The human face of health disparities

Green, Alexander R.

doi:10.1016/s0033-3549(04)50254-6

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Poor housing conditions and environmental factors, poverty and its deep effects on body and spirit, poor education and low literacy are greater causes of poor health than racially biased medical care. 37 The patients wished to have access to better housing and to quote one patient: ‘The government needs to give priority to people with disabilities when it comes to housing. If I was staying in a better house, I am quite sure I would be able to participate in the community more.’ [Participant 2, Female, 64 years old] …”

Section: Discussionmentioning

confidence: 99%

Community participation of patients 12 months post-stroke in Johannesburg, South Africa

Mudzi

Stewart

Musenge

2013

Afr. j. prim. health care fam. med.

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BackgroundImprovement in health-related quality of life (HRQL) is the main goal of rehabilitation. The ability of the stroke-patient to participate in various situations signifies successful rehabilitation. The aim of the study was to establish the extent of community participation and the barriers and facilitators to the participation for stroke patients after their discharge.MethodThis study formed part of a larger study focusing on the impact of caregiver education on stroke survivors and their careers. This was a longitudinal study comprising 200 patients with first-time ischaemic stroke. Although the patients were followed up at home at 3 months, 6 months and 12 months post-stroke, this paper focuses on the 12-months follow-up participation results. Patient functional ability was measured by using the Barthel Index (BI) and the Rivermead Mobility Index (RMI), whereas participation was measured by using the International Classification of Functioning, Disability and Health (ICF) checklist. Descriptive statistics were used to analyse the data.ResultsPatients experienced severe to complete difficulty when undertaking single and multiple tasks without help 12-months post-discharge. They struggled with the preparation of meals, household work and interpersonal interactions, and they had difficulties with community life and partaking in recreation and leisure activities. Immediate family and societal attitudes were viewed as facilitators to community participation whereas friends, transportation services and social security services were viewed as barriers to community participation.ConclusionThe patient-ability to socialise and participate in community issues is currently poor. The identified barriers to community participation need to be addressed in order to improve patient-participation in the community post-stroke.

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Section: Discussionmentioning

confidence: 99%

Community participation of patients 12 months post-stroke in Johannesburg, South Africa

Mudzi

Stewart

Musenge

2013

Afr. j. prim. health care fam. med.

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“…Third, in diabetes care, American Indians and Alaska Natives stood a 2.6 times higher chance than whites to be diagnosed for diabetes, while African Americans and Hispanics were twice and almost twice as likely to have the disease (Green, 2003). Hispanics have been perceived as the "healthy immigrant" (Green, 2003, p.305) as well as more homogeneous as a group than is often understood, and as a result, African Americans have received more attention in the research of this disease.…”

Section: A National Prioritymentioning

confidence: 99%

Cultural Competence: Its Promise for Reducing Healthcare Disparities

Harris

2010

Journal of Health and Human Services Administration

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Healthcare disparities have reached such disproportionate levels of disease burden for certain groups that the issue has become a national priority. This article examines the most recent iteration of the healthcare disparities movement, the aggressive legislative steps by the federal government to disrupt its destructive path and the promise that cultural competence holds for healthcare providers and the healthcare industry as a whole in placing the patient back at the center of healthcare treatment. Such efforts, it is argued, will be instrumental in helping to reduce healthcare disparities and make the healthcare delivery experience a more positive outcome for all patients.

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Health Disparity and the Nurse Advocate

Harrison

Falco

2005

Advances in Nursing Science

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This article reviews current research in health disparity in the delivery of care to African Americans. These studies provide powerful evidence that, even when controlling for differences related to access, insurance, and socioeconomic status, our healthcare system is deeply racist. While it is difficult to estimate the cost of racial bias in healthcare delivery, this article advances the notion that human suffering is the most significant consequence of racial disparity. Solutions include a renewed commitment to increasing cultural knowledge, a concerted effort to recognizing and studying racism, and creating a role for the community nurse advocate in correcting disparity.

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The human face of health disparities

Cited by 4 publications

References 12 publications

Community participation of patients 12 months post-stroke in Johannesburg, South Africa

Community participation of patients 12 months post-stroke in Johannesburg, South Africa

Cultural Competence: Its Promise for Reducing Healthcare Disparities

Health Disparity and the Nurse Advocate

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