When a Medical Diagnosis is Complex, A Navigator Who Looks Like the Patient Can Make All the Difference

To educate and prepare new mothers, Centering Pregnancy and Centering Parenting sites in the United States offer community-based patient-centered care in low-income areas. Centering offers interactive learning, check-ups, and social support, so that women can take charge of their health.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

Post-traumatic stress has dire consequences for U.S. veterans, including an increase in suicide, and not all therapeutic treatments for the disorder have succeeded. To treat and potentially cure the effects of PTSD, the Center for Mind-Body Awareness offers veterans Buddhist-inspired meditation, and mindfulness, as well as skills to develop creative expression.

Physical illnesses trigger and exacerbate poverty because costs are too high to treat them. The Associação Saúde Criança in Rio de Janeiro counsels helps by assisting families with services such as food, medicine, vocational training, housing, and legal aid, which helps mothers achieve their personal goals.

Studies show group prenatal care leads to better birth outcomes when compared against standard care. Centering Pregnancy in San Francisco is a space for women with similar gestational ages to meet, learn about self-care, and have facilitated group discussions.

Alleys in Seattle were once places of illicit, illegal, and unsanitary activity. The International Sustainability Institute in Seattle began organizing music and art events to bring in people, which, in turn, cleaned-up the crime and garbage. As an urban development strategy, adjacent vacant storefronts re-opened for business and beautification could be seen in new gardens.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Many African American women are reluctant to breastfeed their babies. The Mother Nuture Project at Detroit’s St. John Hospital and Medical Center offers peer counseling to educate women (mostly African American) and encourage breastfeeding. Mother Nurture’s program has helped boost breastfeeding rates from 46 percent to 64 percent.

The Patient Support Corps at UC San Francisco Medical Center pairs interns with patients to provide support during visits. The program, which now acts as a model for other hospitals, encourages patients to speak up and offers them the information needed to make decisions about their care, rather than having the doctors make the decision for them.

Boston professors visit countries and homes of foreign students to better understand their culture and gain insights about how to better teach them. The goal is to reach across cultural divides to help a big part of the student population — emigres from faraway lands — that is plagued with low standardized test scores and high dropout rates. Accompanying photojournalism: http://www.bostonglobe.com/news/bigpicture/2015/09/12/seeking-cultural-connections/L3mIQAQM3v9YT9A2K4JliL/story.html