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For many, the fulcrum of the election rests on this topic. "},{"_key":"5f2c738d3f31","_type":"span","marks":["strong"],"text":"But what exactly do women think about the direction of healthcare in the United States?"}],"markDefs":[]},{"_key":"8a48e030da82","_type":"block","children":[{"_key":"41d50b611d0a0","_type":"span","marks":[],"text":"Given women’s hefty stake in the election’s outcome, understanding what women want and need from the healthcare system—and how they expect the future U.S. President to drive policies that deliver it—is key to understanding the type of mandate that female voters will or will not deliver. To shed light on these issues and better understand women’s healthcare priorities, "},{"_key":"b6aab6a955c7","_type":"span","marks":["strong"],"text":"Tia, Inc. partnered with Manatt Health, LLC"},{"_key":"941aa86b606f","_type":"span","marks":[],"text":" to commission a "},{"_key":"e0f0b374662a","_type":"span","marks":["strong"],"text":"survey of 900 women ages 22 to 45, "},{"_key":"7f1517f7036f","_type":"span","marks":[],"text":"representing all income levels, races, ethnicities, and geographic regions in the United States. We also considered respondents’ answers through the lens of their stated political beliefs, marital status, motherhood and insurance type, though these factors were not nationally representative. The online survey, which was co-designed and administered by "},{"_key":"4e10ff1619dd","_type":"span","marks":["53855a39c156"],"text":"Merrill Research"},{"_key":"d57a0dc3b755","_type":"span","marks":[],"text":", a leading market research firm, was conducted September 16-22, 2020. In this survey, respondents were asked how they would advise the next U.S President, regardless of who it is, on their healthcare priorities for the upcoming term. 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With some variation between categories, women surveyed expressed nearly universal sentiment on key issues such as safeguarding current protections for individuals with pre-existing conditions; ensuring coverage parity for mental health and substance use disorder care; requiring insurance coverage for pre- and post-natal care, and equal coverage for telehealth; supporting policies that expand access to affordable health insurance; and implementing new national policy to fight COVID-19."}],"markDefs":[],"style":"normal"},{"_key":"8d942ed20af5","_type":"block","children":[{"_key":"49dbb0679ce9","_type":"span","marks":[],"text":"Healthcare Insurance Issues"}],"markDefs":[],"style":"h3"},{"_key":"c04834efc066","_type":"block","children":[{"_key":"402bf69f5395","_type":"span","marks":[],"text":"While there are mixed feelings about the Affordable Care Act (ACA) when called out by name,"},{"_key":"707131ce472c","_type":"span","marks":["strong"],"text":" women in the study overwhelmingly support the underlying pillars that make up the ACA when those items are considered individually."},{"_key":"8c496a02afcd","_type":"span","marks":[],"text":" For instance, there is remarkably broad support for policies that (1) require insurance coverage for pre-existing medical conditions (88%); (2) increase access to affordable health coverage by providing subsidies that pay for health insurance (79%); and (3) result in the expansion of Medicaid to cover more people (71%). 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It is essential for the next President to prioritize efforts to:"}],"markDefs":[],"style":"normal"},{"_key":"a3bdd49ee6a0","_type":"block","children":[{"_key":"1f41de105dfb0","_type":"span","marks":[],"text":"Ensure that people cannot be denied health insurance if they have "},{"_key":"1f41de105dfb1","_type":"span","marks":["strong"],"text":"pre-existing conditions"},{"_key":"1f41de105dfb2","_type":"span","marks":[],"text":" (88%), but also ensure that health insurance is broadly available, affordable, and inclusive of all of the issues considered to impact health."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"57ff4102c3e9","_type":"block","children":[{"_key":"80ae34e5ebce0","_type":"span","marks":[],"text":"Extend coverage for "},{"_key":"80ae34e5ebce1","_type":"span","marks":["strong"],"text":"telemedicine and virtual care"},{"_key":"80ae34e5ebce2","_type":"span","marks":[],"text":" so they are on parity with in-person services (83%), especially for hard-to-access services."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"91451ecd3423","_type":"block","children":[{"_key":"5bca25f24a9a0","_type":"span","marks":[],"text":"Require insurance companies, employers, and Medicaid to make "},{"_key":"5bca25f24a9a1","_type":"span","marks":["strong"],"text":"mental health and substance use disorder care more accessible and affordable"},{"_key":"5bca25f24a9a2","_type":"span","marks":[],"text":" through coverage parity (80%)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"652def4cb62e","_type":"block","children":[{"_key":"5b893ecdbf920","_type":"span","marks":[],"text":"Increase access to affordable health coverage by:"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a67c445a01b7","_type":"block","children":[{"_key":"9934262726470","_type":"span","marks":[],"text":"Subsidizing the cost of health insurance for those who cannot afford it (79%); and"}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b04b22075730","_type":"block","children":[{"_key":"fee8ffebddec0","_type":"span","marks":[],"text":"Requiring that state Medicaid plans extend coverage to more people (71%)."}],"level":2,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"83d4dda22216","_type":"editorialImageCarousel","items":[{"_key":"dfb6405ab3b7","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_id":"image-f989029a316f270d24c52760385227212b968e9e-2466x2043-png","_type":"sanity.imageAsset","_createdAt":"2022-09-15T10:13:25Z","_rev":"psZV7jQMyVqczstdRVQvC4","_updatedAt":"2022-09-15T10:13:25Z","assetId":"f989029a316f270d24c52760385227212b968e9e","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"e6AqY5|F7fKQBpv}NHK5nit70zf+-UIos90fM|={$*xa0}9]s9=xxt","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.2070484581497798,"height":2043,"width":2466},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#476860","foreground":"#fff","population":0.26,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#197783","foreground":"#fff","population":3.98,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#34c4d4","foreground":"#000","population":38.83,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#bfc5ba","foreground":"#000","population":0.12,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#5ce5e9","foreground":"#000","population":0.06,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#7a7a7d","foreground":"#fff","population":1.1,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#34c4d4","foreground":"#000","population":38.83,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"11.png","path":"images/8qqycr4y/production/f989029a316f270d24c52760385227212b968e9e-2466x2043.png","sha1hash":"f989029a316f270d24c52760385227212b968e9e","size":230479,"uploadId":"Z9ouIp1bKcRExGruyo9FeU9Hc9sjLotQ","url":"https://cdn.sanity.io/images/8qqycr4y/production/f989029a316f270d24c52760385227212b968e9e-2466x2043.png","id":"image-f989029a316f270d24c52760385227212b968e9e-2466x2043-png","parent":null,"children":["8c82a810-269e-5ee4-99b0-24c4da2c49d6"],"internal":{"type":"SanityImageAsset","contentDigest":"25ecd433f17cefb750a4b33dc0b90f05","counter":9790,"owner":"gatsby-source-sanity"}}}}}]},{"_key":"33c1c8c18e53","_type":"block","children":[{"_key":"3e3bcf059109","_type":"span","marks":[],"text":"Further, as policy makers consider the design and implementation of such policy priorities, they should ensure that such policies address broader societal inequities existing among and between women. To accomplish this, policy makers must:"}],"markDefs":[],"style":"normal"},{"_key":"47f53a93b640","_type":"block","children":[{"_key":"0414082e27e9","_type":"span","marks":[],"text":"Broaden policies to incorporate"},{"_key":"615e663a3d03","_type":"span","marks":["strong"],"text":" integrated solutions that enable whole person care"},{"_key":"1dc32c3204d7","_type":"span","marks":[],"text":" and specifically address unmet social needs—including caregiver support, adequate and equal wages, and education about and access to healthy foods. Women’s health begins with supportive social policies and structures, many of which are considered outside the lines of traditional healthcare. It is time to redraw the lines and evolve innovative ways of serving and paying for these needs."}],"markDefs":[],"style":"normal"},{"_key":"812bf5a3f876","_type":"block","children":[{"_key":"c8bba86bd796","_type":"span","marks":[],"text":"Design policies that enable "},{"_key":"6c3104695b85","_type":"span","marks":["strong"],"text":"women to get "},{"_key":"6e170c09f13c","_type":"span","marks":["strong","em"],"text":"all"},{"_key":"c8dd7edbf9f5","_type":"span","marks":["strong"],"text":" of their health needs addressed"},{"_key":"e8e1767cdcff","_type":"span","marks":[],"text":", whether related to reproductive health, overall physical health, or mental health. Women’s health is full mind and body health, and nothing less."}],"markDefs":[],"style":"normal"},{"_key":"9674db3b309c","_type":"block","children":[{"_key":"69077e65a206","_type":"span","marks":[],"text":"Actively identify and "},{"_key":"6ff43a6d3d1c","_type":"span","marks":["strong"],"text":"correct for health disparities among women"},{"_key":"85380ac9ca95","_type":"span","marks":[],"text":". Even where concordance exists at an aggregate level, racial and financial disparities further highlight and exacerbate health challenges for women of color and with lower incomes. These disparities have a multiplier effect for health risk and must receive greater attention."}],"markDefs":[],"style":"normal"},{"_key":"b40035530437","_type":"sectionHeader","title":"Final Considerations"},{"_key":"96bd8037b837","_type":"block","children":[{"_key":"133b04b120a7","_type":"span","marks":[],"text":"Beyond policy makers, there are clear messages here for others with broad impact on how women receive healthcare, such as insurance companies and health systems that, by and large, serve as gatekeepers to health services and determine what is considered “healthcare,” “medically necessary,” or “cost-effective.” These entities must broaden their definition of women’s health to be inclusive of the holistic definitions deemed essential by the vast majority of women in the country. This broader definition creates an opportunity for such entities to design and implement strategies that incorporate social needs like childcare or affordable nutrition into the healthcare system in a meaningful way—an effort that has gained widespread attention from payers, providers, and advocates alike in "},{"_key":"dd766b9d2da4","_type":"span","marks":["79ff6534319d"],"text":"recent"},{"_key":"870b95ae739e","_type":"span","marks":[],"text":" "},{"_key":"37dbaf1c675d","_type":"span","marks":["9e02ac08808b"],"text":"years"},{"_key":"9b431e656338","_type":"span","marks":[],"text":". "},{"_key":"2bf82284c245","_type":"span","marks":[],"text":"Moreover, this is a clarion call for fair and equal wage laws to finally have their moment."