Equity and Equality

With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve

With over seven years of experience in her field at Yale Hospital and in Healthcare Insurance, her unremitting compassion and dedication to her cause persists with the role as a Community Outreach Education Coordinator at the Curtis D. Robinson Center for Health Equity.

In this section of the assignment I will be evaluating the impact of organisations in improving Human Health

Healthy People 2020 (2015) states, health disparities are a health outcome of greater or lesser extent between populations, which includes populations by race, ethnicity, gender, sexual orientation, age, disability, education, income, or geographic location. The purpose of the post is to discuss how disparities play a role in health, employment, and education for African Americans. I will also discuss two nursing interventions to decrease health disparities in this population, as well as challenges to implementing the nursing interventions.

disparities are exclusive to certain groups of racial and ethnic populations in the nation. Health

A variety of challenges including personal, social, economic, and environmental factors can determine the health of an individual as well as its community. Others determinants of health include genetics, access to medical care, and socioeconomic measures such as education and poverty. Any interference among these factors can often lead to health disparities, which are health gaps that exist between different communities and populations. Health disparities can affect communities based on gender, age, race, social status, economic status, or special care needs. Therefore to understand which factors affect the health of a community, it is necessary to examine the social and economic conditions in which people live in, as well as the rates of diseases

Health disparities amongst African-Americans continue to destabilize not just the various communities but the health care system as a whole. Minority groups especially African-Americans are more probable to agonize from certain health illnesses, have higher mortality rates and lower life expectancy than another other race in the nation. Health disparities are complex and incorporate lifestyle choices, socioeconomic factors such as income, education and employment and access to care services. For the elimination of health disparities within the African-American community, there requires a need for equivalent access to health care and cultural suitable health ingenuities.

healthcare system (Elchoufani, 2018). Attaining a good health is the ultimate goal for all people and the overall population, so it is important that people study the interactions between race, gender, and socioeconomic status in this matter (ASPPH, n.d.). People in communities with lower socioeconomic status typically encounter fewer options for healthy food and a lack of health education as well as health care. All in all, studying minority health allows us to find methods in making health care more accessible for under-resourced populations, along with determining methods out services and resources can be dispersed to the populations which are more prone to certain illnesses (ASPPH, n.d.). The studying which results in better methods all benefit towards guiding the U.S. population to overall health

Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.

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.

People often interpret the word disparities as only having to do with race or ethnicity, however the term goes beyond that and includes sex, sexual identity, age, disability, socioeconomic status, and geographic location (“U.S. Department of Health,” 2011). The goal of Healthy People has changed over the decades, at first it was to reduce health disparities, then it was to eliminate disparities, and now for 2020 it is to achieve health equality, eliminate disparities, and improve the health of all groups of people (“U.S. Department of Health,” 2011).

Health Disparities, a term most common in the United States (Public Health Reports), is known as the difference or inequality that is justified by using people’s race, gender, age, rank, and socioeconomic status. In other words, it known as injustice in the health care services. Inequality within health care access has been a topic for years due to noticeable inequality. Inequality in health care for mother’s ranges from age, race, income status, and education. When the health care providers has the ability to deny service to anyone they feel cannot benefit the provider or the mother, this is where a disparity becomes the outstanding limit of injustice.

Along her journey in the field of medicine she always tried to promote medical education for women. If fact, she ended up opening up a medical college for women.

He states that “it doesn’t matter how you achieve it but that you do” (2011). No one pathway taken to greater equality will be the same for differing countries but there are lessons to be learned regarding how similar countries were able to be successful. Sweden was able to attain greater equality by closing the income gap through taxation, having a generous welfare state and benefits for its citizens; on the other hand, Japan was able to do it by having smaller income gaps before taxes and a smaller welfare state (Wilkinson, 2011). What was eye-opening and previously not considered by me was that the same contrasts were seen among states in the U.S. according to Wilkinson. The relationship between justice and health goes beyond health, and includes the structural and political institutions that are intertwined with health as well. Both avenues to greater equality discussed above contained some type of structural or political change that produced an outcome beneficial to all most likely in the areas of health, education, occupation, and improved social conditions. Having this information can direct actions towards looking at all possible approaches to combating inequalities, even those that seem out of the norm or have not been a part of the conversation in the past. Exploring options such as focusing on reducing health inequalities on a small scale (i.e. state level) instead of on the national level; how this looks and what results could potentially come from it are considerations of justice in our healthcare system. Inequalities, whether income, racial, or health based did not spring up overnight; they are the result of historical, political, and economic policies and decision making that shaped the landscape of countries where inequality

In 2002, Commissioner Roy J. Romanow, released a report entitled the Romanow Report offering recommendations on how to reform and renew Canada’s health care system. The Report stresses the importance of health equity and addressing the differing health care needs of men and women, in order to improve access of health services. A recommendation the Report lists is, “developing programs and services that recognize the different health care needs of men and women, visible minorities, people with disabilities, and immigrants (Romanow, 2002 p. 155). Health equity is refers to study of people of different class, social economic status, age, gender, education, sexual orientation and ethnicity having access to the health care resources needed to achieve their health potential. It is about