Race And Ethnicity : The Primary Care Provider

The Hispanic ethnic group comprises more than 50 million of the American population; this about 16 percent of the population 1. The USA Census Bureau forecasts that in 2050, one out of three people living in America will be of Hispanic origin 2. Hispanics refer to people of Puerto Rican, Cuban, Mexican, Central or South American background 3. They also include people of other Spanish culture despite their race. This paper focuses on the impact of socioeconomic status of Hispanics on the incidence of Type II diabetes in East Harlem. East Harlem is located on the northeast corner of Manhattan, New York. East Harlem, also known as Spanish Harlem or El Barrio. In addition, about one-third of the East Harlem residents live below the poverty line, compared to the NYC in general East Harlem has one of the highest proportions of households in poverty 4 . Relationships between socioeconomic status, ethnicity, and chronic disease undoubtedly have complex explanations. The socioeconomic status has been used to explain the higher prevalence and higher

that African American adults are 50% to 100% more likely to have diabetes than are Whites,

In this paper, I will argue that the healthcare system has responsibility in taking care of the racism that is apparent in this system. First and foremost, the word “racism” must be defined in order to prevent confusion on the line of reasoning in this argument. According to Camara Jones’s framework that was developed to highlight how racism can lead to health disparities, there are two levels of racism that will be looked at: institutionalized racism and personally-mediated racism. Institutionalized racism, defined as “differential access to goods, services, and opportunities by race, includes differential access to health insurance”. What is significant to note is that institutional racism does not require personal bias commonly associated

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

The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,

Based on the United States census, it is estimated that by the year 2050 one in three people living in the United Sates will be of Hispanic/Latino origin which include sub groups like Puerto Rican, Mexican, Cuban, Central Americans, and South Americans (Heart Association, 2014). Within those subgroups, the prevalence varied for people of Mexican descent from as high of 18.3 percent to as low as 10.3 percent for people of South American descent, Dominicans and Puerto Rican descent 18.1 percent, Central American descent and Cubans descent 13.4 percent all living in the United States with diabetes type 2. On another commentary being published in the same issue of Diabetes Care, the author wrote, “the differences in diabetes and obesity prevalence among Latinos subgroups are marked when all individuals are combined into a single group” (Heart Association, 2014). Diabetes in Latino Americans has become more prevalence with aging, by the time they reach the age of 70 years, 44.3 percent of Latino men age 70 years old to 74 years old will have develop diabetes. The same study also indicated that the longer Latino Americans live in the United States the more likely they will develop diabetes, that is according to the education and income level of the person. The study also shows

Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the

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,

This essay will inform readers about the best practices, published guidelines, and clinical pathways for management of diabetes. Diabetes is a serious issue that affects millions of people. Unrecognized pre diabetes is also a growing concern that is increasing dramatically. Diabetes is not diagnosed for most homeless people, because they do not do have a yearly physical check-up. Published guidelines are useful to patients and practitioners because they focus on the improvement of care. Clinical pathways are also important, because they focus on the outcome and assessment of their achievement.

A reformation of the achievement levels of African-Americans starts through the investment of high achieving mentors, families, and friends. It begins with African-Americans straying away from statistical choices, such as placing improper value on education, community involvement, and health. The overcoming of such adversities involved with being an African-American woman has propelled my career goals. By striving to become a pharmacist and non-profit leader I am showing that the accomplishments of African-American women in health and leadership are not abnormal. One of the major causes of minority health disparities is the lack of minority health providers. As a healthcare provider, I will be better able to promote wellness in minority populations.

In this world and society many people are not treated with the right type of respect in the healthcare field. While they are not treated with respect it causes more problems in their daily lives because they are not getting the right treatment for their health problem. I believe that people shouldn’t be treated differently when it comes to healthcare conditions. Just because they are less educate, poor, and their race/culture is different shouldn’t mean anything.

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.

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

In chapter one of the “Minority Populations and Health: An Introduction to Health Disparities in the United States”, the authors goes into detail about the history of the relationship between the United States government. In the chapter, contains a historical background on how minorities played a significant part in understanding why health disparities exist and how they can be eliminated. Some examples of the historical background of racial/ethnic minorities are the Thirteenth, Fourteenth, and Fifteenth Amendments in the U.S. Constitution, the Trail of Tears, The Tuskegee Syphilis Study, and The Civil Rights and Voting

There are many people who say that we are living in a post racial society in the United States today and there are aspects of life in which that seems to be true. Yet there are many areas of life however in which race still is an important divider that has a major impact on the experiences of the minority peoples in the United States. In 2010, about 41% of the U.S. population identified themselves as members of racial or ethnic minority groups. According to the Centers for Disease Control, compared to non-minorities, some minorities experience a disproportionate level of preventable disease, death and disability (. http://www.cdc.gov/minorityhealth/populations/remp.html ).