}],"markDefs":[{"_key":"9e02ac08808b","_type":"footnote","text":[{"_key":"943eef174873","_type":"block","children":[{"_key":"f64862bf32f8","_type":"span","marks":["f4862054a39c"],"text":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"},{"_key":"5b17ccebb763","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"f4862054a39c","_type":"link","href":"https://www.commonwealthfund.org/blog/2020/putting-price-social-services-north-carolinas-pilot-effort"}],"style":"normal"}]},{"_key":"79ff6534319d","_type":"footnote","text":[{"_key":"1a6ccbacf37a","_type":"block","children":[{"_key":"390f8e851cf3","_type":"span","marks":["81c1862cd871"],"text":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"},{"_key":"3d85edad57d5","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"81c1862cd871","_type":"link","href":"https://healthpayerintelligence.com/news/cigna-humana-expand-ma-plans-to-cover-social-determinants-of-health"}],"style":"normal"}]}]},{"_key":"fbd66990cb98","_type":"block","children":[{"_key":"200bef15f0cd0","_type":"span","marks":[],"text":"At a time of polarization within our nation, it is notable that, at least when it comes to health, there is far more agreement than disagreement among women in the age group 22-45, a group that comprises more than 50% of all women in the United "},{"_key":"0c4e51294d37","_type":"span","marks":["2080e0c5f106"],"text":"States."},{"_key":"ee94a9c61ec0","_type":"span","marks":[],"text":" Even the supposed divisions between Republican and Democratic women have far less of an effect than is publicly represented. Health for women is an opportunity to make investments in issues where there is common ground, which is an opportunity for the President and others to make a positive difference with a large voting constituency. 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model of care with a blend of in-person and virtual services. The company has built a personalized healthcare model by fusing OB/GYN, primary care, mental health, and evidenced-based wellness services into an integrative experience that’s convenient, collaborative, and focused on prevention. From the Tia health advisor app to the Tia Clinic, Tia makes women healthier, providers happier, and the business of care delivery stronger."}],"markDefs":[],"style":"normal"},{"_key":"1d757a94c51c","_type":"block","children":[{"_key":"1fa67487bfaa0","_type":"span","marks":[],"text":"About Manatt Health"}],"markDefs":[],"style":"h4"},{"_key":"248c49ff44c3","_type":"block","children":[{"_key":"c584192b610e0","_type":"span","marks":[],"text":"Manatt Health integrates legal and strategic business consulting expertise to better serve the complex needs of clients across the healthcare system. Combining legal excellence, first-hand experience in shaping public policy, sophisticated business insight, and deep analytic capabilities, we provide uniquely valuable professional services to the full range of health industry players. Our diverse team of more than 160 attorneys and consultants from Manatt, Phelps & Phillips, LLP, and its consulting subsidiary, Manatt Health Strategies, LLC, is passionate about helping our clients advance their business interests, fulfill their missions, and lead healthcare into the future. For more information, visit "},{"_key":"c28c4c67b865","_type":"span","marks":["753bf2191a6a"],"text":"www.manatt.com/health."},{"_key":"caf92a96defb","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"753bf2191a6a","_type":"externalLink","linkType":"text","url":"http://manatthealth.com/"}],"style":"normal"},{"_key":"6cfec41e2361","_type":"block","children":[{"_key":"0dbd43c00f9a","_type":"span","marks":[],"text":"About the Authors"}],"markDefs":[],"style":"h4"},{"_key":"90828997688f","_type":"block","children":[{"_key":"af875a12628c0","_type":"span","marks":["6129e69a47b2","strong"],"text":"Carolyn Witte"},{"_key":"b66c308b8c22","_type":"span","marks":[],"text":", Co-Founder and CEO, Tia, Inc. "},{"_key":"317c9c53ba6b0","_type":"span","marks":[],"text":"\n"},{"_key":"766fc9e8a2f1","_type":"span","marks":["a647133eed8e","strong"],"text":"Felicity Yost"},{"_key":"69b970fd4d3a","_type":"span","marks":[],"text":", Co-Founder and Chief Product & Operating Officer, Tia, Inc. 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When we as healthcare entrepreneurs build for people instead of specialties, we are given a wider lens to approach how to deliver healthcare in a way that personalizes the experience, drives higher satisfaction, and leads to better outcomes."}],"markDefs":[],"style":"normal"},{"_key":"56e642e6e4dd","_type":"block","children":[{"_key":"56e642e6e4dd0","_type":"span","marks":[],"text":"To date, we’ve seen the most innovation in people-based care models with the elderly population — a vertical that houses a multitude of full-stack care delivery companies, from ChenMed to Oak Street Health, built to address the specific needs of the 65+ cohort. By focusing on chronic disease management and the social determinants of health that impact access and outcomes, these companies have pushed the boundaries of where and how care is delivered for the elderly (online, offline, and at-home), inclusive of payment models that incentivize outcomes over volume."}],"markDefs":[],"style":"normal"},{"_key":"22e15af49a79","_type":"block","children":[{"_key":"22e15af49a790","_type":"span","marks":[],"text":"We believe reproductive-aged women deserve a similar focus, and a new model of care designed end-to-end, just for us."}],"markDefs":[],"style":"normal"},{"_key":"86b6125dc4be","_type":"block","children":[{"_key":"86b6125dc4be0","_type":"span","marks":[],"text":"So, why women?"}],"markDefs":[],"style":"h4"},{"_key":"60f8488a5b7c","_type":"block","children":[{"_key":"60f8488a5b7c0","_type":"span","marks":[],"text":"Women control more than 80% of U.S. healthcare dollars. In blunt terms, we "},{"_key":"60f8488a5b7c1","_type":"span","marks":["em"],"text":"use healthcare more"},{"_key":"60f8488a5b7c2","_type":"span","marks":[],"text":", have more doctors, and spend more dollars. Nonetheless, we’ve been under-researched and underserved by a healthcare system that continues to treat us as “small men with different parts” — all-too-often neglecting the complex interplay of hormones, gene regulation, metabolism, and other sex-specific differences that make female health fundamentally distinct from male health. It’s time for that to change."}],"markDefs":[],"style":"normal"},{"_key":"1c18cbdd689b","_type":"block","children":[{"_key":"1c18cbdd689b0","_type":"span","marks":[],"text":"As dual female founders and female patients, we recognize, deeply, the nuanced ways in which females are "},{"_key":"1c18cbdd689b1","_type":"span","marks":["em"],"text":"different"},{"_key":"1c18cbdd689b2","_type":"span","marks":[],"text":", and that difference doesn’t mean inferiority. By fusing technology, experience design, and the highest quality clinical research and practice, Tia has created a new and distinctly female model of care that’s convenient, collaborative, and connected — one that women don’t just “like,” but love and trust. Through the success of our first brick-and-mortar Tia Clinic in NYC — an integrated gynecology, primary care and evidence-based wellness practice — we’ve shown that the magic formula for people-based care is not "},{"_key":"1c18cbdd689b3","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b4","_type":"span","marks":[],"text":" tech, "},{"_key":"1c18cbdd689b5","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b6","_type":"span","marks":[],"text":" care, or "},{"_key":"1c18cbdd689b7","_type":"span","marks":["em"],"text":"just"},{"_key":"1c18cbdd689b8","_type":"span","marks":[],"text":" brand, but "},{"_key":"1c18cbdd689b9","_type":"span","marks":["em"],"text":"all of it"},{"_key":"1c18cbdd689b10","_type":"span","marks":[],"text":", melded together in a single, unified you-know-it-when-you-feel-it experience."}],"markDefs":[],"style":"normal"},{"_key":"044d558a912d","_type":"editorialImageCarousel","items":[{"_key":"771196ba64c1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-6ec8d663226273107319a5f90124f1f63e5726bc-1379x618-png","_type":"reference"}}}}],"layoutStyle":"inline","spacing":"pym"},{"_key":"ce2bfd5221a0","_type":"block","children":[{"_key":"ce2bfd5221a00","_type":"span","marks":[],"text":"We’ve proven that the “Tia Way” really, "},{"_key":"ce2bfd5221a01","_type":"span","marks":["em"],"text":"really"},{"_key":"ce2bfd5221a02","_type":"span","marks":[],"text":" works. We have a consistent patient Net Promoter Score of 95, which increased to 100 week-over-week since the Covid crisis began. And, with a collaborative care model that empowers Care Teams and not just MDs, we reduce our costs by 40% per service. A tech-enabled care model rooted in trusted relationships and connectivity between providers is "},{"_key":"ce2bfd5221a03","_type":"span","marks":["em"],"text":"where “the magic” happens"},{"_key":"ce2bfd5221a04","_type":"span","marks":[],"text":", and is what makes us ready, now, to scale the “Tia Way” to women everywhere."}],"markDefs":[],"style":"normal"},{"_key":"6d3fba2586f9","_type":"block","children":[{"_key":"6d3fba2586f90","_type":"span","marks":[],"text":"The Covid Stress-Test"}],"markDefs":[],"style":"h4"},{"_key":"38d61118ed7a","_type":"block","children":[{"_key":"38d61118ed7a0","_type":"span","marks":["em"],"text":"On March 17th — two days before Shelter-in-Place was instituted in New York, and one day after we chose to temporarily shut the physical doors of the Tia Clinic — we closed our Series A financing, led by Emily Melton at Threshold Ventures with participation from Define Ventures, ACME, Torch Capital, John Doerr, Homebrew and Compound."}],"markDefs":[],"style":"normal"},{"_key":"004a449c0606","_type":"block","children":[{"_key":"004a449c06060","_type":"span","marks":["em"],"text":"As female founders responsible for 3,000 patient lives in NYC, a team of will-do-anything-for-patient-care frontline providers, 50 employees, and a new (amazing) group of investors and board members, the past 90 days have been a rapid-fire stress-test of our vision for people-based care, our values, and our bottom line. We’ve been required to toe-the-line of responding to the crisis while making bets on the future with imperfect information. By necessity, we evolved our service model in-real-time to meet our patients’ needs and questioned many of our core hypotheses, including the unbundling of primary care, and what it means to be the “front door” to the healthcare system. Choosing what to do — and more importantly, what not to do — was the theme of our time in quarantine together as co-founders. As we gear up to reopen the physical Tia Clinic and connect it to our expanded virtual Tia Care offering, we have more conviction than ever on what’s next for Tia, women’s health, and the future of personalized care delivery. Here’s why:"}],"markDefs":[],"style":"normal"},{"_key":"039df3c9fc09","_type":"block","children":[{"_key":"039df3c9fc090","_type":"span","marks":[],"text":"Before Covid, we conducted a patient-wide survey to find out what women love about Tia and what additional services they want from us. We learned that the fusion of OB/GYN and primary care into a singular, integrative model ranked as the "},{"_key":"039df3c9fc091","_type":"span","marks":["em"],"text":"number one benefit"},{"_key":"039df3c9fc092","_type":"span","marks":[],"text":" — outweighing technology, millennial decor, and a slew of other next-gen doctor’s office perks that make up the Tia experience. We also learned that women wanted, quite literally, every service imaginable from Tia — from endocrinology to dermatology to dental care. 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As a byproduct of this, doctor’s offices like Tia, faced a few options: adopt virtual care and eat the cost, keep doing things the old way and collect what you can of (already diminishing) insurance reimbursements, or find someone else to foot the virtual care bill (for example, consumers willing to pay cash or an innovative employer)."