Personal Statement On Health Care

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

Although most American citizens today associate racial and ethnic disparities in public health care quality with socioeconomic status, a majority of studies performed conclude that these discrepancies are still highly prevalent when the factor of one’s socioeconomic status is taken out of the equation. Health disparities for a certain minority result in a higher number of illness, injury, and even mortality for that race or ethnicity in comparison to white Americans; therefore, health care disparities can be defined as differences between groups in health coverage, specifically focusing on both the quality and access to care. The Office of Management and Budget has created two ethnic categories for all American citizens to fit into, being either

More Diverse Healthcare Professionals lead to positive patient outcomes. Racial and ethnic minorities have higher rates of poor health outcomes than white in the case of disease, even when income, employment status and insurance coverage are controlled. Cultural bias is one contributor to this, according to the IOM Report Unequal Treatment:

Despite improvements, differences persist in health care quality among racial and ethnic minority groups. People in low-income families also experience poorer quality care (U.S. Department of Health and Human Services, 2013). Access to care measures include facilitators and barriers to care and health care utilization experiences of subgroups defined by race and ethnicity, income, education, availability of health insurance, limited English proficiency, and availability of a usual source of care (Mandal, 2014).

Racial classification has a possibility to expose an individual to racism and health disparities by influencing access to care, scope and quality of care, and overall health outcomes. In the United States of America, the secret codes of socioeconomic status are deeply spotted by race, causing the racial differences in socioeconomic status and becomes the main element to racial differences in health and health care (Kennedy, 2013). Many studies have indicated that African-Americans distrust medical practices and medical professionals due to a long history tied to the unethical treatment

Although the United States is a leader in healthcare innovation and spends more money on health care than any other industrialized nation, not all people in the United State benefit equally from this progress as a health care disparity exists between racial and ethnic minorities and white Americans. Health care disparity is defined as “a particular type of health difference that is closely linked with social or economic disadvantage…adversely affecting groups of people who have systematically experienced greater social and/or economic obstacles to health and/or clean environment 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” (National Partnership for Action to End Health Disparities [NPAEHD], 2011, p. 3). Overwhelming evidence shows that racial and ethnic minorities receive inferior quality health care compared to white Americans, and multiple factors contribute to these disparities, including geography, lack of access to adequate health coverage, communication difficulties between patients and providers, cultural barriers, and lack of access to providers (American College of Physicians,

In a perfect world, race, ethnicity and culture would have no negative effect on the medical care we receive, yet problems do arise and it affects the quality of care the patient receives. Language barrier, poor socioeconomic status, and poor health literacy also contribute to health care disparity. For Lia, it was more than her skin color, it was all of the above, her parents did not speak English and they were illiterate. They had trouble understanding the American healthcare system, had trouble or little interest in adjusting to or understanding the American culture. They didn’t work, which in addition to cross cultural misunderstanding, helped contribute to animosity between the Hmong and the host community, because some in the Merced area did not like or appreciate the fact that some Hmong did not work and relied on welfare to make ends meet. All these factors, contributed to the poor quality of

In looking on the subject of race you realize there is a racial stigma when it comes to health care. The American health care system is geared to treat the majority, while the minority suffers. As one looks at the African American society we see the racial discrimination in the health care system. According to the American heart association, “African Americans are 28% more likely

Racial segregated healthcare is not new in America it can be traced back to beginning of slavery. “The emergence of theories such as polygenism, and movement such as anthropometry, phrenology, and craniometry in the early 1800’s as early as the Jim Crow laws enacted between 1876 and 1965 only helped to reinforce these disparities.” (Source 3) Also between 1876 and 1965 laws are created equal facilities for minority’s black and white creating it prohibited for minority physicians to follow or receive education in white facilities. (Source 3) In 2011 reports on healthcare quality and disparities, the Agency for Healthcare Research and Quality (AHRQ) finds that low-income individuals and people of color experience more barriers to care and receive poor quality care. (Source

The Common Wealth Fund is an organization that encompasses studies on racial and ethnic health disparities amongst blacks, Hispanics, Native Americans, Asians and other ethnic minorities. The main results from the research are that adequate and intensive health care is not as predominant in these ethnic groups as it is for white individuals. Moreover, these conclusions are independent of the patient’s age, income, level of education and insurance membership. In order to pinpoint the upstream causes of these disparities, researchers have examined other factors that may contribute to the quality of treatment, such as the patient-provider relationship and perceptions of Medicaid managed care. The Asian American community is a subject group that has recently gained attention from the scientific community as their experiences in the healthcare setting have not been documented, despite being “one of the fastest-growing ethnic groups” in the United States.

In addition, Hispanics, Blacks, and some Asian are less likely than non-Hispanic Whites to have a high school education or better healthcare. Some Differences in quality of care this groups have in common: Blacks received worse care than Whites for 41% of quality measures. Hispanics received worse care than non-Hispanic Whites for 39% of measures. Poor people received worse care than high-income people for 47% of measures. Inequalities in access are also common, especially among Hispanics and poor people: Blacks had worse access to care than Whites for 32% of access measures. Asians had worse access to care than Whites for 17% of access measures. Hispanics had worse access to care than non-Hispanic Whites for 63% of access measures. Poor people had worse access to care than high-income people for 89% of access

In the United States society is well aware that hispanics have been treated with a negative attitude in the health care providing services. Just like anybody else no matter what race they are, they should have the same treatment. This situation needs to be more acknowledged and better controlled. White patients have received better quality of care than any other race including black americans, hispanics, american indians, and asian patients. One might argue that the health care providers are free to express their opinion however they like, but just like any job these health care providers have to treat everyone the same and make them feel comfortable. “ Negative implicit attitudes about people of color may contribute to racial/ethnic disparities in health and health care.” In many cases health care providers have implicit bias in terms of positive attitudes towards whites and negative attitudes towards any other color. “Fifteen relevant studies were identified through searches of bibliographic databases and reference lists of studies that met inclusion criteria.”

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

I have had a passion for becoming a healthcare provider for children for quite a while (for a long time). Children are one of the most important individuals of society because they are the future and will one day be in charge of the world. Their health at a young age is indicative to how their health will be as adults. Childhood has a great effect on how a person turns out to be so I hope to help children I hope to use prevention and education to preserve and restore the health of my patients. My career goals are to prevent children from having to spend time in hospitals or in pain and to help them live out their life and dreams to the fullest extent. Children play a very large role in their families, and when a child becomes sick, the whole family becomes distressed. Pediatricians not only heal children, but they help and prevent a family from suffering. I love medicine and children, and I hope to combine these two passions by becoming a pediatrician.

In the last twenty years, the rising number of disparities in health and healthcare has increased simultaneously with the influx of minorities within the population (Baldwin, 2003) A4. As the size of an ethnically diverse population steadily continues to increase, so will the level of complexities of patients’ health needs, which nurses and other healthcare staff will be expected to address (Black, 2008) A1. The issue of racial, ethnic and health disparities for minorities exists for several complex reasons, however, even with this being widely known, very little action has been taken to try and correct it (Baldwin, 2003) A4. Research findings suggest that without actively implementing cultural diversity within the healthcare workforce, quality in healthcare will decline while health disparities continue to rise (Lowe & Archibald, 2009) A3. So although the shortage of nursing staff should be a high-priority for change in the U.S., the need for more registered nurses with racially