Abstract
It is estimated that by the year 2025, the USA’ racial and ethnic minority population will have increased to account for at least 40% of the nation (U.S. Department of Health and Human Services, 2001). As the number of racial and ethnic minorities increase in America, so too does the number of adverse physical and mental health conditions among minority populations. A plethora of literature exist which document the disparities in health conditions between Whites and racial and ethnic minorities in the USA (e.g., Myers et al., 2003; Williams & Rucker, 2000), with minority populations experiencing limited access to health care, the most severe health problems, and overall poorer quality of care. Even when racial and ethnic minorities possess health coverage that is comparable to the levels of Whites, research evidence suggests that they still receive poorer quality of care for the same or similar health conditions (Alliance for Health Reform, 2004).
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References
Alliance for Health Reform. (2004). Closing the gap: Racial and ethnic disparities in healthcare. Journal of the National Medical Association, 96(4), 436–440.
Anderson, L. M., Scrimshaw, S. C., Fullilove, M. T., Fielding, J. E., Normand, J., & The Task Force on Community Preventive Services. (2003). Culturally competent healthcare systems: A systematic review. American Journal of Preventive Medicine, 24(3S), 68–79.
Appalachian Regional Commission. (2005). Examples of ARC education projects. Retrieved February 20, 2008, from http://www.arc.gov/index.do?nodeID=2064.
Brooks, R. G., Walsh, M., Mardon, R. E., Lewis, M., & Clawson, A. (2002). The role of nature and nurture in the recruitment and retention of primary care physicians in rural areas: A review of the literature. Academic Medicine, 77(8), 790–798.
Cohen, J. J. (2003). Disparities in healthcare: An overview. Academic Emergency Medicine, 10(11), 1155–1160.
Doeksen, G. A., & Schott, V. (2002, May). The economic importance of the health care sector on a rural economy. Paper presented at the 5th Wonca world conference on rural health, Melbourne, Australia.
Federal Transit Administration. (2005, August). Reauthorization: A legacy for users. Retrieved February 16, 2008, from http://www.fta.dot.gov/legal/guidance/dear_colleague/2004/16301_17377_ENG_HTML.htm.
Greer, T. M. (2005). Bridging the gaps in minority health. In J. Allen & L. VandeCreek (Eds.), Innovations in clinical practice: Focus on health and wellness. Sarasota: Professional Resource Press.
TANF Emergency Response and Recovery Act of 2005 H.R. 3672 (2005). 109th Cong.§ 1.
Harris, D. R., Andrews, R., & Elixhauser, A. (1997). Racial and gender differences in use of procedures for Black and White hospitalized adults. Ethnicity & Disease, 7(2), 91–105.
Harvard Law Review. (1995). The impact of managed care on doctors who serve poor and minority patients. Harvard Law Review, 108, 1625–1642.
Henderson, T., & Lewis, M. (2000). Effective state incentives to encourage health care professionals to work in rural areas. Retrieved February 30, 2008, from http://www.ncsl.org/programs/health/forum/caruralworkforce.htm.
Hood, M. (2004). Crisis in the countryside: Networking and telemedicine are crucial for health care facilities in rural America. Retrieved January 3, 2008, from http://www.chausa.org/cgi-bin/MsmGo.exe?grab_id=0&page_id=1298&query=countryside&hiword=countryside%20.
Institute of Medicine. (2003). Health professions education: A bridge to equality. Washington, DC: National Academies Press.
Institute of Medicine. (2004). Quality through collaboration: The future of rural health care. Washington, DC: National Academies Press.
Klonoff, E. A., Landrine, H., & Ullman, U. B. (1999). Racial discrimination and psychiatric symptoms among Blacks. Cultural Diversity & Ethnic Minority Psychology, 5(4), 329–339.
Loo, C. M., Fairbank, J. A., Scurfield, R. M., Ruch, L. O., King, D. W., Adams, L. J., et al. (2001). Psychological Assessment, 13(4), 503–520.