}],"markDefs":[],"style":"normal"},{"_key":"f2e659d58445","_type":"block","children":[{"_key":"f2e659d584450","_type":"span","marks":[],"text":"This all changed overnight as Covid-19 triggered a lax in regulation, parity for virtual care reimbursement by commercial payers, and a mass shift in consumer psychology, driving unprecedented utilization of healthcare on the Internet. While the degree to which virtual care reimbursement will hold post-Covid is still in question, it’s clear that the “genie is out of the bottle” and can’t be put back in."}],"markDefs":[],"style":"normal"},{"_key":"83aa6e7e9c0e","_type":"block","children":[{"_key":"83aa6e7e9c0e0","_type":"span","marks":[],"text":"As female entrepreneurs, we’re both excited by the rise of virtual care and the ways in which it unlocks new business and service models, and simultaneously wary of what it could mean for women’s health, "},{"_key":"83aa6e7e9c0e1","_type":"span","marks":["em"],"text":"if not executed thoughtfully"},{"_key":"83aa6e7e9c0e2","_type":"span","marks":[],"text":". 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What we do about it as part of a “Covid-correction” will be a telltale sign of the impact of this crisis on the healthcare system. Unlike with virtual care though, the fix here is not as simple as changing a few laws and billing codes; preventive care requires a fundamental redefinition of what it really means to “be well,” and investments in lifestyle and behavior change required to get and keep people well."}],"markDefs":[],"style":"normal"},{"_key":"21ddbd3ac91e","_type":"block","children":[{"_key":"21ddbd3ac91e0","_type":"span","marks":[],"text":"Being a healthy woman is all-too-often reduced to not having an STD or an abnormal Pap, but we know that the leading cause of death for women in America is cardiovascular disease. We also know that women are diagnosed with anxiety and depression at twice the rate of men, and that endocrine and autoimmune disorders are on the rise. In pregnancy, c-section and preterm birth rates continue to go up instead of down, as does maternal mortality, with the U.S. reporting more maternal deaths than any developed country in the world."}],"markDefs":[],"style":"normal"},{"_key":"fe6c9a37821f","_type":"block","children":[{"_key":"fe6c9a37821f0","_type":"span","marks":[],"text":"We believe that the solution is a preventive “whole women’s health” model that shifts:"}],"markDefs":[],"style":"normal"},{"_key":"a296e8b210bf","_type":"block","children":[{"_key":"a296e8b210bf0","_type":"span","marks":["em"],"text":"From siloed specialists trained in body parts → to integrative Care Teams, who work together to support a woman’s comprehensive physical, mental, and emotional wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"28521e07b20d","_type":"block","children":[{"_key":"28521e07b20d0","_type":"span","marks":["em"],"text":"From cast-typing all women as “hormonal” → to considering, deeply, the implications of the hormonal state in which she is existing (natural cycle, synthetic hormones for contraception, pregnancy, or a period of hormonal deprivation such as postpartum or menopause) in the diagnosis and treatment of a female patient."}],"markDefs":[],"style":"normal"},{"_key":"36b218b7990e","_type":"block","children":[{"_key":"36b218b7990e0","_type":"span","marks":["em"],"text":"From treating symptoms → to “root cause” diagnosis that accounts for the well-studied impact of sleep, nutrition, stress, and other aspects of lifestyle on a woman’s body."}],"markDefs":[],"style":"normal"},{"_key":"62dbfa07f294","_type":"editorialImageCarousel","items":[{"_key":"3b1e7e4036fb","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31a862ce2f126882c9e81f2dcf174f269a21662c-1379x730-png","_type":"reference"}}}}]},{"_key":"66be9f17ecf7","_type":"sectionHeader","title":"What's Next: Building Bridges, Not Walls"},{"_key":"4171b750381f","_type":"block","children":[{"_key":"4171b750381f0","_type":"span","marks":[],"text":"Equipped with more firepower, we are seizing this opportunity to bring Tia Care to new markets by expanding our virtual and brick-and-mortar footprint and broadening our scope of practice to serve women throughout their reproductive lives. Because every woman deserves healthcare that’s personalized, connects both virtual and in-person care, and helps her get and stay truly well."}],"markDefs":[],"style":"normal"},{"_key":"251151dc328a","_type":"block","children":[{"_key":"251151dc328a0","_type":"span","marks":[],"text":"We recognize that achieving this vision requires building bridges, not walls, and pushing for evolution within the confines of the current payment and delivery models that dictate access and costs. By partnering with leading health systems, employers, and provider networks to scale our Connected Care Platform, and open new physical and digital Tia doors, we can make “the Tia Way” the new standard of care for women and providers everywhere."}],"markDefs":[],"style":"normal"},{"_key":"208dc1e17d73","_type":"block","children":[{"_key":"208dc1e17d730","_type":"span","marks":[],"text":"With a laser focus on listening, forever and always, to what women want, we are committed to being a leader in the “Covid-correction” — shaping a new people-based healthcare system that "},{"_key":"208dc1e17d731","_type":"span","marks":["em"],"text":"just works"},{"_key":"208dc1e17d732","_type":"span","marks":[],"text":" and is simple as: “I’m a woman. I have a need. 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She sets the strategic direction for Tia’s growth, culture, and clinical innovation—guiding a fast-scaling team that’s redefining what comprehensive women’s healthcare looks like."}],"markDefs":[],"style":"normal"},{"_key":"b3fffdb5b399","_type":"block","children":[{"_key":"b5dd3b80bcba0","_type":"span","marks":[],"text":"Felicity brings a rare combination of analytical rigor and human empathy to her leadership. A data enthusiast with a deep passion for health and wellness, she believes healthcare should be both evidence-based and deeply personal. 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Here’s why we need a new model of women’s care now, more than ever."}],"markDefs":[],"style":"large"},{"_key":"8a659e458a26","_type":"block","children":[{"_key":"8a659e458a260","_type":"span","marks":[],"text":"The U.S. healthcare system was designed to be one-size-fits-all and to treat sickness instead of prevent it. Despite decades of tech-enabled everything, up until two months ago, the iconic image of “healthcare” in the minds of most Americans remained a red cross on a building and a doctor in a white lab coat — a physical place you go to when something bad happens, and to otherwise be avoided at all costs. And then, Covid-19 hit."}],"markDefs":[],"style":"normal"},{"_key":"7bbb98e90506","_type":"block","children":[{"_key":"7bbb98e905060","_type":"span","marks":[],"text":"While we deeply admire the heroic healthcare workers fighting Covid on the frontlines, this epidemic has also revealed just how broken our healthcare system is. We believe that now, more than ever, there is an imminent need to build a new model of care —one that is "},{"_key":"7bbb98e905061","_type":"span","marks":["em"],"text":"personalized"},{"_key":"7bbb98e905062","_type":"span","marks":[],"text":" and "},{"_key":"7bbb98e905063","_type":"span","marks":["em"],"text":"people-based, connects online and offline"},{"_key":"7bbb98e905064","_type":"span","marks":[],"text":", and orients patients and providers alike towards "},{"_key":"7bbb98e905065","_type":"span","marks":["em"],"text":"prevention"},{"_key":"7bbb98e905066","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4e5dcb0196c8","_type":"block","children":[{"_key":"4e5dcb0196c80","_type":"span","marks":[],"text":"With $24.275 million in fresh Series A capital — the largest Series A financing led by a female CEO in 2020 — we’re doing just that: building the personalized care delivery model of the future for the most valuable customer in healthcare: women."}],"markDefs":[],"style":"normal"},{"_key":"fae0e0baa574","_type":"sectionHeader","title":"The Future is Personalized and People-Based"},{"_key":"005b73bd0695","_type":"block","children":[{"_key":"005b73bd06950","_type":"span","marks":[],"text":"The Tectonic Shift"}],"markDefs":[],"style":"h3"},{"_key":"e1490c1f96bf","_type":"block","children":[{"_key":"e1490c1f96bf0","_type":"span","marks":[],"text":"Before Covid, the healthcare system was amidst a tectonic shift from specialty-based care to people-based care, with new verticals being built to serve the distinct needs of different populations."}],"markDefs":[],"style":"normal"},{"_key":"dcfd84745a96","_type":"editorialImageCarousel","items":[{"_key":"42f71a538c4c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-21f0c76e84f6547d13336a0b7b1a347c0ae52313-1379x730-png","_type":"reference"}}}}],"layoutStyle":"inline","spacing":"pys"},{"_key":"445520634682","_type":"block","children":[{"_key":"4455206346820","_type":"span","marks":[],"text":"As we adjust to our “new normal” — not a post-Covid world per se, but an honest recognition that we will never really go back to the “old way” of doing things — it’s clear that this tectonic shift to people-based care is only accelerating, and with it, the “unbundling” of primary care and the hospital system as we know it."}],"markDefs":[],"style":"normal"},{"_key":"638bbc761ec9","_type":"block","children":[{"_key":"638bbc761ec90","_type":"span","marks":[],"text":"So, what is people-based care?"}],"markDefs":[],"style":"h4"},{"_key":"67fa876590ca","_type":"block","children":[{"_key":"67fa876590ca0","_type":"span","marks":[],"text":"People-based care is the recognition that different populations have different healthcare needs — not just clinically, but experientially and psychosocially — and that successful care models must be designed to serve their unique wants and needs. When we as healthcare entrepreneurs build for people instead of specialties, we are given a wider lens to approach how to deliver healthcare in a way that personalizes the experience, drives higher satisfaction, and leads to better outcomes."}],"markDefs":[],"style":"normal"},{"_key":"56e642e6e4dd","_type":"block","children":[{"_key":"56e642e6e4dd0","_type":"span","marks":[],"text":"To date, we’ve seen the most innovation in people-based care models with the elderly population — a vertical that houses a multitude of full-stack care delivery companies, from ChenMed to Oak Street Health, built to address the specific needs of the 65+ cohort. By focusing on chronic disease management and the social determinants of health that impact access and outcomes, these companies have pushed the boundaries of where and how care is delivered for the elderly (online, offline, and at-home), inclusive of payment models that incentivize outcomes over volume."}],"markDefs":[],"style":"normal"},{"_key":"22e15af49a79","_type":"block","children":[{"_key":"22e15af49a790","_type":"span","marks":[],"text":"We believe reproductive-aged women deserve a similar focus, and a new model of care designed end-to-end, just for us."}],"markDefs":[],"style":"normal"},{"_key":"86b6125dc4be","_type":"block","children":[{"_key":"86b6125dc4be0","_type":"span","marks":[],"text":"So, why women?"