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Unequal Treatment:

Confronting Racial and Ethnic Disparities in Health Care

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Status: Available Now

Size: 782 pages, 6 x 9

Publication Year:2003

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Authors:
Brian D. Smedley, Adrienne Y. Stith, and Alan R. Nelson, Editors, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care
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Description:
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 ...
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Reviews:
"An excellent report for understanding the scope and depth of health care disparities... The report provides extensive, helpful discussion of the need for comprehensive, multilevel interventions as strategies for reducing health care disparities. ... Overall, this book represents essential reading ...
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Table of Contents
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Front Matter i-xvi  
Summary 1-28 (skim)
1. Introduction and Literature Review 29-79 (skim)
2. The Healthcare Environment and Its Relation to Disparities 80-124 (skim)
3. Assessing Potential Sources of Racial and Ethnic Disparities in Care: Patient-and-System-Level Factors 125-159 (skim)
4. Assessing Potential Sources of Racial and Ethnic Disparities in Care: The Clinical Encounter 160-179 (skim)
5. Interventions: Systemic Strategies 180-198 (skim)
6. Interventions: Cross-Cultural Education in the Health Professions 199-214 (skim)
7. Data Collection and Monitoring 215-234 (skim)
8. Needed Research 235-243 (skim)
References 244-268 (skim)
Appendix A: Data Sources and Methods 269-284 (skim)
Appendix B: Literature Review 285-383 (skim)
Appendix C: Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare 384-391 (skim)
Appendix D: Racial Disparities in Healthcare: Hightlights from Focus Group Findings 392-405 (skim)
Appendix E: Committee and Staff Biographies 406-414 (skim)
Racial and Ethnic Disparities in Diagnosis and Treatment: A Review of the Evidence and a Consideration of Causes 415-454 (skim)
Racial and Ethnic Disparities in Healthcare: A Background and History 455-527 (skim)
The Rationing of Healthcare and Health Disparity for the American Indians/Alaska Natives 528-551 (skim)
Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare 552-593 (skim)
The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare 594-625 (skim)
The Civil Rights Dimension of Racial and Ethnic Disparities in Health Status 626-663 (skim)
Racial and Ethnic Disparities in Healthcare: Issues in the Design, Structure, and Administration of Federal Healthcare Financing Programs Supported through Direct Public Funding 664-698 (skim)
The Impact of Cost Containment Efforts on Racial and Ethnic Disparities in Healthcare: A Conceptualization 699-721 (skim)
Racial and Ethnic Disparities in Healthcare: An Ethical Analysis of When and How They Matter 722-738 (skim)
Index 739-764 (skim)

Description

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.

Reviews

"An excellent report for understanding the scope and depth of health care disparities... The report provides extensive, helpful discussion of the need for comprehensive, multilevel interventions as strategies for reducing health care disparities. ... Overall, this book represents essential reading for health professionals and others seeking a scientific foundation to help all to understand the factors that underlie health care disparities and the steps that must be taken to address them."
-- New Jersey Medicine, May 2004

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NOTES

CD-ROM includedCD-ROM included in Hardback version.

  Two versions of this book are available:
ISBN 0-309-08532-2, $79.95, is 768 pages complete with all appendixes.
ISBN 0-309-08265-X, $44.95, is 432 pages and includes all the appendixes on a CD-ROM.

PODCAST: UNEQUAL TREATMENT:CONFRONTING RACIAL AND ETHNIC DISPARITIES IN HEALTH CARE

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