Frontiers Winter 2022

Contents

PRESIDENT'S MESSAGE
Embracing Change to Deliver Holistic, Patient-centered Care
NORM VINN, DO

Much has been written about the shift towards “value-based” care. While we have traditionally associated this concept with capitated care or “managed care,” this transformational paradigm is evolving in all care models, including traditional fee-for-service practice models. 

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MODELS OF CARE AND HEALTH POLICY
Social Determinants of Health: Investing in Access and Prevention
JUNE LELAND, MD, MBA

Social determinants of health (SDOH) are conditions in the environments where people are born, live, learn, work, play, worship, and age. These circumstances are shaped by the distribution of money, representation, and resources at global, national, and local levels.

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CULTURAL AWARENESS & HEALTH EQUITY
Home-Based Palliative Care and SDOH: Opportunity to change the paradigm
JILL SCHWARTZ-CHEVLIN, MD, MBA, FACP

Disparities in health outcomes related to socioeconomic status (SES) and racial and ethnic background became a paramount issue over the last twenty to thirty years and continue to be a significant issue in the U.S. healthcare system. Patients diagnosed with serious illness suffer from these disparities manifested by fewer advance care planning discussions, more hospital deaths, and fewer hospice transitions. 

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COMMUNITY HEALTH
Taking FoodRX Programs From Start-up to Sustainability
RACHEL ZIMMER, DNP, AGPCNP-C

Food insecurity (FI), defined as the limited or uncertain availability of nutritionally balanced foods to maintain an active and healthy lifestyle, is closely linked with social and economic disadvantage and is a major public health problem. In 2020 nearly 13.5 million households (representing about 38.3 million people) in the United States reported FI, including 5.2 million older adults.

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POPULATION HEALTH

A Minority Population’s Response to the COVID-19 Pandemic: A Qualitative Study
KATHERINE LAWSON, PhD, LMSSW, OTR
EUGENIA C. GONZALEZ, OT, MS, PhD

The purpose of this study was to understand the factors that impact health decisions and health behaviors related to COVID-19 for a primarily Hispanic population. The qualitative study included a convenience sample of 43 students enrolled in a school of allied health. 

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A Special Thanks to the IRC Partners Featured in This Issue

The Industry Relations Council (IRC) is an adjunct group of key industry supporters who provide goods and services in the home care setting and share a common goal of advancing care for patients in that setting. For information on all IRC members, visit us here.

The opinions and recommendations expressed in this publication are not necessarily those of the American Academy of Home Care Medicine, its editor, or publisher. Every precaution is taken to ensure accuracy, but responsibility cannot be accepted for the correctness or accuracy of the information supplied or any opinion expressed. Before using procedures or treatments discussed in this publication, clinicians should evaluate their patient’s condition, compare the recommendations of other authorities, consider possible contraindications, and consult applicable manufacturer’s product information. No material may be reproduced in whole or in part, in any form, without written permission.

© 2022 by American Academy of Home Care Medicine.

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