}],"markDefs":[],"style":"h4"},{"_key":"60f8488a5b7c","_type":"block","children":[{"_key":"60f8488a5b7c0","_type":"span","marks":[],"text":"Women control more than 80% of U.S. healthcare dollars. In blunt terms, we "},{"_key":"60f8488a5b7c1","_type":"span","marks":["em"],"text":"use healthcare more"},{"_key":"60f8488a5b7c2","_type":"span","marks":[],"text":", have more doctors, and spend more dollars. Nonetheless, we’ve been under-researched and underserved by a healthcare system that continues to treat us as “small men with different parts” — all-too-often neglecting the complex interplay of hormones, gene regulation, metabolism, and other sex-specific differences that make female health fundamentally distinct from male health. It’s time for that to change."}],"markDefs":[],"style":"normal"},{"_key":"1c18cbdd689b","_type":"block","children":[{"_key":"1c18cbdd689b0","_type":"span","marks":[],"text":"As dual female founders and female patients, we recognize, deeply, the nuanced ways in which females are "},{"_key":"1c18cbdd689b1","_type":"span","marks":["em"],"text":"different"},{"_key":"1c18cbdd689b2","_type":"span","marks":[],"text":", and that difference doesn’t mean inferiority. By fusing technology, experience design, and the highest quality clinical research and practice, Tia has created a new and distinctly female model of care that’s convenient, collaborative, and connected — one that women don’t just “like,” but love and trust. 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We have a consistent patient Net Promoter Score of 95, which increased to 100 week-over-week since the Covid crisis began. And, with a collaborative care model that empowers Care Teams and not just MDs, we reduce our costs by 40% per service. A tech-enabled care model rooted in trusted relationships and connectivity between providers is "},{"_key":"ce2bfd5221a03","_type":"span","marks":["em"],"text":"where “the magic” happens"},{"_key":"ce2bfd5221a04","_type":"span","marks":[],"text":", and is what makes us ready, now, to scale the “Tia Way” to women everywhere."}],"markDefs":[],"style":"normal"},{"_key":"6d3fba2586f9","_type":"block","children":[{"_key":"6d3fba2586f90","_type":"span","marks":[],"text":"The Covid Stress-Test"}],"markDefs":[],"style":"h4"},{"_key":"38d61118ed7a","_type":"block","children":[{"_key":"38d61118ed7a0","_type":"span","marks":["em"],"text":"On March 17th — two days before Shelter-in-Place was instituted in New York, and one day after we chose to temporarily shut the physical doors of the Tia Clinic — we closed our Series A financing, led by Emily Melton at Threshold Ventures with participation from Define Ventures, ACME, Torch Capital, John Doerr, Homebrew and Compound."}],"markDefs":[],"style":"normal"},{"_key":"004a449c0606","_type":"block","children":[{"_key":"004a449c06060","_type":"span","marks":["em"],"text":"As female founders responsible for 3,000 patient lives in NYC, a team of will-do-anything-for-patient-care frontline providers, 50 employees, and a new (amazing) group of investors and board members, the past 90 days have been a rapid-fire stress-test of our vision for people-based care, our values, and our bottom line. We’ve been required to toe-the-line of responding to the crisis while making bets on the future with imperfect information. By necessity, we evolved our service model in-real-time to meet our patients’ needs and questioned many of our core hypotheses, including the unbundling of primary care, and what it means to be the “front door” to the healthcare system. Choosing what to do — and more importantly, what not to do — was the theme of our time in quarantine together as co-founders. As we gear up to reopen the physical Tia Clinic and connect it to our expanded virtual Tia Care offering, we have more conviction than ever on what’s next for Tia, women’s health, and the future of personalized care delivery. 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These findings reinforced a long-held belief we’ve had that women and the healthcare system do not see eye-to-eye on the definition of “women’s health.”"}],"markDefs":[],"style":"normal"},{"_key":"caec834a59e5","_type":"block","children":[{"_key":"caec834a59e50","_type":"span","marks":[],"text":"With an infinitely wide mandate to deliver “healthcare for women” vs. “women’s health” as conventionally defined, it’s not surprising that as soon as the epidemic hit, women turned to Tia in droves for "},{"_key":"caec834a59e51","_type":"span","marks":["em"],"text":"all"},{"_key":"caec834a59e52","_type":"span","marks":[],"text":" of their disparate needs — Covid-related and otherwise — which fell far outside the bounds of a traditional OB/GYN. 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In response to panicked messages about job losses, we equipped women in our community — in NYC and beyond — with the changing-in-real-time policies on "},{"_key":"caec834a59e59","_type":"span","marks":["6046ad2bb065"],"text":"health insurance"},{"_key":"caec834a59e510","_type":"span","marks":[],"text":", helping them get and stay insured during the worst economic crisis since the Great Depression."}],"markDefs":[{"_key":"7b0d03603ce5","_type":"externalLink","url":"https://asktia.com/coronavirus/"},{"_key":"f232241c1d53","_type":"annotation","text":[{"_key":"f9ba97b6b749","_type":"block","children":[{"_key":"f9ba97b6b7490","_type":"span","marks":[],"text":"Tia is now offering "},{"_key":"f9ba97b6b7491","_type":"span","marks":["b6dbeae61f33"],"text":"antibody testing"},{"_key":"f9ba97b6b7492","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"b6dbeae61f33","_type":"annotationLink","reference":{"_ref":"77b8f3ca-fcad-429d-925b-300c81340a38","_type":"reference"}}],"style":"normal"}]},{"_key":"9643b4409754","_type":"annotation","text":[{"_key":"9548e10ddb7b","_type":"block","children":[{"_key":"9548e10ddb7b0","_type":"span","marks":["strong"],"text":"Behavioral health program"}],"markDefs":[],"placeholder":true,"style":"normal"},{"_key":"bae94a5d387d","_type":"block","children":[{"_key":"bae94a5d387d0","_type":"span","marks":[],"text":"Tia has created a behavioral health care model tailored specifically to women. "}],"markDefs":[],"style":"normal"}]},{"_key":"6046ad2bb065","_type":"annotation","text":[{"_key":"838cf1c4ec6d","_type":"block","children":[{"_key":"838cf1c4ec6d0","_type":"span","marks":[],"text":""},{"_key":"838cf1c4ec6d1","_type":"span","marks":["7d1bca25c1d0"],"text":"Learn how"},{"_key":"838cf1c4ec6d2","_type":"span","marks":[],"text":" to get healthcare coverate in the Cororonavirus climate."}],"markDefs":[{"_key":"7d1bca25c1d0","_type":"annotationLink","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"}]}],"style":"normal"},{"_key":"1bcd2ce21349","_type":"block","children":[{"_key":"1bcd2ce213490","_type":"span","marks":[],"text":"Through Covid, Tia has continued to be there for women as their loyal and trusted “medical home,” both online and offline. Not "},{"_key":"1bcd2ce213491","_type":"span","marks":["em"],"text":"just"},{"_key":"1bcd2ce213492","_type":"span","marks":[],"text":" their OB/GYN or Primary Care Provider or acupuncturist or therapist, but their go-to confidante for care, coordination, translation, and support to make healthcare more human and less complicated. That — "},{"_key":"1bcd2ce213493","_type":"span","marks":["em"],"text":"all of that"},{"_key":"1bcd2ce213494","_type":"span","marks":[],"text":" — is people-based care."}],"markDefs":[],"style":"normal"},{"_key":"68e0cb2cdf28","_type":"block","children":[{"_key":"68e0cb2cdf280","_type":"span","marks":[],"text":"The Power of Trust"}],"markDefs":[],"style":"h4"},{"_key":"282c7ffa963e","_type":"block","children":[{"_key":"282c7ffa963e0","_type":"span","marks":[],"text":"In people-based care and healthcare more broadly, trust is the hardest thing to earn, and the easiest thing to lose. It’s the foundation of "},{"_key":"282c7ffa963e1","_type":"span","marks":["em"],"text":"everything"},{"_key":"282c7ffa963e2","_type":"span","marks":[],"text":" we do at Tia — past, current, and future. While we are not quite in a post-Covid world just yet, it’s clear that people — and women in particular — will seek to avoid the hospital at all costs, preferring smaller avenues of care that are safer, consumerized, and built “just for them.” While igniting the backlog of elective procedures will provide some revenue recapture for health systems, and for Primary Care Providers, the ability to Zoom with a patient (and get paid for it), it’s clear to us that a much more substantial shift to people-based care and a steadfast obsession with cultivating trust is essential to transforming these all-too-fragile business and service models for the long-haul. We hope that companies like Tia can pave the way."}],"markDefs":[],"style":"normal"},{"_key":"9f49b2924a64","_type":"sectionHeader","title":"The Future is Online and Offline Care That Connect"},{"_key":"7b261afff1cc","_type":"block","children":[{"_key":"7b261afff1cc0","_type":"span","marks":[],"text":"Since Tia’s earliest days as a digital-only app, we’ve operated under the recognition that healthcare is not a once-a-year “checkbox,” but the byproduct of the big and small decisions we make every single day. Accordingly, we’ve invested extensively in our Connected Care technology platform for patients and providers that seamlessly extends a woman’s care journey beyond our exam room walls through asynchronous chat, health tracking, care plans, educational content, and community."}],"markDefs":[],"style":"normal"},{"_key":"ffdd1134d30e","_type":"block","children":[{"_key":"ffdd1134d30e0","_type":"span","marks":[],"text":"However, until three months ago, the recognition that continuous, connected care was essential to both the experience women want and moving the needle on outcomes was stymied by a major financial constraint: commercial payers refused to pay for it. As a byproduct of this, doctor’s offices like Tia, faced a few options: adopt virtual care and eat the cost, keep doing things the old way and collect what you can of (already diminishing) insurance reimbursements, or find someone else to foot the virtual care bill (for example, consumers willing to pay cash or an innovative employer)."}],"markDefs":[],"style":"normal"},{"_key":"f2e659d58445","_type":"block","children":[{"_key":"f2e659d584450","_type":"span","marks":[],"text":"This all changed overnight as Covid-19 triggered a lax in regulation, parity for virtual care reimbursement by commercial payers, and a mass shift in consumer psychology, driving unprecedented utilization of healthcare on the Internet. While the degree to which virtual care reimbursement will hold post-Covid is still in question, it’s clear that the “genie is out of the bottle” and can’t be put back in."}],"markDefs":[],"style":"normal"},{"_key":"83aa6e7e9c0e","_type":"block","children":[{"_key":"83aa6e7e9c0e0","_type":"span","marks":[],"text":"As female entrepreneurs, we’re both excited by the rise of virtual care and the ways in which it unlocks new business and service models, and simultaneously wary of what it could mean for women’s health, "},{"_key":"83aa6e7e9c0e1","_type":"span","marks":["em"],"text":"if not executed thoughtfully"},{"_key":"83aa6e7e9c0e2","_type":"span","marks":[],"text":". While it’s rather obvious how we treat a rash or the flu virtually, how to deliver high-quality women’s healthcare — which is inherently more complex, more intimate, and, for obvious reasons, cannot all be done on the Internet — in this new world is less black and white and should not be constrained to a binary video or in-exam room option."