Underrepresented And Disadvantaged Populations

What experiences have you had or activities have you participated in that have prepared you to work with underserved populations?

Being a minority in the United States has and will possibly always been a struggle. With the economy being in shams and minimum wage becoming career, minorities have multiple issues that society is unaware especially in health care. A large percent of minorities are the majority of workers of America, in which requires the most of the health care distribution. But are they receiving the proper access to health care and prescription access based on their ethnicity/race? Discrimination and racism continue to be a part of the unbalancing inequality in society and have adversely affected minority populations, and the health care system in general. Analyzing some of the racial disparities in health care among Americans are modifications in both need and access. Minorities are most likely to need health care but are less likely to receive health care services, including proper drug access.

three subjects that are going to be discussed are sex slaves, health disparities in LGBT

With this increased research and effort, Americans would be able to intervene and make positive impacts with the state, tribal, and local levels to best address health disparities and inequalities. In efforts to thwart ethnic and minority disparities, The Department of Health and Human Services (HHS) passed the HHS Disparities Action Plan in order to establish “a nation free of disparities in health and health care, (Cooper 97)” and to implement a series of priorities, strategies, actions, and goals to achieve this vision. States, local communities, private organizations, and providers have additionally engaged in efforts to reduce health disparities. With the HHS Disparities Action Plan, the Department continuously assess policies and programs on racial and ethnic health disparities, watching to see which policies make an impact on the level of health care received by minorities. Similarly, The Affordable Care Act (ACA) health coverage expansions significantly increase coverage options for low and moderate income populations and particularly benefit the “vulnerable populations.” The ACA also includes provisions to strengthen the safety-net delivery system, improve

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 this is a major contributing factor to healthcare disparities, it may also be the most easily correctable! In many cases, something as simple as educating the providers about the healthcare needs of their underserved patients and eliminating misguided and unfounded stereotypes and preconceptions can dramatically reduce the disparities arising from this factor. In this respect, I feel fortunate in the sense that I have had the opportunity to attend a medical school that realizes the importance of this issue and has taken every possible opportunity to educate and train myself and my fellow colleagues about the implications of these disparities in healthcare. As such, I feel confident that, thanks to my knowledge and awareness of the problem, I can prevent this factor from causing disparities in care within my own practice.

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.

One of the most vulnerable populations frequently encountered by everyday individuals are the mentally ill. Mental illness is not a condition that manifests physically, but can cause a person to change their physical appearance due to specific behaviors. It is not uncommon for a large number of the homeless population to possess one kind of mental illness that contributed to their housing condition. This population may partake in at risk behavior, jeopardizing their long-term health, and reducing their life expectancy. The mentally ill are an underserved population that can be hard to reach, physically and mentally. Their illness comes with shame due to the stigma attached to the illness and due to the lack of education. Nurses are now trying

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).

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

Health care is one of the most controversial and discussed topics in the United States. This is mainly because of the enormous issues that surround this subject matter, such as the goal of creating a greater diversity in the medical professions, the goal to reduce health care disparities, and mainly to improve health care for all. In my personal experience this issues have affected me and my family very closely. As immigrants, I saw my parents struggle with the language, adapting to a new culture and even seeking healthcare. Health care disparities is an imminent issue that affects many of us, including me. On top of the financial struggle my parents faced as immigrants, they also faced the barrier of not being understood. I witnessed how my

About 36.6% of the population in the U.S belong to or identifies as one of the 5 ethnic minority groups. These groups are Native Hawaiian, Hispanic or Latino, American Indian or Alaska Native, Asian, African American or Black, or Pacific Islander. The U.S has the most expensive health care system in the world yet many of these minority groups are worse off in regards to socioeconomic and health care status if compared to white Americans. It is plain to see this health disparity when some communities have death rates comparable to 3rd world countries.

As an African American male who was diagnosed with end stage renal disease, I was a patient in need of financial assistance while on dialysis, a patient who needed to use Medicaid to help pay for medical expenses, and a patient that needed a healthcare provider to understand the amount of stress and anxiety I was under. My experience has given me a deeper understanding of what is needed to provide care to underserved communities. Underserved communities are in need of medical providers that are attuned to the social, emotional and economic disparities these patients encounter. For me, from a patient’s viewpoint, everyone deserves to be heard and served fairly. I will use my personal experiences to provide the underserved community in my career as a Nurse Practitioner, so that the underserved population can receive the best care

The research on health disparities across the United States is still relatively new. For many within the medical field there are still many who focus on issues of disparities without addressing the structural issues at the base of those disparities. When it comes to interventions to address these disparities and inequalities, research is focused on the role of medical professionals with little research on community engagement and empowerment.

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.