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Unequal Treatment

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309085328
Size: 54.91 MB
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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients’ and providers’ attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve providerâ€"patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Unequal Treatment

Author: Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care
Publisher: National Academies Press
ISBN: 030908265X
Size: 42.75 MB
Format: PDF, ePub
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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Fundamentals Of Hiv Medicine 2017

Author: American Academy of HIV Medicine
Publisher: Oxford University Press
ISBN: 0190493097
Size: 69.10 MB
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Completely updated for 2017, FUNDAMENTALS OF HIV MEDICINE is a comprehensive clinical care publication for the treatment of HIV/AIDS. Published by the American Academy of HIV Medicine, the book offers physicians, pharmacists, nurse practitioners, and other care providers the most up-to-date overview of the latest HIV treatments and guidelines plus online access to CME. Embodying the AAHIVM's commitment to promoting uniform excellence in care of seropositive patients, FUNDAMENTALS OF HIV MEDICINE 2017 empowers health professionals to deliver standardized, life-sustaining treatment to the patients who need it most. It will serve as an essential clinical reference and provide valuable career enrichment to users across the spectrum of HIV care, treatment, and prevention.

Disability In American Life An Encyclopedia Of Concepts Policies And Controversies 2 Volumes

Author: Tamar Heller
Publisher: ABC-CLIO
ISBN: 1440834237
Size: 32.93 MB
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Disability—as with other marginalized topics in social policy—is at risk for exclusion from social debate. This multivolume reference work provides an overview of challenges and opportunities for people with disabilities and their families at all stages of life. • Takes an interdisciplinary approach to studying disability in America • Traces the evolution of U.S. attitudes and policies towards disability through primary documents featuring context-setting headnotes • Provides easy reference via a glossary of terms related to disability studies, including those in the areas of law, health, arts, and culture • Includes contributions from major scholars across disciplines involved in the study of disability

Healthier

Author: Sandro Galea
Publisher: Oxford University Press
ISBN: 0190662425
Size: 60.32 MB
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Fifty essays on the state of population health from a vanguard voice in the field Public health can rightly claim its share of victories: healthier cities, widespread sanitation, broader availability of nutrient-rich food, and reductions in violence and injury. But for all these gains, today we face a new set of challenges, ones complicated by political and professional shifts that threaten to fundamentally change the health of populations. Healthier is both an affirmation and an essential summary of the current challenges and opportunities for those working in and around the improvement of population health. The essays contained here champion an approach to health that is consequentialist and rooted in social justice -- an expansion of traditional, quantitatively motivated public health that will both inform and inspire any reader from student to seasoned practitioner. Galea's cogent, incisive arguments guarantee that his perspective, currently at the forefront of public health, will soon become conventional wisdom.

Health Care Politics Policy And Services

Author: Gunnar Almgren, MSW, PhD
Publisher: Springer Publishing Company
ISBN: 0826108881
Size: 10.80 MB
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This new edition of the AJN Award-winning textbook analyzes the most current health care reforms and their effect on our health system from a social justice perspective. It addresses the reforms of the landmark health care reform bill passed in March, 2010, and provides students of health care policy with a framework within which they can understand and evaluate our health system. The text provides a comprehensive description and analysis of the historical evolution and organization of our health care system that is framed by a forthright social justice critique. In addition to extensive coverage of our health care system structures, finances, and performance on a variety of population health indicators, the text analyzes disparities in access to health and health care in America-by race, ethnicity, class, age, gender, and geography. Issues of special focus include long-term care policy, the bioethical dimensions of health care policy, the transformation of health to an economic commodity, the politics of health care policymaking, and the global context of health care disparities. New to the Second Edition: Contains numerous chapters that have been extensively revised or completely rewritten Explains the political goals of and barriers to each stage of the Patient Protection and Affordable Care Act's (PPACA) implementation plan Provides two distinct critiques of the PPACA Offers a social and political health care agenda based on a social justice perspective Features a teaching guide

Race Ethnicity And Language Data

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309148665
Size: 47.73 MB
Format: PDF, Kindle
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The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

The Safety Net Health Care System

Author: Gunnar Almgren, MSW, PhD
Publisher: Springer Publishing Company
ISBN: 0826105726
Size: 79.83 MB
Format: PDF
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"This is the only book currently available that fully addresses all aspects of the safety net for healthcare." Score: 96, 4 Stars--Doody's Medical Reviews "[T]his complex treatment of a complex topic represents a valuable contribution to the health services literature."--INQUIRY "The Safety-Net Health Care System offers a road map to help safety-net providers overcome personal prejudices, understand why certain patients become ìdifficultî or fail to adhere to treatment, and deal with the stress of working in safety-net environments."--Health Affairs A unique and authoritative guide to the US safety-net health care system, this book addresses how various populations and their difficult health and socio-economic issues are dealt with and impacted by the system. Drs. Gunnar Almgren and Taryn Lindhorst, experts in the fields of social work and public health, provide critical, much-needed insight into the safety-net system and how the recession, unemployment, and reform have accelerated its growth. Ideal for graduate students and early professionals in the health professions, this textbook: Includes narratives from patients and caregivers that help readers understand and empathize with the poor, homeless, and other vulnerable populations affected by the safety-net system Discusses various health issues, including: violence, chronic diseases, mental illness, victimization, and substance abuse/addiction Examines overlaps in US public health, social work, nursing, and medical education Analyzes the differences between the populations that depend on safety-net system providers and more advantaged populations that have access to the mainstream health care system

Improving Racial And Ethnic Data On Health

Author: Panel on DHHS Collection of Race and Ethnicity Data
Publisher: National Academies Press
ISBN: 0309090946
Size: 80.10 MB
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The panel convened the Workshop on Improving Racial and Ethnic Data in Health to review information about current private-sector and state data collection practices in light of existing federal, state, and local regulations, laws, and requirements. The workshop presentations featured the perspectives of data users, health care providers, insurance plan representatives, state and local public health officials, and regulatory officials. Participants assessed policies, practices, barriers, and opportunities for collecting racial and ethnic data in their settings, and explored ways that private and state systems can be improved to address data needs. In preparation for the workshop, the panel commissioned four background papers to fill gaps in knowledge of private-sector and state government policies and practices and to address the importance of racial and ethnic data collection. The panel is also examining the role of socioeconomic status regarding health and health care disparities. However, the workshop intended to focus only on racial and ethnic data collection. The panel's final report will contain a full consideration of the collection of racial, ethnic, and socioeconomic status data.

Shattering Culture

Author: Mary-Jo DelVecchio Good
Publisher: Russell Sage Foundation
ISBN: 1610447522
Size: 75.67 MB
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"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women’s health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today’s culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual “recognition”—patients who can express their concerns and clinicians who validate them. In the book’s final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.