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AAMC Collaborative for Health Equity: Act, Research, Generate Evidence (CHARGE)

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AAMC CHARGE cultivates the health equity community by advancing collaborative research, policy, and programmatic solutions to health and health care inequities.

The vision of AAMC CHARGE is an equitable and just society in which academic health centers:

  • Prioritize health equity scholarship and research across the full spectrum of scientific inquiry.
  • Partner with communities, families, and patients to develop solutions to health injustice.
  • Advocate for structural changes that address the root causes of health inequities.

AAMC CHARGE participants:

  • Share accomplishments and crowdsource opportunities for professional achievement.
  • Facilitate innovative multi-sector partnerships, collaborations, and research that contribute to the evidence base for solutions to health and health care inequities.
  • Collaborate on policy work that impacts health equity at institutional, local, state, and federal levels.

Join the CHARGE

You can join AAMC CHARGE by sending an email with your name, institution, title, and contact information. Participants will also receive our monthly newsletter, the AAMC Health Equity Research and Policy Update.

Join AAMC CHARGE


 

Just in Time Webinar - Patient-Focused Drug Development

On November 22, AAMC CHARGE held a Just in Time Webinar to receive participants' input on an upcoming response to the FDA’s recent draft guidance (second in a series of four) on patient-focused drug development.


 

2019 Health Equity Call for Research Awardees

The AAMC has just concluded the first ever 2019 Health Equity Call for Research and would like to acknowledge and congratulate the following four awardees, who will receive access to data from the AAMC Consumer Survey of Health Care Access to answer cutting-edge research questions to facilitate solutions to health and health care disparities.

Fayetteville State University
Bola Ekezue, Su Dong, and Jennifer Bushelle-Edghill
Connectivity Access and Electronic Patient Engagement in Rural Communities
This study will examine whether connectivity access plays a role in how patients use electronic means to interact with providers and assess subgroups who have the double burden of connectivity access and chronic conditions.

North Carolina State University and Roanoke College
Vanessa Volpe and Kristen Schorpp
Examining State-Level Structural Racism and Sexism as Actionable Barriers to Equitable Health Care Access and Quality
This study will connect structural inequalities to individual experiences to examine if state-level structural discrimination is associated with gender and racial/ethnic disparities amongst those with recent health care needs. The role of access to care and other social contributors will also be assessed.

MedStar Health Research Institute
Derek DeLia, Jason Brown, and Daniel Wilhite
Health Equity Effects of Medicaid Expansion under the Affordable Care Act, 2014-2018
This study will identify the impact of Medicaid expansion on healthcare access, healthcare satisfaction, and perceived discrimination among vulnerable populations, and examine the Medicaid fee bump and ACA Health Insurance Exchanges as potential mediators of the Medicaid expansion effects.

University of Maryland School of Public Health
Jessica Fish, Rodman Turpin, and Bradley Boekeloo
Sexual Orientation and Gender Identity (SOGI) Disparities and Trends in Mental Health and Health Care Access and Experiences in the United States
This study will assess population-level disparities and trends in mental health/health care access and experiences across groups defined by SOGI, and whether these experiences vary across sociopolitical contexts, LGBT-specific state characteristics, and relevant sociodemographic factors.


 

Our Latest Policy and Advocacy Work

On October 25, 2019 the AAMC responded to a request for information from the National Center for Advancing Translational Sciences (NCATS) on improvements to the Clinical and Translational Science Awards (CTSA) Program: "The AAMC encourages NCATS to increase community engagement (CE)-focused funding to allow the CE cores to develop into “CE hubs” tasked, in part, with weaving together community- and patient-engaged efforts across the research, clinical, and training missions of their institutions."

On August 12, 2019 the AAMC submitted a comment letter to the HHS’ Office of Civil Rights that called for the withdrawal of its proposed changes to Section 1557 regulations because if the proposal is finalized it would eliminate all protections for transgender Americans as well as some for those with limited English proficiency. Section 1557 is intended to provide individuals with broad protections, ensuring that “an individual shall not . . . be excluded from participation in, be denied the benefits of, or be subject to discrimination under, any health care program or activity that is administered by an Executive Agency or any entity established under this title…”.

On August 6, 2019 the AAMC sent a letter to the Food and Drug Administration (PDF) on the agency’s request for information regarding the draft guidance Enhancing the Diversity of Clinical Trial Populations-Eligibility Criteria, Enrollment Practices, and Trial Designs. We offered comments regarding ways to broaden clinical trial eligibility requirements, improve clinical trial enrollment and retention, and use community engagement methods to increase patient participation.

On August 5, 2019 the AAMC sent a letter to the Office of Science and Technology Policy (OSTP) (PDF) to inform the development of the National Research Strategy for the President’s Roadmap to Empower Veterans and End the National Tragedy of Suicide.  AAMC offered recommendations to improve the ability to identify individual veterans and groups of veterans at greater risk of suicide and to develop public-private collaboration models to foster innovative and effective research.  

On May 9, 2019, the AAMC submitted comments to the ICD-10 Coordination and Maintenance Committee in support of the joint proposal from UnitedHealthcare and the American Medical Association to expand existing ICD-10-CM codes to better capture additional data on the social determinants of health (SDOH) to drive better care, patient engagement, and more equitable outcomes.

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