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During the fall of 2020, the CHEST Foundation launched a Listening Tour in areas of the United States that were experiencing disproportionate incidents and mortality from COVID-19. This program was initiated to gain insights in order toand identify solutions to combat lung health inequities among marginalized communities. The COVID-19 pandemic has exacerbated health disparities in America. Underserved communities, communities with higher rates of poverty, and communities of color have suffered disproportionate rates of illness and mortality due to COVID-19.
Even before the COVID-19 pandemic, underserved communities were impacted disproportionately by four of the most common lung diseases: asthma, chronic obstructive pulmonary diseaseCOPD, interstitial lung disease, and lung cancer. Inequities in care and health outcomes are well documented. Inequities are due to a multitude of factors, including socioeconomic status, environmental issues such as air populationpollution, and issues that impact access to care, such as individuals being uninsured or under insured, and a lack of specialists in underserved communities.
The CHEST Foundation selected Listening Tour cities based on a number of criteria, including documented inequities in lung health and prevalence of the predominant lung diseases. Listening Tour events were held virtually in Jackson, MS; New York, NY; Chicago, IL; South Texas; and the US Southwest. In each location, the CHEST Foundation approached community leaders, clinicians, patients, and families to participate. Individual interviews focused on lung health experiences, positive and negative; needs from clinicians, patients, families, and community leaders; and help actually received (or not) based on these needs.
A theme that emerged centered on the importance trust plays in the patient/clinician relationship. Barriers to the establishment of trust as expressed by patients related to:
- Perceived dismissive attitudes among physicians
- Lack of understanding and/or appreciation about social determinants of health
- Overuse of highly technical/medical terminology that can be intimidating to patients
- General cultural and philosophical differences that may contribute to implicit biases
Gaining trust and building rapport among patients is not only limited to key findings from the Listening Tour but also corroborated through peer- reviewed studies. Many studies have documented that trust is the foundation on which patient/clinician relationshipss are built and without it, patients are less likely to maintain adherence to treatment plans, miss appointments, minimize sharing information about their symptoms, and suffer from poorer health and overall quality of life.
In response, the CHEST Foundation is proposing a project with the aim of broader replication based upon key findings. Building trust and developing rapport with patients areis key in creating an environment where they are active participants in their care. An empathetic care training model will provide clinicians with an understanding of the barriers that exist and the tools needed to establish trust with their patients.
The major components of the project include:
1. Development and standardization of a culturally competent toolkit for use during the first five 5 minutes of clinician/patient encounters
2. Creating Creation of education on the tool and training clinicians that who will pilot the tool in health care clinics/medical institutions and collect data on its impact
3. Implementation of the tool use during clinician/patient visits and data collection
4. Data analysis and synthesis of findings for use in refinement and scalability for broader impact
Future plans include scaling the project to additional sites and health care settings; disseminating the culturally competent tool along with education for its utilization to CHEST’s membership and to a larger audience of health care providers; and sharing results and lessons learned. The CHEST Foundation is hoping to build a national, sustainable program that helps achieve health equity, but in order to achieve this, we need your help. Make a donation, and join the CHEST Foundation as we embark on a bold new initiative to build trust, identify and remove barriers, and promote health care access for all in order to help fight lung disease. Together, we will build trust and understanding within communities, specifically between patients, their families, their caregivers, and their clinicians.
During the fall of 2020, the CHEST Foundation launched a Listening Tour in areas of the United States that were experiencing disproportionate incidents and mortality from COVID-19. This program was initiated to gain insights in order toand identify solutions to combat lung health inequities among marginalized communities. The COVID-19 pandemic has exacerbated health disparities in America. Underserved communities, communities with higher rates of poverty, and communities of color have suffered disproportionate rates of illness and mortality due to COVID-19.
Even before the COVID-19 pandemic, underserved communities were impacted disproportionately by four of the most common lung diseases: asthma, chronic obstructive pulmonary diseaseCOPD, interstitial lung disease, and lung cancer. Inequities in care and health outcomes are well documented. Inequities are due to a multitude of factors, including socioeconomic status, environmental issues such as air populationpollution, and issues that impact access to care, such as individuals being uninsured or under insured, and a lack of specialists in underserved communities.
The CHEST Foundation selected Listening Tour cities based on a number of criteria, including documented inequities in lung health and prevalence of the predominant lung diseases. Listening Tour events were held virtually in Jackson, MS; New York, NY; Chicago, IL; South Texas; and the US Southwest. In each location, the CHEST Foundation approached community leaders, clinicians, patients, and families to participate. Individual interviews focused on lung health experiences, positive and negative; needs from clinicians, patients, families, and community leaders; and help actually received (or not) based on these needs.
