Several aspects of the healthcare system have been postulated to impact patient care and outcomes, particularly among racial and ethnic minority groups (Smedley, Stith, & Nelson, 2003). These include, but are not limited to the organization, constitution and financing of the system as well as the ease of accessing services. Each of these factors will be discussed below.
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References
Anderson, L., Scrimshaw, S., Fullilove, M., Fielding, J., & Normand, J. (2003). Culturally competent healthcare systems: A systematic review. American Journal of Preventive Medicine, 24, 68–79.
Baicker, K., Chandra, A., & Skinner, J. S. (2005). Geographic variation in health care and the problem of measuring racial disparities. Perspectives in Biology and Medicine, 48, S42–S53.
Baicker, K., Chandra, A., Skinner, J. S., & Wennberg, J. E. (2004). Who you are and where you live: How race and geography affect the treatment of medicare beneficiaries. Health Affairs (Project Hope), (Suppl Web Exclusive), VAR33–VAR44.
Bender, D. E., & Pitkin, K. (1987). Bridging the gap: The village health worker as the cornerstone of the primary health care model. Social Science & Medicine, 24, 515–528.
Betancourt, J., Green, A., & Carrillo, E. (2002). Cultural competence in healthcare: Emerging frameworks and practical approaches (Rep. No. 576). Washington, DC: The Commonwealth Fund.
Betancourt, J. R., & Maina, A. W. (2004). The Institute of Medicine report “Unequal Treatment”: Implications for academic health centers. The Mount Sinai Journal of.Medicine, 71, 314–321.
Blustein, J., & Weitzman, B. C. (1995). Access to hospitals with high-technology cardiac services: How is race important? American Journal of Public Health, 85, 345–351.
Brach, C., & Fraser, I. (2000). Can cultural competency reduce racila and ethnic disparities? A review and conceptual model. Medical Care Research and Review, 57, 181–217.
Brennan, T. A., Hebert, L. E., Laird, N. M., Lawthers, A., Thorpe, K. E., Leape, L. L., et al. (1991). Hospital characteristics associated with adverse events and substandard care. JAMA: The Journal of the American Medical Association, 265, 3265–3269.
Brennan, T. A., Leape, L. L., Laird, N. M., Hebert, L., Localio, A. R., Lawthers, A. G., et al. (1991). Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. The New England Journal of Medicine, 324, 370–376.
Brennan, T. A., Leape, L. L., Laird, N. M., Localio, A. R., & Hiatt, H. H. (1990). Incidence of adverse events and negligent care in hospitalized patients. Transactions of the Association of American Physicians, 103, 137–144.
Cone, D. C., Richardson, L. D., Todd, K. H., Betancourt, J. R., & Lowe, R. A. (2003). Health care disparities in emergency medicine. Academic Emergency Medicine, 10, 1176–1183.
Cooper-Patrick, L., Gallo, J. J., Gonzales, J. J., Vu, H. T., Powe, N. R., Nelson, C., et al. (1999). Race, gender, and partnership in the patient–physician relationship. JAMA: The Journal of the American Medical Association, 282, 583–589.
Fulcher, C. L., & Kaukinen, C. E. (2004). Visualizing the infrastructure of US healthcare using Internet GIS: A community health informatics approach for reducing health disparities. Medinfo, 11, 1197–1201.
Fulcher, C., & Kaukinen, C. (2005). Mapping and visualizing the location HIV service providers: An exploratory spatial analysis of Toronto neighborhoods. AIDS Care, 17, 386–396.
Gibbons, M. C. (2006). Common ground: Exploring policy approaches to addressing racial disparities from the left and the right. The Journal of Healthcare Law and Policy, 9, 48–76.
Gray, B., & Stoddard, J. J. (1997). Patient–physician pairing: Does racial and ethnic congruity influence selection of a regular physician? Journal of Community Health, 22, 247–259.
IOM Committee on Quality of Healthcare in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
Kaplan, S. H., Gandek, B., Greenfield, S., Rogers, W., & Ware, J. E. (1995). Patient and visit characteristics related to physicians’ participatory decision-making style. Results from the Medical Outcomes Study. Medical Care, 33, 1176–1187.
Kaukinen, C., & Fulcher, C. (2006). Mapping the social demography and location of HIV services across Toronto neighbourhoods. Health & Social Care in the Community, 14, 37–48.
