Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received.
In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients’ and providers’ attitudes, expectations, and behavior are analyzed.
How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider–patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Institute of Medicine. 2003. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: The National Academies Press. https://doi.org/10.17226/10260.
|1 Introduction and Literature Review||29-79|
|2 The Healthcare Environment and Its Relation to Disparities||80-124|
|3 Assessing Potential Sources of Racial and Ethnic Disparities in Care: Patient- and System-Level Factors||125-159|
|4 Assessing Potential Sources of Racial and Ethnic Disparities in Care: The Clinical Encounter||160-179|
|5 Interventions: Systemic Strategies||180-198|
|6 Interventions: Cross-Cultural Education in the Health Professions||199-214|
|7 Data Collection and Monitoring||215-234|
|8 Needed Research||235-243|
|A Data Sources and Methods||271-284|
|B Literature Review||285-383|
|C Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare||384-391|
|D Racial Disparities in Healthcare: Highlights from Focus Group Findings||392-405|
|E Committee and Staff Biographies||406-414|
|Racial and Ethnic Disparities in Diagnosis and Treatment: A Review of the Evidence and a Consideration of Causes - H. Jack Geiger||417-454|
|Racial and Ethnic Disparities in Healthcare: A Background and History - W. Michael Byrd and Linda A. Clayton||455-527|
|The Rationing of Healthcare and Health Disparity for the American Indians/Alaska Natives - Jennie R. Joe||528-551|
|Patient-Provider Communication: The Effect of Race and Ethnicity on Process and Outcomes of Healthcare - Lisa A. Cooper and Debra L. Roter||552-593|
|The Culture of Medicine and Racial, Ethnic, and Class Disparities in Healthcare - Mary-Jo DelVecchio Good, Cara James, Byron J. Good, and Anne E. Becker||594-625|
|The Civil Rights Dimension of Racial and Ethnic Disparities in Health Status - Thomas E. Perez||626-663|
|Racial and Ethnic Disparities in Healthcare: Issues in the Design, Structure, and Administration of Federal Healthcare Financing Programs Supported Through Direct Public Funding - Sara Rosenbaum||664-698|
|The Impact of Cost Containment Efforts on Racial and Ethnic Disparities in Healthcare: A Conceptualization - Thomas Rice||699-721|
|Racial and Ethnic Disparities in Healthcare: An Ethical Analysis of When and How They Matter - Madison Powers and Ruth Faden||722-738|
The Chapter Skim search tool presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter. You may select key terms to highlight them within pages of each chapter.
The National Academies Press (NAP) has partnered with Copyright Clearance Center's Rightslink service to offer you a variety of options for reusing NAP content. Through Rightslink, you may request permission to reprint NAP content in another publication, course pack, secure website, or other media. Rightslink allows you to instantly obtain permission, pay related fees, and print a license directly from the NAP website. The complete terms and conditions of your reuse license can be found in the license agreement that will be made available to you during the online order process. To request permission through Rightslink you are required to create an account by filling out a simple online form. The following list describes license reuses offered by the National Academies Press (NAP) through Rightslink:
Click here to obtain permission for the above reuses. If you have questions or comments concerning the Rightslink service, please contact:
Rightslink Customer Care
Tel (toll free): 877/622-5543
To request permission to distribute a PDF, please contact our Customer Service Department at 800-624-6242 for pricing.
To request permission to translate a book published by the National Academies Press or its imprint, the Joseph Henry Press, pleaseclick here to view more information.