The Pros And Cons Of Allied Health

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

The answer is no simple or a single solution. Rather, the answers must address the range of causes of disparities (inequalities in education, housing, and health insurance) and empower multiple levels of change ( patients, providers, health systems, policymakers, communities). These levels of change are most commonly found in the fundamental public health Socio-Ecological model. In this model, there are 5 levels, intrapersonal, interpersonal, community, institutions and policy, that could be focused on when implementing solutions to public health concerns, which health disparities would be considered. One method that should be looked at very closely in the institutional level of the model is reorganizing the curriculum of physician education in order to incorporate cultural competency. Such training can improve provider knowledge, attitudes and skills, which may be an important precursor to addressing unconscious provider bias. Drawing upon evidence in social cognitive psychology, Van Rhys Burgess have outlined strategies and skills for healthcare providers to prevent unconscious racial biases from influencing the clinical encounter. Their framework includes: 1) Enhancing internal motivation and avoiding external pressure to reduce bias, 2) Enhancing understanding of the psychosocial basis of bias, 3) Enhancing providers’ confidence in their

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).

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

Though it has been apparent that people of color have been treated as a subclass within the medical field for centuries; as was brought to light in The Tuskegee Syphilis Study, the recognition of forced hysterectomies and sterilizations of African American women in the 20th century and, to “The Negro Project” which worked to reduce the African American population through eugenics (Feagin & Bennefield, 2014). With even these three examples it is clear that the medical field has played a large role in creating both psychological and physical disadvantages and trauma for minority groups in America. Yet, it seems to be a subject that many professionals refuse to address. A meta-analysis conducted by Mayberry, Mili and Ofili found that,

When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.

It is probably the worst kept secret in the United States that minorities living in low income areas have the worst access to health care in the developed nation. Oftentimes they have to choose between going to the doctor to get treatment that could potentially save their lives or risk putting their families in millions of dollars’ worth of debt. Crooked CEOS jack up the prices of insulin, EpiPen’s, and a host of other lifesaving medications just to make an extra dollar. Research on Black Americans is typically underfunded, not to mention the underlying mistrust that people of color in low income communities can occasionally exhibit to doctors, police officers, etc. It is hard to trust someone in a position of authority when historically they have oppressed and hurt your people. The Tuskegee Syphilis Study, a study where black men were used as laboratory experiments to examine the effects of syphilis, is proof enough. Therefore, I propose a 3-step plan to help people livening in these situations.

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.

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

Practitioners should be prepared to understand and account for the special needs of minorities. As reflected throughout this volume, this means that we need to consider carefully in our practice the dimensions of race and ethnicity, including not only their significance for human functioning but also their impact on service delivery. In this regard, Pecora, P. J., W. R. Seelig, F. A. Zirps, and S. M. Davis, eds. (1996) assert: "Training

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

The various kinds of health professionals are educated in separate schools but with considerable overlap in curricula and training requirements. They are, however, expected to integrate their training and work together after graduation. Identify the advantages and disadvantages of this approach to professional education in terms of costs, educational efficiency, and patient care quality. List one advantage and one disadvantage for each.