St. Michael's Hospital Health team offers prescription for poverty

Health communication systems designed for rural, developing countries -- where hospitals are often understaffed and transportation is inadequate -- are being adapted to improve care in U.S. cities.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Organizations are mobilizing volunteers in hospitals to connect low-income families with human services which address social factors like poor housing, nutrition, etc. so patients are able to work and thus afford healthier lives.

In order to address racial disparities in breast cancer survival rates, the Chicago-based Metropolitan Breast Cancer Task Force initiated a program to provide African American women with navigators. These navigators—who are a trained peer from the community rather than a credentialed professional—provide assistance with booking appointment, accessing services, and conversation with providers as well as emotional support. After 10 years of this program, the disparity has decreased 20%.

When people don't show up for an appointment, it can cost hospitals a lot of money and also unnecessarily increase wait times for other patients. A hospital in London is trying to reduce both the cost and wait problems by using artificial intelligence to predict which patients are most likely to be no-shows.

The Veterans Health Administration's Caregiver Support Program offers resources to family caregivers looking after veterans, including a monthly stipend, medical services, counseling and mental health care, respite care and coverage for travel expenses. The Program launched in 2011 and by 2014 about 15,600 caregivers had been approved for support — greatly exceeding the Program’s original estimate of 4,000 people.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.