...Healthcare disparities This article entitled; Racial and ethnic disparities in health care, updated 2010, written by American College of Physicians, presents the reality of the racial and ethnic disparities in health care and made some recommendations to reduce this gaps. Although improvements have been seen in health care quality and some disparities have been reduced or eliminated, differences persist in health care quality among members of various racial and ethnic minority groups. Irrefutable evidence indicates that racial and ethnic minorities are subject to quality care less healthy than white Americans, even when factors such as insurance status are controlled. Since the population continues to grow and diversify the health care system must change and adapt to meet the needs of a patient more and more multicultural. In 2003, the American College of Physicians, which is now the greatest medical specialty society in the United States with physicians and medical student members, published racial and ethnic disparities paper Healthcare (www. acponline.org / ppvl / policies / e000904.pdf). The document provides some recommendations on how the gap between patients’s racial and ethnic minorities and their white counterparts can be reduced. Unfortunately, even though progress has been achieved in some areas the question of the racial and ethnic disparities remains a difficult and complex problem to tackle. This update of the 2003 document adopts recommendations that still...
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...2012 ELIMINATION OF RACIAL DISPARITY IN HEALTHCARE IN AMERICA Disparity in US Health Care is multifactorial, they reflect the differences in demographics, social-economic as well as environmental factors. The Journal of the American Medical Association identifies race as a significant determinant in the level of quality of care, with ethnic minority groups receiving less intensive and lower quality care. Ethnic minorities receive less preventative care, are seen less by specialists, and have fewer expensive and technical procedures than non-ethnic minorities. Studies have shown that this disparity affects the biological vulnerability to disease, utilization of health system in US and health care interventions. Understanding and intervening in the health disparity in the US is imperative because the US population is changing. According to the American Health Association (AHA), by 2050 Minority groups will compose almost half of the U.S. population by 2050. The biggest increase will occur within the Hispanic population. In December 2007, the American Hospital Association (AHA) created the Special Advisor Group on Improving Hospital Care for Minorities as part of effort to ensure equitable treatment of all patients. This article will discuss the issues related to disparity and how the American Hospital Association is taken several steps in helping aid in eliminating the racial disparity in health care. Health disparities in the quality of care exist and are based on...
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...Running head: ASSIGNMENT 1, WEEK 6 Assignment 1 Teassa Eubanks Cultural Diversity in Health and Illness Mansour Rostami, Instructor November 13, 2010 Minority Population | Health disparities | Native American Indian Native Alaskan | Health disparities are believed to be the result of the complex interaction among genetic variations, environmental factors, and specific health behaviors. Compared with other Americans, Indians experience disproportionately high mortality from alcoholism, tuberculosis, diabetes, injuries, suicide, and homicide. Tribal leaders report that diabetes, unintentional injuries, alcoholism, and substance abuse are rising to crisis proportions in American Indian and Alaska Native communities | Asian | Lack of access to regular care. Asians are least likely to report having a personal doctor compared to other racial and ethnic groups in the US. 19.4 % of Asian adults compared to 12.9% of whites report being without a usual source of health care. Cambodians and Vietnamese are three times more likely to forgo visiting a doctordue to cost compared to all Asians or US residents.• Less satisfaction with care. Compared to other racial and ethnic groups, Asians are least likely to be satisfied with the speed of their care, doctor-patient communication, and office staff.• Fewer preventive services. Asians are less likely to have blood pressure monitoring and pap smears. In fact,cervical cancer screening...
