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Disparidad de Atención Médica (Healthcare Disparity)

August 6, 2020

Disparidad de Atención Médica

La Comunidad Hispana una de las más vulnerables

Filadelfia, PA- El Dr. Héctor Colón Rivera es un psiquíatra destacado y miembro de la Asociación Americana de Psiquíatras del país. Recientemente escribió un extenso artículo sobre la disparidad de servicios médicos entre la comunidad blanca y la comunidad hispana.

A continuación, un extracto de su artículo.

Tratar el tema de las desigualdades de la atención médica de la comunidad hispana durante la pandemia del Covid-19 ya no puede ser demorado”, afirma el Doctor Héctor Colón Rivera, Director de Servicios Médicos de la Asociación de Puertorriqueños en Marcha.

“La comunidad hispana en este país, que ha tenido limitado acceso a los servicios respecto al cuidado médico y la salud mental, está padeciendo barreras adicionales para mantener su salud física y su salud mental y obtener el cuidado médico que necesita durante la Pandemia”, precisa el Dr. Colón Rivera.

Según el médico, desafortunadamente, no fue hasta que la Pandemia afectó tanto a las comunidades blancas como las no blancas, que se vio una relajación de las reglas acerca de los servicios de salud a distancia. “Esa relajación permitió un aumento en el acceso a los recursos que pudieron ser la salvación para las comunidades no blancas, durante tanto tiempo, de revitalización socioeconómica, conectividad y el desarrollo de infraestructura tecnológica para lidiar con la desigualdad de servicios de salud para las comunidades que tienen acceso limitado a ellos.

Disparidad de Atención Médica 1
La comunidad hispana, la más vulnerable/pexels cottonbro

 

 

 

 

 

 

 

 

 

“Veamos las experiencias de una de mis pacientes. Voy a usar un pseudónimo para proteger su identidad. Marla, es una mujer guatemalteca indocumentada que trabaja -debajo de la mesa- en una pizzería. Nunca dejó de presentarse al trabajo incluso cuando empezó a tener tos y sentirse enferma. Su condición médica empeoró pronto. Fue admitida para tratamiento y fue dada de alta dos semanas después. Sin embargo, su madre se enfermó mientras Marla estaba en el hospital. Cuando la madre de Marla empezó a tener dificultades para respirar, el esposo de Marla la llevó de inmediato al hospital. Marla y su madre no podían verse debido a las restricciones a los pacientes con COVID-19 y su madre murió por el COVID-19.” El Dr. Colon dice Marla se siente culpable por lo que pasó, y aunque encuentra apoyo para aceptar la pérdida de su madre, ha sido duro sin ver en persona a su psico-terapista y a él, que es su psiquíatra.

“Necesitamos hacer esfuerzos adicionales para mantener los lazos sociales durante este tiempo de estrés enorme y de aislamiento social. Las condiciones sociales saludables pueden asegurar que los miembros de la sociedad más vulnerables tengan los mismos derechos y oportunidades fundamentales al igual que los ciudadanos que tienen mayor prosperidad. Necesitamos asegurar que todos los residentes tengan acceso igualitario al cuidado médico de calidad y a los servicios esenciales comunitarios para preservar y proteger la salud”, concluye diciendo el Dr. Héctor Colón Rivera.

Cambio de enfoque

El Dr. Héctor Colón Rivera, piensa que las tendencias en las disparidades de servicios de salud son demográficas y se basan en las desigualdades socioeconómica que crean condiciones de alto riesgo para las comunidades hispanas. Dice que se pueden reducir las disparidades de los servicios de salud si se aborda el tema de esas desigualdades, pero necesitamos cambiar el enfoque de pensar solamente en los modelos de las necesidades de cuidado médico y uso de los servicios de salud que tienen las comunidades blancas. “Tal tipo de pensamiento ignora otros grupos que pudieran tener necesidades diferente. El cambio es posible solo si los esfuerzos de las agencias médicas federales, privadas y estatales se coordinan e incluyen puntos de referencia que les hagan ser responsables y que aseguren que los hispanos estén recibiendo el cuidado que necesitan”. Colón añade que sí fallamos en lograr la igualdad en el sistema de cuidado médico y en cumplimiento de la ley, continuaremos dejando vulnerables a las comunidades minoritarias, a merced de los determinantes sociales dañinos de la salud.

¿Qué podemos hacer?

  • Mejorar los programas educativos y de liderato en las comunidades de la fuerza laboral
  • Crear regulaciones y prácticas flexibles y culturalmente competentes y de pago competente
  • Difundir información adecuada culturalmente a través de los medios de comunicación
  • Tener colaboraciones con las comunidades, organizaciones sin fines de lucro y con líderes comunitarios
  • Colectar y difundir datos para mejorar los recursos que reduzcan las disparidades de servicios de salud
  • Apoyar a nuestros graduados de medicina internacionales

Health Care Disparity

The Hispanic Community one of the most vulnerable

Filadelfia, PA- Dr. Héctor Colón Rivera is a prominent psychiatrist and member of the American Association of Psychiatrists in the country. He recently wrote an extensive article on the disparity in medical services between the white community and the Hispanic community.

