Brainstorming for Pre/Post Test Questions

Sarah's brainstorm notes:
- Carrie, do you have info on the student demographics and areas of interest?
1. Define health disparities.
2. Do health disparities exist?
- add questions about Springfield and the community (demographics, languages spoken).
3. Define social determinants of health.
4. How do social determinants of health affect health outcome?
5. Define cultural competence.
6. Using cultural competence in reproductive health.
7. Specific skills: interpreter services, etc.

Julie F.'s ideas:
- have a couple of sources for the answers to each question.
- get questions on national and state data and Sarah and Carrie's questions can focus on concepts.
I. Which of the following is not true of Massachusetts Birth Data from 2005?
1. The Black non-hispanic infant mortality rate was more than twice as high as the white non-hispanic infant mortality rate.
2. The teen birth rate for hispanics was more than 5 times that for white non-hispanics.
3. The rate of low birth weights for black non-hispanics and hispanics is more than double that of white non-hispanics.
(answer - 3)
II. Compared with mothers with some college education or more, mothers with a high school education or less were more likely to:
1. Smoke during pregnancy
2. Receive inadequate prenatal care
3. (other distractor ideas: deliver via cesarean section, breastfeed, etc.)

Carrie's notes (from the email):
Questions:
Which is an example of a Health care disparity
A: a white woman is unable to buy the third tier medication for depression
B: a Hispanic woman misses her appts for birth control because she has to walk to the bus stop
C: an African American woman arrives 25 min late for her visit and is frustrated she will not be seen
D: you try to reach a woman but her phone is disconnected. You send her a letter removing her from your practice

Which of the following contribute to Health care disparities:
A: race
B: socioeconomic status
C: where you live
D: age

An advocate for a patient
A: improves a patient’s access to care
B: provides a patient with the resources with which to negotiate the health care system
C: irritates the doctor into giving the patient better care
D: knows the health care system and can help facilitate completing recommended health interventions

Being disenfranchised means:


Using interpreters does what to health care

Health care providers are biased at baseline

How will an increase in awareness of health care disparities change behavior?


What is bad behavior”
A: I cannot believe she is always late! Doesn’t she care about her health?
B: Everything I offer for her she refuses. I don’t know how to help her.
C: She tells me she cannot buy her meds, but did you see her hair and nails!
D: She doesn’t care, why should I?

Every patient deserves our best care…..how do we provide that?