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Essay on cultural competence in healthcare
Cultural competency in healthcare
Essay on cultural competence in healthcare
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People of color face inequality and intersectionality in healthcare whether through insurance coverage, access, social economics, and quality of care. This leads to our health care system having disparities. It remains a big challenge today as 41% of people living in the United States are people of color (kff.org). People of color aren't getting the same care as someone who's white. Racial and ethnic minorities received lower care. Race also plays a role if someone will be uninsured or not. Another problem with health care is social economics which causes some race to have better care than others. There have been little improvements to address these issues. Today our society is becoming more diverse not less. In 2015 minorities represented …show more content…
Doctors under our healthcare system have come under fire for prescribing medicine based on the patients' race. That practice is called "race-based medicine". Race-based medicine is a problem as it allows the American Healthcare System to be intersectionality based on race. The first ever race based-medicine drug "BiDil' was approved by the FDA a decade ago. It was used to treat African-American with heart failure and advocates rave it as a way to stop the disparities between black and white. However there no evidence that the drug is proven to be more effective in African-Americans compares to other patients. Doctors are medically obligated to bring the best care to patients regardless of their race. Dorothy Roberts sheds light on her experienced with race-based medicine in the youtube video "The problem with race-based medicine". She found out that the issue of race in healthcare runs a lot deeper in all medical practices. Doctors have told Dorothy that they're using race as a shortcut or more important factors, like muscle mass, enzyme level, genetic traits they just don't have time to look for (nhpr.org). Race adds no relevant information at all and it's just a distraction. The issue of race also blinds doctors to patients' symptoms, family illnesses, their history, their own illnesses they might have (Dorothy Roberts). Dorothy Roberts also said doctors should increase their cultural competence to …show more content…
Roberts, Dorothy. “The Problem with Race-Based Medicine.” Dorothy Roberts: The problem with race-Based medicine | TED Talk, Nov. 2015 https://www.ted.com/talks/dorothy_roberts_the_problem_with_race_based_medicine
2. “Eliminating Racial/Ethnic Disparities in Health Care: What are the Options?” The Henry J. Kaiser Family Foundation, 20 Oct. 2008 https://www.kff.org/disparities-policy/issue-brief/eliminating-racialethnic-disparities-in-health-care-what/
3. Duke University “Moving beyond Race-Based drugs.” ScienceDaily, ScienceDaily, 26 May 2016 https://www.sciencedaily.com/releases/2016/05/160526190237.htm
4. Glied, Sherry. “The Uninsured.” PBS, Public Broadcasting Service
Race-based medicine is not meant to divide people, but rather to give better medical help to people of a certain demographic. Race-based medicine is created based on knowledge of predispositions of any given race. For example, it is a fact that heart disease is the leading cause of death for racial groups including African-Americans, Hispanics, and whites in the United States. When medical experts have this knowledge, the process of making diagnoses is
Cohn, Jay N., The Use of Race and Ethnicity in Medicine: Lessons from the African-American Heart Failure Trial, J.L. Med. & Ethics, Race and Ethnicity, Fall 2006, p 552-554.
Oliver, M. N., Wells, K. M., Joy-Gaba, J., Hawkins, C. B., & Nosek, B. A. (2014). Do Physicians' Implicit Views of African Americans Affect Clinical Decision Making? The Journal of American Board of Family Medicine, 27 (2), 177-188. Retrieved from www.jabfm.org
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.
The public needs to address racial disparities in health which is achievable by changing policy addressing the major components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health. To modify these risk factors, one needs to look even further to consider the factors. Socioeconomic status is a key underlying factor. Several components need to be identified to offer more options for those working on policy making. Because the issue is so big, I believe that not a single policy can eliminate health disparities in the United States. One possible pathway can be education, like the campaign to decrease tobacco usage, which is still a big problem, but the health issue has decreased in severity. The other pathway can be by addressing the income, by giving low-income individuals the same quality of care as an individual who has a high
The healthcare workforce is suffering critically due to its lack in diversity. As healthcare organizations are growing and the number of patients is increasing, so is the diversity of the patients. There are more minority patients are the number of minorities increase in the United States. The need for minority employees is crucial in that they are needed to help assist patients who have the similar cultural, racial, and ethnic upbringings. There are many barriers in healthcare workforce that are keeping minorities from reaching their full potential to become employees in healthcare, particularly upper-level leadership positions; as patients continue to become more diverse, so does the need of employees.
