The health of black men worries Dr. Charles Modlin. The numbers are clear. Theyre many times more likely to contract various serious illnesses than other Americans. So the Cleveland Clinic urologist is doing something about it.

In 2003, he launched the Minority Mens Health Fair in Cleveland. Now he is bringing the Clinics 20-plus institutes together under an umbrella organization to address the glaring health disparities in a comprehensive way.

Dr. Charles Modlin launched the Minority Mens Health Fair in Cleveland in 2003 to help eliminate health disparities among black men.Theres a lot of helplessness and hopelessness that minority men feel, Modlin says. They may think that whatever happens to them, society doesnt really care. Through this health fair and other activities, I think weve shown that we do care, they do matter to their families, their community and society.

The annual health fair was a good start, he says. The first disease we wanted to target was prostate cancer, which was twice as common in African-American men as white men and where the death rate was twice as high, Modlin says. A lot of it is delayed presentation. We know that if we can diagnose prostate cancer in the early stages, then we can cure black men at the same rate as white men.

Now Modlin, an African-American kidney transplant surgeon who has completed more than 500 transplants at the Clinic in the past 20 years, is stitching together the Clinics new Multicultural Health Center of Excellence. It will help the Clinics diverse institutes develop their own programs and approaches to address the health disparities, building on the success of the health fair, as well as the Minority Mens Health Center, which Modlin also helped launch in 2003.

What were doing basically is getting ready to take this to the next level, amplify it and spread it across the entire Cleveland Clinic, he says.

Dr. Charles Modlin talks with a patient at the Minority Mens Health Center at the Cleveland Clinic.Many doctors are unaware of health disparities and how to address them, says Modlin, who is the only black transplant surgeon in the Clinics history. A lot of times, poor communication may lead to poor patient compliance and follow-up, he says. A patient may think a caregiver doesnt care about them or is not listening to them. At the same time, patients also need to be more health literate.

Several new programs already have been launched under the Multicultural Health Center of Excellence. One is the Clinics Minority Stroke Program, which is housed under the Cerebrovascular Center in the Neurological Institute. Its goal is to increase stroke awareness among minority groups in order to lower stroke rates and improve stroke outcomes, according to its website.

Another example is the Clinics Center for Multicultural Cardiovascular Care, which is housed under the Arnold Miller Family Heart and Vascular Institute. It aims to research and understand the nature of heart and vascular diseases that are unique to special groups, identify appropriate testing for high risk populations, provide access to treatment, and understand how treatments differ among races and cultures.

The list of other new Clinic programs under the umbrella is long. They include the Neurological Institute's Minority Stroke Center; the Glickman Urological & Kidney Institute Minority Kidney & Hypertension Center; the Orthopedic & Rheumatologic Institute Minority Center; and the Respiratory Institute Minority Lung Health Center.

The Clinics marketing department is working internally on creating standardized individual webpages for each of these "center" programs before going live externally.

The Minority Men's Health Fair in 2018.The launch of this new initiative shows that the Clinic is committed to reducing health disparities, Modlin says. The directive is for us to try to take care of patients even when theyre not in front of us in an exam room. One example is that its now built into physicians schedule every week that they have time to stop and manage patients. There may be patients that we know are not coming back, patients who missed lab draws or didnt get that X-ray we ordered, and we proactively call them and remind them that they missed their appointment and ask, Whats going on, what can we do to help you?

Another mission of the Center for Multicultural Health Excellence will be to champion diversity in the field. Having more minority doctors is important because it can improve minority patient outcomes, says Modlin, who is one of only an exceedingly small number of African-American transplant doctors in the U.S.

The new center will also conduct more research into the causes behind minority health disparities, with the aim of identifying genetic variants that cause varying responses in disease and health. For example, the newly launched African-American Male Biobank houses a growing collection of blood and urine samples, accompanied by a database of donor demographics, including age, medical history and family history. The biobank, which is one of the only African-American biobanks in the nation, is approved by the Cleveland Clinic Institutional Review Board.

Efforts to reduce health disparities across the U.S. are beginning to see results, but much more work is needed, Modlin says. Since physicians have been taking a proactive approach to screening for prostate cancer, we have actually seen a lessening of some of the gaps, he says, citing one example.

Yet he has seen firsthand how efforts to reduce health disparities can make a difference. I cant tell you how many times people say, I never would have come in without this doctor, or how many times weve saved peoples lives at the health fair, he says.

The Clinics Minority Mens Health Fair, which takes place annually in April, has expanded to four Northeast Ohio locations and has reached more than 35,000 people with free early prevention screenings.

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Cleveland Clinic doctor leads effort to reduce health disparities among black men - freshwatercleveland

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