}],"markDefs":[],"style":"normal"},{"_key":"8c90546b1570","_type":"block","children":[{"_key":"8c90546b15700","_type":"span","marks":[],"text":"At Tia, we’re committed to thinking beyond a singular form factor like a Zoom call or physical exam room. Instead, we are designing for the full continuum of care in a way that maximizes quality, enhances the patient<>provider relationship, and leverages technology to make the “baton passes” between virtual and in-person care — where healthcare traditionally falters — smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"babdb3a1d7dd","_type":"editorialImageCarousel","items":[{"_key":"e8d6ad5bb4e1","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-115581f62de60216716f154468f20a25e487cb73-1379x738-png","_type":"reference"}}}}],"layoutStyle":"inline","spacing":"pys"},{"_key":"cd4cbd17f09e","_type":"block","children":[{"_key":"cd4cbd17f09e0","_type":"span","marks":["em"],"text":"Rather than a singular visit, we think: "},{"_key":"cd4cbd17f09e1","_type":"span","marks":["strong"],"text":"care journey."}],"markDefs":[],"style":"normal"},{"_key":"b0713ef6a1f6","_type":"block","children":[{"_key":"b0713ef6a1f60","_type":"span","marks":["em"],"text":"Rather than online or offline-only, we think: "},{"_key":"b0713ef6a1f61","_type":"span","marks":["strong"],"text":"virtually-integrated."}],"markDefs":[],"style":"normal"},{"_key":"a396b64bc878","_type":"block","children":[{"_key":"a396b64bc8780","_type":"span","marks":["em"],"text":"Rather than a video or in-person binary, we think: "},{"_key":"a396b64bc8781","_type":"span","marks":["strong"],"text":"chat, video, in-person, and remote patient monitoring — all connected."}],"markDefs":[],"style":"normal"},{"_key":"22722e6e6099","_type":"block","children":[{"_key":"22722e6e60990","_type":"span","marks":["em"],"text":"Rather than healthcare transactions, we think:"},{"_key":"22722e6e60991","_type":"span","marks":[],"text":" "},{"_key":"22722e6e60992","_type":"span","marks":["strong"],"text":"healthcare relationships."}],"markDefs":[],"style":"normal"},{"_key":"c5df52b758c2","_type":"block","children":[{"_key":"c5df52b758c20","_type":"span","marks":["em"],"text":"Rather than tech for tech sake, we think: "},{"_key":"c5df52b758c21","_type":"span","marks":["strong"],"text":"tech that makes healthcare more convenient, collaborative, and connected."}],"markDefs":[],"style":"normal"},{"_key":"05e4c7d9745d","_type":"editorialImageCarousel","items":[{"_key":"62c37a3fa009","_type":"editorialVideoAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e0d8b59198142fc07956298ca265f5300b05e231-1414x796-png","_type":"reference"}}},"video":"https://player.vimeo.com/external/422877967.hd.mp4?s=fde018e26765a98a011f8915fd92a6a2ab9e259d&profile_id=174"}],"layoutStyle":"inline","spacing":"pys"},{"_key":"50698e3677a4","_type":"block","children":[{"_key":"50698e3677a40","_type":"span","marks":[],"text":"The Ever Evolving Care Continuum"}],"markDefs":[],"style":"h4"},{"_key":"aa3ea0e02db4","_type":"block","children":[{"_key":"aa3ea0e02db40","_type":"span","marks":[],"text":"Over our past ten weeks of temporarily operating in a virtual-only state, it’s been amazing to see our patients and providers rapidly adopt new technology, and fundamentally shift their mental model. We’ve seen an enlightened recognition that virtual care does not have to be a “lesser-than” version of in-person care, or limited to “quick fixes” and prescription refills. When designed with intention to be relationship-based and not transactional, virtual care has the potential to facilitate deep dialogue and human connection — in some regards, more so than an in-person visit, during which an honest hold-up-the-mirror conversation to evaluate your health can be overshadowed by the exam tables, needles, and stirrups."}],"markDefs":[],"style":"normal"},{"_key":"67fdcc0798e8","_type":"block","children":[{"_key":"67fdcc0798e80","_type":"span","marks":[],"text":"As we reopen our first brick-and-mortar Tia Clinic on June 1st and expand Tia’s connected virtual and in-clinic care offerings to new markets later this year, we will be further investing in the ever-expanding continuum — a virtually-integrated care model that’s not online or offline-only, but all about delivering the "},{"_key":"67fdcc0798e81","_type":"span","marks":["em"],"text":"right service"},{"_key":"67fdcc0798e82","_type":"span","marks":[],"text":" in the "},{"_key":"67fdcc0798e83","_type":"span","marks":["em"],"text":"right place"},{"_key":"67fdcc0798e84","_type":"span","marks":[],"text":" at the "},{"_key":"67fdcc0798e85","_type":"span","marks":["em"],"text":"right time"},{"_key":"67fdcc0798e86","_type":"span","marks":[],"text":" by the "},{"_key":"67fdcc0798e87","_type":"span","marks":["em"],"text":"right provider"},{"_key":"67fdcc0798e88","_type":"span","marks":[],"text":" — and using Tia’s technology to connect all of those moments in-between."}],"markDefs":[],"style":"normal"},{"_key":"09c99b917e05","_type":"sectionHeader","title":"The Future is Preventive Care"},{"_key":"38079455e0f3","_type":"block","children":[{"_key":"38079455e0f30","_type":"span","marks":[],"text":"The Covid fatality data has reinforced a hard truth we’ve known for a long time, but have failed to properly act on: chronic conditions and a lack of focus on preventive care is killing Americans. What we do about it as part of a “Covid-correction” will be a telltale sign of the impact of this crisis on the healthcare system. Unlike with virtual care though, the fix here is not as simple as changing a few laws and billing codes; preventive care requires a fundamental redefinition of what it really means to “be well,” and investments in lifestyle and behavior change required to get and keep people well."}],"markDefs":[],"style":"normal"},{"_key":"21ddbd3ac91e","_type":"block","children":[{"_key":"21ddbd3ac91e0","_type":"span","marks":[],"text":"Being a healthy woman is all-too-often reduced to not having an STD or an abnormal Pap, but we know that the leading cause of death for women in America is cardiovascular disease. We also know that women are diagnosed with anxiety and depression at twice the rate of men, and that endocrine and autoimmune disorders are on the rise. In pregnancy, c-section and preterm birth rates continue to go up instead of down, as does maternal mortality, with the U.S. reporting more maternal deaths than any developed country in the world."}],"markDefs":[],"style":"normal"},{"_key":"fe6c9a37821f","_type":"block","children":[{"_key":"fe6c9a37821f0","_type":"span","marks":[],"text":"We believe that the solution is a preventive “whole women’s health” model that shifts:"}],"markDefs":[],"style":"normal"},{"_key":"a296e8b210bf","_type":"block","children":[{"_key":"a296e8b210bf0","_type":"span","marks":["em"],"text":"From siloed specialists trained in body parts → to integrative Care Teams, who work together to support a woman’s comprehensive physical, mental, and emotional wellbeing."}],"markDefs":[],"style":"normal"},{"_key":"28521e07b20d","_type":"block","children":[{"_key":"28521e07b20d0","_type":"span","marks":["em"],"text":"From cast-typing all women as “hormonal” → to considering, deeply, the implications of the hormonal state in which she is existing (natural cycle, synthetic hormones for contraception, pregnancy, or a period of hormonal deprivation such as postpartum or menopause) in the diagnosis and treatment of a female patient."}],"markDefs":[],"style":"normal"},{"_key":"36b218b7990e","_type":"block","children":[{"_key":"36b218b7990e0","_type":"span","marks":["em"],"text":"From treating symptoms → to “root cause” diagnosis that accounts for the well-studied impact of sleep, nutrition, stress, and other aspects of lifestyle on a woman’s body."}],"markDefs":[],"style":"normal"},{"_key":"62dbfa07f294","_type":"editorialImageCarousel","items":[{"_key":"3b1e7e4036fb","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-31a862ce2f126882c9e81f2dcf174f269a21662c-1379x730-png","_type":"reference"}}}}]},{"_key":"66be9f17ecf7","_type":"sectionHeader","title":"What's Next: Building Bridges, Not Walls"},{"_key":"4171b750381f","_type":"block","children":[{"_key":"4171b750381f0","_type":"span","marks":[],"text":"Equipped with more firepower, we are seizing this opportunity to bring Tia Care to new markets by expanding our virtual and brick-and-mortar footprint and broadening our scope of practice to serve women throughout their reproductive lives. Because every woman deserves healthcare that’s personalized, connects both virtual and in-person care, and helps her get and stay truly well."}],"markDefs":[],"style":"normal"},{"_key":"251151dc328a","_type":"block","children":[{"_key":"251151dc328a0","_type":"span","marks":[],"text":"We recognize that achieving this vision requires building bridges, not walls, and pushing for evolution within the confines of the current payment and delivery models that dictate access and costs. By partnering with leading health systems, employers, and provider networks to scale our Connected Care Platform, and open new physical and digital Tia doors, we can make “the Tia Way” the new standard of care for women and providers everywhere."}],"markDefs":[],"style":"normal"},{"_key":"208dc1e17d73","_type":"block","children":[{"_key":"208dc1e17d730","_type":"span","marks":[],"text":"With a laser focus on listening, forever and always, to what women want, we are committed to being a leader in the “Covid-correction” — shaping a new people-based healthcare system that "},{"_key":"208dc1e17d731","_type":"span","marks":["em"],"text":"just works"},{"_key":"208dc1e17d732","_type":"span","marks":[],"text":" and is simple as: “I’m a woman. I have a need. I turn to Tia to take care of the rest.”"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-4e6ea709734b4e93ef5ef00f3b244ac9a3bd0a87-2500x800-png","_type":"reference"}},"modules":[{"_key":"494ee978bba1","_type":"furtherReading","articles":[{"_key":"eb948ee44f53","_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"},{"_key":"39b64eafc283","_ref":"328f6f7f-3463-4a10-8ae4-18f69664019d","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-05-27T04:00:00.000Z","slug":{"_type":"slug","current":"a-new-and-distinctly-female-model-of-care-for-the-healthcare-system"},"status":"production","title":"A New and Distinctly Female Model of Care | The Tia Take","topics":[{"_key":"47a609890dd6","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"What does people-based care mean at Tia? 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Meet Dr. Ava Mainieri."}],"markDefs":[],"style":"large"},{"_key":"334e1f0e67b9","_type":"block","children":[{"_key":"334e1f0e67b90","_type":"span","marks":[],"text":"Where did you grow up, what brought you to NYC, and what drew you to becoming a researcher?"}],"markDefs":[],"style":"h4"},{"_key":"4e3047c0218e","_type":"block","children":[{"_key":"ed95f761eeec","_type":"span","marks":[],"text":"My father is a theoretical physicist, so I grew up near the Los Alamos National Laboratory, home to the creation of the atomic bomb. We then moved to Copenhagen, Denmark where he worked at the Niels Bohr Institute, and finally we moved to Northern Virginia. My parents knew from an early age that I loved science, so they let me order a fruit fly kit from Carolina Biological. I learned how to make the flies sleepy using ether and separate the pigments in their eyes — what I did not learn was how to properly put the caps back on the fly bottles. My poor parents had to deal with a fruit fly infestation for an entire month! After graduating from Cornell University in 2012, I worked at Memorial Sloan Kettering under Dr. Jennifer Zallen for two years in her molecular biology lab. There, I co-authored two papers focused on how cancer cells move throughout the body. In August of 2014, I joined Dr. David Haig’s lab at Harvard University and just completed my PhD. My thesis focused on a phenomenon called genomic imprinting (a form of epigenetics) and its role in female reproductive health and pregnancy."