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 35
... factors from the quality of healthcare for minorities remains an artificial exercise , and that policy solutions must consider the historic and contemporary forces that contribute to differences in access to and quality of healthcare ...
... factors from the quality of healthcare for minorities remains an artificial exercise , and that policy solutions must consider the historic and contemporary forces that contribute to differences in access to and quality of healthcare ...
Page 75
... factors that will be discussed later in this report . In addition , as noted below , no research has yet illu- minated the relative contribution of these factors to the healthcare dis- parities observed in the literature . Assessing ...
... factors that will be discussed later in this report . In addition , as noted below , no research has yet illu- minated the relative contribution of these factors to the healthcare dis- parities observed in the literature . Assessing ...
Page 76
... factors influence the provi- sion and receipt of diagnostic and therapeutic healthcare services . Fur- ther , healthcare outcomes are influenced by a wide variety of factors , many of which are beyond the scope of clinical factors such ...
... factors influence the provi- sion and receipt of diagnostic and therapeutic healthcare services . Fur- ther , healthcare outcomes are influenced by a wide variety of factors , many of which are beyond the scope of clinical factors such ...
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