Unequal Treatment Confronting Racial and Ethnic Disparities in Health Care (2003) / Chapter Skim
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Appendix C: Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare
Appendix C: Federal-Level and Other Initiatives to Address Racial and Ethnic Disparities in Healthcare
Pages 384-391
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From page 384... ...
Purpose of these guidelines is to: a) establish guidance for agencies that collect or use aggregate data on race, and by establish guidance for the allocation of multiple race responses for use in civil rights monitoring and enforcement.
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From page 385... ...
This program facilitates cultural competency training for providers and medical staff, interpreter training for community interpreters and bilingual healthcare workers, outreach to underrepresented communities, community-based research, interpreter services, translation services, and publications and videos relating to cross-cultural healthcare. Officefor Civil Rights The Office has engaged in a number of efforts related to disparities in care.
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From page 386... ...
, conducted compliance review of home healthcare agencies nationwide to ascertain compliance with civil rights statutes, and investigated how managed care plans establish their service area and how they target their marketing activities. For example, Region II (New York)
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Alaska Native Colorectal Cancer Education Project is being developed and will involve screening tests and the provision of specific language to Alaska Natives for use with healthcare providers when discussing colorectal cancer. Hispanic Colorectal Cancer Outreach and Education Project is a partnership with the National Alliance for Hispanic Health to increase awareness and screening for colorectal cancer.
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From page 388... ...
For example, projects involve topics such as racial and ethnic variations in medical interactions, improving the delivery of effective care to minorities, and understanding and reducing native elder health disparities. Health Resources and Services Administration Measuring Cultural Competence in Health Care Delivery Settings.
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From page 389... ...
This program was developed to provide direct cardiovascular care to Native Americans at reservation clinics within the Navajo, Phoenix, and Tucson Areas as well as provide tertiary care for complex cardiovascular disease in Tucson. The National Diabetes Program was initiated to develop, document, and sustain a public health effort to prevent and control diabetes in American Indian and Alaska Native communities.
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From page 390... ...
The new Center will conduct and support research, training, dissemination of information, and other programs about minority health conditions and about populations with health disparities. The goals of the Center are to assist in the development of an integrated cross-discipline national health research agenda; to promote and facilitate the creation of a robust minority health research environment; and to promote, assist, and support research capacity building activities in the minority and medically underserved communities.
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From page 391... ...
OTHER PROGRAMS/INITIATIVES TO ADDRESS HEALTHCARE DISPARITIES The Cambridge Health Alliance is a network of three hospitals, the Cambridge Public Health Department, community based programs, physician practices, neighborhood health centers, and a managed Medicaid health plan. The communities serviced by the Alliance have large and diverse minority populations, with 26% of residents living below 200% of the federal poverty line.
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