Issues concerning nursing and health care for educational purposes
Saturday, January 17, 2009
Health Disparities
According to the IOMs report in 2008, there are disparities in the access to health care in the United States. What are your thoughts on this topic? Do health care disparities exist? If so, what would you suggest to eliminate or lessen this problem?
It is the opinion of this student that not only do these disparities exist but that they add to the ever increasing costs of health care. There are numerous reasons these individuals do not recieve early treatment; from lack of transportation to lack of knowledge of what services they can recieve through Medicade or the public health department. The solutions to this problem are as complex as the number of reasons the disparities exist. Certainly education of the population at risk is important. Providing transportation to individuals for treatment through churches, community organizations, or medical ministries would provide some relief. This would require a long term committment that some are not willing or able to do.
This is an awesome website. It is interesting to look at the uninsured -- those without vehicles, etc. http://www.adph.org/ruralhealth/Default.asp?id=1798
I do believe there are health disparities. Certainly money and education are key elements; however, I do believe that as a nation we have lost some of our care and compassion for our fellow man.
I posted a comment in the follow this blog but can't find it. I am learning my way around this excellent blog. I agree with the others that there are health disparities. I believe it is seen (but recognized more now) in how women are treated when they present to an ER with chest pain. What about you all that are practicing have you seen a difference in the way women are treated versus men?
Over the past 25 years, I have been involved in EMS and emergency medicine in some fashion or another. From this perspective, I have seen treatment and diagnosis disparities due to age, gender, and disease process. In most cases, the disparity is due more to ignorance than bigotry. Often women seem to be discounted due to atypical sequelae along with the elderly and those with diabetes. It is an education thing in my humble opinion.
I also believe health disparities exist in our current society. The tentacles of this problem are far reaching and affect not only women but also others who are discounted as being inferior in the eyes of our social order. The elderly, disabled, poor, mentally challenged, and evenly the morbidly obese to name a few. I believe that health disparities should be dealt with in a more preventive oriented approach. Disparities in low income, ethnic and racial communities are felt the hardest in our current society. They tend to be the more problematic areas therefore the strongest noted. We should educate public servants such as medical personnel, police officers, and other emergency providers how to approach these areas in their response efforts. Education is a great tool but it will only go so far and we must learn to set our own personnel opinions aside when caring or responding to someone in need. Reaffirming the reasons we became health care providers, remembering the desire that lead us to train and study, recommitting to serve all those entrusted in our care, and resisting all barriers or prejudice.
Hi Drew, hope all is well with you guys down there. I treat folks who fall through the cracks everyday, some really need help, some want a handout. America needs to level the playing field in healthcare. I know this will push some buttons but we have to have some kind of universal coverage, at least a fair buy in policy. To my knowledge we are the only industrialized country in the world that doesn't provide some sort of health provision to all its citizens. We also spend more than any country (18% of our GDP). David
Regarding the disparities between the treatment of men and women, I have seen in my practice the pain reports of men taken more seriously than women. It seems more "acceptable" for women to be in pain, but a man's pain is treated much more quickly. There isn't an overt difference in care, but instead a subtle one. Anyone else experienced this?
I do see a disparity in healthcare but wonder as to the actual cause. I recognize that access to healthcare is limited by physical constraints especially in the South where most areas do not have public transportation. I also believe that disparity exist due to limitations of healthcare education especially in regard to prevention and promotion. Many a proud patient doe not admit to being illiterate or only functionally literate when assessed. It is only through developing a relationship that this is revealed. Financially a disparity exists with what is coined the "working poor"- those who earn just enough to be disqualified for government assistance but who do not make enough to take off from work when sick or pay their $30 copay. This is a huge segment of our population. And last (so I don't go on and on) there is a disparity due to our personal perceptions - those judgments we make based off appearances. Ask me about appearance and perceptions regarding a recent work day. It was eye opening for the 10 AU SN on the floor that day! We all most keep our perceptions in check as much as possible.
