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Title: Urban Health: A Practical Application for Clinical Based Learning

Citation Type: Miscellaneous

Publication Year: 2022

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Abstract: Urban populations demonstrate some of the world's most prominent health disparities and are key targets for health disparities research. The majority of the world’s population lives in cities and urban development is expanding in all regions of the world. The creation of solutions to improve health and address health disparities in these complex, concentrated, and diverse urban environments is essential. It is well known that health disparities exist on both an individual and community level. People living in the same zip code can have a difference in life expectancy of more than 20 years due to factors such as economic stability, education preparation, employability, race and health care insurance access. Poor health outcomes for urban underserved patients related to these health disparities are well documented. The Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), and other organizations have spent billions of dollars supporting clinical practicum internships and incentivized employment opportunities across all health specialties with the hope of luring new providers into underserved areas to help improve poor health outcomes. While trainingships and employment opportunities provide clinical exposure to urban populations, these initiatives have not translated to a better understanding or improved health outcomes for the urban patient population. All healthcare specialties offer foundational graduate level courses that expose students to the concept of health disparities. Unfortunately, there exist fundamental gaps in comprehension and application of practical knowledge when preparing the student to actively engage urban patients. It is imperative that we train students to take a holistic approach to patient care, acknowledging that the patient is more than just their physical or mental illness. Urban providers need to recognize how social determinants of health, policy, perceptions, disparities, and lack of resources impact health outcomes of underserved populations. In acknowledging the lived experience of urban patients and how disparities impact their daily lives, we can begin to build more effective patient-provider relationships. This textbook aids in providing a platform for readers to have open discourse about urban health, healthcare disparities and interprofessional collaboration to achieve better patient outcomes. The main goals of this textbook are: • to explore how an individual’s experiences, implicit biases, interpersonal skills and urban expectations impact healthcare delivery and patient engagement • to develop a flipped consciousness that will engage and create awareness of the lived experience of urban patients and urban healthcare providers • to explore how disparities impact personal health choices and health outcomes • to explore available resources in the urban community and engage interprofessional collaborative practice to improve patient care • to provide an educational tool that will be utilized by and adapted to all healthcare disciplines to provide a consistent approach to understanding urban health disparities in the United States

Url: https://digitalcommons.wayne.edu/oa_textbooks/2

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Authors: Mcneill, Cynthera; Stephens, Umeika; Walker, Tara

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Data Collections: IPUMS USA, IPUMS CPS

Topics: Health, Land Use/Urban Organization, Population Health and Health Systems

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