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...Running head; HEALTHCARE DISPARITIES IN AFRICA 1 HEALTHCARE DISPARITIES IN AFRICA OKECHUKWU ONYEIZUGBE DHA8013 Action Research Health Administration 1 Capella University Abstract Objective: To summarize the current literature on racial and gender disparities in critical care and the mechanisms underlying these disparities in the course of acute critical illness. Data Sources: MEDLINE search on the published literature addressing racial, ethnic, or gender disparities in acute critical illness, such as sepsis, acute lung injury, pneumonia, venous thromboembolism, and cardiac arrest. Study Selection: Clinical studies that evaluated general critically ill patient populations in the United States as well as specific critical care conditions were reviewed with a focus on studies evaluating factors and contributors to health disparities. Data Extraction: Study findings are presented according to their association with the prevalence, clinical presentation, management, and outcomes in acute critical illness. Data Synthesis: This review presents potential contributors for racial and gender disparities related to genetic susceptibility, comorbidities, preventive health services, socioeconomic factors, cultural differences, and access to care. The data are organized along the course of acute critical illness. Conclusions: The literature to date shows that disparities in critical care are most likely multifactorial...
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...Health Care Disparities: Central of Disease Control and Prevention (CDC) defined heal disparities as “the differences in health outcomes and their causes among group of people.” These differences are closely linked with some racial and ethnic minorities, such as social, economic, and/or environmental (CDC, 2011). Health disparities are the metrics used to measure the health equity, where health equity represents providing qualified health care services for different groups of populations regardless there race, ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location (Georges, Benjamin, 2015). In the U.S. health care disparities is one of the longstanding health challenges with severe influences not only...
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...Eliminating Racial and Ethnic Disparities in the U.S. Healthcare Delivery System Alden Knight Health Services System – HSM541 DeVry University, Keller Graduate School of Management August 10, 2013 According to HHS when it comes to racial and ethnic disparities, they identify the lack of insurance as a significant driver of healthcare disparities. Lack of insurance, more than any other demographic or economic barrier, negatively affects the quality of health care received by minority populations. Racial and ethnic minorities are significantly less likely than the rest of the population to have health insurance. They constitute about one-third of the U.S. population, but make up more than half of the 50 million people who are uninsured (HHS 2011). Unfortunately, it has a negative impact on the U.S. healthcare delivery system. Primary care is the most important part of the health care system. According to the Agency for Healthcare Research and Quality or the AHRQ, about 30 percent of Hispanic and 20 percent of Black Americans lack a usual source of health care compared with less than 16 percent of whites. Also, Black Americans and Hispanic Americans are far more likely to rely on hospitals or clinics for their usual source of care than are White Americans (AHRQ 2013). The American Hospital Association or the AHA has convened the Special Advisory Group on Improving Hospital Care for Minorities as part of ongoing...
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...BURDEN OF HEALTH INEQUALITIES IN THE UNITED STATES Thomas A. LaVeist, Ph.D. Darrell J. Gaskin, Ph.D. Patrick Richard, Ph.D. September 2009 foreward Not everyone in the United States enjoys the same health opportunities. Studies show that minority Americans experience poorer than average health outcomes from cradle to the grave. They are much more likely to die as infants, have higher rates of diseases and disabilities, and have shorter life spans. As the U.S. Congress and the Obama Administration work toward enactment of legislation to reform America’s health care system, a central focus of the debate has been the projected cost of ensuring accessible and affordable health care to every citizen. While some have struggled with the premise that health care reform can actually reduce health-related spending, the experience of racial and ethnic minorities under our current health care system is a strong indication that improving opportunities for good health – and minimizing inequities in health care access and outcomes – may well be good for the nation’s fiscal health, as well. This study, commissioned by the Joint Center for Political and Economic Studies and carried out by leading researchers from Johns Hopkins University and the University of Maryland, provides important insight into how much of a financial burden racial disparities are putting on our health care system and society at large. The researchers examined the direct costs associated with the provision of care to a sicker...
