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Introduction Discrimination in health care is not only limited to certain individuals and populations, but it can be something that may happen to anyone on the receiving end of health care. Every individual and population is not free from discrimination; it can happen to any one regardless of their background. That being said, certain populations and individuals are certainly more susceptible to being the victims of discrimination more so than others. Certain examples of these populations may consist of patient who have the diagnosis of HIV/AIDS, obese patients, and patients with different cultural backgrounds.
Population
One example of a population that may be more susceptible to discrimination in health care are individuals who have been
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There are several ways in which this kind of discrimination occurs: it may occur when health care providers believe that obese patients are lazy or non-adherent to self-care recommendations. Due to this, health care providers have been found to spend less time educating obese patients about their health because they felt it would not make a difference (Burgess et al., 2015). This may lead to detrimental outcomes for these patients. The individual, group, and societal outcomes of discrimination in health care can be detrimental. Individuals may not receive the proper health care that they deserve due to being a victim of discrimination, and this may then lead to poor health outcomes. In addition, this same concept also goes for group and societal outcomes. In general, any sort of discrimination that leads to poor health care can be detrimental for an individual, group, and a society. Perceived discrimination is associated with both negative health outcomes and negative perceptions of quality of care (Andreae et al., 2015).
Minimizing
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Personally, I felt that I have never been discriminated against in the health care setting. I also feel that I have not discriminated against any of the patients that I have cared for thus far. I did focus on the topic of HIV/AIDS and discrimination because at one point I did care for a patient with this diagnosis. At first, I felt nervous because I did not really know what to expect, and felt that was my main fear. I treated my patient with the upmost respect and kindness even though I felt fear, but I realized my fear was only due to fear of the unknown. I put myself in my patient’s shoes and thought about what it would be like to live with that diagnosis, and how saddening it must be. If I was diagnosed with HIV/AIDS, I would not wanted to be treated any differently, and would like to be treated the same as everyone else. I feel that a diagnosis or someone’s background should never define whom that person is, and what kind of care they should
In conclusion, It it is very necessary that our health care officials try harder to gain trust with minorities so that medicine can be focused more on equality. We all know that for decades our country was very diverse and everyone was treated differently. Although things have changed and it is sometimes important to preserve our past, past actions should not still be carried out. Even today, racism still occurs and it hard for minorities to feel safe when visiting hospitals and doctor’s offices. Minorities should be given equal medical opportunities, be given the honest truth on their diagnosis and treatments and most importantly be given some sort of health care so they can be treated.
The disparities in the healthcare system contribute to the overall health status disparities that affect ethnic and racial minorities. The sources of ethnic and racial healthcare disparities include cultural barriers, geography differences, or healthcare provider stereotyping. In addition, difficulties in communication between health care providers and patients, lack of access to healthcare providers, and lack of access to adequate health care coverage
Health disparity is one of the burdens that contributes to our healthcare system in providing equal healthcare to everyone regarding of race, age, race, sexual orientation, and socioeconomic status to achieve good health. Research reveals that racial and ethnic minorities are likely to receive lower quality of healthcare services than white Americans.
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is 19 years. The infant mortality rate of Aboriginal and Torres Strait Islander male infants is 6.8% and the infant mortality rate for female infants is 6.7%. For non-Aboriginal infants, the infant mortality rates are 1% for male infants and 0.8% for female infants. Further, the Aboriginal population is subject to a wide-range of diseases that do not exhibit comparatively high incidence rates in non-Aboriginal Australians.
Racial disparities in The United States health care system are widespread and well documented. Social and economic inequalities between racial minorities and their white counter parts have lead to lower life expectancy rates, higher infant mortality rates, and overall poorer health for people of color. As the nation’s population continues to become increasingly diverse, these disparities are likely to grow if left unaddressed. The Affordable Care Act includes various provisions that specifically aim to reduce inequalities for racially and ethnically marginalized groups. These include provisions in the Senate bill and House bill that aim to expand coverage, boost outreach and education programs, establish standards for culturally and linguistically appropriate practices, and diversify the health care workforce. The ACA, while not a perfect solution for eliminating health disparities, serves as an important first step and an unprecedented opportunity to improve health equity in the United States.
Healthcare disparities are when there are inequalities or differences of the conditions of health and the quality of care that is received among specific groups of people such as African Americans, Caucasians, Asians, or Hispanics. Not only does it occur between racial and ethnic groups, health disparities can happen between males and females as well. Minorities have the worst healthcare outcomes, higher death rates, and are more prone to terminal diseases. For African American men and women, some of the most common health disparities are diabetes, cancer, hypertension, cardiovascular disease, and HIV infections. Some factors that can contribute to disparities are healthcare access, transportation, specialist referrals, and non-effective communication with patients. There is also much racism that still occurs today, which can be another reason African Americans may be mistreated with their healthcare. “Although both black and white patients tended not to endorse the existence of racism in the medical system, African Americans patients were more likely to perceive racism” (Laveist, Nickerson, Bowie, 2000). Over the years, the health care system has made improvements but some Americans, such as African Americans, are still being treating unequally when wanting the same care they desire as everyone else.
