Download or read book Achieving Equitable Access written by Wilhelmina Leigh and published by University Press of America. This book was released on 1996 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past thirty years, the United States has made remarkable progress in reducing barriers in access to health care faced by racial and ethnic minority Americans. Most minority Americans born in the 1950s have vivid memories of 'separate and unequal' health facilities. By the 1980s, overt and blatant barriers to care were uncommon. In spite of the progress achieved, recent studies continue to provide evidence that minority Americans experience differential access to health coverage and to some health procedures. To investigate these differentials, contributors to this volume were asked to examine the health care experiences of nonelderly Hispanics and African-Americans within a nationally representative data source: the 1987 National Medical Expenditure Survey. Through this effort, the authors document the extent to which barriers to access persist and provide insight on possible explanations for variations in access. This volume will provide policymakers, practitioners, and advocates with an objective base of important information to guide decision-making about health care policy.
Download or read book Achieving Equitable Access studies of Health Care written by marsha lillie-blanton and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Achieving Rural Health Equity and Well Being written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-10-17 with total page 95 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Equitable Access to Healthcare in the Era of Universal Health Coverage written by Matthew Sunil George and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Inequity in health and access to healthcare is a longstanding issue that has serious consequences for the wellbeing of those who experience it. A disproportionate number of those affected belong to socially excluded communities who suffer poor access to various resources, including healthcare. Acknowledging ongoing gaps in achieving health for all, the World Health Organization (WHO) has proposed universal health coverage (UHC) as a key policy for enabling equitable access to healthcare. In this thesis, I explore and critique the dominant model of UHC and discuss its limitations in ensuring equitable access to healthcare. Methods: A mixed methods approach, consisting of an embedded research design (major qualitative stage nested with a minor quantitative study) was applied. The qualitative stage followed the grounded theory (GT) tradition of Charmaz, and the principles of GT along with those of ethnography are used during data collection and analysis to capture both processes and setting. The setting focused on two excluded communities in the south Indian state of Kerala -Indigenous communities and widows above the age of 60 living alone. Multiple methods of data collection, including in-depth interviews, focus group discussions and participant observations, were carried in two phases between 2018 and 2019 with members of both communities and key stakeholders in the healthcare system. For the quantitative analysis, multilevel mixed models were used to understand the differentials in access to treatment between various social classes in India and the ability of health insurance to improve access to treatment for major morbidities in two waves of the India Human Development Survey (IHDS) dataset. Findings: Efforts to address lack of access to healthcare did not take into account the intersectional nature of exclusion and inequity, focusing only on clinical measures and insurance coverage. Multiple factors at the macro, meso and micro levels combine to lead to the othering and exclusion of participants from various resources, including healthcare. Common threads between the three levels included power differentials between excluded communities and others and the lack of intersectionality in addressing exclusionary processes (e.g. Indigeneity framed as cause, social norms, medicalisation, candidacy). The quantitative findings confirm the role of social class in differential access to treatment and the limitations of health insurance in overcoming these disadvantages. Conclusion: This research demonstrates the need to move beyond the notion of a health system divorced from the broader sociocultural and political contexts if we are to address inequitable access to healthcare. Cultural safety that foregrounds power differentials and positions healthcare as aright offers a more comprehensive framework to achieve UHC in an equitable manner. Framing good health and access to healthcare as a right for all and addressing the power gaps will enable us to navigate the difficult terrain of inequity and achieve the goal of equitable healthcare within the context of a just society.
Download or read book The Future of Nursing 2020 2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Download or read book The Science of Health Disparities Research written by Irene Dankwa-Mullan and published by John Wiley & Sons. This book was released on 2021-03-16 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrates the various disciplines of the science of health disparities in one comprehensive volume The Science of Health Disparities Research is an indispensable source of up-to-date information on clinical and translational health disparities science. Building upon the advances in health disparities research over the past decade, this authoritative volume informs policies and practices addressing the diseases, disorders, and gaps in health outcomes that are more prevalent in minority populations and socially disadvantaged communities. Contributions by recognized scholars and leaders in the field—featuring contemporary research, conceptual models, and a broad range of scientific perspectives—provide an interdisciplinary approach to reducing inequalities in population health, encouraging community engagement in the research process, and promoting social justice. In-depth chapters help readers better understand the specifics of minority health and health disparities while demonstrating the importance of advancing theory, refining measurement, improving investigative methods, and diversifying scientific research. In 26 chapters, the book examines topics including the etiology of health disparities research, the determinants of population health, research ethics, and research in African American, Asians, Latino, American Indian, and other vulnerable populations. Providing a unified framework on the principles and applications of the science of health disparities research, this important volume: Defines the field of health disparities science and suggests new directions in scholarship and research Explains basic definitions, principles, and concepts for identifying, understanding and addressing health disparities Provides guidance on both conducting health disparities research and translating the results Examines how social, historical and contemporary injustices may influence the health of racial and ethnic minorities Illustrates the increasing national and global importance of addressing health disparities Discusses population health training, capacity-building, and the transdisciplinary tools needed to advance health equity A significant contribution to the field, The Science of Health Disparities Research is an essential resource for students and basic and clinical researchers in genetics, population genetics, and public health, health care policymakers, and epidemiologists, medical students, and clinicians, particularly those working with minority, vulnerable, or underserved populations.
