Unequal Treatment

Unequal Treatment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 781
Release: 2009-02-06
Genre: Medical
ISBN: 030908265X

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.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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.

Cultural Competency in Health, Social & Human Services

Cultural Competency in Health, Social & Human Services
Author: Pedro J. Lecca
Publisher: Routledge
Total Pages: 311
Release: 2014-02-04
Genre: Psychology
ISBN: 1317777352

Cultural competency is an issue that is becoming increasingly more important as thousands of people come to this country every year. Because of widely different social mores, living conditions, traditions, personal beliefs, and practices of clients, health professionals in all specialties are finding it difficult to communicate effectively with the members of the diverse racial and ethnic groups that come to them for help. To give health and human services professionals the necessary training, material on cultural competency has been mandated in several different curricula, yet appropriate pedagogical material remains relatively rare. This pioneering volume presents the latest information and techniques for improving cultural competency in the delivery of health, social, and human services to ethnic and racial minority groups in the United States. Special attention is paid to the importance of understanding the social and culture backgrounds of clients when assessing diagnosis of policy and economic issues, which are rarely examined in this context. Notable for its combination of theory and practice, which will be invaluable for both professionals and students, this book also includes material on cultural competency within such special populations as the mentally ill, the elderly, children, and families.