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. The study was not to pointe the blame on medical professionals, insurances, and/ or physicians, but to take a deeper view of why is it that African Americans seem to lag behind in the healthcare improvement when new services and technologies are presented to them. Yet, as it stands, for the University of Cincinnati Physicians clinic – ENT department, 95% of the cochlear implants performed are …show more content…
Illnesses or a defect, for that matter, shows their vulnerabilities, and having a hearing implant device connected on the head will certainly put a black CI patient in an uncomfortable position as they will have to confront their community.
Chapter 3
The Future for African Americans and Cochlear Implants
Healthcare officials can’t have a discussion on improving the disparities with African Americans and cochlear implants without discussing the driving force that would bring about change and that is the physician. The physician knows first-hand which patients appear to be suffering as it relates to utilizing something that will undoubtedly improve their life. It compels most physician to establish leadership roles depending on their passion to making a difference for their patient’s well-being. Often times physicians find themselves being involved with institutional policy reforms and undergoing vast changes within their healthcare facility. As such, the changes are concurred with administrative officials who routinely revise programs and create comprehensive long-term goals.
Although, there are a segmented growing number of physician leaders, it is not always embraced within health institutions and governmental legislations. Why? Because it seems to be that there is some type of disconnection as it relates to physicians and public policies. As such, public policies are for elected officials to
(n.d.). Part one: the deaf community and cochlear implants my child can have more choices: reflections of deaf mothers on cochlear implants for their children. Cochlear Implants: Evolving Perspectives. Retrieved February 09, 2018, from http://gupress.gallaudet.edu/excerpts/CIEP.html
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
This case study is based on the Metrolina Health Center, which was started by Dr. Charles Warren. Williams and several medical colleagues with a $25,000 grant typically from the Department of Health and Human Services. Dr. Williams is the first African American to have services on this category of staff; Charlotte’s Memorial Hospital, which is undoubtedly the Charlotte’s largest hospital. The main concern of Dr. Williams is the health care needs of poor people in the area. He had always focused on making the word a better place, especially for the people who feel less fortunate. The doctor also went ahead with enlisting the aid of a local dentist, Dr. John murphy among other professionals including the director of the Sickle
When considering the American medical system, it is clear that the policy solutions for disparities occurring outside the clinical encounter
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,
Although there are numerous reasons as to why I wish to attend this medical institution, its emphasis on serving underserved demographic groups such as African-Americans and addressing health disparities that continuously affect the state of health in our nation were primary motivations for applying to Meharry Medical College. Following residency, I hope to practice medicine in a disadvantaged urban community, where affordable, accessible, and available healthcare options are limited. In such a community, I hope to utilize my medical education gained from Meharry for the purpose of addressing the health concerns and disparities affecting those in society who are often ignored and suffer in all
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
Alabama ranks poorly on many health indicators. It is ranked 47th out of 50 in the nation in overall health; 43rd in cancer deaths, 2nd in deaths from cardiovascular disease and 3rd in the incidence of diabetes (Healthy People 2010). Also, Alabama is ranked 5th in the number of residents without health insurance. In my opinion, I believe the greatest challenge that these health disparities present is that very often socioeconomic status determines an individual’s health status. Growing up in Birmingham, Alabama, I witnessed many people in my community suffer from health issues because compared to other ethnic groups, African Americans, tend to be far less trusting of physicians and their medical advice. Notably, the distrust is rooted in pass corrupt cases, such as, the 40 year Tuskegee syphilis study and the case of Henrietta Lacks. The lack of minority representation in health professions is my motivation for pursuing a career in a health-related profession.
Health disparities among African-Americans is a continuing problem that has been seen over many years. African-Americans have higher poverty rates, have lower rates of insurance coverage, and are more likely to be covered by Medicaid, than the White population (Copeland, 2005). This lack of insurance has led many of these individuals, to not seek treatment for illness, due to problem accessing health care (Kennedy, 2013). This leaves African-Americans with little to no treatment, which causes an increase of medical care that will be needed further on in their life or a sooner than expected death, caused by illness (Copeland, 2005).
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.
With such glaring evidence on structural racism within the medical field, it is not surprising that people of color face disparities.
Those that oppose cochlear implants argue mostly from a minority standpoint. The deaf community feels that as the minority, the hearing majority is threatening their way of life. “The deaf community is a culture. They’re much like the culture of the Hispanic community, for example, where parents who are Hispanics, or shall we say deaf, would naturally want to retain their family ties by their common language, their primary language, which is
According to Nelson, (2016). The following needs to be done: * Introduce critical thinking tools for improving medical providers' comfort and skills in caring for patients of color especially SCD patient’s. Address the definitions of race and racism and the history of the social construction of race. * Introduce tools for addressing the HCP’s unconscious biases (Nelson, Prasad, & Hackman, 2015) * Differentiates among diversity, cultural competency, and social justice * Explore current health care system (racial make-up of providers, how insurance became tied to employment, what we're taught and not taught in school, evidence-based practice, and racial disparities) * Examines racism and whiteness in our society, including examples of racism and whiteness in medicine * Examines how race affects each of the IOM's six measures of quality care (safe, effective, patient-centered, timely, efficient, and equitable; Committee on Quality of Health Care in America & IOM, 2001) and provides trainees tools for understanding these effects Improvements for a way
Pillard also states that a major issue with making deaf people a ethnic group is the rise for technology in the medical field the advancement of implants helps children hear on a 24 channel tonal platform which can differentiate the persons voice register for the user Pillard believes that doctors are pushing these on the parents of these patients for profit with only one side of the story. He states that the implants are dangerous for the users because they only work so well with the users when the user has to concentrate on what person is say this puts a unnecessary barrier for the user if the person can not socialize with these implants which is more of a disability someone who is fully deaf but can communicate through sign and participate in their surroundings or is the person with the implant who has to multi-task between to societies there is this constant force of inertia towards one part of