The mistreatment of the health care system needs to be addressed at multiple levels of analysis. Several studies have demonstrated that prejudice in the health care system at the interpersonal relationship with healthcare providers), institutional (quality of healthcare services and facilities) and the macrosystems levels (healthcare policies) contributes to health disparities (Wesley, 2009). For instance, a study found that Black women are far less likely (60%) to be referred for cardiac cauterization (which is considered the most accurate procedure of diagnosing heart conditions) than White men; considerably less than the disparity found for Black men and White women (40%) to be referred for cardiac cauterization compared to White men (Canto,
The Institute of Medicine’s Report on Unequal Treatment: Confronting Racial/Ethical Disparities in Health Care states that cultural bias is one contributor to racial and ethnic minorities having higher rates of poor health outcomes than Whites in the case of disease; even when income, employment
Barriers in health care can lead to disparities in meeting health needs and receiving appropriate care, including preventive services and the prevention of unnecessary hospitalizations (HealthyPeople.gov, 2012). In their 2008 annual report, the Agency for Healthcare Research and Quality lists several disparities’ in health care. They report that racial and ethnic minorities in the United States
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).
When considering the American medical system, it is clear that the policy solutions for disparities occurring outside the clinical encounter
Since the publication of the Institute of Medicine’s “Unequal Treatment Report” in 2002, highlighting the startling but harsh truths behind these health care differences, there has been a renewed interest in understanding the sources of these inconsistencies, with any seeking to identify contributing factors in hopes of creating an effective solution in reducing or eliminating racial and ethnic disparities in health care
When attempting to understand health care disparity, one must first also understand race. As race applies to health care inequity, Williams and Sternthal (2010) suggested that race is not purely biological but also a social classification system created by the hegemonic class. As such, favorable traits are those attributable to whites, thus creating an atmosphere predisposed to prejudices. In a health care setting where providers rely on swift judgment and scientific data to arrive at decisions, culturally ingrained norms are bound to influence attitudes
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
The purpose of this paper is to exemplify the healthcare crisis of African Americans within the broader context of American healthcare reform. In order for one to appreciate the depth of necessity for healthcare reform in the African American community, he or she must have a general understanding of the history of healthcare for African Americans. As stated by the institute of medicine in a study assessing the health and mental health disparities of African Americans, “The sources of these disparities are complex, are rooted in historic and contemporary inequities, and involve many participants at several levels, including health systems, their administrative and bureaucratic processes, utilization managers, healthcare professionals, and
A group study by (Ferrera, 2015) revealed that racial oppression was another factor of women trust in physicians. Most patients felt that they were treated differently due to their race. The participant expressed that clinical placement in the Chicago community was in accessible. One explained that most of the free clinics are
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.
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
One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.
An issue that is widely discussed and debated concerning the United States’ economy is our health care system. The health care system in the United States is not public, meaning that the states does not offer free or affordable health care service. In Canada, France and Great Britain, for example, the government funds health care through taxes. The United States, on the other hand, opted for another direction and passed the burden of health care spending on individual consumers as well as employers and insurers. In July 2006, the issue was transparency: should the American people know the price of the health care service they use and the results doctors and hospitals achieve? The Wall Street Journal article revealed that “U.S. hospitals,
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.
According to a poll completed by Gallup Minority Rights and Relations, "one in five (20%) blacks feel that during just the past 30 days, they were treated unfairly in a healthcare situation because they are black" (Coleen McMurray 2002). In our modern day society, it is very redundant to treat blacks differently from whites especially regarding medical reasons. The disparity between these two races eradicates the vision of most hospitals in general. For example, the Rochester General Health System (RGHS) in New York states that their mission is to "improve the health of the people served by providing high quality care, a comprehensive range services, convenient and timely access with exceptional service and compassion" (Rochester General Health