PA’RRIBA Blog & Briefs
Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)
A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.
- The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
- Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
- These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.
Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District
The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.
“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.
Photo Credit: Jill Bullock
What is ICD-10? In October of 2015, all physicians, hospitals, and health plans will begin using ICD-10 (International Classification of Diseases), an upgrade from ICD-9 used in the U.S. for 30 years. The World Health Organization (WHO) adopted ICD-10 in 1990, used by other countries for many years. ICD-10 will be used to classify disease, report illnesses, monitor morbidity and mortality, and importantly - to provide better individual and population health data to continuously improve and inform clinical treatment.
The Robert Wood Johnson Foundation just released its annual County Heath Rankings that rate the health of nearly every county in the nation. The site has interactive maps and new –county level trend graphs starting from 2010 to now, 2013. Arizona’s rural counties are able to see where each is ranked by specific health outcomes, health factors and morbidity/mortality. As the state’s County Public Health Departments and not-for profit hospitals complete and/or begin to implement their defined strategy based on their community health needs assessment (CHNA), these data will be very useful to monitor trends.
Through a partnership with the Arizona Area Health Education Center Program, the Mel & Enid Zuckerman College of Public Health started a Rural Health Professions Program in 2008. The program began under the direction of Associate Dean for Community Programs, Jill De Zapien and currently consists of five different week-long, intensive Service-Learning Institutes that take place in different areas of Arizona. One of them is the Rural Health Service Learning Institute.