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...Health Disparities in the African American Cultures Grand Canyon University February 14, 2016 Health Disparities in the African American Culture Health care disparities affect every group of ethnic minorities. These groups include African Americans, Hispanics/Latinos, Asian Americans, Pacific Islanders, Native Hawaiian, American Indian/Alaskan Natives or multiracial people. Racial and ethnic disparities are one of the many factors that produce inequalities in the health status of an individual in the United States. Whether it is caused by the quality of care, assess to care or insurance coverage. All cause problems for these cultures. In the 2000 census, 36.4 million persons, approximately 12.9% of the U.S. population, identified themselves as Black or African American; 35.4 million of these persons identified themselves as non-Hispanic (cdc, 2012). In 2007, the U.S. Census Bureau estimated that the United States had almost 38.8 million Black or African American (12.9% of the U.S. population); more than 45.5 million Hispanics or Latinos (15.1%); almost 13.4 million Asians (4.4%); more than 0.5 million Native Hawaiians or Other Pacific Islanders (NHOPIs) (0.2%) and more than 2.9 million American Indians and Alaskan Natives (AI/ANS) (1.0%) of whom 57% reside on federal trust lands (archive. ahrq,2014). African Americans by both censuses only make up 12.9% of the U.S. population but suffer ethnic and racial disparities at a high rate. This may be due to the lack of...
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...Healthcare disparities continues to be an issue, despite the progress and improvement in healthcare. Racial disparities, primarily associated with certain population is overwhelmingly caused by lack of health insurance coverage, assess to care and the quality of care received. Social determinant also plays a major role in healthcare outcomes for individuals. In the more affluent areas of communities across the country the life expectancy increases tremendously. In the poor and low income areas, individuals are plagued with health issues and lack of the basic resources for survival. Why is this? It comes down wealth and access to resources. More resources and opportunity are in areas where there is wealth. With the implementation of the affordable care act provisions have been made to help mitigate some of the challenges seen regarding access to care. For example, Maryland has pocket of community in low income areas that do not have access to healthcare. I know this trend occurs across the country. The question is what to do to...
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...Three Abbreviated Research Plans Introduction Public health practitioner, when presented with a crisis, problem, or circumstances in the community can use the different research methods, such as quantitative, qualitative, or mixed methods. These advance plans of query explore not only potential clarification, but it explores different route that will conclude an exact treatment or intervention and influence an outcome. The three abbreviated research plans will be outlined in this paper, will provide possible clarification to the rising concerns in the U.S. on health disparities in to the people in the community that have limited or no health insurance that will prevent them from receiving adequate medication, health care, and the use of preventive measures such as diet and exercise (Walden, 2012). Strength and Limitation of Research Methods The two major strengths found in the quantitative research methods are that using the strategy of inquiry, the researcher have the chance to test and confirm presented theories about how and why incident happen and test theory assemble before the information is achieve to study a large number of people in a determined community or population (Creswell, 2009). The next strength of this research is that based on the findings, the investigator can make an overview when the composed information is based on casual samples of major size (Creswell, 2009). According to Creswell (2009), the strength for the qualitative methods is the data...
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...Healthcare Disparities amongst minorities Racial and ethnic minorities have a predisposition to obtain a lower quality of healthcare than those of non-minorities, even when access-related factors, such as a patients’ insurance status and income, are measured. The sources of these disparities are complex, and are rooted in historic and contemporary injustices, and includes numerous participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and patients. Research and studies have found indications that stereotyping, prejudices, and uncertainty on the behalf of healthcare providers can all contribute to unequal treatment. The situations in which many clinical encounters take place - written off as high time pressure, cognitive complexity, and pressures for cost containment, may perhaps increase the chance that these practices will consequently result in care poorly matched to minority patients’ needs. Minorities can experience a range of other barriers to accessing care, even when insured at the same level as Caucasians; which may include language barriers, geographical areas, and cultural familiarities. Furthermore, financial and institutional arrangements of health systems, as well as the legal, regulatory, and political atmosphere in which they function, may have unequal and negative effects on minorities’ capability to reach quality care. A widespread, multi-level...
