Racism in Medicine Flashcards
Define Race
Biological differences between human beings reflect both hereditary factors and influence of natural and social environment
Describe the relationship between race and socio-economic status
Nonequivalent - blacks receive less income at the same level of education etc
Describe why race matters in terms of health
Health is affected by exposure to social and economic adversity
Discrimination is added as a pathogenic factor that can affect minorities health
State how the importance of Race was proven
Benefits of Research has been unequal - Minorities have a higher death rate than whites despite an overall drop in both
Describe how Racism evolved in medicine
Ancient greeks and Europeans accelerated it
Benjamin Rush - ‘negroidism’- leporsy which darken skin colours
State times when medicine had official race policies
AMA officially rejected black physicians 3 times in a row - policies in effect for over a century
State whether there was a racial bias or not
In a study, Black patients were less likely to receive analgesics than white people - uncognitive bias
Describe a reason why disparities exist in health care
Some procedures not being offered due to not being economically available or assumed not to be due to race
Describe the Door to balloon time study
2004 study that African Americans were less likely to receive care from a cardiologist
Describe how the mechanisms of racism affect health
Segregation can restrict socioeconomic status and lead to differences in health - creates pathogenic residential conditions
reduced access to desirable goods
Describe the effects segregation has on medical care
Pharmacies in segregated neighbourhoods will have less supplies
Hospitals more likely to close
Blacks are more likely to live in areas where quality of care is low
Describe how to reduce the effects of segregation
Improve access to care and the quality of care
Develop incentives to reduce inequalities in the quality of care
Enrich the quality of neighbourhood environments and increase economic development in poor areas
Improve living standards for poor persons and households e