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Initiatives against discrimination in health care
Health disparities in the united states today
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What are Health Disparities and why do they matter? As much as those in society may like to believe that all people, no matter their skin color, have equal health outcomes and equal access to quality health care, this is simply not the case. The fact is that health disparities, which are health or health-care differences among racial-ethnic groups, exist. Health disparities can also be defined as differences in morbidity, mortality, and access to health care among different populations based on criteria like socioeconomic status, gender, and race/ethnicity [1]. Knowing that these disparities exist, we can begin to analyze why they may be occurring. One of the main contributors to this phenomenon that is deeply rooted into the system is the …show more content…
One downfall of the system is a lack of diversity in care providers. Evidence shows that 13% of the U.S. population is black, but only 4% of U.S. physicians are black [4]. Diversity in the health care workforce is important because minority doctors are more likely to practice in underserved areas treating minority patients [6], which increases access to a provider for these groups. Also, having diverse providers in the workplace is an organizational way to provide education to other providers who may not have been exposed to different cultures and beliefs, increasing awareness among all providers about the necessity to remain culturally sensitive [7]. However, the data shows that most medical school graduates continue to be white and the number of black men completing medical school has been trending downwards since 1997. This deficit in minority care providers can be attributed to a decreased ability for schools in areas with high populations of minorities to prepare students for college, a lack of federal support in such areas, and the financial inability for these students to pursue higher education [6]. As seen in Figure 2, by a very large margin, white medical school graduates are the majority (green) while black (purple), Hispanic (blue), and American Indian (red) graduates are greatly underrepresented [7]. Not only are there racial disparities in the distribution of medical students, but they also exist in medical school faculty. This is significant because it creates an environment in which black medical students lack a significant presence of role models in their educational setting. A study described in Ansell et al. showed that black faculty members were less likely to have been retained than any other group. They were also less likely to be promoted, to hold senior faculty or administrative positions, and
Oliver, M. N., Wells, K. M., Joy-Gaba, J., Hawkins, C. B., & Nosek, B. A. (2014). Do Physicians' Implicit Views of African Americans Affect Clinical Decision Making? The Journal of American Board of Family Medicine, 27 (2), 177-188. Retrieved from www.jabfm.org
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
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
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.
Diabetes Programs: The Scripps Whittier Diabetes Institute Experience. Curr Diab Rep Current Diabetes Reports, 14(2). Doi:10.1007/s11892-013-0462-0
Health care inequality has long been customary in the United States. Those in lower classes have higher morbidity, higher mortality, higher infant mortality, and higher disability. Millions of low-income families and individuals have gone with out the care they need simply because they cannot afford it. Denial of benefits due to pre-existing conditions, outrageous deductibles, and unreasonable prescription prices are in large part why the low-income class suffers. In addition, not receiving preventative health care, lack of access to exercise equipment and lack of availability to fresh foods all create health problems that become to expensive to fix. Low-income families need to have better, more affordable access to health care, specifically preventative health care, and be more educated about the benefits of health care in order to narrow the gap of inequality. The new Affordable Care Act under the Obama administration expands heath care coverage to many low income families and individuals by lowering the eligibility requirements for Medicaid, although it is not mandatory for individual states to make this expansion for Medicaid coverage.(CITE) It also requires that preventative health care be included in coverage by insurance companies. So with all the benefits the expansion of Medicaid could offer, why would some states choose not to offer it?
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
because evidence indicates that among other benefits, it is associated with improved access to health care for racial and ethnic minority patients, greater patient choice and satisfaction, and better educational experience for health professions students” (Why Diversity Matters in the Health Professions
Health disparity is one of the major concerns in the provision of quality care and access to healthcare which directly the life expectancy of the nation as about ethnicity and race. However, describing the health outcomes or status of an ethnic group in the population would help in a better evaluation of the disparities that occur within minority groups in our society. “Racial/ethnic disparities in health and quality of and access to health care are a well-documented and persistent problem. Across many indicators of health, access to care, and health care quality, racial/ethnic minorities fare worse than whites, and each population faces specific challenges”(James et al., 2017, p. 1).
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 healthcare workforce is suffering critically due to its lack in diversity. As healthcare organizations are growing and the number of patients is increasing, so is the diversity of the patients. There are more minority patients are the number of minorities increase in the United States. The need for minority employees is crucial in that they are needed to help assist patients who have the similar cultural, racial, and ethnic upbringings. There are many barriers in healthcare workforce that are keeping minorities from reaching their full potential to become employees in healthcare, particularly upper-level leadership positions; as patients continue to become more diverse, so does the need of employees.
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
is very expensive, and yet in many local hospitals there are nursing shortages. In many rural areas, there are also physician and nursing shortages (Holtz, 2008). Physicians and nurses are paid well for their jobs in the U.S. there is just an increase need of more health care providers. There are major health disparities in the U.S. amongst different races, ethnicities, and socioeconomic statuses (Holtz, 2008). People who are poor, or of low income, probably will not have the health care they need, and have a higher chance of having a mental illness in comparison to those from higher economic status (Holtz, 2008). With that, it is clear that there is an uneven distribution of health care in the United States. Lessened minorities are less expected than the greater minority to have good health care, with less opportunity to access diagnostic examinations, medications, and surgical practices (Holtz,
In the healthcare system, it is needed even more. Many healthcare facilities need to have their workforce diverse in order to reap benefits. In the 2000 U.S. Census, African Americans accounted for nearly 12.7 percent of the workforce, that number hasn’t increased exponentially today. Many minorities are underrepresented in the healthcare workforce, which can affect delivery of healthcare. Some benefits that many organizations see from a diverse work environment are: varied ideas, a larger talent pool, reduced discrimination, and more productivity. These benefits can impact the healthcare delivery system by improving quality of care and quality in the
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