Access to Care

The extent to which someone can gain access to the health care system, and the financial, social, and organizational factors that affect a person’s ability to get needed care in a timely way.

The Fierce Urgency of the Overdose Crisis

Mar. 30, 2021

In the past few months, we have seen what can be accomplished when the federal government marshalls its resources and mobilizes a nation to address a health crisis. While there is no vaccine for the epidemic of overdoses that has claimed more than 80,000 lives in the past year alone, we already have effective treatments for opioid use disorders and proven life-saving strategies. There is an urgent need for federal leadership to address an overdose crisis that has worsened throughout the pandemic.

Characteristics, Outcomes, and Trends of Patients With COVID-19-Related Critical Illness at a Learning Health System in the United States

Jan. 19, 2021

George L. Anesi, Juliane Jablonski, Michael O. Harhay, Joshua H. Atkins, Jasmeet Bajaj, Cameron Baston, Patrick J. Brennan, Christina L. Candeloro, Lauren M. Catalano, Maurizio F. Cereda, John M. Chandler, Jason D. Christie, Tara Collins, Katherine R....

Abstract [from journal]

Background: The coronavirus disease 2019 (COVID-19) pandemic continues to surge in the United States and globally.

Objective: To describe the epidemiology of COVID-19-related critical illness, including trends in outcomes and care delivery.

Design: Single-health system, multihospital retrospective cohort study.

Setting: 5 hospitals within the University of Pennsylvania Health System.

Patients: Adults with COVID-19-related


Rationing, Racism and Justice: Advancing the Debate Around ‘Colourblind’ COVID-19 Ventilator Allocation

Nwamaka Eneanya, MD
Jan. 6, 2021

Harald Schmidt, Dorothy E. Roberts, Nwamaka D. Eneanya

Abstract [from journal]

Withholding or withdrawing life-saving ventilators can become necessary when resources are insufficient. In the USA, such rationing has unique social justice dimensions. Structural elements of dominant allocation frameworks simultaneously advantage white communities, and disadvantage Black communities—who already experience a disproportionate burden of COVID-19-related job losses, hospitalisations and mortality. Using the example of New Jersey’s Crisis Standard of Care policy, we describe how dominant rationing guidance


Racial Disparities in Mental Health Outcomes Among Women With Early Pregnancy Loss

Jan. 1, 2021

Jade M. Shorter, Nathanael Koelper, Sarita Sonalkar, Maria A. Oquendo, Mary D. Sammel, Courtney A. Schreiber

Abstract [from journal]

Objective: To explore the relationship between race and depression symptoms among participants in an early pregnancy loss clinical trial.

Methods: We performed a planned secondary analysis of a randomized trial by comparing treatments for medical management of early pregnancy loss. We hypothesized that Black participants would have higher odds of risk for major depression (measured with the CES-D [Center for Epidemiological Studies-Depression] scale) 30 days after early pregnancy loss