Racial and ethnic disparities in health: An emergency medicine perspective

被引:76
作者
Blanchard, JC [1 ]
Haywood, YC [1 ]
Scott, C [1 ]
机构
[1] George Washington Univ, Dept Emergency Med, Washington, DC 20037 USA
关键词
disparities; race; socioeconomic factors; insurance status;
D O I
10.1197/S1069-6563(03)00501-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Significant disparities exist in health care based on race. Even when controlling for socioeconomic factors, minorities still have lower rates of utilization for certain procedures, higher mortality rates, and differences in usual source of care. There are a multitude of causes for these disparities, including differences based on access to care, the patient-doctor relationship, and insurance status. This article addresses possible factors that account for persistent disparities in health based on race and suggests approaches to remedying these disparities. Although many studies have been done on this topic, further research is needed to examine factors specifically in the emergency department setting.
引用
收藏
页码:1289 / 1293
页数:5
相关论文
共 35 条
[1]  
Ali S, 1997, J HEALTH CARE POOR U, V8, P83
[2]  
AYANIAN JZ, 2000, JAMA-J AM MED ASSOC, V184, P2061
[3]   Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients [J].
Baker, DW ;
Hayes, R ;
Fortier, JP .
MEDICAL CARE, 1998, 36 (10) :1461-1470
[4]  
BRANCH C, 2000, MED CARE RES REV, V57, P181
[5]  
Carlisle DM, 1996, J HEALTH CARE POOR U, V7, P308
[6]   Race, gender, and partnership in the patient-physician relationship [J].
Cooper-Patrick, L ;
Gallo, JJ ;
Gonzales, JJ ;
Vu, HT ;
Powe, NR ;
Nelson, C ;
Ford, DE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (06) :583-589
[7]  
Dalaker J., 2002, CURRENT POPULATION R
[8]   Racial disparities in medical care. [J].
Epstein, AM ;
Ayanian, JZ .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (19) :1471-1473
[9]   Errors in medical interpretation and their potential clinical consequences in pediatric encounters [J].
Flores, G ;
Laws, MB ;
Mayo, SJ ;
Zuckerman, B ;
Abreu, M ;
Medina, L ;
Hardt, EJ .
PEDIATRICS, 2003, 111 (01) :6-14
[10]   Primary care safety-net delivery sites in the United States - A comparison of community health centers, hospital outpatient departments, and physicians' offices [J].
Forrest, CB ;
Whelan, EM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (16) :2077-2083