Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (full printed version) / Edition 1

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More About This Textbook

Overview

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.

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Product Details

  • ISBN-13: 9780309085328
  • Publisher: National Academies Press
  • Publication date: 9/24/2004
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 782
  • Product dimensions: 6.40 (w) x 9.10 (h) x 1.80 (d)

Table of Contents

Summary 1
1 Introduction and Literature Review 29
2 The HealthCare Environment and Its Relation to Disparities 80
3 Assessing Potential Sources of Racial and Ethnic Disparities in Care: Patient- and System-Level Factors 125
4 Assessing Potential Sources of Racial and Ethnic Disparities in Care: The Clinical Encounter 160
5 Interventions: Systemic Strategies 180
6 Interventions: Cross-Cultural Education in the Health Professions 199
7 Data Collection and Monitoring 215
8 Needed Research 235
References 244
App. A: Data Sources and Methods 271
App. B: Literature Review 285
App. C Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare 384
App. D Racial Disparities in Healthcare: Highlights from Focus Group Findings 392
App. E: Committee and Staff Biographies 406
Racial and Ethnic Disparities in Diagnosis and Treatment: A Review of the Evidence and a Consideration of Causes 417
Racial and Ethnic Disparities in Healthcare: A Background and History 455
The Rationing of Healthcare and Health Disparity for the American Indians/Alaska Natives 528
Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare 552
The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare 594
The Civil Rights Dimension of Racial and Ethnic Disparities in Health Status 626
Racial and Ethnic Disparities in Healthcare: Issues in the Design, Structure, and Administration of Federal Healthcare Financing Programs Supported Through Direct Public Funding 664
The Impact of Cost Containment Efforts on Racial and Ethnic Disparities in Healthcare: A Conceptualization 699
Racial and Ethnic Disparities in Healthcare: An Ethical Analysis of When and How They Matter 722
Index 739
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