addressed the lack of specialist problem of secluded rural areas.

The National Health Plan collaborative has cited ways to address disparities inequalities. The steps to

success in addressing inequalities: 1) Identify disparities regions 2) Target and testing intervention 3)

Identifying health disparities and zero in on a major problem. (NHP)

Diagnosing hot spots is the approach in the public health field research on disparities. It is a

population approach which can focus intervention on the provider level. The tools used in this endeavor

are grants from the Kellogg Foundation, RAND Corporation, ARC, REACH, Health People 2010, and

National Center for Health Statistics (NCHS) and the CDC partnership with researchers, universities and

community base providers. They help coordinate research efforts in places like ETSU College of Nursing,

Office of Rural and Community Health, and Department of Rural and Community Health. The funding

improves the effort for local medical centers, payors, and public health providers to address unique

cultural issues that affect quality health care.


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Appendance:

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Map 1.1: Appalachian Region Counties in

State and National Context

Map 1.3: Appalachian Sub-regions Map 1.6. Distressed Counties
http://www.arc.gov/images/programs/distreshttp://www.arc.gov/index.do?nodeId=1088s/dc-fy09.gifhttp://www.arc.gov/images/programs/distreshttp://www.arc.gov/index.do?nodeId=1088s/dc-fy09.gif


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Works Cited

Behringer B., et al. "Understanding The challenges of reducing Cancer in appalachia vol5." California

Journal of Health Promotion 2007: 9.

Behringer, Bruce. "Appalachian:Where Places Maters in Health." Preventing Chronic Diseases

October 2006: 2.

Appalachian Region Commission. map. ARC (2007): 3.

Hutson, S.P., et al. "The Mountains Holds things In: the Use of Community research review workgroups

to address Cancer Disparities In Appalachia." Preventing Chronic Diseases 2007: 3.

Lurie, Nicole MD,MSPH. "Disparities In Health and What Can We Do." Leaders in Health

care;Leading Voices:ETSU College of Public Health Forum, Johnson City,Tn, 2009,March 5

Lyttle, NL Ms,Stadelman K,MS. "Addressing The Awareness and Knowledge of Breast and

cervical Cancer Among Appalachian Women." Preventing Chronic Diseases vol 3,no.4 October

2006

Statistics, National Center For Heath. "Appalachian Health Status." CDC 2006.

Royce David, Dignam Mark,University of Kentucky-Lexington. "The Appalchian Community

Cancer Network: Issues and Challeges in Evaluation." Research on Social Work Practice vol

1,no.5 1 September 2008: 507-513.

Behringer, Bruce, interview February 20, 2009


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Lurie Nicole, Dr. MSPH, interview March 5, 2009

Dorgan, Kelly A, Dr., interview March 12, 2009

the health disparities of rural an women final draft

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