}],"markDefs":[],"style":"normal"},{"_key":"8261e8735cac","_type":"editorialImageCarousel","items":[{"_key":"6b1ec4950778","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-b739a7ddad355b7573455bb395c97fd4618278e2-1644x1096-png","_type":"reference"}}},"text":[{"_key":"40491089a0d2","_type":"block","children":[{"_key":"40491089a0d20","_type":"span","marks":[],"text":"Neighbors putting out flowers we can plant. Starring my dog Zeta. Her favorite foods are lettuce, carrots, and bugs from the garden."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"89e5383c936f","_type":"block","children":[{"_key":"89e5383c936f0","_type":"span","marks":[],"text":"What do you find most challenging/confusing about navigating healthcare?"}],"markDefs":[],"style":"h4"},{"_key":"13ca81dd9c78","_type":"block","children":[{"_key":"8da5a7b6c647","_type":"span","marks":[],"text":"Throughout my Ph.D. I was surprised to find that, apart from reproductive health concerns, medicine does not pay a lot of attention to females specifically. Instead, there is a one-size-fits all approach to clinical research. Women are more likely to be diagnosed with an autoimmune disorder and are at least twice as likely to have chronic pain conditions. The immune system is also thought to be behind sex-specific responses to vaccines: females develop higher antibody responses and have more frequent reactions to vaccines. There was even a 2014 paper proposing developing male and female versions of flu vaccines. And despite an abundance of evidence showing that research conducted on males cannot be extrapolated to females (and that there are plentiful differences between them in everything from drug responses to risk factors for various diseases) many clinicians still don’t routinely analyze and report such differences. There are vast medical data gaps to be filled in, but the past 20 years have demonstrably shown that women are not just smaller men. So why aren’t we actively researching this? At Tia, I believe that we finally are!"}],"markDefs":[],"style":"normal"},{"_key":"80f64de332bb","_type":"block","children":[{"_key":"80f64de332bb0","_type":"span","marks":[],"text":"What is something you’ve learned about health and/or the healthcare system that you want to share with others?"}],"markDefs":[],"style":"h4"},{"_key":"e83d53984a3f","_type":"block","children":[{"_key":"844bea21b3db","_type":"span","marks":[],"text":"A common metaphor in medicine is that the body is a machine designed for certain functions and that when things go awry, they can be treated in the same way a mechanic might fix a car: tighten some screws, add some oil, and adjust the tire pressure. The human body, however, is a fascinating bundle of compromises shaped by natural selection. This leaves us vulnerable to diseases and disorder, but also makes us amazingly resilient. Our bodies can cope with migrations and major environmental challenges, adapting physically and emotionally! I am constantly in awe of the human body the more I learn about it."}],"markDefs":[],"style":"normal"},{"_key":"416adf597c57","_type":"editorialImageCarousel","items":[{"_key":"06a2d4111de0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4d15e17a34664f8e762e769b330f3424f8cbbe1d-1644x1096-png","_type":"reference"}}},"text":[{"_key":"57d6d1e09a26","_type":"block","children":[{"_key":"57d6d1e09a260","_type":"span","marks":[],"text":"Reading clues to find our Easter eggs hidden around the house."}],"markDefs":[],"style":"normal"}]}]},{"_key":"045005985c7d","_type":"block","children":[{"_key":"045005985c7d0","_type":"span","marks":[],"text":"What’s the most important thing you’ve learned about yourself over the last decade?"}],"markDefs":[],"style":"h4"},{"_key":"7054b1810176","_type":"block","children":[{"_key":"7054b18101760","_type":"span","marks":[],"text":"Don’t be afraid to ask that silly question because curiosity will always be rewarded with knowledge. Some of the questions I’ve been asked led me to do a project on esters (take an acid and an alcohol, shake it up, and the end project is something stinky) or set up a camera so I could watch a tiny fruit fly walk across a table. There is no better preparation for a scientific life."}],"markDefs":[],"style":"normal"},{"_key":"5e28a08317d4","_type":"editorialImageCarousel","items":[{"_key":"faf1c9fc699d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-387e42f6117e31296785df06b5bb031f1f720b65-1644x1096-png","_type":"reference"}}},"text":[{"_key":"26741bf209d2","_type":"block","children":[{"_key":"26741bf209d20","_type":"span","marks":[],"text":"Dr. Ava with our Chief Medical Officer, Dr. Stephanie McClellan."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"561660c4382f","_type":"block","children":[{"_key":"1b9f482186360","_type":"span","marks":[],"text":"Why’d you decide to be a part of Tia?"}],"markDefs":[],"style":"h4"},{"_key":"34b740fece09","_type":"block","children":[{"_key":"59b6057c3efa","_type":"span","marks":[],"text":"Health care tech should be about identifying a problem and making a solution that helps real people! Tia opens up a new door at the intersection between technology and female health — the company is truly patient-centric."}],"markDefs":[],"style":"normal"},{"_key":"a8b2b2c45336","_type":"block","children":[{"_key":"a8b2b2c453360","_type":"span","marks":[],"text":"To empower women, you have to make it easy for her to take care of her body! The patient-doctor relationship is among the most sacred in the world because we surrender our modesty and trust our physicians with our most intimate needs and vulnerabilities. In return, Tia gives us science, expertise, respect, and compassion."}],"markDefs":[],"style":"normal"},{"_key":"17e1b25428b5","_type":"block","children":[{"_key":"17e1b25428b50","_type":"span","marks":[],"text":"Carolyn and Felicity’s goals reverberated with me and I wanted to be a part of their movement from day one. Even before Tia had a clinic I helped write “Tia Talks” where we broke down how stress can affect your sex drive and why the clitoris is a magical organ. They have always wanted to give women agency into their health care and I too believe that women should be given access to the information, community, and care they need to make confident decisions about their health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"1a701d3002f0","_type":"editorialImageCarousel","items":[{"_key":"6289d5509888","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-144a4240494778178d33ea024285283ef2e7d63c-1644x1096-png","_type":"reference"}}},"text":[{"_key":"9cf5fd9f843f","_type":"block","children":[{"_key":"9cf5fd9f843f0","_type":"span","marks":[],"text":"Obsessed with Ravensburger’s puzzles. Each puzzle piece shape is drawn by hand! It takes 4 weeks to build the cookie cutter used to cut out the pieces!"}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"7b8cdb8a2c9f","_type":"block","children":[{"_key":"7b8cdb8a2c9f0","_type":"span","marks":[],"text":"As a scientist, how do you approach female health differently than a doctor?"}],"markDefs":[],"style":"h4"},{"_key":"75d5998124e4","_type":"block","children":[{"_key":"1d0bc9911301","_type":"span","marks":[],"text":"My PhD is in evolutionary biology and epigenetics, so I use these two processes to study how some of the health problems we face today arose. This approach will not solve all of our entrenched and deep-rooted health challenges, but it does offer a new, more holistic way of viewing individual and population health from both research and practice standpoints. I want to offer a broader and more inclusive approach to medicine and health, asking new questions about both the immediate and developmental causes and explanations of poor health. I view human health and development through a lens that assumes that humans are highly diverse with a biology that unfolds in a context rather than in predictable unvarying ways. Scientists recognize that for almost any human trait, there is a broad range within which wellness, growth, and development can thrive."}],"markDefs":[],"style":"normal"},{"_key":"ce2fd49a1082","_type":"block","children":[{"_key":"ce2fd49a10820","_type":"span","marks":[],"text":"Do you have a health goal you are working towards?"}],"markDefs":[],"style":"h4"},{"_key":"43ea4ba390a2","_type":"block","children":[{"_key":"7c8861a86193","_type":"span","marks":[],"text":"With a foundation in evolutionary and computational biology, my goal is to draw a dynamic hormonal portrait for every woman. Like each of us, it would be a multi-faceted and dynamic entity that ebbs and flows. Hormones are the building blocks of our cycles and transitions — like puberty, ovulation, periods, pregnancies, and menopause. Understanding our personalized hormonal milieu is a key to understanding our health! If we don’t know ourselves, how can we serve ourselves?"}],"markDefs":[],"style":"normal"},{"_key":"51e3d859504c","_type":"block","children":[{"_key":"51e3d859504c0","_type":"span","marks":[],"text":"What does being a “well-woman” mean to you?"}],"markDefs":[],"style":"h4"},{"_key":"a65998c892c0","_type":"block","children":[{"_key":"ef364827b5e8","_type":"span","marks":[],"text":"Arming myself with science-based advice!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","_type":"reference"}},"modules":[{"_key":"eaff18a1d3ce","_type":"furtherReading","articles":[{"_key":"1948239a3212","_ref":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"reference"},{"_key":"069028346bbd","_ref":"0b5f1314-12ed-4726-9c2a-9fbe557ca784","_type":"reference"}],"title":"More reads"}],"publishedAt":"2020-07-02T04:00:00.000Z","slug":{"_type":"slug","current":"ava-mainieri"},"status":"production","title":"Meet the Head of Research at Tia, Dr. Ava Mainieri","topics":[{"_key":"6c369975e01d","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","metaTitle":"Meet the Head of Research at Tia, Ava Mainieri","openGraphDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","openImage":{"_type":"image","asset":{"_ref":"image-d4c1bca00d34c657d739299abcc8e609e42e250f-1366x800-png","_type":"reference"}},"title":"Meet the Head of Research at Tia, Ava Mainieri","twitterDescription":"Q&A with Ava Mainieri, Head of Research at Tia.","twitterImage":{"_type":"image","asset":{"_ref":"image-d4c1bca00d34c657d739299abcc8e609e42e250f-1366x800-png","_type":"reference"}},"twitterTitle":"Meet the Head of Research at Tia, Ava Mainieri"}},"id":"e5befb73-d256-538c-9b00-e1d739bc1d09","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"64164751ec87e62ea7209de2504c7b9d","counter":2908,"owner":"gatsby-source-sanity"}},{"_id":"714009ff-6629-4cb9-bf8b-310f7ac19fa7","_type":"editorial","_createdAt":"2020-08-18T18:02:50Z","_rev":"RVt03L4tU7L2hmVvtO8jO9","_updatedAt":"2023-02-22T16:08:05Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"b404d313-73f7-4d54-875e-de1b26d3130d","_type":"reference"},"authors":[{"_key":"fe0a7e50dfa5","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-7735d33465c18827e2575b42ee0be5f3110be84b-5000x1600-png","_type":"reference"},"crop":{"_type":"sanity.imageCrop","bottom":0,"left":0.02645502645502646,"right":0.4852607709750567,"top":0},"hotspot":{"_type":"sanity.imageHotspot","height":1,"width":0.4882842025699168,"x":0.27059712773998484,"y":0.5}},"editorialText":[{"_key":"48fd628c0a89","_type":"sectionHeader","title":"Why Women Need a Translational Bridge"},{"_key":"a9fb9ae90ab5","_type":"block","children":[{"_key":"a9fb9ae90ab50","_type":"span","marks":[],"text":"For most women, the world of academia, research and clinical care is a black box that is both inaccessible and incomprehensible. As Tia’s Chief Medical Officer, I am on a mission to change that by building tools that explain both to women and care providers "},{"_key":"a9fb9ae90ab51","_type":"span","marks":["em"],"text":"why"},{"_key":"a9fb9ae90ab52","_type":"span","marks":[],"text":" and not just "},{"_key":"a9fb9ae90ab53","_type":"span","marks":["em"],"text":"what"},{"_key":"a9fb9ae90ab54","_type":"span","marks":[],"text":". And by forging a much-needed translational bridge between bench science, clinical research and real women-in-the-world needs."