Keith, S. N., Bell, R. M., Swanson, A. G., & Williams, A. P. (1985). Effects of affirmative action in medical schools. A study of the class of 1975. The New England Journal of Medicine, 313, 1519–1525.
Kennedy, E. M. (2005). The role of the federal government in eliminating health disparities. Health Affairs (Project Hope), 24, 452–458.
Kohn, L., Corrigan, J., & Donaldson, M. (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.
Komaromy, M., Grumbach, K., Drake, M., Vranizan, K., Lurie, N., Keane, D., et al. (1996). The role of black and Hispanic physicians in providing health care for underserved populations. The New England Journal of Medicine, 334, 1305–1310.
Kurth, T., Kase, C. S., Berger, K., Schaeffner, E. S., Buring, J. E., & Gaziano, J. M. (2003). Smoking and the risk of hemorrhagic stroke in men. Stroke, 34, 1151–1155.
Leape, L. L., Brennan, T. A., Laird, N., Lawthers, A. G., Localio, A. R., Barnes, B. A., et al. (1991). The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. The New England Journal of Medicine, 324, 377–384.
Leape, L. L., Hilborne, L. H., Bell, R., Kamberg, C., & Brook, R. H. (1999). Under use of cardiac procedures: Do women, ethnic minorities, and the uninsured fail to receive needed revascularization? Annals of Internal Medicine, 130, 183–192.
Lloyd, S. M., Jr., Johnson, D. G., & Mann, M. (1978). Survey of graduates of a traditionally black college of medicine. Journal of Medical Education, 53, 640–650.
McPherson, K., Wennberg, J. E., Hovind, O. B., & Clifford, P. (1982). Small-area variations in the use of common surgical procedures: An international comparison of New England, England, and Norway. The New England Journal of Medicine, 307, 1310–1314.
Morrison, R. S., Wallenstein, S., Natale, D. K., Senzel, R. S., & Huang, L. L. (2000). “We don’t carry that”–Failure of pharmacies in predominantly nonwhite neighborhoods to stock opioid analgesics. The New England Journal of Medicine, 342, 1023–1026.
Palepu, A., Carr, P. L., Friedman, R. H., Amos, H., Ash, A. S., & Moskowitz, M. A. (1998). Minority faculty and academic rank in medicine. JAMA: The Journal of the American Medical Association, 280, 767–771.
Phibbs, C. S., & Luft, H. S. (1995). Correlation of travel time on roads versus straight line distance. Medical Care Research and Review, 52, 532–542.
Satterfield, D., Burd, C., Valez, L., Hosey, G., & Shield, J. (2002). The “in-between people”: Participation of CHR’s in diabetes prevention and care in American Indian and Alaska native communities. Health Promotion Practice, 3, 166–175.
Schneider, E. C., Zaslavsky, A. M., & Epstein, A. M. (2002). Racial disparities in the quality of care for enrollees in medicare managed care. JAMA: The Journal of the American Medical Association, 287, 1288–1294.
Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2003). Unequal treatment: Confronting racial and ethnic disparities in healthcare. Washington, DC: National Academy Press.
Susi, L., & Mascarenhas, A. K. (2002). Using a geographical information system to map the distribution of dentists in Ohio. Journal of the American Dental Association, 133, 636–642.
Vanasse, A., Niyonsenga, T., Courteau, J., Gregoire, J. P., Hemiari, A., Loslier, J., et al. (2005). Spatial variation in the management and outcomes of acute coronary syndrome. BMC Cardiovascular Disorders, 5, 21.
Vining, B. A., Lurie, N., & Huang, Z. (2003). Racial variation in quality of care among Medicare + choice enrollees. Health Affairs (Project Hope), 21, 224–230.
Witmer, A., Seifer, S. D., Finocchio, L., Leslie, J., & O’Neil, E. H. (1995). Community health workers: Integral members of the health care work force. American Journal of Public Health, 85, 1055–1058.
Zipes, D. P., Libby, P., Bonow, R. O., & Braunwald, E. (Eds.). (2005). Braunwald’s heart disease (7th ed.). Philadelphia: Elsevier-Saunders.
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Chang, S., Gibbons, M.C. (2008). Healthcare System Factors in Healthcare Disparities. In: Gibbons, M.C. (eds) eHealth Solutions for Healthcare Disparities. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72815-5_4
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