Discriminating against a person because of one's weight can be a seriously hurtful and demeaning thing. Many people assume that the causes for being overweight are eating all day and rarely exercising. Some people call overweight people slobs or lazy, when in most instances this isn't the case. Some have health problems that lead to being overweight, like a kidney disease or malfunction, or the person may even be suffering from a birth defect.
No citizen shale ever be ignored no matter their race, state of health, or class. In the US “barriers generally stem from forces within the organizational environment of the health care delivery system or within the broader social system itself” (Barr, 2011, p. 273). This is why health policy scholars need to study health disparities so that equal care can ultimately be reached. Currently some disparities that are obvious in society are unequal dispersion and quality of care between racial groups, genders, and those with low middle class income. The health care system needs to be fixed and in order for that to happen health scholars must study better procedures so that the best possible outcome can be reached for the American
According to the institute of Medicine (IOM), racism is a problem in the health care system, that is, the difference between the quality of health care received by minorities and non-minorities is due to racism. IOM is a nonprofit organization that advises the federal government and the public on science policy. It released a report that on average, minorities receive a lower quality of care, even when factors such as income and type of health insurance are accounted for. The report by IOM states that racial stereotypes and prejudice are the cause of the health care disparities. The article by IOM points ...
Despite the substantial developments in diagnostic and treatment processes, there is convincing evidence that ethnic and racial minorities normally access and receive low quality services compared to the majority communities (Lum, 2011). As such, minority groups have higher mortality and morbidity rates arising from both preventable and treatable diseases judged against the majority groups. Elimination of both racial and ethnic disparities is mainly politically sensitive, but plays an important role in the equitable access of services, including the health care ones without discrimination. In addition, accountability, accessibility, and availability of equitable health care services are crucial for the continually growing
As a nation, we all will agree that health equity, promotion, disease prevention should be available in all levels of the health care system. In other to achieve health equity and improve the life and health of all groups, disparities must be eliminated. Healthcare must be affordable across the board, disparities eliminated in other for this goal to be achieved. Some of factors affecting health equity include socioeconomic status and low literacy of certain group of the population. Unequal treatment and discrimina...
Some of these barriers can include discrimination and stereotyping between coworkers and also between patients and the healthcare staff. According to Andrews and Boyle (2016), gender can become a barrier for female nurses with males being paid a higher wage and receiving promotions quicker than females. Affirmative action is a policy that provides equal opportunities without being discriminated against (Adrews & Boyle, 2016). However, discrimination can happen when an employer is required to hire a certain percentage of minorities within their company instead of being able to actually hire the best candidate for the job based on experience, work ethic, or education. Role stereotyping can also hinder the workforce. Many see the traditional role of a nurse as being a female and a male being a physician. Many patients will assume that a male entering their room is a physician and therefore have more respect for them and their knowledge as opposed to a nurse. Hatred toward coworkers due to prejudice and discrimination can also play a barrier to diversity. Many employees can show negatively toward specific groups such as, homosexuals or Muslims due to feelings related to previous interactions or behaviors with certain cultures (VanLaer, & Janssens, 2011). Although there are many more barriers in diversity, it is obvious that we need to continue to work on awareness toward other
Seeking to position lower socioeconomic status above racial/ethnic biases or vice versa is irresponsible to the goal of eliminating healthcare delivery differences at large. Both these are realities of a group of people who are not receiving the same level of care from the healthcare professionals although they exist within one of the most resource rich countries in the world, the United States. According to House & Williams (2000), “racism restricts and truncates socioeconomic attainment” (page, 106). This alone will hinder good health and spur on disparities as racism reduces the level of education and income as well as the prospect of better jobs. Blacksher (2008) cites the nation’s institutionalized racism as one of the leading factors
The idea that the successful health and health care organizations of the future will be those that can simultaneously deliver excellent quality of care, at lower total costs, while improving the health of their population is taking hold. The main reason is because of health disparities. Addressing health disparities has been a challenge for decades. This paper will look at a few examples of how health disparities can affect individually, thus the overall health of a population.
I did not know the true extent of the prejudice and discrimination those low-income individuals and other vulnerable populations dealt with. I was shocked to see the discriminative behavior reach health professionals and be reinforced by the healthcare system. Patients can be denied treatment at a “premier” hospital for reasons like not having a green card, or being poor, and/or uninsured. If a patient was deemed unqualified to receive treatment at the premier hospital, they got transferred to a free hospital such as Cook County Hospital. This unethical treatment didn’t exclude patients in critical conditions; a person with serious bullet wounds can be turned down on the