Below is an excerpt from his article.

” Addressing the issue of health care inequalities in the Hispanic community during the Covid-19 pandemic can no longer be delayed,” says Dr. Héctor Colón Rivera, Director of Medical Services for the Puerto Rican Association in March .

“The Hispanic community in this country, which has had limited access to medical and mental health services, is experiencing additional barriers to maintaining their physical and mental health and obtaining the medical care they need during the Pandemic,” Dr. Colón Rivera specifies.

Unfortunately, it was not until the pandemic affected both white and non-white communities, according to the doctor, that a relaxation of the rules regarding remote health services was seen. “That relaxation allowed an increase in access to resources that could be the salvation for non-white communities, for so long, of socioeconomic revitalization, connectivity and the development of technological infrastructure to deal with inequality of health services for communities who have limited access to them.

Medical Care Disparity 1
The Hispanic community, the most vulnerable / pexels cottonbro

 

 

 

 

 

 

 

 

 

“Let’s look at the experiences of one of my patients. I will use a pseudonym to protect your identity. Marla is an undocumented Guatemalan woman who works – under the table – in a pizzeria. She never stopped showing up for work even when she started coughing and feeling sick. Her medical condition soon worsened. She was admitted for treatment and was discharged two weeks later. However, her mother became ill while Marla was in the hospital. When Marla’s mother started having difficulty breathing, Marla’s husband immediately took her to the hospital. Marla and her mother were unable to see each other due to restrictions on COVID-19 patients and her mother died from COVID-19. ” Dr. Colon says Marla feels guilty about what happened, and although she finds support in accepting the loss of her mother, she has been tough without seeing her psycho-therapist and him, who is her psychiatrist, in person.

“We need to make additional efforts to maintain social ties during this time of enormous stress and social isolation. Healthy social conditions can ensure that the most vulnerable members of society have the same fundamental rights and opportunities as do the citizens who are most prosperous. We need to ensure that all residents have equal access to quality medical care and essential community services to preserve and protect health, “ concludes Dr. Héctor Colón Rivera.

Change of focus

Dr. Héctor Colón Rivera thinks that the trends in health service disparities are demographic and based on socioeconomic inequalities that create high-risk conditions for Hispanic communities. He says that disparities in health services can be reduced by addressing these inequalities, but we need to change the focus of thinking only about the models of the needs of medical care and use of health services that white communities have. . Such a type of thinking ignores other groups that may have different needs. Change is possible only if the efforts of federal, private, and state medical agencies are coordinated and include benchmarks that hold them accountable and ensure that Hispanics are receiving the care they need. ”

What can we do?

  • Improve educational and leadership programs in workforce communities
  • Create flexible and culturally competent and competent payment regulations and practices
  • Spread culturally appropriate information through the media
  • Have collaborations with communities, nonprofits, and community leaders
  • Collect and disseminate data to improve resources that reduce health service disparities
  • Support our international medicine graduates

We know how to solve Philly’s housing crisis. We just need to do it.

August 5, 2020

We know how to solve Philly’s housing crisis. We just need to do it.

A photo of the Asociación Puertorriqueños en Marcha (APM) headquarters in North Philadelphia. (Courtesy of APM)
A photo of the Asociación Puertorriqueños en Marcha (APM) headquarters in North Philadelphia. (Courtesy of APM)

The protest encampment on 22nd Street and the Benjamin Franklin Parkway is a stark reminder of the critical need for comprehensive affordable housing solutions. The entrenched poverty that plagues the city is the result of years of structural racism, including policies such as redlining and racially restrictive deeds and covenants, that has left communities of color economically deprived and disinvested, making this highly diverse city the fourth most segregated in America. Additionally, gentrification, which is rampant across different areas of the city, is pricing low-income Philadelphians — primarily Black, Latinx, and low-income Philadelphians — out of their own neighborhoods.

Although COVID-19 has put a spotlight on housing inequality, our city had serious housing issues long before the pandemic hit. Now is the time for organizations in the public and private sector to help address this crisis and specifically work towards rectifying the wrongs to Black, brown, Latinx, and communities of color.

We know what to do, and we must do more.

Essential first steps to increasing the supply of safe and affordable housing must include increased federal, state, and local funding such as:

  • Flexible funds, such as the Community Development Block Grant and HOME programs, for local governments to address their critical affordable housing needs;
  • Expanded investment in new affordable rental housing through increased allocation and value of federal Low-Income Housing Tax Credits and creation of a new state Low-Income Housing Tax Credit, with a set-aside for the preservation of at-risk rental housing;
  • New flexible rental assistance to reduce homelessness and housing instability;
  • Capital for community development financial institutions to provide flexible low-cost financing for the development of new affordable housing

Additional solutions include inclusionary zoning, mixed-use development and other policies that allow vulnerable residents to remain in neighborhoods with hot real estate markets; more pathways for homeownership and community ownership for Black and brown residents; and increased capacity building for nonprofit affordable housing developers.

