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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781
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Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781
Get Book Here
Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309092116
Category : Social Science
Languages : en
Pages : 753
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Book Description
In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309165865
Category : Social Science
Languages : en
Pages : 184
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Book Description
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309452961
Category : Medical
Languages : en
Pages : 583
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Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Ronald H. Bailey
Publisher: Seafarer Books
ISBN: 9780809424788
Category : History
Languages : en
Pages : 212
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Book Description
Author: Glenn C. LOURY
Publisher: Harvard University Press
ISBN: 0674040325
Category : Social Science
Languages : en
Pages : 241
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Book Description
Speaking wisely and provocatively about the political economy of race, Glenn Loury has become one of our most prominent black intellectuals--and, because of his challenges to the orthodoxies of both left and right, one of the most controversial. A major statement of a position developed over the past decade, this book both epitomizes and explains Loury's understanding of the depressed conditions of so much of black society today--and the origins, consequences, and implications for the future of these conditions. Using an economist's approach, Loury describes a vicious cycle of tainted social information that has resulted in a self-replicating pattern of racial stereotypes that rationalize and sustain discrimination. His analysis shows how the restrictions placed on black development by stereotypical and stigmatizing racial thinking deny a whole segment of the population the possibility of self-actualization that American society reveres--something that many contend would be undermined by remedies such as affirmative action. On the contrary, this book persuasively argues that the promise of fairness and individual freedom and dignity will remain unfulfilled without some forms of intervention based on race. Brilliant in its account of how racial classifications are created and perpetuated, and how they resonate through the social, psychological, spiritual, and economic life of the nation, this compelling and passionate book gives us a new way of seeing--and, perhaps, seeing beyond--the damning categorization of race in America.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309091268
Category : Social Science
Languages : en
Pages : 335
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Book Description
Many racial and ethnic groups in the United States, including blacks, Hispanics, Asians, American Indians, and others, have historically faced severe discriminationâ€"pervasive and open denial of civil, social, political, educational, and economic opportunities. Today, large differences among racial and ethnic groups continue to exist in employment, income and wealth, housing, education, criminal justice, health, and other areas. While many factors may contribute to such differences, their size and extent suggest that various forms of discriminatory treatment persist in U.S. society and serve to undercut the achievement of equal opportunity. Measuring Racial Discrimination considers the definition of race and racial discrimination, reviews the existing techniques used to measure racial discrimination, and identifies new tools and areas for future research. The book conducts a thorough evaluation of current methodologies for a wide range of circumstances in which racial discrimination may occur, and makes recommendations on how to better assess the presence and effects of discrimination.
Author: Dr. Robin DiAngelo
Publisher: Beacon Press
ISBN: 0807047422
Category : Social Science
Languages : en
Pages : 194
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Book Description
The New York Times best-selling book exploring the counterproductive reactions white people have when their assumptions about race are challenged, and how these reactions maintain racial inequality. In this “vital, necessary, and beautiful book” (Michael Eric Dyson), antiracist educator Robin DiAngelo deftly illuminates the phenomenon of white fragility and “allows us to understand racism as a practice not restricted to ‘bad people’ (Claudia Rankine). Referring to the defensive moves that white people make when challenged racially, white fragility is characterized by emotions such as anger, fear, and guilt, and by behaviors including argumentation and silence. These behaviors, in turn, function to reinstate white racial equilibrium and prevent any meaningful cross-racial dialogue. In this in-depth exploration, DiAngelo examines how white fragility develops, how it protects racial inequality, and what we can do to engage more constructively.
Author: Darren W. Davis
Publisher: University of Chicago Press
ISBN: 022681484X
Category : HISTORY
Languages : en
Pages : 364
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Book Description
"The recent United States presidential election as well as the responses to the protests about the death of Blacks at the hands of the police has brought forward the question of racism among white voters. In Racial Resentment in the Political Mind, Darren Davis and David Wilson explore the idea that racial resentment, rather than simply racial prejudice, is the basis for growing resistance among whites to efforts to improve the circumstances faced by minorities in the United States. The authors start with the idea that there is growing sentiment among whites that they are "losing-out" and "being cut in line" by Blacks and other minorities, as reflected in an emphasis on diversity and inclusion, multiculturalism, trigger warnings, and political correctness, an increase in African Americans occupying powerful and prestigious positions, and the election of Barack Obama as the first Black president. The culprits, as they see it, are undeserving Blacks, as well as other minorities, who are perceived to benefit unfairly from, and take advantage of, resources that come at whites' expense. This rewarding of unearned resources challenges the status quo and the "rules of the game," especially as they relate to justice and deservingness. These reactions may not stem from racial prejudice or hatred toward Blacks; instead, they may result from threats to whites' sense of justice, entitlement, and status. This sentiment is occurring among everyday citizens who do not subscribe to hate-filled racial or nationalistic ideologies but rather seek to treat everyone respectfully and equally, even those who are different, and understand that rejecting others because of racial prejudice is offensive"--
Author: Lawrence R. Jacobs
Publisher: Russell Sage Foundation
ISBN: 1610443047
Category : Political Science
Languages : en
Pages : 257
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Book Description
In the twentieth century, the United States ended some of its most flagrant inequalities. The "rights revolution" ended statutory prohibitions against women's suffrage and opened the doors of voting booths to African Americans. Yet a more insidious form of inequality has emerged since the 1970s—economic inequality—which appears to have stalled and, in some arenas, reversed progress toward realizing American ideals of democracy. In Inequality and American Democracy, editors Lawrence Jacobs and Theda Skocpol headline a distinguished group of political scientists in assessing whether rising economic inequality now threatens hard-won victories in the long struggle to achieve political equality in the United States. Inequality and American Democracy addresses disparities at all levels of the political and policy-making process. Kay Lehman Scholzman, Benjamin Page, Sidney Verba, and Morris Fiorina demonstrate that political participation is highly unequal and strongly related to social class. They show that while economic inequality and the decreasing reliance on volunteers in political campaigns serve to diminish their voice, middle class and working Americans lag behind the rich even in protest activity, long considered the political weapon of the disadvantaged. Larry Bartels, Hugh Heclo, Rodney Hero, and Lawrence Jacobs marshal evidence that the U.S. political system may be disproportionately responsive to the opinions of wealthy constituents and business. They argue that the rapid growth of interest groups and the increasingly strict party-line voting in Congress imperils efforts at enacting policies that are responsive to the preferences of broad publics and to their interests in legislation that extends economic and social opportunity. Jacob Hacker, Suzanne Mettler, and Dianne Pinderhughes demonstrate the feedbacks of government policy on political participation and inequality. In short supply today are inclusive public policies like the G.I. Bill, Social Security legislation, the War on Poverty, and the Voting Rights Act of 1965 that changed the American political climate, mobilized interest groups, and altered the prospect for initiatives to stem inequality in the last fifty years. Inequality and American Democracy tackles the complex relationships between economic, social, and political inequality with authoritative insight, showcases a new generation of critical studies of American democracy, and highlights an issue of growing concern for the future of our democratic society.