A theme that emerged centered on the importance trust plays in the patient/clinician relationship. Barriers to the establishment of trust as expressed by patients related to:
- Perceived dismissive attitudes among physicians
- Lack of understanding and/or appreciation about social determinants of health
- Overuse of highly technical/medical terminology that can be intimidating to patients
- General cultural and philosophical differences that may contribute to implicit biases
Gaining trust and building rapport among patients is not only limited to key findings from the Listening Tour but also corroborated through peer- reviewed studies. Many studies have documented that trust is the foundation on which patient/clinician relationshipss are built and without it, patients are less likely to maintain adherence to treatment plans, miss appointments, minimize sharing information about their symptoms, and suffer from poorer health and overall quality of life.
In response, the CHEST Foundation is proposing a project with the aim of broader replication based upon key findings. Building trust and developing rapport with patients areis key in creating an environment where they are active participants in their care. An empathetic care training model will provide clinicians with an understanding of the barriers that exist and the tools needed to establish trust with their patients.
The major components of the project include:
1. Development and standardization of a culturally competent toolkit for use during the first five 5 minutes of clinician/patient encounters
2. Creating Creation of education on the tool and training clinicians that who will pilot the tool in health care clinics/medical institutions and collect data on its impact
3. Implementation of the tool use during clinician/patient visits and data collection
4. Data analysis and synthesis of findings for use in refinement and scalability for broader impact
Future plans include scaling the project to additional sites and health care settings; disseminating the culturally competent tool along with education for its utilization to CHEST’s membership and to a larger audience of health care providers; and sharing results and lessons learned. The CHEST Foundation is hoping to build a national, sustainable program that helps achieve health equity, but in order to achieve this, we need your help. Make a donation, and join the CHEST Foundation as we embark on a bold new initiative to build trust, identify and remove barriers, and promote health care access for all in order to help fight lung disease. Together, we will build trust and understanding within communities, specifically between patients, their families, their caregivers, and their clinicians.
During the fall of 2020, the CHEST Foundation launched a Listening Tour in areas of the United States that were experiencing disproportionate incidents and mortality from COVID-19. This program was initiated to gain insights in order toand identify solutions to combat lung health inequities among marginalized communities. The COVID-19 pandemic has exacerbated health disparities in America. Underserved communities, communities with higher rates of poverty, and communities of color have suffered disproportionate rates of illness and mortality due to COVID-19.
Even before the COVID-19 pandemic, underserved communities were impacted disproportionately by four of the most common lung diseases: asthma, chronic obstructive pulmonary diseaseCOPD, interstitial lung disease, and lung cancer. Inequities in care and health outcomes are well documented. Inequities are due to a multitude of factors, including socioeconomic status, environmental issues such as air populationpollution, and issues that impact access to care, such as individuals being uninsured or under insured, and a lack of specialists in underserved communities.
The CHEST Foundation selected Listening Tour cities based on a number of criteria, including documented inequities in lung health and prevalence of the predominant lung diseases. Listening Tour events were held virtually in Jackson, MS; New York, NY; Chicago, IL; South Texas; and the US Southwest. In each location, the CHEST Foundation approached community leaders, clinicians, patients, and families to participate. Individual interviews focused on lung health experiences, positive and negative; needs from clinicians, patients, families, and community leaders; and help actually received (or not) based on these needs.
A theme that emerged centered on the importance trust plays in the patient/clinician relationship. Barriers to the establishment of trust as expressed by patients related to:
- Perceived dismissive attitudes among physicians
- Lack of understanding and/or appreciation about social determinants of health
- Overuse of highly technical/medical terminology that can be intimidating to patients
- General cultural and philosophical differences that may contribute to implicit biases
Gaining trust and building rapport among patients is not only limited to key findings from the Listening Tour but also corroborated through peer- reviewed studies. Many studies have documented that trust is the foundation on which patient/clinician relationshipss are built and without it, patients are less likely to maintain adherence to treatment plans, miss appointments, minimize sharing information about their symptoms, and suffer from poorer health and overall quality of life.
In response, the CHEST Foundation is proposing a project with the aim of broader replication based upon key findings. Building trust and developing rapport with patients areis key in creating an environment where they are active participants in their care. An empathetic care training model will provide clinicians with an understanding of the barriers that exist and the tools needed to establish trust with their patients.
The major components of the project include:
1. Development and standardization of a culturally competent toolkit for use during the first five 5 minutes of clinician/patient encounters
2. Creating Creation of education on the tool and training clinicians that who will pilot the tool in health care clinics/medical institutions and collect data on its impact
3. Implementation of the tool use during clinician/patient visits and data collection
4. Data analysis and synthesis of findings for use in refinement and scalability for broader impact
Future plans include scaling the project to additional sites and health care settings; disseminating the culturally competent tool along with education for its utilization to CHEST’s membership and to a larger audience of health care providers; and sharing results and lessons learned. The CHEST Foundation is hoping to build a national, sustainable program that helps achieve health equity, but in order to achieve this, we need your help. Make a donation, and join the CHEST Foundation as we embark on a bold new initiative to build trust, identify and remove barriers, and promote health care access for all in order to help fight lung disease. Together, we will build trust and understanding within communities, specifically between patients, their families, their caregivers, and their clinicians.