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Pages 235-243

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From page 235...
... 8 Needed Research In previous chapters, the committee has reviewed extensive evidence of racial and ethnic disparities in care, and has assessed potential sources of these disparities, as well as promising strategies to eliminate them. In the process, the committee notes that the evidence base to better understand and eliminate disparities in care remains less than clear.
From page 236...
... 236 UNEQUAL TREATMENT ity populations, such as Native Americans, Asian Americans, Pacific Islanders, Hispanics, and subgroups of these populations; and research on the role of non-physician healthcare professionals, such as nurses, physician assistants, occupational and rehabilitation therapists, mental heath care providers, and others in eliminating racial and ethnic disparities in care. Finally, the last section offers suggestions for strategies to carry out this research.
From page 237...
... 237 NEEDED RESEARCH operate to influence patients' and providers' conscious and unconscious perceptions of each other and affect the structure, processes, and outcomes of care. As noted in Chapters 3 and 4, it is likely that clinical uncertainty and discretion with regard to diagnostic and treatment options may play a role in healthcare disparities.
From page 238...
... 238 UNEQUAL TREATMENT services, thereby increasing their access to care. Many studies of racial and ethnic differences in healthcare, however, fail to account for these differences, often collapsing the privately-insured or publicly-insured into broad categories that mask differences in coverage.
From page 239...
... 239 NEEDED RESEARCH main a small fraction of the overall healthcare workforce. More must be understood about the racial and ethnic composition of providers who tend to serve minority patients, and the impact of racial concordance/discordance on care.
From page 240...
... 240 UNEQUAL TREATMENT better serving and addressing needs of culturally and linguistically diverse customers; these training programs offer potentially valuable models for healthcare institutions wishing to become more "customerfriendly" and improve service. ASSESSING HEALTHCARE DISPARITIES AMONG NON-AFRICAN AMERICAN MINORITY GROUPS A central concern throughout the committee's review of the literature on racial and ethnic disparities in healthcare has been the relative paucity of research on non-African-American racial and ethnic minority groups.
From page 241...
... 241 NEEDED RESEARCH cation and "activation" strategies, and efforts to make healthcare services more culturally and linguistically accessible. DEVELOPING METHODS FOR MONITORING HEALTHCARE DISPARITIES As discussed in the chapter on data collection and monitoring, the collection and reporting of healthcare information by patient race and ethnicity is an important step in monitoring the nation's progress in eliminating racial and ethnic disparities in healthcare.
From page 242...
... 242 UNEQUAL TREATMENT promise to improve the quality of life and mitigate disease in ways never previously imagined. To the extent that these new technologies are made available and are within economic reach, research must assure that racial and ethnic minorities who have the ability to pay for such care are not disadvantaged in their efforts to receive it.
From page 243...
... 243 NEEDED RESEARCH • Understand the role of non-physician healthcare professionals, including nurses, physician assistants, occupational and rehabilita tion therapists, mental health professionals (including psycholo gists, social workers, and marital and family therapists) , pharma cists, allied health professionals, as well as non-professional staff in contributing to healthcare disparities; • Assess healthcare disparities among non-African-American mi nority groups and subgroups; • Assess the impact of international medical graduates (IMGs)

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