ebook ebooks e-book e-books downloaden bei MyEbooks.ch downloaden

Eliminating Healthcare Disparities in America Beyond the IOM Report

:	Richard Allen Williams
:	Eliminating Healthcare Disparities in America Beyond the IOM Report
:	Humana Press
:	9781597454858
:	1
:	CHF 49,70
:

:	Allgemeines
:	English

:	500
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

In this book, Dr. Richard Allen Williams has assembled the very best scholars on healthcare disparities to raise the public consciousness of this issue. Arranged into discrete categories, this volume contains comprehensive coverage, both historical and current, of the healthcare disparity crisis currently plaguing our country in hopes of leading us all to a brighter future.

	About the Editor	7
	Foreword	9
	Contents	11
	Preface	14
	Introduction	17
	I UNDERLYING CAUSES OF HEALTHCARE DISPARITIES	25
	Historical Perspectives of Healthcare Disparities	26
	INTRODUCTION	26
	ROOTS	26
	SHACKLES AND CHAINS	31
	RECONSTRUCTION OR DECONSTRUCTION?	32
	FIFTY CENTURIES OF BLACKS IN MEDICINE	33
	GOVERNMENTAL INVOLVEMENT IN HEALTHCARE FOR BLACKS	35
	RACIAL AND ETHNIC DIFFERENCES IN DISEASE EXPRESSION	38
	CONCLUSION	40
	REFERENCES	40
	Epidemiology of Racial and Ethnic Disparities in Health and Healthcare	43
	INTRODUCTION	43
	RACE AND ETHNICITY IN THE UNITED STATES	44
	CONCEPT OF DISPARITIES AND THE HEALTHY PEOPLE 2010 GOALS	44
	THE BURDEN OF HEALTH DISPARITIES	46
	DISPARITIES IN ACCESS TO AND QUALITY OF CARE	54
	LIMITATIONS AND CHALLENGES IN RACIAL AND ETHNIC COMPARISONS OF HEALTHCARE DATA	56
	UNIQUE OPPORTUNITIES FOR THE FUTURE	59
	CONCLUSIONS	59
	REFERENCES	60
	Cultural Diversity in Medicine and in Healthcare Delivery	63
	INTRODUCTION	63
	DEFINITION OF TERMS	64
	THE DIVERSE PATIENT UNIVERSE IN AMERICA	64
	CORONARY HEART DISEASE IN AFRICAN AMERICANS	70
	HYPERTENSION IN AA	72
	HEART FAILURE IN AA	73
	DIABETES MELLITUS (DM) IN AA	74
	CEREBROVASCULAR DISEASE IN AA	74
	END-STAGE RENAL DISEASE (ESRD) IN AA	76
	CONCLUSION	81
	GLOSSARY OF KEY TERMS	82
	REFERENCES	83
	Healthcare and the Politics of Race	88
	INTRODUCTION	88
	STRAW MEN	90
	SUBSIDIES AND MORALS: WHEN ARE RACIAL DIFFERENCES WRONG?	94
	TOWARD COMMON GROUND SOLUTIONS	100
	REFERENCES	102
	Barriers to Eliminating Disparities in Clinical Practice	104
	INTRODUCTION	104
	THE IOM REPORT “UNEQUAL TREATMENT”	106
	KEY CLINICAL LESSONS FROM THE IOM REPORT “UNEQUAL TREATMENT”	107
	WHERE DO WE GO FROM HERE?	111
	CONCLUSION	114
	REFERENCES	114
	Second-Class Medicine	119
	INTRODUCTION	119
	MISSING EVIDENCE OF EBM	122
	APPLICATION OF EBM TO DRUG REVIEWS AND HEALTH COVERAGE POLICY	127
	APPLICATION OF EBM TO REDUCING HEALTHCARE DISPARITIES	132
	CONCLUSION	136
	ACKNOWLEDGMENT	137
	REFERENCES	137
	The Diversity Benefit	141
	INTRODUCTION	141
	DOES DIVERSITY MAKE A DIFFERENCE?	142
	STRATEGIES TO INCREASE DIVERSITY IN THE HEALTH PROFESSIONS	149
	CONCLUSION	154
	REFERENCES	155
	III APPROACHES TO CORRECTING THE PROBLEMS	158
	Eliminating Disparities in Healthcare Through Quality Improvement	159
	INTRODUCTION	159
	HEALTH DISPARITIES VS HEALTHCARE DISPARITIES	160
	DISPARITIES IN HEALTH	160
	DISPARITIES IN HEALTHCARE	162
	ROLE OF QI	166
	QI TOOLS	168
	SUCCESSFUL MODELS	172
	CURRENT QI DISPARITY INITIATIVES	180
	GETTING STARTED	181
	CONCLUSION	182
	REFERENCES	182
	Eliminating Racial Discrimination in Healthcare	197
	INTRODUCTION	197
	CONCLUSION	205
	REFERENCES	206
	Quality of Care and Health Disparities	215
	INTRODUCTION	215
	HISTORICAL MILESTONES IN THE GOVERNMENT’S RESPONSE TO MINORITY HEALTH ISSUES	217
	A TURNING POINT IN HISTORY: THE 1985 SECRETARY’S TASK FORCE ON BLACK AND MINORITY HEALTH	219
	THE FEDERAL OMH	220
	OTHER MINORITY HEALTH PROGRAMS WITHIN DHHS	222
	THE STATES’ ROLES IN ELIMINATING DISPARITIES	224
	GOVERNMENT SUPPORT OF MINORITY EDUCATIONAL INSTITUTIONS AND HEALTH PROFESSIONALS	226
	THE EMERGENCE OF QUALITY AS A KEY FACTOR IN ELIMINATING DISPARITIES	227
	FUTURE TRENDS AND CHALLENGES	230
	SUMMARY	233
	REFERENCES	233
	The Role of Communities in Eliminating Healthcare Disparities	238
	INTRODUCTION	238
	WHAT IS “THE COMMUNITY”?	240
	THE ROLE OF COMMUNITIES IN DETERMINING HEALTH STATUS	240
	COMMUNITY INITIATIVES TO ELIMINATE HEALTH DISPARITIES	244
	SUMMARY	251
	REFERENCES	251
	The Potential Impact of Performance Incentive Programs on Racial Disparities in Healthcare	254
	INTRODUCTION	254
	EQUITY IS A PART OF QUALITY	254
	PERFORMANCE INCENTIVE PROGRAMS	255