Minority Health in America: Findings and Policy Implications from The Commonwealth Fund Minority Health Survey

Overview

This book assembles timely evidence from a major national survey regarding the different experiences of health care as it is being delivered to various minority members of our society—Hispanics, African Americans, Asian Americans, and minority women. It provides the documentation needed to assess the successes and failures of our present system and to chart productive directions for the future. The book will be an important resource for researchers, policy makers, clinicians, ...

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Overview

This book assembles timely evidence from a major national survey regarding the different experiences of health care as it is being delivered to various minority members of our society—Hispanics, African Americans, Asian Americans, and minority women. It provides the documentation needed to assess the successes and failures of our present system and to chart productive directions for the future. The book will be an important resource for researchers, policy makers, clinicians, and students interested in minority health and health policy.

Johns Hopkins University Press

The book contains black-and-white illustrations.

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Editorial Reviews

Choice

This report will be specially valuable to developers of curriculum for medical schools and public policy makers.

New England Journal of Medicine
The authors have produced a useful reference manual for all members of the health care professions and a valuable tool for those who are making and implementing health care policies.

— J. Tyson Tildon, Ph.D.

Journal of Community Health

A current and comprehensive coverage of a major public health policy issue grounded in a well-designed survey and insightful analyses.

Choice

This report will be specially valuable to developers of curriculum for medical schools and public policy makers.

New England Journal of Medicine - J. Tyson Tildon

The authors have produced a useful reference manual for all members of the health care professions and a valuable tool for those who are making and implementing health care policies.

Doody's Review Service
Reviewer: Swailem S. Hennein, Ph.D.(University of Illinois at Chicago)
Description: This book contains thirteen chapters by twenty-one analysts/contributors who report findings of the 1994 Commonwealth Fund Minority Health Survey (CMHS). Statistical operations with validity and significance tests are presented in support of conclusions and proposed remedial approaches — mostly policy and research — to the various aspects of ethnic health disparities in the U.S.
Purpose: The purpose of this two-part survey and publication is to shed light on the composition of a health gap and ethnic health disparities in the U.S. To raise the consciousness of key stock-holders is viewed as first step in a process starting with policy and research and leading to equity in delivery of healthcare to all.
Audience: Among those who are addressed are federal and state policymakers, with more in being said, however, to healthcare establishments, including the valiant 'safety-net providers' — medical schools, other training institutions, managed care, practitioners, and community organizations. Yet, in a more general way, the book is suitable for all students of ethnicity and health, and researchers will find valuable statistical and epidemiological know-how.
Features: The editors begin with a presentation of the overall dynamics of the 1994 CMHS, covering both sampling and testing procedures, then providing a synthesis with tables and graphs of the findings. Data specific to each of the three minority groups are then sifted through, and the dimensions of the ethnic health disparities are demonstrated. In the following eight chapters contributors analyze forms of vulnerability — all the way from being a woman to the paradoxical place of social status to deficits in nutrition and physical exercise.
Assessment: This book is of much value to many and is a task well done. But this study involves a rather small sample, and the usual shortcomings associated with telephone-conducted surveys and the tenacious health disparities problem in the U.S. suggest the problem must be far worse than reported by the CMHS. Fortunately, however, we are in a period of proliferation of concern and studies within this same focus are growing in number. Thanks is due to the Resource Center of the Office of Minority Health and other public and private organizations, but action is still needed.
Booknews
In 1994, the Commonwealth Fund commissioned a survey of some 3,770 African American, Hispanic, Asian American, and white adults on their experiences with health care. This report presents evidence from this major national survey, providing documentation needed to assess successes and failures of our present system and to chart directions for the future. Hogue teaches maternal and child health and epidemiology at Emory University, where she is also director of the Women's and Children's Center. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780801862991
  • Publisher: Johns Hopkins University Press
  • Publication date: 1/28/2000
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 352
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.81 (d)

Meet the Author

Carol J. R. Hogue, Ph.D., M.P.H., is the Terry Professor of Maternal and Child Health, professor of epidemiology, and director of the Women's and Children's Center at the Rollins School of Public Health, Emory University. Martha A. Hargraves, Ph.D., M.P.H., is an assistant professor in the Department of Obstetrics and Gynecology at the University of Texas Medical Branch, Galveston. Karen Scott Collins, M.D., M.P.H., is assistant vice president of The Commonwealth Fund.

Johns Hopkins University Press

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Table of Contents

Foreword
Acknowledgments
List of Contributors
1 The Commonwealth Fund Minority Health Survey of 1994: An Overview 1
2 Hispanics' Experience within the Health Care System: Access, Utilization, and Satisfaction 19
3 A Profile of African Americans' Health Care: Subgroup Differences in Need and Access 47
4 Access to Health Care among Chinese, Korean, and Vietnamese Americans 77
5 Health Care for African American and Hispanic Women: Report on Perceived Health Status, Access to Care, and Utilization Patterns 97
6 Financial Barriers for Working-Age Minority Populations: Poverty and Beyond 124
7 Uninsurance and Its Impact on Access to Health Care: What Are the Challenges for Policy? 142
8 Satisfaction with Care in Minority Populations 160
9 Limited Choices for Medical Care among Minority Populations 176
10 Social Status and Perceived Discrimination: Who Experiences Discrimination in the Health Care System, How, and Why? 194
11 Race, Stress, and Mental Health 209
12 Eating Well, Exercising, and Avoiding Smoking: Health Promotion among Men and Women in Minority Populations 244
13 A Look to the Future 274
Technical Appendix 293
Author Index 309
Subject Index 315
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