Joseph R. Betancourt, MD, MPH

1997-1998

Vice President and Chief Equity and Inclusion Officer, Massachusetts General Hospital; Founder, Senior Advisor and Faculty, The Disparities Solutions Center; Faculty, The Mongan Institute; Associate Professor of Medicine, Harvard Medical School, Boston, MA

Dr. Joseph Betancourt, MD, MPH, is the Vice President and Chief Equity and Inclusion Officer of Massachusetts General Hospital (MGH), the founder, senior advisor and faculty of the Disparities Solutions Center (DSC) at MGH, Faculty at the Mongan Institute, an Associate Professor of Medicine at Harvard Medical School and a practicing Internal Medicine physician. He has also served on the leadership team of the MGH Center for Diversity and Inclusion. Dr. Betancourt is a nationally and internationally recognized expert in health policy, health care disparities, diversity, and cross-cultural medicine, and has served on several Institute of Medicine Committees, including those that produced the landmark reports, Unequal Treatment and Increasing Diversity in the Healthcare Workforce. Dr. Betancourt has secured grants and contracts that have led to over 60 peer-reviewed publications, and advises private industry, government, and not-for-profit health systems on approaches to eliminating racial and ethnic disparities in health care. He sits at on the Board of Trinity Health, a large national health system; and sat on the Boston Board of Health and the Board of Neighborhood Health Plan in Boston. He is a 2015 Aspen Institute Health Innovator Fellow.

Dr. Betancourt received his Bachelor of Science from the University of Maryland, his medical degree from Rutgers-New Jersey Medical School, and completed his residency in Internal Medicine at the New York Hospital-Cornell Medical Center. Following residency, he completed The Commonwealth Fund-Harvard University Fellowship in Minority Health Policy, and received his Master’s in Public Health from the Harvard School of Public Health.

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Latino Diabetes Program Structural Assessment: A report to the DHHS on Latino Diabetes Programs in the Region

Abstract:

The health outcomes disparities between majority and minority Americans have been well documented, and there is currently a national mandate to bridge this “health gap”.  The President’s Initiative on Race has targeted several areas as part of its mission to diminish health disparities among Americans, one such chronic disease being diabetes. Diabetes is a major public health problem which disproportionately affects the Latino population in this country.  According to the National Institute of Health’s Diabetes in America report of 1995, “Diabetes in Hispanic Americans is a serious health challenge because of the increased prevalence of the disease in this group, the greater number of risk factors, the greater incidence of complications, and the growing population of people of Hispanic ethnicity in the United States”.

The Latino Health Initiative is an action plan (under the auspices of the regional office of the Department of Health and Human Services {DHHS} serving MA, NH, ME, VT, RI and CT) designed to convene government officials, health professionals, and community representatives to address public health problems specific to the Latino population. In essence the LHI is an answer to the President’s call to action.  As part of the LHI, a Diabetes Work Group was organized to devise ways to decrease the burden of diabetic complications among Latinos in the region by improving diabetic outreach, diagnosis/screening, and treatment to this population. The first step in this process requires a structural assessment of already existing programs with the aforementioned components of outreach, screening/diagnosis and treatment as their mission.  The goal of this program structural assessment would be to determine what methods may be already successful, and what resources and infrastructure already exist in New England, to achieve our end of improving Latino diabetes outcomes.  It is the ultimate hope of the LHI that either some parts of already existing programs, or a successful program itself, can be piloted and expanded throughout the region in an attempt to affect Latino diabetes care.

A structural assessment of four programs that specifically target Latino diabetics in Boston, Massachusetts, Providence, Rhode Island, and Hartford, Connecticut was completed using an organizational and outcome measure based framework.  This assessment is to be used by the DHHS LHI to establish new operational policy which would foster the development and piloting of new programs whose goals are to improve care to Latino diabetics within the region.

Faculty Preceptor:

Sam Shekar, MD, MPH, Regional Health Administrator
Department of Health and Human Services, Region 1