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5 Reactor Panel
Pages 47-58

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From page 47...
... He is also a former Institute of Medicine staff member who worked on the study that culminated in the report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (Institute of Medicine, 2003) , which examined whether race and ethnicity play a role in predicting the quality of health care (after insurance status and other variables are statistically controlled for)
From page 48...
... Regardless of income level, living in a majority African American community means a higher concentration of poverty, few jobs, underresourced schools, fewer grocery stores, and fewer basic services and amenities necessary to enhance health outcomes. This is true even for African Americans with middle or upper levels of income.
From page 49...
... The health care system exacerbates health care disparities because it is one of the largest polluters in this country: it releases toxic ingredients into the environment, it contributes to the problem of medications in the water supply, and it increases traffic because workers and hospital staff are brought in to build and work in hospitals and health care systems. Abdication occurs when health care workers believe that because of the existence of social determinants in the environment, they themselves cannot do anything to help people.
From page 50...
... Currently, the center is working to train low-income African Americans to leave the welfare system and obtain meaningful employment. The Cultural Wellness Center sees this as a health care strategy.
From page 51...
... Since its beginning, the Cultural Wellness Center has had over 13,000 visits each year, has delivered over 75 babies with organized birthing teams, and has worked with over 750 first-year medical students and over 500 family practice residents. The center also employs community system navigators that find answers to questions, accompany community members to the doctor, and help them develop ways to work for themselves.
From page 52...
... It is unclear at this time whether and how this will mitigate health care disparities, he said; the health care system needs to ensure that a patient's overall clinical outcome is improved by that provider feeling accountable for that patient's care. Saundra Crump also made the point that health care funding cannot be used for the types of wellness services provided by the Cultural Wellness Center.
From page 53...
... Atum Azzahir of the Cultural Wellness Center responded that although this could be a successful strategy, the reasons behind unhealthy behavior also need to be considered. She noted that community members have told her that what makes them want to engage in healthy behaviors and take better care of themselves is having a purpose for living.
From page 54...
... Health in England is increasingly focused upon primary prevention within communities and social capital, an area of potential collaboration for the United States and England. Williamson also said that each local authority and primary care trust conducts an annual joint strategic needs assessment that considers clinical services, social care, and community perspectives to ensure effective targeting of services.
From page 55...
... Atum Azzahir of the Cultural Wellness Center presented another perspective on the philanthropic sector. Because they are informed by data and scientific knowledge, foundations have expected outcomes.
From page 56...
... . Research conducted at the center indicates that for women, the risk of death associated with SES, independent of individual attributes and health behaviors, is about 50 percent higher in poor neighborhoods (those neighborhoods in the lowest SES quartile)
From page 57...
... 2003. Unequal treatment: Confronting racial and ethnic disparities in health care.


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