}],"markDefs":[],"style":"normal"},{"_key":"be1dfd370928","_type":"cta","backgroundColor":"bcp","text":[{"_key":"e21ce9ca476b","_type":"block","children":[{"_key":"e21ce9ca476b0","_type":"span","marks":[],"text":"Take Tia's Female Stress Signatures Quiz"}],"markDefs":[],"style":"h2"},{"_key":"07ae88d4eadc","_type":"buttonBlock","items":[{"_key":"a209f82a06b1","_type":"singleButton","linkCta":"Take the quiz","linkType":"button","url":"https://stressquiz.asktia.com/"}]}]},{"_key":"76f9b31eb903","_type":"sectionHeader","title":"Introducing Female Stress Signatures, by Tia"},{"_key":"e547ecdb590c","_type":"block","children":[{"_key":"e547ecdb590c0","_type":"span","marks":[],"text":"… a new science-backed quiz and toolkit made by the team at Tia to help women understand the distinctly female stress response, how chronic stress manifests four unique patterns (or “signatures”), and above all else —what we can do about it."}],"markDefs":[],"style":"normal"},{"_key":"1edef487ff9c","_type":"block","children":[{"_key":"1edef487ff9c0","_type":"span","marks":[],"text":"Because when women are aware of their stress signatures — and when providers, too, understand how chronic stress is a foundational lynchpin of female health — we can modulate it and minimize the cumulative wear and tear on our minds and bodies, key to helping women get healthy and stay healthy throughout their lives."}],"markDefs":[],"style":"normal"},{"_key":"6b770a4803e9","_type":"editorialImageCarousel","items":[{"_key":"90d630921142","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1c6be9ac3f2715da26ce1d13e294e6199e4abf5b-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"4c0ae0d7756c","_type":"sectionHeader","title":"From stress research → stress quiz"},{"_key":"25900fa23658","_type":"block","children":[{"_key":"25900fa236580","_type":"span","marks":[],"text":"Tia’s Female Stress Signatures is adapted from my book, So Stressed, co-authored with Dr. Beth Hamilton, and is a translational clinical construct bridging decades of research in the field of stress combined with clinical experience and patient observation. Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? Check out our glossary"},{"_key":"176c25bcc6d71","_type":"span","marks":["em","strong"],"text":" "},{"_key":"176c25bcc6d72","_type":"span","marks":["strong","9454e8a13db8"],"text":"here"},{"_key":"176c25bcc6d73","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"9454e8a13db8","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"fc7e758f07d9","_type":"block","children":[{"_key":"fc7e758f07d90","_type":"span","marks":[],"text":"#2: Not all stress is bad nor created equal!"}],"markDefs":[],"style":"h3"},{"_key":"7431a524f0bb","_type":"block","children":[{"_key":"7431a524f0bb0","_type":"span","marks":[],"text":"Some stress is normal, healthy, and key to our survival. But other forms of stress — and too much stress — is not. Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. 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You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. But when you’re out of sync, you’re really out of sync, from aches and pains to regretful outbursts."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"27aec6c6d660","_type":"block","children":[{"_key":"27aec6c6d6600","_type":"span","marks":[],"text":"Arousal"}],"markDefs":[],"style":"h4"},{"_key":"ebaa7503cc69","_type":"block","children":[{"_key":"ebaa7503cc690","_type":"span","marks":[],"text":"The other side of the chronic stress coin is your “Arousal Style” — we’re talking about how alert your nervous system is, that means both your brain and body — either Vigilant or Reluctant."}],"markDefs":[],"style":"normal"},{"_key":"2304b3c66276","_type":"editorialImageCarousel","items":[{"_key":"2d73d8b90fff","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-5b78ddfdcc06c137a0692216e8fb149d31a8e560-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"39df5fc0c4cd","_type":"block","children":[{"_key":"39df5fc0c4cd0","_type":"span","marks":["strong"],"text":"Vigilant"},{"_key":"39df5fc0c4cd1","_type":"span","marks":[],"text":": In comparison to Reluctant types, you’re always on the alert. You’re beyond perceptive, which makes attention to detail under stress a strength. But imagine that your body is like a security guard who is always on watch — there’s only so many shifts your nerves can handle before it starts to breakdown."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c7b9a9f403fd","_type":"block","children":[{"_key":"c7b9a9f403fd0","_type":"span","marks":["strong"],"text":"Reluctant"},{"_key":"c7b9a9f403fd1","_type":"span","marks":[],"text":": In comparison to Vigilant types, you’re more contained. You tend to be more inwardly focused and when stressed, that can mean you’re in your own world. Think: mindlessly watching reruns until Netflix shuts off. So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. How you modulate and manage your Stress Signature is the key."}],"markDefs":[],"style":"normal"},{"_key":"598030ba7856","_type":"block","children":[{"_key":"598030ba78560","_type":"span","marks":[],"text":"In a perfect world, we’d all want to be near the center of the grid, but our world is far from perfect."}],"markDefs":[],"style":"normal"},{"_key":"c6c8797a9ded","_type":"editorialImageCarousel","items":[{"_key":"b94978e2a0a0","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-d20ee2f3c49c2270c5b87d39d3b8b39cdc0a76b5-813x487-png","_type":"reference"}}}}]},{"_key":"ba9fe8b0e366","_type":"block","children":[{"_key":"ba9fe8b0e3660","_type":"span","marks":[],"text":"But unlike your high school prom pictures, you’re not stuck with your Stress Signature forever and with awareness and lifestyle, you can move towards the center and modulate its impact on your mind, body and longevity."}],"markDefs":[],"style":"normal"},{"_key":"bb8ac512546e","_type":"block","children":[{"_key":"bb8ac512546e0","_type":"span","marks":["strong"],"text":""},{"_key":"bb8ac512546e1","_type":"span","marks":["strong","f7524a472891"],"text":"Take the quiz"},{"_key":"bb8ac512546e2","_type":"span","marks":[],"text":" to find out where on the chronic stress spectrum you fall — and most important of all, what to do about it."}],"markDefs":[{"_key":"f7524a472891","_type":"externalLink","url":"https://stressquiz.asktia.com/"}],"style":"normal"},{"_key":"8cc5d13c90ea","_type":"sectionHeader","title":"Take the Stress Quiz"},{"_key":"e1c70f2f0ebe","_type":"block","children":[{"_key":"e1c70f2f0ebe0","_type":"span","marks":[],"text":"So, there you have a peek at Tia’s Female Stress Signatures. 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Her favorite foods are lettuce, carrots, and bugs from the garden."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"89e5383c936f","_type":"block","children":[{"_key":"89e5383c936f0","_type":"span","marks":[],"text":"What do you find most challenging/confusing about navigating healthcare?"}],"markDefs":[],"style":"h4"},{"_key":"13ca81dd9c78","_type":"block","children":[{"_key":"8da5a7b6c647","_type":"span","marks":[],"text":"Throughout my Ph.D. I was surprised to find that, apart from reproductive health concerns, medicine does not pay a lot of attention to females specifically. Instead, there is a one-size-fits all approach to clinical research. Women are more likely to be diagnosed with an autoimmune disorder and are at least twice as likely to have chronic pain conditions. The immune system is also thought to be behind sex-specific responses to vaccines: females develop higher antibody responses and have more frequent reactions to vaccines. There was even a 2014 paper proposing developing male and female versions of flu vaccines. And despite an abundance of evidence showing that research conducted on males cannot be extrapolated to females (and that there are plentiful differences between them in everything from drug responses to risk factors for various diseases) many clinicians still don’t routinely analyze and report such differences. There are vast medical data gaps to be filled in, but the past 20 years have demonstrably shown that women are not just smaller men. So why aren’t we actively researching this? 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Some of the questions I’ve been asked led me to do a project on esters (take an acid and an alcohol, shake it up, and the end project is something stinky) or set up a camera so I could watch a tiny fruit fly walk across a table. There is no better preparation for a scientific life."}],"markDefs":[],"style":"normal"},{"_key":"5e28a08317d4","_type":"editorialImageCarousel","items":[{"_key":"faf1c9fc699d","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-387e42f6117e31296785df06b5bb031f1f720b65-1644x1096-png","_type":"reference"}}},"text":[{"_key":"26741bf209d2","_type":"block","children":[{"_key":"26741bf209d20","_type":"span","marks":[],"text":"Dr. Ava with our Chief Medical Officer, Dr. Stephanie McClellan."}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"561660c4382f","_type":"block","children":[{"_key":"1b9f482186360","_type":"span","marks":[],"text":"Why’d you decide to be a part of Tia?"}],"markDefs":[],"style":"h4"},{"_key":"34b740fece09","_type":"block","children":[{"_key":"59b6057c3efa","_type":"span","marks":[],"text":"Health care tech should be about identifying a problem and making a solution that helps real people! Tia opens up a new door at the intersection between technology and female health — the company is truly patient-centric."}],"markDefs":[],"style":"normal"},{"_key":"a8b2b2c45336","_type":"block","children":[{"_key":"a8b2b2c453360","_type":"span","marks":[],"text":"To empower women, you have to make it easy for her to take care of her body! The patient-doctor relationship is among the most sacred in the world because we surrender our modesty and trust our physicians with our most intimate needs and vulnerabilities. In return, Tia gives us science, expertise, respect, and compassion."}],"markDefs":[],"style":"normal"},{"_key":"17e1b25428b5","_type":"block","children":[{"_key":"17e1b25428b50","_type":"span","marks":[],"text":"Carolyn and Felicity’s goals reverberated with me and I wanted to be a part of their movement from day one. Even before Tia had a clinic I helped write “Tia Talks” where we broke down how stress can affect your sex drive and why the clitoris is a magical organ. They have always wanted to give women agency into their health care and I too believe that women should be given access to the information, community, and care they need to make confident decisions about their health and wellness."}],"markDefs":[],"style":"normal"},{"_key":"1a701d3002f0","_type":"editorialImageCarousel","items":[{"_key":"6289d5509888","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-144a4240494778178d33ea024285283ef2e7d63c-1644x1096-png","_type":"reference"}}},"text":[{"_key":"9cf5fd9f843f","_type":"block","children":[{"_key":"9cf5fd9f843f0","_type":"span","marks":[],"text":"Obsessed with Ravensburger’s puzzles. Each puzzle piece shape is drawn by hand! It takes 4 weeks to build the cookie cutter used to cut out the pieces!"}],"markDefs":[],"style":"normal"}]}],"layoutStyle":"inline","spacing":"pys"},{"_key":"7b8cdb8a2c9f","_type":"block","children":[{"_key":"7b8cdb8a2c9f0","_type":"span","marks":[],"text":"As a scientist, how do you approach female health differently than a doctor?"