The National Healthcare Quality and Disparities Reports

Kelley, Ed; Moy, Ernest; Stryer, Daniel; Burstin, Helen; Clancy, Carolyn M.

doi:10.1097/00005650-200503001-00002

Cited by 70 publications

(51 citation statements)

References 3 publications

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“…Health disparities in the US are among the highest in the developed world, and reducing them is a major health priority. [30][31][32] Successful strategies to reduce disparities must address the physician workforce. 27,33 We propose that having more URM faculty in senior and leadership roles in medical schools will support training a more diverse physician population and increase the cultural awareness and skills of all physicians-in-training and biomedical scientists.…”

Section: Slowness Of Changementioning

confidence: 99%

Race, Disadvantage and Faculty Experiences in Academic Medicine

2010

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Section: Slowness Of Changementioning

confidence: 99%

Race, Disadvantage and Faculty Experiences in Academic Medicine

2010

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“…3 Hospitalization rates for children with asthma increased between 1998 and 2001. 4 Preventing poor outcomes requires prescribing and adhering to optimal therapies and effective self-management. 5 As with many chronic conditions, disparities in asthma outcomes exist according to race and socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

“…Black children are at greater risk for hospitalization, even after controlling for socioeconomic status. 4 Children of lower socioeconomic status have higher rates of hospitalization independent of their race 6 and report worse health status on self-report measures. 7 The reasons for these disparities are not well understood and may be related to severity of illness, environmental exposures, quality of care, and/or differing self-management strategies.…”

Section: Introductionmentioning

confidence: 99%

Low Parental Literacy Is Associated With Worse Asthma Care Measures in Children

DeWalt

Dilling

Rosenthal

et al. 2007

Ambulatory Pediatrics

223

202

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Objective-To determine if parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma.Methods-We performed a retrospective cohort study at a university pediatric clinic. We enrolled children between 3 and 12 years old with a diagnosis of asthma and a regular source of care at the site of the study and their parent or guardian. Primary asthma care measures included self-reported rates of emergency department visits, hospitalizations, and days of school missed. Secondary asthma care measures included rescue and controller medication use, classification of asthma severity and parental asthma-related knowledge.Results-We enrolled 150 children and their parents. Twenty-four percent of the parents had low literacy. Children of parents with low literacy had greater incidence of emergency department visits (adjusted incidence rate ratio [IRR] 1.5; 95% CI 1.1, 2.1), hospitalizations (IRR 3.2; 1.4, 7.3), and days missed from school (IRR 2.5; 2.1, 3.0) even after adjusting for asthma-related knowledge, disease severity, medication use and other socio-demographic factors. Parents with low literacy had less asthma-related knowledge, and their children were more likely to have moderate or severe persistent asthma and had greater use of rescue medications.Conclusions-Low parental literacy is associated with worse care measures for children with asthma.

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“…The U.S. Department of Health and Human Services recently published a report on national healthcare quality and disparity [ 15 ]. The report found that disparities in healthcare occur throughout the United States and that high quality healthcare was not a "given".…”

Section: The Forms Of Despair Applied To Societiesmentioning

confidence: 99%

Kierkegaard, Despair, Society, And The Medically Needy

2006

IJLHE

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Many Americans are underinsured or uninsured. These individuals certainly despair over their healthcare situation. Medically needy individuals may not be able to overcome the economic and social obstacles that bar fulfillment of their medical needs. These individuals may need help from society-at-large, but can the entity known as "society" actually despair over the plight of those who are medically needy and rise to meet the challenge of despair? A society that truly despairs over the plight of its medically needy will be more likely to make a true effort to assist them. Kierkegaard's work, The Sickness Unto Death, demonstrates concern and insight into despair. In this dialectic it will be argued that the forms of despair that Kierkegaard applied to individuals may be applied to societies, and when these forms of despair are exhibited by a society (thereby acknowledged) the medically needy receive better access to healthcare.

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The National Healthcare Quality and Disparities Reports

Cited by 70 publications

References 3 publications

Race, Disadvantage and Faculty Experiences in Academic Medicine

Race, Disadvantage and Faculty Experiences in Academic Medicine

Low Parental Literacy Is Associated With Worse Asthma Care Measures in Children

Kierkegaard, Despair, Society, And The Medically Needy

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