Unequal Treatment

Unequal Treatment PDF 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.

Unequal Treatment

Unequal Treatment PDF 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.

Ethnicity, Health and Primary Care

Ethnicity, Health and Primary Care PDF Author: Joe Kai
Publisher: Oxford University Press
ISBN: 0191003328
Category : Medical
Languages : en
Pages :

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Book Description
There is increasing ethnic diversity in our society posing challenges for health professionals and health care. Existing texts on ethnicity and health are often esoteric and academic in focus, accessible to researchers and policy analysts rather than health practitioners. Other texts consider a single health topic or cultural group. Ethnicity, Health and Primary Care is a new book, intended as a broad but concise and practical introduction to ethnicity and health care for a wide range of health professionals - general practitioners, GP registrars, practice and community nurses, bilingual workers, medical students and other health practitioners in training. Although focusing on primary care, the book's general principles and its clinical coverage will be highly relevant to other health and social care practitioners, in addition to those developing and commissioning health services. Chapters have been written to enable busy practitioners and students to grasp the essentials quickly and easily. The book aims to stimulate readers to learn about and develop an effective approach to ethnic diversity in health care. Rather than be an encyclopaedia of different ethnic groups and cultural practices, this book emphasises the need for practitioners to respond to people as individuals within a broader understanding of the diverse needs of communities. It thus promotes generic principles for good practice wherever diversity has an impact. Having underlined these principles the book considers major clinical topics and groups arguably of particular concern for the health of diverse ethnic communities.

Communities in Action

Communities in Action PDF 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.

Race, Ethnicity, and Language Data

Race, Ethnicity, and Language Data PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309140129
Category : Medical
Languages : en
Pages : 286

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Book Description
The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life PDF 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.

Eliminating Health Disparities

Eliminating Health Disparities PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309166136
Category : Medical
Languages : en
Pages : 310

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Book Description
Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

Ethnicity, Health and Primary Care

Ethnicity, Health and Primary Care PDF Author: Joe Kai
Publisher: OUP Oxford
ISBN: 0198515731
Category : Medical
Languages : en
Pages : 230

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Book Description
This new book offers a broad but concise and practical introduction to ethnicity and health care for a wide range of health professionals. It will enable busy practitioners and students to grasp the essentials quickly and easily so they can develop an effective approach to ethnic diversity in health care. Although focusing on primary care, the book's general principles and its clinical coverage mean it will be relevant to other health and social care practitioners, in addition to those developing and commissioning health services.

Unequal Treatment

Unequal Treatment PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030921582X
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.

Improving Racial and Ethnic Data on Health

Improving Racial and Ethnic Data on Health PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309090946
Category : Medical
Languages : en
Pages : 58

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Book Description
The panel convened the Workshop on Improving Racial and Ethnic Data in Health to review information about current private-sector and state data collection practices in light of existing federal, state, and local regulations, laws, and requirements. The workshop presentations featured the perspectives of data users, health care providers, insurance plan representatives, state and local public health officials, and regulatory officials. Participants assessed policies, practices, barriers, and opportunities for collecting racial and ethnic data in their settings, and explored ways that private and state systems can be improved to address data needs. In preparation for the workshop, the panel commissioned four background papers to fill gaps in knowledge of private-sector and state government policies and practices and to address the importance of racial and ethnic data collection. The panel is also examining the role of socioeconomic status regarding health and health care disparities. However, the workshop intended to focus only on racial and ethnic data collection. The panel's final report will contain a full consideration of the collection of racial, ethnic, and socioeconomic status data.

Ethnicity and Healthcare Practice

Ethnicity and Healthcare Practice PDF Author: Lorraine Culley
Publisher:
ISBN: 9781856423663
Category : Communication in nursing
Languages : en
Pages : 123

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Book Description
Concise overview of the key issues in understanding the relationships between ethnicity and health. Includes practical suggestions and resources for primary health providers. Each chapter includes a brief overview, examples of good practice and a resources section. Description This book provides a social perspective on illness within different ethnic groups with practical suggestions for primary health providers on a wide range of issues such as how to deal with communication and language barriers with minority ethnic communities. It explores different cultural perspectives of medical care including complementary and Chinese medicine and considers the ethical dilemmas relating to contemporary medical advances. It also discusses mental health issues as well as needs of refugees and asylum seekers. Each chapter provides a brief overview, examples of good practice, key point boxes and a resources section Author information Dr Lorraine Culley is Professor of Social Science and Health and Associate Director of the Mary Seacole Centre for Health Research at De Montfort University, Leicester. She is the Knowledge-Share Editor for the Journal of Diversity in Health and Care. Dr Simon Dyson is a Professor of Applied Social Sciences and Director of the Unit for the Social Study of Thalassaemia and Sickle Cell at De Montfort University, Leicester.