}],"markDefs":[],"style":"h4"},{"_key":"75d5998124e4","_type":"block","children":[{"_key":"1d0bc9911301","_type":"span","marks":[],"text":"My PhD is in evolutionary biology and epigenetics, so I use these two processes to study how some of the health problems we face today arose. This approach will not solve all of our entrenched and deep-rooted health challenges, but it does offer a new, more holistic way of viewing individual and population health from both research and practice standpoints. I want to offer a broader and more inclusive approach to medicine and health, asking new questions about both the immediate and developmental causes and explanations of poor health. I view human health and development through a lens that assumes that humans are highly diverse with a biology that unfolds in a context rather than in predictable unvarying ways. Scientists recognize that for almost any human trait, there is a broad range within which wellness, growth, and development can thrive."}],"markDefs":[],"style":"normal"},{"_key":"ce2fd49a1082","_type":"block","children":[{"_key":"ce2fd49a10820","_type":"span","marks":[],"text":"Do you have a health goal you are working towards?"}],"markDefs":[],"style":"h4"},{"_key":"43ea4ba390a2","_type":"block","children":[{"_key":"7c8861a86193","_type":"span","marks":[],"text":"With a foundation in evolutionary and computational biology, my goal is to draw a dynamic hormonal portrait for every woman. Like each of us, it would be a multi-faceted and dynamic entity that ebbs and flows. Hormones are the building blocks of our cycles and transitions — like puberty, ovulation, periods, pregnancies, and menopause. Understanding our personalized hormonal milieu is a key to understanding our health! If we don’t know ourselves, how can we serve ourselves?"}],"markDefs":[],"style":"normal"},{"_key":"51e3d859504c","_type":"block","children":[{"_key":"51e3d859504c0","_type":"span","marks":[],"text":"What does being a “well-woman” mean to you?"}],"markDefs":[],"style":"h4"},{"_key":"a65998c892c0","_type":"block","children":[{"_key":"ef364827b5e8","_type":"span","marks":[],"text":"Arming myself with science-based advice!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_id":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","_type":"sanity.imageAsset","_createdAt":"2022-11-08T01:23:38Z","_rev":"wExLizNDPQDMxTyHr9z5bI","_updatedAt":"2022-11-08T01:23:38Z","assetId":"0f673c0e83010c0d324e761c095645749e44b35b","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"DPQ8}J*IIAaK.8=yJRsToeSg","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":3.125,"height":800,"width":2500},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABQAAAAGCAYAAADDl76dAAAACXBIWXMAAAsTAAALEwEAmpwYAAABeklEQVQYlWWRTUsbURhG858K7qQU3Sguhe5aEPGLSlNrKXbhxg/UlZCIdScoSC3iQtRqYhrTSZOZOxo1H5OZxCRGaiadcdRfcHRmUCpdHO7dvOc+730CTV3hMpv0MHUFq6T+h106wnbvZf+8lvdxVhZohKZohKe5WZzldnMZ+zRBwCwqVDKHGGqM8+P4E9WTBJdnEmZBxioKLF1gGSq2LnCiG9QnPhEP9nPwcYhasJe70CTXSsQXugItHSGf2ieb/EE2uUs+tUdJxKhnftHIpvjrigsCu6Dg7H7D+PKe1eEBwoN9JN9048yM4aT3CLgrX5xKntRN6vKYsnaSoH4m8Sf3m6amYGkCOydjba0hRgaZfN1NT1cnS13tVKY++0KzKFPNHHrDDU2maQjcR55hCP8/ddVLeLG9zvfhPt6+bOVVywtGOtqQ5saxlCiBKy1NSY1ROY57w3b5yC/CLeAfngoyVMrSDuvz04wHBxh918vc2Ad+rn7FfCjlHntlhyOLmt32AAAAAElFTkSuQmCC","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#574b44","foreground":"#fff","population":1.63,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#b42c5c","foreground":"#fff","population":0.01,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#f45548","foreground":"#fff","population":8.49,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#c3afb2","foreground":"#000","population":0.93,"title":"#fff"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f45548","foreground":"#fff","population":8.49,"title":"#fff"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#a46d5a","foreground":"#fff","population":0.18,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#f15034","foreground":"#fff","population":0.04,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"MeetAva_Header.png","path":"images/8qqycr4y/production/0f673c0e83010c0d324e761c095645749e44b35b-2500x800.png","sha1hash":"0f673c0e83010c0d324e761c095645749e44b35b","size":166002,"uploadId":"0OdYgZzsDltBnHv9LRS9VGbLfpXOaGKf","url":"https://cdn.sanity.io/images/8qqycr4y/production/0f673c0e83010c0d324e761c095645749e44b35b-2500x800.png","id":"image-0f673c0e83010c0d324e761c095645749e44b35b-2500x800-png","parent":null,"children":["99ae690d-4409-5e2a-9cda-199432ecacbc"],"internal":{"type":"SanityImageAsset","contentDigest":"a9ccf21b0790691710003ae4ae9e2713","counter":3302,"owner":"gatsby-source-sanity"}}},"modules":[{"_key":"eaff18a1d3ce","_type":"furtherReading","articles":[{"_id":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"editorial","_createdAt":"2020-08-13T15:01:22Z","_rev":"8ycwaKn5PLURgEeFH9z4T6","_updatedAt":"2022-12-28T09:51:29Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"0e6b0168ac15","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-f3f771743acdf4624170918649f0d956e3b35ade-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a6a756b987cd","_type":"block","children":[{"_key":"a6a756b987cd0","_type":"span","marks":[],"text":"Last week we hosted our very first Tia Tackles event — "},{"_key":"a6a756b987cd1","_type":"span","marks":["462761f45d02"],"text":"Dr. Terri-Ann Bennett"},{"_key":"a6a756b987cd2","_type":"span","marks":[],"text":" shared her wisdom and expertise in conversation with Dr. Stephanie McClellan, Chief Medical Officer of Tia. They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. Participants also expressed that they felt accountable for their own bodies because they were involved in decisions about their care because they were informed about their decisions."}],"markDefs":[],"style":"normal"},{"_key":"3cb35a11f00c","_type":"block","children":[{"_key":"3cb35a11f00c0","_type":"span","marks":["strong"],"text":"Institutions can support patient advocacy by…"}],"markDefs":[],"style":"normal"},{"_key":"840e64a59bcc","_type":"block","children":[{"_key":"840e64a59bcc0","_type":"span","marks":[],"text":"Promoting body literacy by actively teaching and making information readily accessible which empowers patients to advocate for themselves."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"276008b74a88","_type":"block","children":[{"_key":"276008b74a880","_type":"span","marks":[],"text":"Personalizing medicine, rather than generalizing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6607820d9ff9","_type":"block","children":[{"_key":"6607820d9ff90","_type":"span","marks":[],"text":"Revolutionizing healthcare delivery by incorporating patient advocates throughout the patient journey and actively supporting their presence (eg. doulas, friends and family members joining appointments)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9591238e643","_type":"block","children":[{"_key":"c9591238e6430","_type":"span","marks":["strong"],"text":"Providers can advocate for their patients by…"}],"markDefs":[],"style":"normal"},{"_key":"9be527d2e42e","_type":"block","children":[{"_key":"9be527d2e42e0","_type":"span","marks":[],"text":"Empowering them through teaching and shared-decision making."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f294d0b9ebb","_type":"block","children":[{"_key":"2f294d0b9ebb0","_type":"span","marks":[],"text":"Reminding patients of their rights."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e788333914af","_type":"block","children":[{"_key":"e788333914af0","_type":"span","marks":[],"text":"Using communication styles that support understanding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"28ebefbaaff8","_type":"block","children":[{"_key":"28ebefbaaff80","_type":"span","marks":[],"text":"Ensuring care continues after appointments (eg. follow-ups, lifestyle changes, medication, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e9da3e98991","_type":"block","children":[{"_key":"0e9da3e989910","_type":"span","marks":["strong"],"text":"Patients can advocate for themselves by…"}],"markDefs":[],"style":"normal"},{"_key":"58a2e5a98858","_type":"block","children":[{"_key":"58a2e5a988580","_type":"span","marks":[],"text":"Bringing someone with them (eg. friend or family member) for support. Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. Pro-tip from Dr. Bennett: come to your appointment with your questions written down."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"05df59e789b8","_type":"block","children":[{"_key":"05df59e789b80","_type":"span","marks":[],"text":"Familiarizing themselves with the "},{"_key":"05df59e789b81","_type":"span","marks":["419d8e2d4349"],"text":"patient bill of rights"},{"_key":"05df59e789b82","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"419d8e2d4349","_type":"annotation","text":[{"_key":"79c725936df8","_type":"block","children":[{"_key":"79c725936df80","_type":"span","marks":["strong"],"text":"Patient's bill of rights"}],"markDefs":[],"style":"normal"},{"_key":"eb98ed994f21","_type":"block","children":[{"_key":"eb98ed994f210","_type":"span","marks":[],"text":"A patient’s bill of rights is a list of guarantees on patient information, fair treatment, and autonomy over medical decisions for those receiving care. 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"},{"_key":"8724797ed80c","_type":"span","marks":[],"text":"JAMA"},{"_key":"f32faae9ce4f","_type":"span","marks":[],"text":", "},{"_key":"7f1b0e2df26f","_type":"span","marks":[],"text":"282"},{"_key":"3eb6bea0bcbe","_type":"span","marks":[],"text":"(6), 583–589. "},{"_key":"315f163fe6c8","_type":"span","marks":["52ae7d4e6f1b"],"text":"https://doi.org/10.1001/jama.282.6.583"}],"markDefs":[{"_key":"52ae7d4e6f1b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1001/jama.282.6.583"}],"style":"small"},{"_key":"fce7197a986b","_type":"block","children":[{"_key":"fce7197a986b0","_type":"span","marks":[],"text":"Jacobs, E. A., Rolle, I., Ferrans, C. E., Whitaker, E. E., & Warnecke, R. B. (2006). Understanding African Americans’ views of the trustworthiness of physicians. Journal of general internal medicine, 21(6), 642–647. "},{"_key":"84ef5e0054c8","_type":"span","marks":["e6a6ed7bf493"],"text":"https://doi.org/10.1111/j.1525-1497.2006.00485"},{"_key":"0a7b2dd4db7d","_type":"span","marks":[],"text":"​ "}],"markDefs":[{"_key":"e6a6ed7bf493","_type":"externalLink","linkType":"text","url":"https://dx.doi.org/10.1111%2Fj.1525-1497.2006.00485.x"}],"style":"small"},{"_key":"98575ad7c337","_type":"block","children":[{"_key":"98575ad7c3370","_type":"span","marks":[],"text":"Marcella Alsan & Owen Garrick & Grant Graziani, 2019. Does Diversity Matter for Health? Experimental Evidence from Oakland. American Economic Review, vol 109(12), pages 4071–4111. "},{"_key":"42ec4000ec71","_type":"span","marks":["a1cfb3ced60b"],"text":"https://doi.org/10.1257/aer.20181446"},{"_key":"6069a899806c","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"a1cfb3ced60b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1257/aer.20181446"}],"style":"small"},{"_key":"6019ebaa2bfd","_type":"block","children":[{"_key":"6019ebaa2bfd0","_type":"span","marks":[],"text":"Mende-Siedlecki, P., Qu-Lee, J., Backer, R., & Van Bavel, J. J. (2019). Perceptual contributions to racial bias in pain recognition. "},{"_key":"6019ebaa2bfd1","_type":"span","marks":[],"text":"Journal of experimental psychology. General"},{"_key":"6019ebaa2bfd2","_type":"span","marks":[],"text":", "},{"_key":"6019ebaa2bfd3","_type":"span","marks":[],"text":"148"},{"_key":"6019ebaa2bfd4","_type":"span","marks":[],"text":"(5), 863–889. 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