Glossary
In the world of health care and health policy, there seem to be a few
terms that are often thrown around. The jargon of the health care world
can confuse just about anyone. Connecticut Health has decided to crack
the code and define exactly what we mean when we say each of the
following terms.

Advocacy
The strategic presentation of information to a targeted audience in
order to persuade that audience to action. Advocacy is often directed
towards media groups and legislators, and differs from outreach in that
it seeks to educate and influence those whose decisions either prevent
or perpetuate disparities in health care and health education, not those
who are affected by such decisions.
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Community
A community represents a distinct group within a population defined
by a shared geographic, ethnic, or ideological identity. One community
may be distinguished from another by a variety of criteria, including
physical, historical, legal, cultural, socioeconomic, or self-imposed
distinctions. Groups that demonstrate like socioeconomic characteristics
are often called demographically homophilus communities.
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Community-based
Community-based activities take place at the physical geographic
locations of community centers and homes, rather than in traditional
health care setting such as hospitals and clinics.
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Outreach
A systematic attempt to provide services beyond conventional limits,
as to particular segments of a community. Generally, outreach creates a
link between the general public and health, educational, or social
services by reducing language, cultural, and access barriers. Services
can include educational programs, media geared toward education and
awareness, on-location technical training or clinical services,
evaluations and referrals, transportation services, and any activity
designed to reduce access barriers to health resources. Many
outreach-oriented events establish partnerships between the originating
agencies, in this case the University of Connecticut Health Center, and
other community, public, or state agencies seeking to address the same
community issues. The term "outreach" does not necessarily require that
all activities take place away from the main hospital location, but
often a large percentage of efforts are directed to out-of-hospital
activities.
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Public Health
The term public health is used in one of two ways. It is commonly
used to refer to the general health of the population, much in the way
that one might say "public awareness." Public health also refers to the
specific population-based health science field that studies
biostatistics, health administration, environmental health, health law,
health policy, ethics, minority health, maternal and child health,
injury and violence prevention, community nutrition, health education,
infectious or chronic disease control, and other topics pertaining to
entire populations or groups within a population, such as epidemiology,
the study of the causes and transmission of disease within a population.
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Underrepresented
Underrepresented, as an adjective, describes groups whose presence in
critical organizations, such as government, educational institutions,
professions, etc., is disproportionately small in comparison to the
general population distribution of persons with similar characteristics.
The term first appeared in 1884 in describing the role of emancipated
slaves in local, state, and federal government following the American
Civil War.
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Underserved
Underserved persons are provided with inadequate services in
relationship to others with similar needs. Underserved groups with
related socioeconomic and demographic have recently occupied substantial
political attention. These persons are most commonly underserved due to
lack of adequate medical services and health care providers in the
geographic area of residence, among other factors.
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Vulnerable populations
The Latin etymology of the word vulnerable, the Latin vulnerare "to
wound," referred to a particular military weakness or potential physical
danger for soldiers in battle. Modern uses of the word apply to immune
systems that are unable to resist illness, debility, and failure, or
situations in which persons may be easily persuaded to give in to a
potentially dangerous situation. Lent to political adaptation,
vulnerable populations exhibit a common characteristic of particular
susceptibility: a greater likelihood of disease; a lack of proper
medical care and education; or a heightened probability for another
undesirable health care related result. The term carries a sense of
urgency and the connotation of danger from its military roots.
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