Communication training effectiveness for health care providers has been well documented, however patient and caregiver training may present a prime opportunity to mitigate communication challenges that provider-only training cannot. The aim of this study is to describe the multi-step process of adapting a national, provider, health communication training program (COMFORT) for use with underserved patients and caregivers who (1) are not regular consumers within health care systems and/or (2) do not have ready access to providers. LY2603618 We examine three iterations of training feedback for implementation in future training. Not One More Life (NOML), a health and faith partnership, aims to engage African Americans at risk for asthma morbidity into community-partnered asthma programs. Not One More Life programs consisted of interactive presentations, a questionnaire, and spirometry. 4,522 individuals attended NOML programs at 136 Atlanta churches over nine years. Over 90% of attendees were African American. Attendees with asthma had high rates of obesity (9.4% of children, 47.9% of adults) and airflow obstruction (34.6% of children, 17.2%, of adults). Over 20% of attendees with asthma reported past hospitalization for asthma. Among those with a history of hospitalizations for asthma, just 17.6% reported treatment with inhaled corticosteroids Conclusion. Not One More Life program attendees with asthma report considerable morbidity including exceptionally high rates of asthma hospitalizations. Participants have multiple remediable characteristics associated with poorly controlled asthma, including medication undertreatment and obesity.4,522 individuals attended NOML programs at 136 Atlanta churches over nine years. Over 90% of attendees were African American. Attendees with asthma had high rates of obesity (9.4% of children, 47.9% of adults) and airflow obstruction (34.6% of children, 17.2%, of adults). Over 20% of attendees with asthma reported past hospitalization for asthma. Among those with a history of hospitalizations for asthma, just 17.6% reported treatment with inhaled corticosteroids Conclusion. Not One More Life program attendees with asthma report considerable morbidity including exceptionally high rates of asthma hospitalizations. Participants have multiple remediable characteristics associated with poorly controlled asthma, including medication undertreatment and obesity. There is limited evidence on how to implement social determinants of health (SDH) screenings. To synthesize recent evidence investigating the implementation of SDH screening in primary care settings. Electronic strategies were used to find articles published between September 2008 and 2018. Articles in the review (N = 15) varied in study design and methodologic rigor, complicating the analysis. Many articles lacked specification on who administered the screening, where the screening was administered, and resource referral rates. The majority of the screenings were administered during the clinic visit by a medical provider. The four primary SDH domains assessed were income, housing stability, education, and employment status. More specific implementation research is needed on the best way for providers to screen for SDH in addition to how screening practices influence resource referrals, resource utilization, and health improvements.More specific implementation research is needed on the best way for providers to screen for SDH in addition to how screening practices influence resource referrals, resource utilization, and health improvements.Fifty-six percent of high-needs NYC cancer patients are food insecure, at times choosing between medical treatment and food. We describe FOOD (Food to Overcome Outcome Disparities), an innovative intervention, which has established eleven medically tailored food pantries in NYC cancer centers and distributed the equivalent of 307,080 meals since 2011.Pregnancy and Parenting Partners (P3) is a group-based prenatal care program developed to provide access to comprehensive medical care, education, and social support during pregnancy and early parenting. P3 innovatively combines positive elements of existing evidence-based programs to address needs specific to socially disadvantaged women and their families.This report describes the implementation of a primary care behavioral health integration program for anxiety management at Cambridge Health Alliance (CHA), a safety-net health care system. Using a staged implementation process, CHA built upon existing capacities to create a comprehensive infrastructure for managing behavioral health conditions in primary care.While disparities in the incidence, treatment, and mortality of oral cancer have been investigated in underrepresented groups, the Hispanic migrant farmworker population is understudied. A questionnaire was designed to assess oral cancer knowledge, awareness, and care-seeking behavior in this population. We aim to review this survey and outline its development.All EARS is a medical student run organization that provides social, mental, and emotional support to critically ill patients, including those on palliative care, in an urban hospital setting. Our aim is not only to help patients, but foster the next generation of humanistic physicians.Custodial staff are essential to the smooth functioning of a hospital, and yet their financial hardships often go unnoticed in discussions of health care delivery. I share my personal experiences speaking with custodial staff at the University of Pittsburgh Medical Center as they sought and received a raise in the hospital's minimum wage, and observing the lasting effects of such a reform. Bariatric surgery is cost-effective for treating obesity and diabetes. There are higher rates of obesity and diabetes in medically-underserved populations, yet it is unclear if disparities in bariatric surgery utilization exist in this population. Bariatric surgery rates were calculated for underserved populations with obesity and diabetes using secondary data sets of four states in the diabetes belt (Florida, Georgia, Kentucky, South Carolina), a region in the southeast United States with higher rates of diabetes and obesity. Surgery rates were compared across states and demographic groups. Males, Blacks, and patients in rural areas had lower rates of bariatric surgery compared to females, Whites, and patients in urban areas. Payer rates were mixed across states. Surprisingly, minorities in Florida had higher surgery rates. Disparities exist in bariatric surgery rates in underserved populations with obesity and diabetes. It is vital to improve surgery access to this population to promote health equity.