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This report examines five major components that affect minority children's access to health care. They are: health status, barriers to access, workforce, organizational response, and the role of the American Academy of Pediatrics (AAP). Recommendations are included for each of these components. Health status indicators for minority children include: premature death and disability caused by controllable illnesses and high infant mortality, differential rates of immunization, teenage pregnancy, and injuries associated with violence. Minority children also encounter barriers to health care access. Among these barriers are: economic factors, such as a lack of financial resources and inadequate insurance, and geographic factors that result in limited availability of providers and facilities. Other barriers are: poverty and lack of education, which often translate into delayed health care and poor compliance with treatment, cultural insensitivity, racism, and classism. Workforce factors that affect minority children's health care access include the relative absence of minority group pediatricians and the geographic maldistribution of practitioners. The AAP Task Force recognizes the organizational response of other groups that have addressed this issue. The Academy's role is to ensure that the perspectives of minority pediatricians and children are considered in AAP educational programs, policy, developmental advocacy and research. (Three appendices include the directive to the AAP Task Force on Minority Children's Access to Pediatric Care, a review of relevant programs, and copies of the Task Force surveys. Contains 120 references.) (VL)
Women comprise the majority of pediatricians in the United States and yet there has been slow progress in leadership diversity and equity in the field overall. While there have been many academic journal articles that examine women's roles, challenges and successes in the field, there is not one, overarching book that follows the path of women into the profession, the challenges they encountered in the early years - and still encounter - the successes they've had, and what the future might look like. This book fills that gap in medical literature. Because women are so well-represented in the field, one would think that pediatrics should be leading the way in gender equity achievements, but this is not the case. This text examines the disparities, the boundaries that are in place, the impact of intersectionality on equity, the toll gender discrimination has on the health and wellness of women in pediatrics, and best practices that can help achieve gender equity in the field. The COVID-19 pandemic has exacerbated the disparities that women, and in particular women with intersectionality, face. This book also examines the immediate impact of the pandemic on women in pediatrics, what future implications may be, and how we can potentially mitigate them. Equity strategies that can be implemented by healthcare institutions, professional societies and other medical organizations are also discussed. The book is divided into three main sections. The first section gives an overview of the history of women in pediatrics by describing stories of early leaders and the early days of women in pediatrics. The second section reviews the current state of affairs in women in pediatrics. Chapters in this section detail women entering and practicing in pediatrics; leadership; women of color; women conducting research; national campaigns and efforts focused on gender equity; and childbearing, adoption, motherhood and eldercare by women in pediatrics. The final section describes the future of women in pediatrics. The seven chapters in this section discuss leaders in pediatrics supporting women; policies and programs to advance equity; allies in gender equity efforts; research, funding and publication for women; networking, mentorship, sponsorship, coaching, and career development activities; advocacy efforts; and supporting the health and wellbeing of women in pediatrics. Written by experts in the field, Women in Pediatrics is a valuable resource for all pediatricians in academic or community-based medicine, as well as those involved in pediatric sub-specialties. On a broader level, this text is also of interest to all other women involved in medicine and science.