8-28 Health Disparities Flashcards
Disparities
Racial & Ethnic differences within the QUALITY of healthcare that is not due to access-related factors or clinical needs/preferences
What are 6 factors directly associated with Health Outcome Disparities
- Race & Ethnicity
- (SES)Socioeconomic status/insurance/education
- Area Level SES
- Provider characteristics
- Health system level factors
- Geographic status (rural vs. suburban vs. urban)
Minorities are ____[MORE/less] likely to receive Full Out Masectomies vs. breast conservative surgery because…
Minorities are MOREEE likely to receive Full Out Masectomies because in the long run it’s cheaper with less follow ups!
What are 2 good indicators for access to care and quality of healthcare?
- Receipt of Treatment protocols
- Mortality
[both measure quality of healthcare/disparities]
*Definition of “Access”
**“Realized” Access includes…..
*Access=timely use of AFFORDABLE personal health services to achieve best possible outcomes
**Realized Access includes ALL OUTCOMES OF HEALTHCARE
What are some key points to the
“Behavioral model of access to Cancer Care” [6]
- Communication is imp at every level(pt-provider & provider-provider)
- Culture is huge in shaping pt behavior
- Primary&Specialist coordination/management is IMP
- Outcomes of care include medical endpoints AS WELL as meeting pt perspectives=pt-centered medicine
- At level of pt & population
- Context matters
What are the 4 Main Barriers to quality healthcare?
- Patient FActors
- Physician factors
- Patient-Doctor communication prob.
- Health Care System altogether
What are some interventions we can take to ELIMINATE HEALTH DISPARITIES [4]
- Policy Interventions
- Healthcare System interventions-
- Pt education/empowerment=pt is active participant in their own care
-Pt navigation=Connect pt to resources &social support using social workers and lay navigators
