Interventions that Reach into Communities—Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare

被引:0
作者
Ana R. Quiñones
Gregory A. Talavera
Sheila F. Castañeda
Somnath Saha
机构
[1] Portland Veterans Administration Medical Center,Department of Public Health & Preventive Medicine
[2] Oregon Health & Science University,Graduate School of Public Health
[3] San Diego State University,Institute for Behavioral and Community Health
[4] San Diego State University,undefined
来源
Journal of Racial and Ethnic Health Disparities | 2015年 / 2卷
关键词
Race/ethnicity; Disparities; Interventions; Veterans;
D O I
暂无
中图分类号
学科分类号
摘要
Racial/ethnic disparities in healthcare are widespread in the USA and are prevalent across healthcare organizations, including the “equal access” Veterans’ Affairs (VA) integrated healthcare system. Despite substantial attention to these disparities over the last decade, there has been limited progress in reducing them. Based on a review of evidence commissioned by the VA to guide its efforts to address racial and ethnic disparities, the conceptual framework describes the root causes of disparities in healthcare quality and outcomes, demonstrating why improvements in the quality of medical care have had limited influence over healthcare disparities that depend largely on social determinants of health. The recommended interventions—including care coordination, culturally tailored health education, and community health workers—extend the reach of health systems beyond clinics and hospitals and into the communities and social and cultural contexts in which patients live, and in which most health promotion activities occur. To make inroads into addressing disparities, healthcare systems will need to move beyond conceptualizing care delivery as constrained to the clinical encounter and instead, incorporate an understanding of the social determinants of health.
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页码:336 / 340
页数:4
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