Inequalities In Healthcare

Improved Essays
As the struggle for equality in health care continues in the United States, all hands must be on deck to ensure that every person who seeks medical care gets one. Health care disparities among individuals living in the United States arise from a complex interaction of variables that affects patients, healthcare givers and the health care system itself. Regrettably, this problem is no longer limited to the racial and/or ethnic minorities, its impact has been extended to include individuals and families who for one reason or the other are unable to acquire the full spectrum of health services necessary to promote health, prevent illness and maintain health. Although the health care reform designed to address the problem of inequalities in healthcare in that United States has increased the proportion of insured patients remarkably, many members of the vulnerable population still receive disparate healthcare treatments. The solutions to this crisis are enormously complex, but hope persists. Hope, because in the cry of injustice there is also a call for innovative thinkers, for big day dreamers and for folks who love medicine, learning, imagination, creativity, cultures and most of all, people. To start with, when I was preparing for admission into the Physician Assistant School, I shadowed physician assistants at the Conejo Valley Family Medical Group and Fillmore Family Medical Group &Urgent care and I discovered the role they play in the United States healthcare system. …show more content…
Being one of the first points of contact for many patients, the primary care physician assistants occupy a unique and strategic position for catching potentially serious medical conditions and institution of early intervention. Even though their responsibilities are often delegated by the supervising physician, they conduct clinical evaluation of patients, perform medical procedures, and provide preventive clinical services like cancer screening, counseling, and immunizations just to mention a few. Still, they are involved in the provision of continuity care to many other patients, especially those with chronic diseases and pregnant women. Also, they help to improve access to care by assisting patients to navigate through the system barriers that often hinder patients from getting the needed care. The diversity in the patient population that the primary care physician assistants serve is noteworthy. It refreshed my interest in primary care medicine considering that I had worked as a primary care physician in Nigeria for four years prior .This experiential learning made me realize that every medical encounter in potentially a cross-cultural experience and negotiating this divide is a challenge for both patients and healthcare providers. In addition, I have operated as a phlebotomy technician in the last 5 years at the Ventura County Medical Center Laboratory and magnified my work through dedication, empathy, friendliness and demonstration of the leadership skills that I have developed in the course of my professional and religious endeavors. I have worked with a health care team that is collaborative in care and committed to ensuring and maintaining patients’ safety at all times. Therefore, I have gained a deeper insight into the importance of teamwork and laboratory quality control protocols in the delivery of quality care to patients. Also, I have been actively involved in the training of phlebotomy students on externship in our laboratory. Through this activity, I have refined my teaching abilities and made learning an integral part of my personal development. From my direct patient care experiences, I have come to appreciate that a holistic approach to healthcare based on the bio-psychosocial model remains a crucial element of quality patient care. In the future, specifically upon my graduation from the PA school, I would like to work as a primary care PA committed to providing compassionate and high-quality care for individuals and families regardless of their race, ethnicity, literacy level, socioeconomic status and cultural beliefs. …show more content…
To this end, I would align my personal and professional values to the benefit of the patients under my care. I would consider it an honor to work with the vulnerable population and build a relationship of trust and care with my patients because the lack of trust in the health care system and the healthcare provider remains one of the determinants of health care disparities. Moreover, a relationship-centered practice forges a bond that can stand the vicissitudes of the patient’s illness, its treatment, and conflict as it arises in the relationship itself. Furthermore, I believe that

Related Documents

  • Improved Essays

    Unequal Treatment Since the birth of this great country, ironically called the melting pot, the unequal treatment of different races, especially African Americans, has been the source of immense conflict and controversy. From blatant racism, to simple treatment of blacks when it comes to healthcare, inequality has run rampant throughout the history of the United States. The non-fiction book, The Other Wes Moore, by Wes Moore, and the article, “Racial Injustice Still Rife in Healthcare,” both focus on the discrepancies and hardships that African Americans endure throughout their lives.…

    • 599 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    OUTLINE (Optional) Introduction Throughout American history, we have liberated ourselves from dictatorship of Great Britain, fought in and won many great wars, and is currently boasting to be potentially one of the greatest nation that there ever war. However, there is an important national issue we have failed to completely get rid. Racial inequality is the discrimination against people of color, meaning unfair advantages and disadvantages given to people based off bias of race. Background info/context: Relating back to the book, The Other Wes Moore, the idea of racial inequality within the treatment sector of the healthcare system is prominent.…

    • 1339 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Disparities In Healthcare

    • 263 Words
    • 2 Pages

    Collaborating for a Better Health Care Systems Minority communities and people from rural areas distrust health and other government systems due to a number of reasons. Zekeri and Habte research about perceived factors that influence disparities in health found that indicate that perceived racial discrimination, mistrust issues with Caucasians and mistrust with public institutions are major factors that influence disparities in health (Zekeri & Habte, (2006). Making health a culture means that we have to strengthen connections between our health care systems, public health systems, and the community. Health care providers and professionals who care for the patients will have a greater influence and impact if they are supported by infrastructures…

    • 263 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    This brings the issue of why is there any differences in the health care delivery system in our nation. We may need to look at the decision makers in public health and policy makers, medical educators and officials, most of the hospital administrators or any important medical personnel that are majority white. They operate with their specific white framing, normalizing stereotypes images of distinct racial groups. This links them to a discriminatory practice and results in institutionalized inequalities in health care. This is also true for women in work place, as the time norms reflects male ways of living and working.…

