Racial and Ethnic Disparities in the Quality of Health Care
Kevin Fiscella,Mechelle Sanders +1 more
TLDR
To eliminate racial and ethnic disparities, continued progress will require a collective national will to ensure health care equity through expanded health insurance coverage, support for primary care, and public accountability based on progress toward defined, time-limited objectives using evidence-based, sufficiently resourced, multilevel quality improvement strategies that engage patients, clinicians, health care organizations, and communities.Abstract:
The annual National Healthcare Quality and Disparities Reports document widespread and persistent racial and ethnic disparities. These disparities result from complex interactions between patient factors related to social disadvantage, clinicians, and organizational and health care system factors. Separate and unequal systems of health care between states, between health care systems, and between clinicians constrain the resources that are available to meet the needs of disadvantaged groups, contribute to unequal outcomes, and reinforce implicit bias. Recent data suggest slow progress in many areas but have documented a few notable successes in eliminating these disparities. To eliminate these disparities, continued progress will require a collective national will to ensure health care equity through expanded health insurance coverage, support for primary care, and public accountability based on progress toward defined, time-limited objectives using evidence-based, sufficiently resourced, multilevel quality improvement strategies that engage patients, clinicians, health care organizations, and communities.read more
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Journal ArticleDOI
How mental health care should change as a consequence of the COVID-19 pandemic.
Carmen Moreno,Til Wykes,Til Wykes,Silvana Galderisi,Merete Nordentoft,Nicholas Crossley,Nev Jones,Mary Cannon,Christoph U. Correll,Christoph U. Correll,Louise Byrne,Louise Byrne,Sarah Carr,Eric Y.H. Chen,Philip Gorwood,Sonia Johnson,Hilkka Kärkkäinen,John H. Krystal,Jimmy Chee Keong Lee,Jeffrey A. Lieberman,Carlos López-Jaramillo,Miia Männikkö,Michael Phillips,Hiroyuki Uchida,Eduard Vieta,Antonio Vita,Celso Arango +26 more
TL;DR: The interconnectedness of the world made society vulnerable to this infection, but it also provides the infrastructure to address previous system failings by disseminating good practices that can result in sustained, efficient, and equitable delivery of mental health-care delivery.
Posted Content
Can Patient Self-Management Help Explain the SES Health Gradient?
Dana P. Goldman,James P. Smith +1 more
TL;DR: Differences by education in treatment adherence among patients with two illnesses, diabetes and HIV, are examined, and the subsequent impact of differential adherence on health status is assessed.
Journal ArticleDOI
Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations.
Theresa Andrasfay,Noreen Goldman +1 more
TL;DR: It is projected that COVID-19 will reduce US life expectancy in 2020 by 1.13 y, which would imply an increase of nearly 40% in the Black−White life expectancy gap, from 3.6 y to over 5 y, thereby eliminating progress made in reducing this differential since 2006.
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The Opioid Crisis in Black Communities
Keturah James,Ayana Jordan +1 more
TL;DR: It is argued that, because racial inequalities are embedded in American popular and political cultures as well as in medicine, the federal and state governments should develop more culturally targeted programs to benefit Black communities in the opioid crisis.
Journal ArticleDOI
Racism and health service utilisation: A systematic review and meta-analysis
TL;DR: A systematic review and meta-analysis of quantitative empirical studies that report associations between self-reported racism and various measures of healthcare service utilisation finds racism was associated with health service use outcomes such as delaying/not getting healthcare, and lack of adherence to treatment uptake.
References
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Journal ArticleDOI
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