Since its founding in 1970, Asociación Puertorriqueños en Marcha (APM), has been committed to serving Eastern North Philadelphia through affordable housing development, behavioral health, supportive services, and early education. APM assists more than 40,000 people each year and provides formerly homeless families with permanent supportive housing. In the last three decades, it has built 264 units of safe and affordable rental housing and 150 units of affordable owned homes — and supported the community in myriad other ways.

Local Initiatives Support Corporation (LISC) is a community development intermediary and financial institution that has partnered with CDCs like APM for 40 years to help create healthy homes and equitable neighborhoods. LISC has supported community programs and invested $482 million in Philadelphia – including more than $60 million in Eastern North Philadelphia – to help build and preserve 8,765 affordable homes and apartments, and 2.3 million square feet of community, educational and commercial space.

The key to collective success for APM and LISC’s partnership has been proactive and persistent neighborhood engagement. This is integral to supporting affordable housing solutions, fostering neighborhood ownership, and realizing racial justice.

But what our two organizations have accomplished simply isn’t enough. Amid a public health emergency and the resulting rises in unemployment, poverty, and homelessness, Philadelphia must provide more affordable housing opportunities.

We’re proud of what we’ve done to address affordable housing issues in Philadelphia. However, with thousands of families lacking affordable housing, 5,700 people living in homeless shelters or on the streets, and some even taking over vacant buildings, there is far more work to be done.

The crisis demands immediate action with more institutions and organizations stepping up and getting involved—with community engagement at every step of the process.

Nilda Ruiz is the president and chief executive officer of Asociación Puertorriqueños en Marcha, Inc. (APM) and a national board member of LISC. Andrew Frishkoff is executive director of LISC’s Philadelphia office.

Ms. Cheryl’s Story

August 3, 2020

Has a teacher changed your life? Like Ms. Cheryl, we take pride in early childhood education and believe that learning opens new doors and creates unbelievable possibilities.

Visit bit.ly/3hfkNfp to enroll your child in one of APM’s preschool programs today.

Posted by Apm ForEveryone on Wednesday, July 29, 2020

Ms. Jasmine’s Story (En Espanol)

August 3, 2020

La historia de la Sra. Jasmine nos recuerda a todos que, en nuestros programas preescolares, hacemos memorias que duran toda una vida y ayudan a los niños a lograr sus potenciales. Registre su hijo/a hoy.

Diríjase al bit.ly/3hfkNfp o llame al 215-839-3313 para más información.

Posted by Apm ForEveryone on Wednesday, July 22, 2020

Ms. Maria’s Story (En Espanol)

August 3, 2020

Gracias por compartir su historia, Sra. María. Ofrecemos programas preescolares bilingües de alta calidad. Registre su hijo/a hoy. Diríjase al bit.ly/3hfkNfp o llame al 215-839-3313 para más información.

Posted by Apm ForEveryone on Wednesday, July 15, 2020

Mrs. Graciela’s Story (En Espanol)

August 3, 2020

Estaremos publicando las historias de algunos de nuestros increíbles maestros preescolares durante el mes de julio. Gracias por compartir, Sra. Graciela. Esperamos que su niño/niña se nos una este otoño.

Diríjase al bit.ly/3hfkNfp o llame al 215-839-3313 para más información.

Posted by Apm ForEveryone on Wednesday, July 8, 2020

Mrs. Jennifer’s Story

August 3, 2020

This month, we’ll be featuring some of our incredible preschool teachers to learn more about their favorite memories with our students. Mrs. Jennifer’s story reminds us all that in our preschool programs, we make memories that last a lifetime.

Enroll your child today at bit.ly/3hfkNfp, email info@apmphila.org or call 215-839-3313.

Posted by Apm ForEveryone on Monday, July 6, 2020

Learning Through Play

August 3, 2020

Preschool enrollment for fall 2020 is now open. Learning should be fun and adventurous. At APM, we ensure that children reach their fullest potential while in our care. Watch some of our students learn through the power of play.

Enroll your child today at bit.ly/3hfkNfp, email info@apmphila.org or call 215-839-3313.

Posted by Apm ForEveryone on Wednesday, July 1, 2020

Nilda Ruiz Interview on El Sol

August 3, 2020

#FacebookLive con Nilda Iris Ruiz, presindente y CEO de @APMforEveryone

Nilda Iris Ruiz, presindente y CEO de de la Asociación Puertorriqueños en Marcha (Apm ForEveryone) conversó con Catalina Pérez (Cata Pérez TV) sobre los programas de atención que desde hace ´dpecadas ofrece esta institución a las familias menos favorecidas de #Philadelphia.
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#ElSolLatinoCares #JuntosContraElCovid19 #yobrilloconelsol #elsollatinonewspaper #quedateencasa #latinos #hispanos #HispanicMedia #MyHispanicMediaSolutions #Philly #Philadelphia

Posted by El Sol Latino Newspaper on Thursday, April 30, 2020

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