Large disparities exist between minorities and the rest of Americans in major areas of health. Even though the overall health of the nation is improving, minorities suffer from certain diseases up to five times more than the rest of the nation. President Clinton has committed the nation to eliminating the disparities in six areas of health by the Year 2010, and the Department of Health and Human Services (HHS) will be jumping in on this huge battle. The six areas are: Infant Mortality, Cancer Screening and Management, Cardiovascular Disease, Diabetes, HIV Infection and AIDS, and Child and Adult Immunizations.
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.
According to the federal Agency for Healthcare Research and Quality, they have assessed the nation’s health system annually since 2003, reported that, in 2015 the health care delivery system has made progress to achieve the three aims of better care, smarter spending, and healthier people (City of White Plains Health Equity Report, 2017). However, they continue to promote health equality and reach the goal of New York State being the healthiest. But most importantly aiming to reduce or eliminate racial, ethnic, and socioeconomic health
In recent discussions of health care disparities, a controversial issue has been whether racism is the cause of health care disparities or not. On one hand, some argue that racism is a serious problem in the health care system. From this perspective, the Institute of Medicine (IOM) states that there is a big gap between the health care quality received by minorities, and the quality of health care received by non-minorities, and the reason is due to racism. On the other hand, however, others argue that health care disparities are not due to racism. In the words of Sally Satel, one of this view’s main proponents, “White and black patients, on average don’t even visit the same population of physicians” (Satel 1), hence this reduces the chances of racism being the cause of health care disparities. According to this view, racism is not a serious problem in the health care system. In sum, then, the issue is whether racism is a major cause of health care disparities as the Institute of Medicine argues or racism is not really an issue in the health care system as suggested by Sally Satel.
Socioeconomic Disparities and health are growing at a rapid rate throughout the United States of America. To further understand the meaning of Socioeconomic Disparities, Health and Socioeconomic disparities & health, this essay will assist in providing evidence. Disparities can be defined in many ways, of which include ethnic and racial background and class types that deal with it the most. Due to the low income some individuals receive, they have less access to health care and are at risk for major health issues. Although, ethnicity and socioeconomic status should not determine the level of health care one should receive or whether not the individual receives healthcare.
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
Intersectionality is a term used to describe a situation whereby an individual has multiple identities and as result, the person feels that he or she doesn’t belong to one community or another. Because of the many conflicts in an individual’s identities, he or she could be a victim of multiple threats of discrimination (Williams, 2017). The discrimination could be a result of race, gender, age, health and ethnicity among others. To give an example, a black transgender woman could be discriminated in the workplace because of being black and also because she is transgender. From an intersectionality perspective, the woman faces multiple threats of discrimination because of the overlapping identities of gender and race and therefore the transwoman faces a bigger struggle (Barber, 2017). Transwomen of color will most likely encounter prejudices in the form of homophobia, racism or sexism in many dimensions of their life. The perspective of intersectionality is not only applicable to women but it can also be applied to males. For example, a gay Latino man could be discriminated based on race because he is an immigrant into
In the healthcare system, it is needed even more. Many healthcare facilities need to have their workforce diverse in order to reap benefits. In the 2000 U.S. Census, African Americans accounted for nearly 12.7 percent of the workforce, that number hasn’t increased exponentially today. Many minorities are underrepresented in the healthcare workforce, which can affect delivery of healthcare. Some benefits that many organizations see from a diverse work environment are: varied ideas, a larger talent pool, reduced discrimination, and more productivity. These benefits can impact the healthcare delivery system by improving quality of care and quality in the
In the operation of the healthcare system, gender plays a central role. Gender discrimination in the healthcare exists either in the field of education, workplace or while attending to the patients. Interestingly, as opposed to other areas where discrimination lies heavily to a particular gender; gender inequality in health happens to both women and men. Gender inequality in the health care service negatively affects the quality of care given and perpetuates patient biases to a gender. Also, the gender disparities in the field of health assists researchers and practitioners to study conditions and their probable manifestations within both sexes.