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...Health disparities among racial and ethnic groups present a complex national issue. ….Health disparities are the differences in frequency, commonly occurring, raising the death rate, diseases that are difficult to bear, and other adverse health conditions or outcome that exists among specific population groups in the United States. …The specific population groups can be based on gender, age, ethnicity, socioeconomic status, geography, sexual orientation, disability, or special health care needs. Health disparities occur among groups who have persistently experienced historic trauma, social disadvantage, or discrimination. They are widespread in the United States as demonstrated by the fact that many minority groups in the United States have a higher incidence of chronic diseases, higher mortality, and poorer health outcomes when compared to whites.” ( Multicultural Health. n.d., p.14) …The causes of health disparities are due to both voluntary and involuntary factors. Voluntary factors are related to health behaviors, such as smoking and diet, and can be avoided. …Factors such as genetics, living and working in unhealthy conditions, limited or no access to health care, language barriers, limited financial resources, and low health literacy skills are often viewed as being involuntary and unfair, because they are not within that person’s control.”(Multicultural Health., n.d., p.19) From the research reported by the institute of medicine an overwhelming body of evidence in the...
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...Population health is defined as the organized, all inclusive method to health care, the division of health outcomes in a population, the determining factors that affect the distribution of care, and the policies and interventions that influence, and are influenced by the determining factors. The population health framework seeks to repair a health care system what is considered ineffective, and economically unfair, and managed poorly. Some of the attributes of population health are it is centered upon patient care. It looks to eliminate inequality in healthcare, increase safety, and promote health care that is accessible, effective, and equal for all people. Population health calls for managing health promotion, prevention, and screening. Population health seeks to ensure everyone has access to the same quality of healthcare. Its strives to make sure all who receive health care are able to understand the care that is given are provided with resources to receive the appropriate care. Three major areas are the focus of health disparities: differences in access and services for use, within and across facility difference, and the socioeconomic status. Differences in access are based on location, lack of source for care, and lack of insurance. Within and across facility difference deals with the handling and redirecting of resources based on ethnic/racial group. Population health strives to make certain no one goes lacking in care because of the inability afford health insurance...
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...Latangela Stewart SOC -358: Health Disparity Paper 2 April 23, 2013 How Can Diabetes In Low Income African Communities Be Resolved It’s hard to fathom the affects that diabetes has taken in our low income African American communities. Now we have to look at what we can do and have done to help the people who are a part of this health disparity overcome this socioeconomic tragedy. We first have to look at clinical barriers which play a large role on how physicians are interacting with their patients. Even though there are the sociocultural differences between the patient and the provider we have to look at the fact that they both have different health and medical beliefs. With that being known that is where the level of trust has to be obtained. Due to sociocultural difference the physician’s knowledge of the needs of their patients has to be well rationalized. There is an obvious and direct link between these structural barriers and quality of care that remains a fertile area for intervention (Betancourt, Green, Carrillo, & Anaheh-Firempong, 2003). With the racial disparities in the U.S. health care system, there has to be many ways that this health disparity can be prevented. Many low income families feel that they receive the shorter end of the stick when it comes to good decent healthcare. Socioeconomic has it many disadvantages and advantage and what it meant by that is when you are living in a poor rural area; you more likely to be less educated or unhealthy, which...
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...Vulnerable Population and Self-Awareness Vulnerable populations are groups that are not well integrated into the health care system because of ethnic, cultural, economic, geographic, or health characteristics. This isolation puts members of these groups at risk for not obtaining necessary medical care, and thus constitutes a potential threat to their health. Commonly cited examples of vulnerable populations include racial and ethnic minorities, the rural and urban poor, undocumented immigrants, and people with disabilities or multiple chronic conditions. Persons with disabilities and multiple chronic conditions may find it difficult to obtain insurance coverage because small employers cannot afford to add workers to their health plans who are likely to have high medical costs, and finding an affordable insurance plan as an individual with pre-existing conditions is very difficult. The geographic and economic isolation of some poor rural residents may make access to specialty care difficult, even if they are covered by insurance. Finally, prohibitions against public insurance coverage, fear of being discovered, and language barriers are all factors that may keep undocumented immigrants from seeking care. The reasons for disparities are varied. For example, in access to health care, racial and ethnic minorities may lag behind non-Hispanic whites because patterns of residential segregation separate minorities from the supply of providers, because of language and cultural barriers...
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