Exploring Health Disparities in 4D: A Multidimensional Perspective

 
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Why are disparities growing, despite efforts?
 
 
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The IOM study committereve defines disparities
in healthcare as racial or ethnic differences in
the quality of healthcare that are not due to
access related factors or clinical needs, patient
preferences, and appropriateness of
intervention.
 
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Access to care
Provider Attitudes (Cultural Competence,
Implicit Bias
Systems Quality
Social Determinants
 
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https://www.youtube.com/watch?v=ZWa09tUzq
f4
 
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Infant mortality rates for African Americans and American
Indian/Alaska Natives have improved some, but continue to
be higher than whites
 
African American women f
our times more likely than white
women to die 
during childbirth/complications during
pregnancy
 
Patients of color receive unequal treatment when being
treated at the same facility by the same providers
 
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https://youtu.be/G-lN8vWm3m0
 
 
 
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Access to health care
Quality of care
Insurance coverage
Genetics
Personal behavior
Provider Beliefs and
Behaviors
Patients Beliefs and
Behaviors
 
Socioeconomic
conditions
Education
Occupation
Income
Place of residence
Age
Culture
Language
 
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Taking the perspective of another person is the
ability to understand how a situation appears to
another person and how that person is reacting
cognitively and emotionally to the situation. It is
the ability to put oneself in the place of others
and recognize that other individuals may have
points of view different from one
s own.
 
 
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Empathy Trumps Bias
 
Neural Pathway
 
What’s
 it like to be this patient?
 
www.stop-disparities.org/endit
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This presentation delves into the complexities of health disparities, particularly focusing on racial and ethnic differences in healthcare quality. It discusses factors such as implicit bias, cultural competence, and social determinants that contribute to unequal treatment in medical settings. The statistics highlighted illustrate ongoing challenges faced by African American and American Indian/Alaska Native populations. The presentation encourages critical thinking to address these disparities effectively.


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  1. Like a Sandwich Without the Bread: Thinking 4D About Health Disparities

  2. Washington Medical Commission 2019 Conference James Anderson, PA-C Evergreen Treatment Services, Seattle, WA jimanderson@evergreentx.org Commissioner, Washington Medical Commission

  3. Missing Links? Why are disparities growing, despite efforts?

  4. Defining Racial and Ethnic Healthcare Disparities The IOM study committereve defines disparities in healthcare as racial or ethnic differences in the quality of healthcare that are not due to access related factors or clinical needs, patient preferences, and appropriateness of intervention.

  5. Implicit Bias - https://implicit.harvard.edu

  6. Thinking 4-D: Four Dimensions of Health Inequites/Disparities Access to care Provider Attitudes (Cultural Competence, Implicit Bias Systems Quality Social Determinants

  7. Banaji https://www.youtube.com/watch?v=ZWa09tUzq f4

  8. Statistics Infant mortality rates for African Americans and American Indian/Alaska Natives have improved some, but continue to be higher than whites African American women four times more likely than white women to die during childbirth/complications during pregnancy Patients of color receive unequal treatment when being treated at the same facility by the same providers

  9. McGurk Effect https://youtu.be/G-lN8vWm3m0

  10. OK, Now What? Which Ones Can You Impact as a Provider? Socioeconomic conditions Education Occupation Income Place of residence Age Culture Language Access to health care Quality of care Insurance coverage Genetics Personal behavior Provider Beliefs and Behaviors Patients Beliefs and Behaviors

  11. Perspective Taking Taking the perspective of another person is the ability to understand how a situation appears to another person and how that person is reacting cognitively and emotionally to the situation. It is the ability to put oneself in the place of others and recognize that other individuals may have points of view different from one s own.

  12. Perspective Taking Empathy Trumps Bias Neural Pathway What s it like to be this patient?

  13. www.stop-disparities.org/endit

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