Mantone, J. (2005). Rural route. Modern Healthcare, 35(20), 28–32.
Merwin, E., Hinton, I., Dembling, B., & Stern, S. (2003). Shortages of rural mental health professionals. Archives of Psychiatric Nursing, 17(1), 42–51. Retrieved February 29, 2008, from http://www.psychiatricnursing.org/article/PIIS0883941703000062/fulltext?browse_volume=17&issue_key=TOC%40%40JOURNALS%40YAPNU%400017%400001&issue_preview=no&select1=no&select1=no&vol=.
Myers, H. F., Lewis, T. T., & Dominguez, T. P. (2003). Stress, coping, and minority health: Biopsychosocial perspective on ethnic health disparities. In G. Bernal, J. E. Trimble, A. K. Burlew, & F. T. L. Leong (Eds.), Handbook of racial and ethnic minority psychology (pp. 377–400). Thousand Oaks: Sage.
National Bureau of Economic Research. (2003). The effect of welfare reform on the insurance status and health of low-income families. Retrieved February 20, 2008, from http://www.nber.org/aginghealth/fall03/w10033.html.
National Center for Health Statistics. (2001). Health, United States 2001, with rural and urban chartbook. Hyattsville, MD: National Center for Health Statistics.
National Center for Health Statistics. (2004). Health, United States-2004, with chartbook on trends in the health of Americans. Hyattsville, MD: National Center for Health Statistics.
National Rural Health Association. (2007, February). President’s budget ignores critical role of rural health care programs . Retrieved April 14, 2008, from http://www.nrharural.org/about/sub/news/pres07budget.html.
Provan, K. G., & Carle, N. (2000). A guide to behavioral health managed care for Native Americans. Tucson, AZ: University of Arizona, Center for Native American Health.
Sullivan Commission. (2004). Missing persons: Minorities in the health professions. Washington, DC: Sullivan Commission.
The National Advisory Committee on Rural Health and Human Services. (2005). The 2005 report to the Secretary; April 2005: Rural health and human service issues. Retrieved February 21, 2008, from ftp://ftp.hrsa.gov/ruralhealth/NAC2005.pdf.
U.S. Department of Agriculture. (2003, November). Rural education at a glance: Rural development (Research Report Number 98). Retrieved January 3, 2008, from http://www.ers.usda.gov/briefing/LaborandEducation/.
U.S. Department of Agriculture. (2004a, July). Rural poverty at a glance: Rural development research report number 100. Retrieved January 3, 2008, from http://www.ers.usda.gov/briefing/IncomePovertyWelfare/.
U.S. Department of Agriculture. (2004b, November). Low-skill jobs: A shrinking share of the rural economy. Retrieved February 18, 2008, from http://www.ers.usda.gov/AmberWaves/November04/Features/lowskilljobs.htm.
U.S. Department of Agriculture. (2005a, January). Rural transportation at a glance: Agriculture information bulletin number 795. Retrieved January 3, 2008, from http://www.ers.usda.gov/Publications/AIB795/.
U.S. Department of Agriculture. (2005b). Distance learning and telemedicine program. Retrieved February 22, 2008, from http://www.usda.gov/rus/telecom/dlt/dlt.htm.
U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity − A supplement to mental health: A report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services.
van Ryn, M., & Burke, J. (2000). The effect of patient race and socioeconomic status on physicians’ perceptions of patients. Social Science & Medicine, 50, 813–828.
Wakefield, M. K. (2005). Health care quality in rural America: What’s in it for nurses? Nursing Economics, 23(1), 36–38.
Williams, D. R., & Rucker, T. D. (2000). Understanding and addressing racial disparities in healthcare. Healthcare Financing Review, 21(4), 75–91.
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Greer, T.M. (2011). Addressing Disparities in Rural Health. In: Talley, R., Chwalisz, K., Buckwalter, K. (eds) Rural Caregiving in the United States. Caregiving: Research, Practice, Policy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0302-9_5
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