Black Women In Health Care

Some of the comparisons would be Dr. Troutman explaining that no matter the social status African American’s health outcomes are going to be worse than their white counterpart. Chapter 9 shows examples of minorities with the same education as whites making less, how institutional racism affects the lives of minorities.

In 1964 Congress passed the Civil Rights Act in which Title VI specifically forbade the distribution of federal funds to organizations that practiced discrimination. Enforcement of Title VI was a major priority within the Johnson administration as they implemented the Medicare program (Reynolds, 1997). Despite a mandate of equal treatment, significant patterns of segregated health care utilization have remained to the present. In an analysis of Medicare beneficiaries, Bach and colleagues found that their was a small proportion of physicians – 22% - who provided the majority of visits - 80% - by black patients (Bach, Pham, Schrag, Tate, & Hargraves, 2004). This may represent a pattern of racial concordance, patients choosing providers of their own race, but the physicians seeing the majority of black patients did not the same resources available as those seeing the majority of white patients. Compared with physicians seeing the mostly white patients, physicians seeing mostly black patients were 33% less likely to report always having access to high quality specialists, and 40% less likely to report always having access to high quality diagnostic imaging. In short, black patients are using a different health system than white patients on average and the health system black patients are using has fewer resources (Bach, et al., 2004).

Providers possess a multiplicity of roles in today’s society. It is typical that patients trust their physicians and should feel comfortable seeing them; however, not all communities can feel this way about their providers. Iatrophobia is prominent within the African-American community, and a history of medical abuses against this community may have a link to such present-day health inequalities as shorter life spans and higher infant mortality rates than Whites.

A notable discrepancy exists between health care received by the black population in comparison to the white population. However, the foundation of health care inconsistencies has yet to be firmly established. Instead, conflicting views prioritize causes of health care disparities as due to social determinants or due to individual responsibility for health (Woolf & Braveman, 2011). Emerging literature also indicates that health care providers propagate disparities by employing implicit biases (Chapman, Kaatz, & Carnes, 2013; Dovidio, Fiske, 2012). This paper aims to discuss black health care disparities as a function of socially constructed beliefs that both consciously and unconsciously influence health care professionals practice.

There are vulnerable groups that have significant problems in the health care system, due to this population being made vulnerable because of their financial circumstances or place of residence, health, age, race, mental or physical state. Access to health care across different populations are the main reason for current disparities in the United States health care system. Moreover, with a large amount attention being given to racial disparities in health, the meaning of race has come under increased scientific examination. (Sondik, 1997) Consequently, race remains to be one of the most politically charged topics in American life, because it's linked to sociocultural element often has led to classifications that have been ambiguous and improperly

Stereotypes are socially constructed, over-generalized views regarding a particular group of persons with certain characteristics that are widely accepted, and usually expected, in a society. The dominant group of a certain society, which in this case is probably Caucasians and men, usually creates these social constructions. Claude M. Steele, a researcher from Stanford University, performed multiple research studies on the idea and psychological effects of stereotypes on its victims. In his studies, he coins the term “stereotype threat” as the “social-psychological predicament that can arise from widely-known negative stereotypes about one's group,” which implies that “the existence of such a stereotype means that anything one does or any of one's features that conform to it make the stereotype more plausible as a self-characterization in the eyes of others, and perhaps even in one's own eyes” (Steele 797).

effected their decision. However, each variable listed on the study was associated with tracking all the factors involved with hearing loss. What singled out the most is that several of the candidates didn’t know anything or have heard about cochlear implants from their black counterparts, but were informed by medical professionals instead.

African Americans have endured great pressure to find their place in American society, as well as among the professional disciplines. In earlier times, it was extremely unusual for African Americans to be lawyers, doctors, or any other professional where racial prejudice was a major obstacle. This has changed over time, however, the ratio of Caucasians to minorities in the professions is still rather unproportioned. It is evident in the play A Raisin in the Sun that African American female doctors were almost unheard of during the time the play was written. The history of female doctors alone was only less than one hundred years in the making prior to the time period of the play. Over the

Healthcare diversities among healthcare professionals have been a challenge within the healthcare system. There are various publications that state that the underrepresented minorities have a higher chance of not graduating medical school, accruing high student loans, and ultimately were unsatisfied with their jobs (Pololi et al., 2013). This is not only disturbing, but this represents the individuals who are or will be servicing the public on a daily basis. As the population increases, racial differences increase, so to combat these disparities cultural competencies have to come into play within the health-professions workforce. For instance, although African Americans constitute to 13% of the population, in the physician workforce they only account for 4%, also women who are part of the workforce outweigh the amount of men by at least 4%, respectively (U.S. Census Bureau, 2014). Coincidentally, whites make up to 49% (both men and women) of the total U.S. MD active physicians based on the labor workforce statistics of 2013.

One source to support my research is a scholarly article that discusses the subject of racism in the health world, as well as how that negatively affects a patient’s health making them another statistic. The author clearly states “There are well documented racial disparities in health care as well as health status” (4). I plan to use this source to set the tone for the research, this article answers the basic questions about the relationship between racism and health gaps. The next piece is also a scholarly article, that focuses on the effects of health disparities on children. This article is vital for this research project because many individuals who grow up to have health issues related to disparities, encounter racism and develop the health issues. These children then grow up and are likely to have children

When physicians are under time pressure they rely on stereotypes and biases in order to be more efficient. This study assessed time pressure and implicit bias in 81 primary care physicians and general internists. Physicians were primed with a sequence of words, either related to race or neutral words for the control group. Then, the physicians were asked to read a vignette about a patient with chest pain and give their diagnosis. Some physicians were given three minutes to respond, and others had only half that time. Results showed that physicians who had less time to diagnose gave a less serious diagnosis to Black and Hispanic patients and were less likely to refer a Black patient to a specialist. The conclusion is that when physicians are under stress they may be more influenced by implicit biases to inform their

Research also supported the data that African Americans’ perceptions of patient-physician relationships greatly contributed to their fears regarding the reoccurrence of

What is Misogynoir? Black queer feminist, Moya Bailey coined this term in 2010 to describe the racialized sexism that black women face; This is mostly shown in American pop culture and Media causing people of all races to internalize this. This paper will not only be explaining the term in depth but breaking down the root causes and action plans to be taken to educate both men and women on this term. For this paper, I ‘ve conducted many interviews with a number of black men and women, in these interviews I asked them questions about themselves, their families and about both their romantic and non-romantic relationships. I also asked questions about their journey in the world of blackness, because every black journey is different.

The socioeconomic status of African-Americans also plays an important part in the health disparity present in this minority group. According to the 2010 U.S. Census Bureau, the largest state population of African-Americans is seen in New York at 3.3 million. In 2000, it was estimated that 88% of the United States African-American population lived in Metropolitan areas. A 2007 article in California Law Review entitled Fast Food: Oppression through Poor Nutrition, very plainly points out that the location of most

In doing so, he pays particularly close attention to black patients and their relations with health care policies and practices. Smedly maintains that blacks are not only the victims of, inpatient and outpatient treatment, racial policies, and other services but also the victims of its consequences. He argues that many health care administrators are agents to a system of inequality that support provider and administrator biases, geographical inequalities, and racial stereotypes (Smedly 2012).