Recently, significant attention has focused on racial disparities in health care and health status in the medical community. Epidemiology and risk distribution are important for a wholesome medical education, and risk distribution by race can inform a clinician's diagnosis. However, when health care professionals identify race as a risk factor for certain diseases, that information may be disingenuous if the authors misperceive race with income, education, or behavior. In other words, many other factors besides race affect disease prediction, and are, in some cases, stronger predictors of disease and disease outcomes. In a study done by Sheets et al., evaluating the “validity of attributing race as a risk factor in a widely used pathology book… …show more content…
Physicians routinely make crucial decisions about medical care for patients whose lives hang in the balance. In the face of such high stakes, it may be surprising to think that automatic associations can unknowingly bias professional decision-making. One study compared implicit racial bias between White American doctors and Black American doctors and found that “African American doctors, on average, did not show an implicit preference for either Blacks or Whites…” The implicit racial biases of White physicians also seem to play a role in predicting how positively or negatively Black patients respond to the medical interaction (http://www.ncbi.nlm.nih.gov/pubmed/19648715) (Penner, Dovidio, West, Gaertner, Albrecht, Daily, & Markova, 2010), (Penner, L., Dovidio, J., West, T., Gaertner, S., Albrecht, T., Dailey, R., & Markova, T. (2010). Aversive racism and medical interactions with Black patients: A field study- Journal of Experimental Social Psychology, 46, 436-440). Organizations can do many things like providing training implicit bias and diversity; seek to identify consciously the differences between different groups and individuals; and increasing emphasis on the education of social issues such as stereotyping and …show more content…
Most health care plans do not collect socioeconomic or racial/ethnic data on their plan members. The recognition of disparities in health care as a quality issue has far-reaching implications for reducing socioeconomic and racial/ethnic disparities in health care. It is difficult to isolate racial/ethnic disparities in health care due to socioeconomic disparities because race and socioeconomic position are so closely intertwined, especially in the United States. However, socioeconomic position appears to be the more powerful determinant of health, as mentioned above. Fiscella et al. proposed five principles for addressing disparities, some of which were- 1) “disparities must be recognized as a significant quality problem”; and 2) “an approach to disparities should account for the relationships between both socioeconomic position and race/ethnicity and morbidity. Consideration should be given to linking reimbursement to the socioeconomic position and racial/ethnicity composition of the enrolled population.”
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
Race-based medicine is not meant to divide people, but rather to give better medical help to people of a certain demographic. Race-based medicine is created based on knowledge of predispositions of any given race. For example, it is a fact that heart disease is the leading cause of death for racial groups including African-Americans, Hispanics, and whites in the United States. When medical experts have this knowledge, the process of making diagnoses is
Racial disparities in The United States health care system are widespread and well documented. Social and economic inequalities between racial minorities and their white counter parts have lead to lower life expectancy rates, higher infant mortality rates, and overall poorer health for people of color. As the nation’s population continues to become increasingly diverse, these disparities are likely to grow if left unaddressed. The Affordable Care Act includes various provisions that specifically aim to reduce inequalities for racially and ethnically marginalized groups. These include provisions in the Senate bill and House bill that aim to expand coverage, boost outreach and education programs, establish standards for culturally and linguistically appropriate practices, and diversify the health care workforce. The ACA, while not a perfect solution for eliminating health disparities, serves as an important first step and an unprecedented opportunity to improve health equity in the United States.
No citizen shale ever be ignored no matter their race, state of health, or class. In the US “barriers generally stem from forces within the organizational environment of the health care delivery system or within the broader social system itself” (Barr, 2011, p. 273). This is why health policy scholars need to study health disparities so that equal care can ultimately be reached. Currently some disparities that are obvious in society are unequal dispersion and quality of care between racial groups, genders, and those with low middle class income. The health care system needs to be fixed and in order for that to happen health scholars must study better procedures so that the best possible outcome can be reached for the American
Health Disparities and Racism is an ongoing problem that is reflected among society. Health is when an individual is physically, mentally and social well being is complete. However health disparities seems to be a social injustice within various ethnicities. Health disparities range from age, race, income, education and many other things. Even though we realize health disparities are more noticeable depending on the region of country where they live in. Racism is one of the most popular factors, for why it’s known that people struggle with health.
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
The disparities in the healthcare system contribute to the overall health status disparities that affect ethnic and racial minorities. The sources of ethnic and racial healthcare disparities include cultural barriers, geography differences, or healthcare provider stereotyping. In addition, difficulties in communication between health care providers and patients, lack of access to healthcare providers, and lack of access to adequate health care coverage
It is said that Disparities in health, begin at birth for many African-Americans and continues through life. There are many inequalities in this county that has often got over looked. Health inequality is part of American life, so deeply entangled with other social problems — disparities in income, education, housing, race, gender, and even geography that analysts have trouble saying which factors are cause and which are effect (D. C., Alvin Powell, Harvard Staff Writer) . Stated in the article there has been a clinical study providing solid evidence that the suspicion about black Americans face life-threatening inequalities in healthcare, which was published by the Journal of American Medical Association. Blacks were less likely than whites to receive medical
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
Since Congress enacted the ACA in 2010, the United States government has repeatedly pointed to the law as evidence of its commitment to address racial disparities in access to health care, abide by its international human rights obligations, and advance the nation’s global credibility on nondiscrimination in health care. On the other hand, and by repealing ACA, the Congress is now in contradiction with its claims where it stated that ACA helped close the huge gap between racial minorities in accessing health insurance. In its 2010 report to the U.N. Human Rights Council on the state of human rights in the United States, the U.S. government asserted that the ACA “will help our nation reduce disparities and discrimination in access to care that
We all have one life to live, and the health care system does not need to have a place for hate, anger, stereotypes, discrimination, or racism. It is uncomfortable to the patients and to those who wants to deliver the best care possible, it is uncomfortable to hear people talking about how they are treated by different person and how they treat them back. We should all avoid discrimination, in order to eradicate those historic prejudices. This is the time to address all those differences and stop it from affecting the health of those patients and the minds of everyone involved because every healthcare giver sacrificed and studied really hard to protect and serve those in need and there is no space for differences, we need to create a safe environment because racism, hurts all of
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
The individual, group, and societal outcomes of discrimination in health care can be detrimental. Individuals may not receive the proper health care that they deserve due to being a victim of discrimination, and this may then lead to poor health outcomes. In addition, this same concept also goes for group and societal outcomes. In general, any sort of discrimination that leads to poor health care can be detrimental for an individual, group, and a society. Perceived discrimination is associated with both negative health outcomes and negative perceptions of quality of care (Andreae et al., 2015).