It is the opinion of this student that not only do these disparities exist but that they add to the ever increasing costs of health care. There are numerous reasons these individuals do not recieve early treatment; from lack of transportation to lack of knowledge of what services they can recieve through Medicade or the public health department. The solutions to this problem are as complex as the number of reasons the disparities exist. Certainly education of the population at risk is important. Providing transportation to individuals for treatment through churches, community organizations, or medical ministries would provide some relief. This would require a long term committment that some are not willing or able to do.
ReplyDeleteThis is an awesome website. It is interesting to look at the uninsured -- those without vehicles, etc.
ReplyDeletehttp://www.adph.org/ruralhealth/Default.asp?id=1798
I do believe there are health disparities. Certainly money and education are key elements; however, I do believe that as a nation we have lost some of our care and compassion for our fellow man.
ReplyDeleteI posted a comment in the follow this blog but can't find it. I am learning my way around this excellent blog. I agree with the others that there are health disparities. I believe it is seen (but recognized more now) in how women are treated when they present to an ER with chest pain. What about you all that are practicing have you seen a difference in the way women are treated versus men?
ReplyDeleteOver the past 25 years, I have been involved in EMS and emergency medicine in some fashion or another. From this perspective, I have seen treatment and diagnosis disparities due to age, gender, and disease process. In most cases, the disparity is due more to ignorance than bigotry. Often women seem to be discounted due to atypical sequelae along with the elderly and those with diabetes. It is an education thing in my humble opinion.
ReplyDeleteI also believe health disparities exist in our current society. The tentacles of this problem are far reaching and affect not only women but also others who are discounted as being inferior in the eyes of our social order. The elderly, disabled, poor, mentally challenged, and evenly the morbidly obese to name a few. I believe that health disparities should be dealt with in a more preventive oriented approach. Disparities in low income, ethnic and racial communities are felt the hardest in our current society. They tend to be the more problematic areas therefore the strongest noted. We should educate public servants such as medical personnel, police officers, and other emergency providers how to approach these areas in their response efforts. Education is a great tool but it will only go so far and we must learn to set our own personnel opinions aside when caring or responding to someone in need. Reaffirming the reasons we became health care providers, remembering the desire that lead us to train and study, recommitting to serve all those entrusted in our care, and resisting all barriers or prejudice.
ReplyDeleteHi Drew, hope all is well with you guys down there. I treat folks who fall through the cracks everyday, some really need help, some want a handout. America needs to level the playing field in healthcare. I know this will push some buttons but we have to have some kind of universal coverage, at least a fair buy in policy. To my knowledge we are the only industrialized country in the world that doesn't provide some sort of health provision to all its citizens. We also spend more than any country (18% of our GDP). David
ReplyDeleteRegarding the disparities between the treatment of men and women, I have seen in my practice the pain reports of men taken more seriously than women. It seems more "acceptable" for women to be in pain, but a man's pain is treated much more quickly. There isn't an overt difference in care, but instead a subtle one. Anyone else experienced this?
ReplyDeleteI do see a disparity in healthcare but wonder as to the actual cause. I recognize that access to healthcare is limited by physical constraints especially in the South where most areas do not have public transportation. I also believe that disparity exist due to limitations of healthcare education especially in regard to prevention and promotion. Many a proud patient doe not admit to being illiterate or only functionally literate when assessed. It is only through developing a relationship that this is revealed. Financially a disparity exists with what is coined the "working poor"- those who earn just enough to be disqualified for government assistance but who do not make enough to take off from work when sick or pay their $30 copay. This is a huge segment of our population. And last (so I don't go on and on) there is a disparity due to our personal perceptions - those judgments we make based off appearances. Ask me about appearance and perceptions regarding a recent work day. It was eye opening for the 10 AU SN on the floor that day! We all most keep our perceptions in check as much as possible.
ReplyDeleteO. K. I'm asking. What about the eye-opening appearance and perceptions?
ReplyDeleteInteresting reading
ReplyDeletehttp://www.medscape.com/viewarticle/586606?sssdmh=dm1.422134&src=nldne