Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (full Printed Version)Brian D. Smedley, Adrienne Y. Stith, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care National Academies Press, 2003 - 764 pages 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. |
From inside the book
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Page 87
... Hispanic Americans Hispanic Americans face greater barriers to health insurance than all other U.S. racial and ethnic groups . The probability of being uninsured among Hispanic Americans is 35 percent , compared with 17.5 percent for ...
... Hispanic Americans Hispanic Americans face greater barriers to health insurance than all other U.S. racial and ethnic groups . The probability of being uninsured among Hispanic Americans is 35 percent , compared with 17.5 percent for ...
Page 97
... Hispanic populations , such as Brownsville and McAllen ( Texas ) and Mi- ami ( Florida ) , Hispanic segregation is high , with isolation indices aver- aging 77.2 . This suggests that more than 3 of 4 Hispanics lacks regular neighborhood ...
... Hispanic populations , such as Brownsville and McAllen ( Texas ) and Mi- ami ( Florida ) , Hispanic segregation is high , with isolation indices aver- aging 77.2 . This suggests that more than 3 of 4 Hispanics lacks regular neighborhood ...
Page 152
... Hispanic patients en- rolled in managed care plans , however , were more likely than whites en- rolled in MCOs to lack a regular provider , as approximately two of every five ( 38 % among African Americans and 42 % among Hispanics ) ...
... Hispanic patients en- rolled in managed care plans , however , were more likely than whites en- rolled in MCOs to lack a regular provider , as approximately two of every five ( 38 % among African Americans and 42 % among Hispanics ) ...
Contents
SUMMARY | 1 |
INTRODUCTION AND LITERATURE REVIEW | 29 |
THE HEALTHCARE ENVIRONMENT AND | 80 |
Copyright | |
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adjusted Administrative data African Ameri African Americans African-American patients American and white American Medical Association Analyses angioplasty Asian Asian Americans Assessed racial differences black patients CABG cancer cardiac catheterization cardiovascular catheterization Center clinical co-morbid committee controlling coronary cross-cultural cultural diabetes diagnosis discrimination disease disparities in healthcare doctor ences ethnic differences ethnic disparities ethnic minority factors federal gender health plans health services health systems healthcare disparities healthcare providers Hispanic Institute of Medicine insurance status Internal Medicine intervention Journal Latino less Logistic regression managed managed care Medicaid Medicare minority patients myocardial infarction National Native Americans nurses odds ratio outcomes participant physicians populations primary programs PTCA racial and ethnic Racial/ethnic groups rates Recommendation regression to assess renal Retrospective study revascularization Sample socioeconomic stereotypes surgery TABLE B-1 Continued therapy tients tion transplantation treatment U.S. Department white not examined white patients white women whites to receive