Download or read book Disability Health Law and Bioethics written by I. Glenn Cohen and published by Cambridge University Press. This book was released on 2020-04-23 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines how the framing of disability has serious implications for legal, medical, and policy treatments of disability.
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Download or read book Achieving Health Equity written by Y. Tony Yang and published by Wiley-Blackwell. This book was released on 2025-01-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unveiling the Path to Health Equity: A Transformative Guide to Law and Policy Achieving Health Equity: The Role of Law and Policy offers a groundbreaking exploration of how legal and policy frameworks shape health outcomes for marginalized populations, with a particular focus on racial minorities in the United States. This comprehensive guide dissects the complex interplay of factors determining health: 20% healthcare, 30% health behaviors, 40% social and economic factors, and 10% physical environment. Amid the backdrop of the COVID-19 pandemic and a national reckoning on racism, this timely work provides an urgent call to action and a practical roadmap for transformative change. It examines how laws and policies across sectors intersect to perpetuate or dismantle health inequities, offering concrete strategies for reform. Key features include: An ecosystem approach exploring four critical domains: healthcare access and quality, health behaviors, social and economic factors, and physical environment Analysis of emerging issues such as addressing the impact of climate change on health disparities, strategies for mitigating algorithmic bias in healthcare AI, and promoting equity in organ transplantation and clinical trials Examination of cross-cutting themes like community engagement, civil rights protections, and data disaggregation to guide targeted interventions Case studies and policy tools for dismantling structural drivers of health inequity Written in accessible language without sacrificing depth, this book illuminates complex concepts through relatable examples. It serves as an invaluable resource for a diverse audience including health system administrators implementing diversity, equity, and inclusion initiatives, public health officials and policymakers, legal professionals and advocates, researchers and students in health-related fields, community organizers and racial justice activists. Achieving Health Equity provides a comprehensive blueprint for leveraging law and policy to build a more just, equitable, and healthy future for all.
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Oxford Handbook of Public Health Practice written by Charles Guest and published by Oxford University Press, USA. This book was released on 2013-02-28 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised and updated for the third edition, the Oxford Handbook of Public Health Practice remains the first resort for all those working in this broad field. Structured to assist with practical tasks, translating evidence into policy, and providing concise summaries and real-world issues from across the globe, this literally provides a world of experience at your fingertips. Easy-to-use, concise and practical, it is structured into seven parts that focus on the vital areas of assessment, data and information, direct action, policy, health-care systems, personal effectiveness and organisational development. Reflecting recent advances, the most promising developments in practical public health are presented, as well as maintaining essential summaries of core disciplines. This handbook is designed to assist students and practitioners around the world, for improved management of disasters, epidemics, health behaviour, acute and chronic disease prevention, community and government action, environmental health, vulnerable populations, and more.
Download or read book Health Equity and Inclusion in Action written by Oommen C Kurian and published by Observer Research Foundation. This book was released on 2024-02-20 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: In a rapidly changing world, the pursuit of health equity and inclusion remains at the forefront of countries’ goals. While progress has been made globally in recognising health equity as a pivotal element for achieving better health outcomes, there is still little discourse around genuine inclusion—ensuring that every individual, regardless of their background or circumstances, has a voice and role in their healthcare decisions. With non-communicable diseases like diabetes, cardiovascular disease, and cancer becoming increasingly prevalent, their implications extend beyond health and encompass economic consequences. Through insightful case studies, this report aims to illuminate feasible strategies that countries can adopt to ensure that healthcare is equitable and inclusive and that the influence of social determinants of health is minimised.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book Eliminating Health Disparities written by National Research Council and published by National Academies Press. This book was released on 2004-08-09 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.
Download or read book Improving Access to and Equity of Care for People with Serious Illness written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-12-06 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Centers for Disease Control and Prevention estimates that approximately 40 million people in the United States suffer from a serious illness that limits their daily activities. These illnesses include heart and lung disease, cancer, diabetes, and Alzheimer's disease and other forms of dementia. However, significant disparities exist across different communities in the quality and access to care for these illnesses. Factors such as race, ethnicity, gender, geography, socioeconomic status, or insurance status exacerbate these complex disparities. It is critical to reevaluate the current models of care delivery across diverse communities and vulnerable populations. On April 4, 2019, The National Academies of Sciences, Engineering, and Medicine convened a workshop to investigate barriers, policy initiatives, and opportunities for improving access to and equity of care for people living with a serious illness. Discussions explored the current climate of health care and opportunities to improve access to care using organizational, community, patient and family, and clinician perspectives. This publication summarizes the discussions and presentations from the workshop.
Download or read book Beyond the HIPAA Privacy Rule written by Institute of Medicine and published by National Academies Press. This book was released on 2009-03-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.
