Thursday, April 12, 2012
Summary of aritcle 3 for MWP3
In her article “Disparities in the provision of
medical care: an outcome in search of an explanation,” author Elizabeth A.
Klonoff explores the reasons for the differences in health care among different
ethnic groups as well as providing many examples that prove the differences in
health care. Klonoff reviews pieces of literature and breaks down some of the
differences in the treatments of some care problems like cardiovascular
disease, pain, surgery and cancer treatment. She provides a plethora of
statistics and likeliness of a group to react to a situation. For example the
author writes, “Several studies are consistent in finding that African–American
patients are less likely to be judged as appropriate for transplantation, are
less likely to appear on transplantation waiting lists, and are less likely to
undergo transplantation procedures, even after patients’ insurance status and other
factors are considered.’’ This fact shows that an African American is denied
more health care than a Caucasian person. Their chances of getting the
necessary surgery are less likely and hence they are more likely to sufferer
the consequences. The author continues her article by describing studies
conducted where doctors prescribed different treatments for African Americans
and Caucasians with the same ailments. This shows that though a doctor may not
admit to discriminating, that discrimination still exists. The article also
discusses how if a patient does not feel comfortable and welcomed by the health
care provider they are less likely to follow through on treatments and go back
for other ailments. One of the final big problems addressed is health insurance.
The author claims that though lack of health insurance plays a big role in
amount of health care a person gets, there is still levels of segregation. For
example the author writes, “Access to inferior health care is obviously a
factor in most health disparities. However, in this instance the problem may be
more complicated. First, most of the more recent articles have controlled for
socioeconomic status, hospital population, or some other measure of health care
quality, and have identified healthcare disparities even after controlling for
these variables.” This shows that the lack of health insurance may be rooted in
discriminatory policies as opposed to amount of money someone can pay for
health insurance. This article clearly outlines and details the problems and
factors of the problems in the health care regarding discrimination based on
race. After reading this one can come to better understand how sever and deep
rooted the discrimination is.
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