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Building upon the success of Dr. Williams's widely influential book Eliminating Healthcare Disparities in America: Beyond the IOM Report, this new volume takes a fresh and timely look at the state of healthcare reform and the progress and problems we face in the pursuit of healthcare equality. This book focuses on how the elimination of disparities can be accomplished through targeted efforts made within the context of reform. Comprising the combined efforts of the nation's best health policy analysts, researchers, key opinion leaders and clinicians, this book addresses both current and impending legislation and future movements in healthcare. With the knowledge that the problem of disparities extends beyond the present political arena into the larger scope of all aspects of healthcare delivery, the authors provide critical analysis of the causation of disparities, insightful examples of what has worked, and a striking call to action with implementable strategies for advancing equality.
This book exposes and examines how Medicare, Medicaid, and private health insurance plans combined with widespread business practices and fraud create inequity—the root cause of our dysfunctional health care system, and the reason for the rising cost of health care for all Americans. In Health Care Reform and Disparities: History, Hype, and Hope, prolific author Toni P. Miles, MD, PhD, uniquely expands the usual discussion of health disparities by including and emphasizing the voice and perspective of the consumer, and by featuring policy, media, and financing data. Highlighting the subjective experience humanizes the effects of bureaucratic inequity and inefficiency, while examining the facts and figures spotlights real-world opportunities for moving away from operating on a discrimination basis and refocusing on quality of care. The first chapter outlines the larger historical context of the health care crisis before subsequent sections describe individual aspects of the health care system—and each one's role in creating or exacerbating disparities. Health care issues specific to demographic groups such as young adults are addressed. This work is an accessible, eye-opening resource for educators, students, and policy makers, as well as anyone wanting to find up-to-date details on the policies and regulations evolving from the Affordable Care Act.
African Americans, Hispanics, and Native Americans represent 27 percent of the United States population, yet they constitute less than 11 percent of nurses and 8 percent of physicians. In Racism in Health Care: Alive and Well, author Marie Edwige Seneque discusses how this long history of racism continues to shortchange the national recruitment and retention of minority health care providers which contributes to racial and ethnic health disparities. Racism in Health Care: Alive and Well dismantles and examines the many layers involved in the complex health care system including physician attitude, nursing in the twenty-first century, the lack of cultural competence, and the belief that the "r" word should remain unspoken. During extensive research, Seneque, a registered nurse, compiled already existing data regarding racial and ethnic disparities. She communicates her findings in a simplified, easy-to-read format. In Racism in Health Care: Alive and Well, she exposes the glaring disparities for minorities in the health care delivery system and why racism is alive and well in the United States.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
The American health care system is a unique mix of public and private programs that critics argue has produced a two-tier system - one for the rich and the other for the poor - that delivers dramatically unequal care and leaves millions of Americans seriously underinsured or with no coverage at all. This book examines the root causes of the inequalities of the American health care system and discusses various policy alternatives. It systematically documents the demands on and the performance of our health care system for different population groups as defined on the basis of gender (women), age (children), race and ethnicity (African Americans, Hispanics, Native Americans), and residence in high poverty areas (rural and inner city locales).For each population, the book documents: historical and demographic profile, data on health status, aspects of inequality including access; quality of care; and endemic, cultural, and lifestyle issues affecting health; policies, laws, and programs relevant to health care; and, indicators of improvement or negative trends.
This socially conscious, culturally relevant book explores the little-known history and present climate of Black people in the medical field. It reveals the deficiencies in the American healthcare structure that have contributed to the mismanagement of healthcare in the Black population, and examines cross-currents that intersect with the major events in minority medical history. Illustrated across 10 expertly written chapters, this text features a longitudinal timeline with the presentation of evidence-based information drawn from historical, political, and clinical sources. The book begins with an analysis of diseases particularly prevalent in the Black community due to socioeconomic inequalities in available medical care. These diseases include sickle cell anemia, hypertension, heart failure, drug addiction, and HIV/AIDS. Bolstered by profiles of historically well-known Black physicians, stories of success in medical education, and the remarkable impact of Black medical organizations, subsequent chapters address the triumphs and tribulations of the Black medical professional in America. Concluding with an examination of the current health status of Black people in the United States, the book makes a case for future systemic improvements in healthcare delivery to minority communities. A unique, noteworthy reference, Blacks in Medicine: Clinical, Demographic, and Socioeconomic Correlations is written for a broad range of physicians and health providers, as well as professionals in the social sciences and public health.
The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.
This valuable handbook makes the U.S. health care system understandable, reviews the Affordable Care Act (ACA) or "Obamacare," describes past health care reform efforts, and covers the important organizations and people involved in U.S. health care reform. Why does the United States produce poorer outcomes for Americans in terms of health care than most other developed countries that spend a lower percentage of their Gross Domestic Product (GDP) on health care? Should health insurance be private or should it be managed by the government? The second edition of Healthcare Reform in America: A Reference Handbook addresses these complex and difficult questions and many more in its thorough treatment of one of the most controversial issues in contemporary American discourse. The work provides a broad introduction to the history and key issues in the development and reform of the U.S. health care system. It then addresses the recent passage of the Affordable Care Act and the myriad of significant expected changes due to the Act, thereby providing readers with information essential to understanding the current issues regarding health care reform. This work serves as a valuable resource to high school and college students as well as to general readers wanting to learn about the history and current focus of health care reform in the United States.
This AJN award-winning textbook helps readers understand and critically assess the US health care system and policies. This AJN award-winning textbook helps readers understand and critically assess the US health care system and policies. With a focus on the prevalence of disparities in health and health care, the book reviews the historical evolution and organization of our health care system. Several social justice theories are used to critically evaluate current US Healthcare systems and policies, providing readers with various perspectives of the field. Extensive coverage of our health care system’s structures, finances, and performance on a variety of population health indicators provides the necessary background, frameworks, and principles through which the adequacy of alternative health care system financing strategies can be analyzed. Highlights include: Analyzes the current US Healthcare system and policies from several social justice theories providing a critical examination of the field. Examines the historical evolvement of the US health care system, its financing and health care delivery structures, and the prospects for health care reform. Analyzes disparities in access to health and health care by race, ethnicity, class, age, gender, and geography. Compares the US health care system with that of other democracies providing a unique comparative perspective. New to this Edition: Revised chapter on healthcare reform that considers the 2016 election and anticipated changes to the Affordable Care Act. Provides the latest information on the financing and organization of the US health care system. Examines the nation’s health care needs, the prevalence of health and health care disparities, and the latest theories that explain the causal origins of health and health care disparities. Addresses the latest developments in health care policy domains such as long-term care, end-of-life care, and initiatives to reduce disparities in health. Updated data on long-term financing and expenditures including baby-boomer’s increased demand for long term services and expanded entitlements for the disabled. Updated instructor’s resources include for each chapter: chapter synopsis and learning objectives, ideas worth grasping, key terms and concepts, discussion questions, and writing assignments. This book is an ideal text for graduate courses in health care policy or disparities or the US health care system in schools of social work, public health, nursing, medicine, and public policy and administration.