Health Disparities Diversity And Inclusion

"Despite the many public health successes over the last century, health disparity continues to exist in American society. Health disparities, diversity, and inclusion : context, controversies, and solutions is an incisive examination of this important topic. The book carefully explores steps that must be taken to prepare for the rapidly changing demographics in American society, including immigration reform, emerging majorities, and evidence-based information substantiating the fact that diversity matters in terms of the provision of health care."--Page 4 de la couverture.

The second Edition of this forward-thinking text goes beyond the discussion of health disparities to highlight the importance of health equity. As the title suggests, Health Equity, Diversity and Inclusion: Contexts, Controversies, and Solutions helps the reader understand key social justice issues relevant to health disparities and/or health equity, taking the reader from the classroom to the real world to implement new solutions. The new Second Edition features: • Two new chapters: one on the impact of urban education on urban health and another covering the elderly and health equity •Updated and enhanced coverage on men’s health, demographic data, the importance of cultural proficiency, maternal mortality and Black women, and much more. • Current trends and movements, including the role of social media in the provision of health care information for improved health literacy; mass incarceration and criminal justice reform; and much more.

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.

No other hospital department cares for patients as diverse as those who come to the Emergency Department (ED). These patients encompass all stages and positions of life and health. Many belong to distinct minority cultures defined by the patient's sexual orientation and gender identity, disability, spirituality, language, race, and ethnicity. It has been well documented that minorities experience inadequate emergency treatment and face poorer healthcare outcomes. Furthermore, research has established that the elderly, ethnic minorities, the poor, and persons with Medicaid coverage are more likely than other people to utilize the emergency department rather than primary care services. With the passage of the Affordable Care Act, particularly the Medicaid expansion, EDs across the United States are poised to care for an unprecedented number of underserved minorities. The need to equip emergency healthcare professionals to practice medicine that is culturally competent in the broadest possible sense has never been greater. Diversity and Inclusion in Quality Patient Care aims to fill this need.

Even as the U.S. population becomes steadily more diverse, minorities and women remain underrepresented in clinical trials to develop new drugs and medical devices. Although progress in increasing minority participation in clinical trials has occurred, participation rates do not fully represent the overall population of minorities in the United States. This underrepresentation threatens the health of both these populations and the general population, since greater minority representation could reveal factors that affect health in all populations. Federal legislation has sought to increase the representation of minorities and women in clinical trials, but legislation by itself has not been sufficient to overcome the many barriers to greater participation. Only much broader changes will bring about the meaningful participation of all population groups in the clinical research needed to improve health. To examine the barriers to participation in clinical trials and ways of overcoming those barriers, the National Academies of Sciences, Engineering, and Medicine held a workshop in April 2015. This publication summarizes the presentations and discussions from the workshop.

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.

This unique text explores health disparities in the United States and their implications from the perspective of a health care administration The book begins with a broad overview of health disparities including definitions from local, state, and federal legislation, as well as alternative definitions. The authors examine current and past frameworks of analysis regarding the causes of disparities and provide a statistical overview of death rates and their implications for health care administrators. In the final section of the book, each chapter looks at health disparities within each type of health care environment such as physician practices, hospitals, pharmaceutical products, Medicare/Medicaid, long-term care, insurance markets, and more.

ABC of Equality, Diversity and Inclusion in Healthcare Improve inclusion, for both patients and staff, in your healthcare environment Fulfilment in personal and professional life is facilitated by feeling able to bring one’s complete self to work. The promotion of Equality, Diversity & Inclusion (EDI) and its support in the workplace is crucial to achieving this. Diverse and inclusive teams are characterised by good people management, leading to better decision-making and improved performance which staff wellbeing and patient safety depend on. Though issues including racism, sexism and homophobia have roots in wider society, they also exist across healthcare systems worldwide. They contribute to problems with recruitment and retention of staff and can make patients reluctant to access the care they need and deserve. The ABC of Equality, Diversity and Inclusion in Health summarises the key issues and the impacts on both patients and staff of excluding people from good healthcare solely on the basis of who they are. As well as considering impacts on individuals and teams, we consider also how inclusion can be improved for the benefit of everyone—all patients and all staff. Topics include: Racism in healthcare Women in healthcare Sexual orientation and gender identity Disability, disparities and ableism in medicine Teaching equality, diversity, and inclusion in healthcare The authors are distinguished healthcare practitioners whose personal and professional lives have been enriched by the diversity of all they meet through their work and who are passionate about ensuring positive change for colleagues and patients. This book aims to contribute to important discussions about how to ensure systemic change that will enable an inclusive culture by recognising and celebrating diversity. ABC of Equality, Diversity and Include (EDI) in Healthcare is essential reading for students and professionals who want to champion inclusivity and fulfilment in a workplace environment. About the ABC series The ABC series has been designed to help you access information quickly and deliver the best patient care, and remains an essential reference tool for GPs, junior doctors, medical students and healthcare professionals. Now offering over 80 titles, this extensive series provides you with a quick and dependable reference on a range of topics in all the major specialties. The ABC series is the essential and dependable source of up-to-date information for all practitioners and students in primary healthcare. To receive automatic updates on books and journals in your specialty, join our email list. Sign up today at www.wiley.com/email

Despite the many Public Health successes over the last century, health disparity continues to exist in in American society. This introductory text addresses this topic head on, exploring steps that must be taken to prepare for the rapidly changing demographics in American society, including immigration reform (emerging majorities), and evidenced based information substantiating the fact that diversity matters in terms of the provision of health care.

Even as the U.S. population becomes steadily more diverse, minorities and women remain underrepresented in clinical trials to develop new drugs and medical devices. Although progress in increasing minority participation in clinical trials has occurred, participation rates do not fully represent the overall population of minorities in the United States. This underrepresentation threatens the health of both these populations and the general population, since greater minority representation could reveal factors that affect health in all populations. Federal legislation has sought to increase the representation of minorities and women in clinical trials, but legislation by itself has not been sufficient to overcome the many barriers to greater participation. Only much broader changes will bring about the meaningful participation of all population groups in the clinical research needed to improve health. To examine the barriers to participation in clinical trials and ways of overcoming those barriers, the National Academies of Sciences, Engineering, and Medicine held a workshop in April 2015. This publication summarizes the presentations and discussions from the workshop.