Essay on Barriers and Disparities in Health Care

Barriers to healthcare include factors that restrict or hinder people from receiving adequate and quality health care service. Health care disparities are those differences that negatively affects less advantaged group (Mehta, 2014). Health care barriers play a significant role in comprehending causes of disparities. This paper will discuss the obstacles and disparities that exist and affects healthcare.

Many Americans have access to health care that enable them to receive the care they need. Other faces a variety of barriers that make it difficult to receive health care services. According to the National Healthcare Disparities Reports, racial and ethnic groups are disproportionately represented among the uninsured and lower socioeconomic status. The report showed that health insurance is a contributing factor for poor health for some of the core measures and little improvement (AHRQ, 2014).

In the United States, we believe that health care should not differ by race, ethnicity, socioeconomic status or geographic location. When these differences do exist, they are referred to as disparities. We see this when racial and ethnic minorities receive lower quality healthcare than whites, when age is a determinant of quality of care, when level of education or sexual orientation are taken into consideration or when a person is uninsured or must rely on government issued health coverage for care. It is important to understand that differences in

Radical and Ethnic disparities continue to be a problem in America and have adversely affected the minority population health and health care. However, there has been remarkable improvement over the past centuries, but more work need to be done. Although ethnic and radical disparities exist for many complex and interacting factors, “such disparities are unacceptable.” Focusing on ways to reduce or eliminate health disparities can resolve these issues and improve the quality of care to every individual. This article provides an overview of the issues surrounding health and health care disparities, efforts to close the gaps, and recommendation for making further progress.

For this paper and hereinafter health disparity is defined as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion.”(healthypeople.gov). This definition is from Healthy People 2020, the guide for the Nation’s health promotion.

Within the United States some populations groups face greater challenges then the general public with being able to access needed health care services in a timely fashion. These populations are at a greater risk for poor physical, psychological, and social health. The correct term would be underserved populations or medically disadvantaged. They are at a disadvantaged for many reason such as socioeconomic status, health, and geographic conditions. Within these groups are the racial and ethnic minorities, uninsured children, women, rural area residents, mentally ill, chronic illness and the disabled. These groups experience greater barriers in access to care, financing of care, and cultural acceptance. Addressing these

Terminating the medical care inequalities gap is a problematic, multifaceted task. A study that surveyed 14 racial and ethnic minority subgroups determined that health inequalities could be constricted by providing minorities with better health care coverage, more adequate language skills and assistance, and higher incomes. However, the authors noted that other important factors such as biases, uncertainty in the provision of medical care, and stereotyping would also need to be covered. Ending the disparity gap is not only ethically and professionally imperative, it remains an obvious civil rights inequality that must be addressed. Since the 1990s, federal government, health insurers, and other stakeholders have taken an increased interest in addressing health care inequalities among Hispanics groups. For instance, the Healthy People 2010 initiative highlighted the elimination of racial and ethnic health disparities as a prominent public health goal for the next

Disparities in health care are significant in the United States and the root causes are multifactorial. Social determinants of health such as poverty, socioeconomic status, access to resources, and patient education influence health outcomes. Emerging data has shown health literacy as a potential contributor to health disparities that impact health and lifestyle choices (Yee, 2017). Health literacy, characterized as a skill set necessary to understand health information, involves communication skills of both patient and health professionals as well as cultural factors. For example, low health literacy has been shown to contribute to health disparities, especially in racial and ethnic minorities (Hill-Briggs, 2012). As a result of an increasingly diverse ethnic/cultural and racial

One of the goals of Healthy People 2020 is to increase access to health care, specifically through reducing “the proportion of persons who are unable to obtain or delay in obtaining necessary medical care” (Healthy People 2020) from 4.7 percent to 4.2 percent. The Center for Medicare Advocacy, and the California Health Policy Forum, have both identified race and ethnicity as key components of healthcare disparity. Defined as “a difference in which disadvantaged social groups such as the poor, racial/ethnic minorities, women and other groups who have persistently experienced social disadvantage or discrimination systematically experience worse health or greater health risks than more advantaged social groups,” (Center for Medicare Advocacy) policies to protect this population are non-specific.

Introduction Health disparities exist across socioeconomic classes, races, and genders, among other characteristics. Often, social determinants of health are cross-sectional in that one typically affects another. Regardless of location, an ethnic majority is more likely to receive the benefits of quality care whereas the minority in that same area is likely to have unequal access to the quality of care that they, as humans, are entitled to have. Disparities between two ethnic groups stem from sociocultural as well as biological factors. In the United States, differences between Native American populations and their white American counterparts are not unknown to the average American.

Throughout history, the health care system of the United States has always had some form of disparities. These disparities are a major concern in today's health care system, especially since equality is held as the highest standard in our society. But in order to understand how health disparities can be brought to a halt, an understanding of the determinants of health is needed. Health of individuals and populations is determined by many factors such as, health services, race and ethnicity, socioeconomic status, environment, geography, legislative policies, genetics, etc. Solutions to these problems have been the

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

Within the United States, there are substantial inequalities between the places and people. The rural community is one of such significant inequalities and health care disparities. With approximately one-sixth of the population in the United States of America living in rural areas, it is necessary to address the social and economic conditions accountable for the health disparities and inequalities among this vulnerable population.

Sociocultural differences, according to Ellis and Hartley (2008), also affect access. If a patient feels uncomfortable in a health care setting related to their socioeconomic status or they feel their beliefs are not respected, they are hesitant to use services provided (Ellis & Hartley, 2008). Awareness and sensitivity to different lifestyles and beliefs can lessen misconceptions and minimize

These kinds of findings are crucial in identifying barriers in immigrant populations so healthcare professionals and policies can be put in place to increase understanding and awareness. Once determined, these barriers can be breached for the purpose of reaching the vulnerable populations and decreasing the incidence of preventable diseases (Newbold and Whitman, 2007) (Chidyaonga-Maseko, Chirwa and Muula, 2015).