from Health AffairsTop ten articles for 2022
As we head into the new year, let’s take a look at the 10 most-read articles of 2022 at Health Affairs magazine. We share our most read articles annually to showcase some of the most popular topics in the world Health Affairs. The main articles for 2022 focused on issues such as structural racism, coronavirus, disability, and health.
- Systemic and structural racism: definitions, examples, health harms, and methods of deconstruction
In their article on racism and health, Paula Braveman and co-authors explain how systemic racism harms health by denying people their rights, increasing exposure to conditions harmful to health, and limiting access to economic and health-promoting resources and opportunities.
- A new way to support frequent emergency department visitors
David Tuller’s Leading to Health article highlights Harris Health systems. This safety net system in Texas that has transformed its practices to use a team-based approach that connects multi-visit emergency department patients to case management and services.
- School reopening and COVID-19 in the community: Evidence from a natural experiment in Ontario, Canada
Tiffany Fitzpatrick and co-authors found very low rates of additional COVID-19 cases after schools gradually reopened in Ontario, Canada, and concluded that “any increases in case growth after schools reopen may be manageable with appropriate mitigation policies.”
- Dedicated telephony increased access to health insurance for hard-to-reach populations, but challenges remain
Rebecca Myerson and co-authors reported that in-person phone calls from service center representatives to discuss consumer choices led to increased enrollment of low-income families in the Covered California Affordable Care Act market.
- Perinatal health risks and outcomes among US women with autoimmune disabilities, 2011-19.
Willie Horner-Johnson and co-authors show that pregnant women with self-reported disabilities are slower to initiate prenatal care, are more likely to deliver prematurely, and are more likely to have a low-birth-weight baby than pregnant women who did not report a disability. .
- Have Nearly Fifty Years of Disability Civil Rights Acts Made Fair Care?
In their general article on the topic of disability and health, Lisa Izzoni and co-authors describe six areas of “persistent inequalities in the health and healthcare of Americans with disabilities.” They noted that this is “disappointing, given nearly half a century of civil rights laws aimed at achieving equality for people with disabilities.”
- Access to communication in mental health treatment facilities and substance use for deaf American Sign Language users
Tyler James and co-authors found that a large number of mental health and substance abuse treatment facilities are not accessible for patients who are deaf or hard of hearing, despite federal law requiring communication accessibility for people with disabilities in public accommodations, including hospitals.
- Effectiveness of government masking mandates in county-wide COVID-19 cases across the United States, 2020
Jing Huang and co-authors compare groups from 394 counties in the United States to determine which COVID-19 mask mandates were associated with a decrease in cases six weeks after the start of the mandate.
- Negative patient descriptors: Documenting racial bias in the electronic health record
Using machine learning techniques, Michael Sun and colleagues found that black patients were 2.54 times more likely to have one or more negative descriptions, such as “unattachment” and “disturbed,” in their electronic health records, even after adjusting for sociodemographic health characteristics. .
- Structural racism in historical and modern American health care policy
In another overview of the issue of racism and health, Ruqayya al-Sunna and co-authors explore the racist roots of health policy regarding coverage, financing, and quality. They argue that laws and policies across the various payers have created a “two-tier health care system that limits equal access to high-quality care for racial and ethnic minorities.”