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Health Care Opportunities and Threats: Addressing Health disparities in Minority communities Health care is a cultural and social construct. It is critical that professionals continue to discuss and better understand the consequences of increasing health disparities among minorities. There still remains a severe health care staffing shortage and minorities continue to be under represented in key healthcare specialty areas. Further, communities across the country continue to report disparities in accessing quality care and treatment that is culturally sensitive and competent. Join us as we explore cultural and social healthcare challenges, examine the impact of healthcare reform, identify career and corporate opportunities, and share organizations that have been successful in making a difference in improving healthcare outcomes. Learning Outcomes: Increase awareness and knowledge of healthcare reform, disparities, and other related healthcare challenges At the end of this seminar, participants will be able to: a) Explore social and cultural healthcare challenges b) Identify career and corporate opportunities c) Connect with leaders and managers engaged in healthcare reform d) Examine organizational contributions and responsibilities in addressing healthcare disparities
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HEALTH CARE OPPORTUNITIES AND THREATS:
ADDRESSING HEALTH DISPARITIES IN MINORITY
COMMUNITIES
Dr. Marleece Barber, MD, MHCM
Addressing Health Disparities in Minority Communities
Objective
At the end of this session, you will be able to:1. Explore social and cultural healthcare challenges
2. Identify career and corporate opportunities
3. Connect with leaders and managers engaged in healthcare reform
4. Examine organizational contributions and responsibilities in addressing healthcare disparities
Dr. Marleece Barber
• Chronic Disease: a Familial Story• The Impact of Hypertension, Diabetes, CAD,
and Depression
Explore Social and Cultural Healthcare Challenges
• Minorities tend to experience greater morbidity and mortality due to chronic disease
• African Americans twice as likely as whites to have diabetes
• HTN and high cholesterol contribute to complications of diabetes – cardiovascular events, amputations
Increased Prevalence of Chronic Diseases and Health Disparities
• Language and social barriers• Differences in educational backgrounds• Long held personal beliefs (religious, cultural)
that the provider may be unaware of
LGBT Health Disparities
• Discrimination and violence against LGBT persons is associated with higher incidence of mental health disorders. (Depression, suicide and substance abuse
LGBT Health Disparities
• Less likely to have insurance• More likely to delay care• More often diagnosed with chronic
diseases or cancer• Less likely to receive preventive care
Mental Health Disparities
African American patients:• Usually seek professional help less often
and as a result delay or fail to receive treatment
• Often fear services• Have poor access to services needed• Frequently receive suboptimal
pharmacotherapy
Mental Health Cultural Issues
• Stigma associated with mental health disorders• Ineffective communication with providers• Perceived lack of empathy by the patient from
the provider
Disparities in Treatment of Osteoarthritis
• Most common type of arthritis, over 27 million in the US
• Degenerative changes, usually in knees, hips, and hands
• Painful condition• Joint Replacement- AA 24-46% less likely to
receive/elect
Disparities in Joint Replacement Utilization
• AA patients tend to opt for less invasive treatment
• Believe surgical treatments are ineffective and risk.
• Resignation that OA is part of aging
Identify Career and Corporate Opportunities
• Corporate Medical Director• Physician and nursing programs designed to
recruit to underserved areas• Health Promotion Specialists• Public Health Professionals• Nurse Educators
Healthcare Reform
• Aims to reduce disparities in health and healthcare by improving quality, reducing costs and increasing access to care.
Healthcare Reform
• Improve patient data collection stratified by race, ethnicity and language
• Develop quality improvement processes• Expand research on health and healthcare
disparities• Develop cultural competency programs for
health providers, and increase representation of minorities in healthcare
Healthcare Reform
• Provide affordable insurance options for underserved and underinsured individual
• Eliminate lifetime limits and pre-existing condition exclusion.
• Provide preventive care and screening services for tobacco, HIV and depression
Summary
Racial and ethnic minorities tend to have poorer health status and health outcomes than majority patients. By addressing language barriers, training culturally competent providers, increasing engagement, improving access to care, and implementing quality improvement initiatives, the gap can be lessened.
Questions?
Thank You