    • 380 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Many researchers have identified health disparities the goal is look at the the cyclical pattern that ultimately results in widened disparities in health care between minority groups and the majority and in continued discrimination of minority group( e.g., Buki, Borrayo, Feigal & Carrillo, 2004; Clegg, Li, Hankey, Chu, & Edwards,2002) . According to the U.S. Department of Health and Human Services states there is inequality in the quality of care given. For example if a white person suffered from a cardiovascular disease and a person of color suffered from the same thing would they received the same treatment? With health disparities healthcare becomes bias because society tends to aid the white person first and better versus the person of color. The first definition of health disparity was found in September 1999, Director Harold Varmus that worked for the white house was charged with creating a…

    • 596 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Racial disparities are a major issue in healthcare affecting mostly minorities as studies have confirmed. Root causes have been identified but with little achievement in removing the root causes. People perceptions can impact how care if given or received when there is distrust in the system or biased decision base on fraudulent research that support a claim. ACO and outcome based treatment may try to fix the problem, however, until the root causes of racial disparities are addressed and fixed, there won't be a breakthrough in fixing the problem in healthcare.…

    • 91 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    There are associations between the materialistic/structural explanation and the cultural behavioural explanation. The cultural explanation suggests that the social distribution of poor health is linked to differences in individual behaviours and to different groups’ attitudes towards their health (Daykin, 2001). The Stroke Foundation of NZ (2010) suggests that people who are subject to a greater degree of disadvantage were estimated to have about a 60% increased risk of stroke when compared with those with the lowest level of disadvantage. Asthana and Halliday (2006) backs this statement up as it states that health-damaging behaviours are more prevalent among the poor than the socially advantaged. Additionally there are also behavioural factors…

    • 732 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    From this week’s readings, the idea that struck me the most, and held great weight in my mind is the idea of class in relation to health care and the access or lack of access to that health care. As we can see in “Systematic Racism and U.S. Healthcare” by Joe Feagrin and Zinobia Bennefield, people of color, due to historic and systematic oppression, have disproportionately smaller access to healthcare. This systematic oppression leads to increased risk of poverty, which leads to limited access to healthcare.…

    • 316 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Health Care Disparities

    • 168 Words
    • 1 Pages

    Health care disparities have been an issue that is of great interest to public health professionals. Several efforts have been made in efforts to reduce the existing health disparities. Health care disparities are politically sensitive issues and because they are interlaced with race relations, it poses a threat to achieving an overall healthy population. The issues of health care disparities are deeply rooted in socio economic status, culture, access to health care services, utilization of healthcare services, utilization of preventative care, genetics and other social determinants of health. David Satcher presents evidence of this problem where he writes “African American men have the greatest rate of lung cancer from smoking, and both African…

    • 168 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    The burden of death and illness associated with chronic diseases experienced by Africans Americans and other people of color are a result of disparities in the United States. The health disparities associated with these diseases are a compelling reason for addressing this problem. For example, According to CDC, diabetes is approximately 70 percent higher in African American and nearly doubles in Hispanic than whites (CDC, 2011). My goal is to improve the lives of racial/ethnic populations that are suffering from these devastating diseases by the end of 2017. By the end of FY 2016, A RFA will be in place for the development of a community projects to help reduce/eliminate health disparities.…

    • 180 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    Health disparities is a profound difference in healthcare opportunities and services available to the general public. It can be based on certain factors such as, race, social class, economics, and or environmental disadvantages, (Kotch, 2010). Health disparities usually affect people that have experienced obstacles in life because of those certain factors mentioned earlier, and those who have always been discriminated against. Whether it was because of color, gender, sexual preference, or geographic disadvantages, they stepped outside of the norm accepted by society and have to suffer inequalities in health care. 2.Which racial/ethnic groups are more likely to be affected by health disparities?…

    • 1159 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    There is a problem in healthcare where racial and ethnic disparities exist. Despite the abundance of healthcare facilities, technology and pharmacology and other aspects to which the U.S. is envied by others, something that should be accessible to everyone, is not. The quality and improvement of health care have been a long- standing and persistent issue of national discussions in the United States for years. This problem has negatively impacted African American women because there is a disparity of access and quality of care that they are receiving. Poor outcomes in health care, based on race or ethnic background exist in every level of the American health care system.…

    • 1554 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Our nation is charting a path toward quality health care that aims to be safe, efficient, effective, timely, patient-centered, and equitable. As our health-care system rapidly undergoes dramatic transformation, several truths and challenges remain. First, racial and ethnic disparities in health care persist and are a clear sign of inequality in quality. Second, although the root causes for these disparities are complex, there exists a well-developed set of evidence-based approaches to address them; among these is improving the cultural competence of health-care providers and the health-care system as expressed in lecture. Third, as part of our health care redesign, we must ensure that we are prepared to meet the ethical challenges ahead and reassert the importance of equity, fairness, and caring as key building blocks of a new care delivery system.…

    • 697 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    in many ways, in healthcare blacks have been regulated and separated to different hospitals, so even denied care completely. Lyndon B. Johnson brought upon 2 programs called Medicaid and Medicare. These programs vastly improved access to hospital care for racial and ethnic minority Americans on Medicare. “They led to significant improvements in access to care for minority patients, improvements in the quality of care provided to minority patients, and greater diversity among the providers serving them. ”(James 2015)…

    • 1286 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Despite major advances in medicine and public health during the past few decades, disparities in health and health care persist. Health disparities are prevalent in the United States and are significant among underrepresented racial and ethnic groups (Mitchell, 2015). Compared to white Americans, these groups are uninsured or underinsured, have decreased access to care, and receive poor quality of care (Agency for Healthcare Research & Quality [AHRQ], 2013). Nurses can aid in reducing health care disparities through health systems interventions, cultural competency, and patient, provider relationship interventions.…

    • 839 Words
    • 4 Pages
    Improved Essays