Unequal Treatment Confronting Racial and Ethnic Disparities in Health Care (2003) / Chapter Skim
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Pages 392-405
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From page 392... ...
D Racial Disparities in Healthcare: Highlights from Focus Group Findings Meredith Grady Tim Edgar Westat 1650 Research Boulevard Rockville, Maryland June 2001 STORIES OF RACIAL DISCRIMINATION IN HEALTHCARE PRACTICE Racial discrimination occurs on many levels, in a variety of contexts, intertwined with income, education level, and other sociodemographic factors. It can be subtle or disturbingly overt.
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From page 393... ...
393 D: RACIAL DISPARITIES IN HEALTHCARE he's African American or Latino, they assume automatically that he doesn't have insurance at all." The following quotes provide examples of encounters that participants had with healthcare providers who made stereotypical assumptions about their education or culture. My name is .
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394 UNEQUAL TREATMENT When they see he can't explain himself, they look at him as if [they are] belittling him.
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395 D: RACIAL DISPARITIES IN HEALTHCARE didn't do anything about finding out where the interpreter was. (Hispanic participant)
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396 UNEQUAL TREATMENT Lack of Respect Many participants unequivocally believed that the lack of respect healthcare providers have for them leads to lower quality healthcare services than persons of other ethnicities, especially whites, receive. They spoke of instances where the office staff would not "look them in the eye" when they spoke to them or greeted other patients with a more pleasant attitude.
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397 D: RACIAL DISPARITIES IN HEALTHCARE black people, but their bell would be on and they still would have to wait. (African-American participant)
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398 UNEQUAL TREATMENT In contrast to situations described by participants in which healthcare providers sought to limit their access to healthcare services, two female participants described being pressured to have surgical procedures that, in retrospect, were deemed unnecessary by other doctors. The first thing they wanted to do was a hysterectomy.
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399 D: RACIAL DISPARITIES IN HEALTHCARE appropriate healthcare services, but they also show that the link between one's race or ethnicity and poor treatment can be very complex. While the underlying issues (e.g., economics, improper diagnosis)
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400 UNEQUAL TREATMENT It's almost like "Oh well, this person doesn't have insurance. Let's just give them the IHS treatment." (Native-American participant)
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401 D: RACIAL DISPARITIES IN HEALTHCARE staff. In some cases, they felt staff were unwilling to help them, and information about their health was delayed or not provided to them.
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402 UNEQUAL TREATMENT packet when they should have only put half. Why did the man who wasn't an eye specialist tell me I had cataracts, when what I had was a detached retina?
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403 D: RACIAL DISPARITIES IN HEALTHCARE is out there. Racism is alive and well, and those of us who think that it's not are living in some kind of dream world.
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404 UNEQUAL TREATMENT I think there are just certain aspects of the culture that one may know a little bit more about by just being part of the culture. For example, with Hispanic pa tients, it's more of a touchy feely -- especially my relationship with older women.
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From page 405... ...
405 D: RACIAL DISPARITIES IN HEALTHCARE Understand what the past healthcare history has been to Native Americans. Maybe just having an understanding of how Native-American healthcare has been across the U.S., not just here in the Southwest, but everywhere.
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