Abstract
The purpose of this chapter is to provide a discussion that will be useful to clinical sociologists on the concept of equity as it pertains to health and healthcare in the United States. We begin by defining what we mean by healthcare equity. We then describe how the lack of equity has emerged out of the dominant political economy. The severity of inequities is described in terms of two broad types of indicators: health status, and access to and utilization of healthcare services. In understanding this issue, it is also important to look at both how the problem is currently viewed and what methods have been used to address the problem. We close with the dilemmas that face clinical sociologists and strategies for addressing the problem of healthcare inequities in the United States.
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References
Aday, L. (1993). Equity, accessibility, and ethical issues: Is the U.S. health care reform debate asking the right questions American Behavioral Scientist, 36(6), 724–740.
Aday, L., Begley, C. E., Lairson, D. R., & Slater, C. H. (1998). Evaluating the healthcare system: Effectiveness, efficiency, and equity. Chicago: Health Administration Press.
Agency for Health Care Policy and Research. (1997). Access to care. Research Activities, 210(November), 9.
Anderson, G. E, & Poullier, J.-P. (1999). Health spending, access, and outcomes: Trends in industrialized countries. Health Affairs, 18(3), 178–192.
Atkinson, A. B., Rainwater, L., & Smeeding, T. M. (1995). Income distribution in OECD countries. Evidence from the Luxembourg Income Study. Paris: Organization for Economic Co-operation and Development.
Blau, J. (1999). Illusions of prosperity: America’s working families in an age of economic insecurity. London: Oxford University Press.
Blendon, R. J. (1993). Introduction (pp. 1–14). In A new deal for American health care by R. M. Sorian. New York: Faulkner & Gray.
Blendon, R. J., Scheck, A. C., Donelan, K., Hill, C. A., Smith, M., Beatrice, D., & Altman, D. (1995). How white and African Americans view their health and social problems; different experiences, different expectations. Journal of the American Medical Association,273, 341–346.
Blendon, R. J., Benson, J. M., Brodie, M., Altman, D. E., James, M., & Hugick, L. (1999). Voters and health care in the 1998 election. Journal of the American Medial Association, 282, 189.
Brown, E. R. (1984). Medicare and Medicaid: Band-aids for the old and poor. In V. W. Sidel & R. Sidel (Eds.), Reforming medicine: Lessons of the last quarter century (pp. 50–78). New York: Pantheon Books.
Duffy, J. (1993). From humors to medical science: A history of American medicine. Urbana: University of Illinois Press.
Eitzen, S., & Zinn, M B (1997). Social problems (7th ed.). Boston: Allyn & Bacon.
Folland, S., Goodman, A. C., & Stano, M. (1997). The economics of health and health care (2nd ed.). Englewood Cliffs, NJ: Prentice—Hall.
Freund, P., & McGuire, M. (1999). Health illness and the social body (3rd ed.). Englewood Cliffs, NJ: Prentice—Hall.
Funkhooser, S. W., & Moser, D. K. (1990). Is health care racist? Advances in Nursing Science, 12(2), 47–55.
Geiger, H. (1984). Community health centers: Health care as an instrument of social change. In V. W. Sidel & R. Sidel(Eds.), Reforming medicine: Lessons of the last quarter century (pp. 11–32). New York: Pantheon Books.
Gesler, W. M., Hartwell, S., Ricketts, T. C., & Rosenberg, M. W. (1992). Introduction. In W. M. Gesler & T. C. Ricketts(Eds.), Health in rural North America: The geography of health care services and delivery (pp. 1–24). New Brunswick: Rutgers University Press.
Gilson, L. (1998). In defence and pursuit of equity. Social Science and Medicine, 47(12), 1891–1896.
Hacker, A. (1997). Money: Who has how much and why. New York: Scribner’s.
Hahn, R. A., Eaker, E. D., Barker, N. D., Teutsch, S. M., Sosniak, W. A., & Krieger, N. (1996). Poverty and health in the United States. International Journal of Health Services, 26, 673–690.
Hoyert, D. L., Kochanek, K. D., & Murphy, S. L. (1999). National vital statistics reports. Deaths: Final data for 1997, Vol. 47, No. 19. Washington, DC: National Center for Health Statistics.
Kawachi, I., & Kennedy, B. P. (1999). Income inequality and health: Pathways and mechanisms. Health Services Research, 34(1, Pt. 2), 215–227.
Kennedy, B. P., Kawachi, I., & Prothrow-Stith, D. (1996). Income distribution and mortality: Cross-sectional ecological study of the Robin Hood Index in the United States. British Medical Journal, 312, 1004–1007.
Kronenfeld, J. J. (1993). Controversial issues in health care policy. Thousand Oaks, CA: Sage.
Lassey, M. L., Lassey, W. R., & Jinks, M. J. (1997). Health care systems around the world: Characteristics, issues,reforms. Englewood Cliffs, NJ: Prentice-Hall.
Lewis, B. L., & Parent, F. D. (1993). Government sponsored health care: A cluster profile of supporters and nonsupporters. Clinical Sociology Review, 11, 142–158.
Miringoff, M., & Miringoff, M.-L. (1999). The social health of the nation. London: Oxford University Press.
Mooney, L. A., Knox, D., & Schacht, C. (2000). Understanding social problems (2nd ed.). Belmont, CA: Wadsworth.
Mueller, K. J., Patil, K., & Boilesen, E. (1998). The role of uninsurance and race in healthcare utilization by rural minorities. Health Services Research,33(3),597–610.
National Association of Community Health Centers, Inc. 1330 New Hampshire Avenue, NW Suite 122, Washington, DC 20036. (n.d.). http://www.nachc.com.Printed.Printed 8/16/99.
National Center for Health Statistics. (1998). Health,United States, 1998 with socioeconomic status and health chartbook. Hyattsville, MD.
Navarro, V. (1991). Class and race: Life and death situations. Monthly Review, 43 (September), 1–13.
Navarro, V. (1995). Why Congress did not enact health care reform. Journal of Health Politics, Policy and Law, 20(2), 455–462.
Pereira, J. (1993). What does equity in health mean? Journal of Social Policy, 22(1), 19–48.
Rellman, A. S. (1980). The new medical-industrial complex. New England Journal of Medicine, 303, 963–970.
Ross, C. E., & Wu, C.-L. (1996). Education, age, and the cumulative advantage in health. The Journal of Health and Social Behavior, 37(1), 104–120.
Rubin, H. J., & Rubin, I. (1986). Community organizing and development. Columbus, OH: Merrill.
Sherman, A. (1997). Poverty matters: The cost of child poverty in America. Washington: Children’s Defense Fund.
Shortell, S. M., Gillies, R. R., Anderson, D. A., Erickson, K. M., & Mitchell, J. B. (1996). Remaking health care in America: Building organized delivery systems. San Francisco: Jossey-Bass.
Smith, S., Heffler, S., Freeland, M., & the National Health Expenditures Projection Team. (1999). The next decade of health spending: A new outlook. Health Affairs, 18(4), 86–95.
Starr, P. (1982). The social transformation of American medicine. New York: Basic Books.
Straus, R. A. (1984). Changing the definition of the situation: Toward a theory of sociological intervention. Clinical Sociology Review, 2, 51–63.
Sultz, H. A., & Young, K. M. (1999). Health care USA: Understanding its organization and delivery. Gaithersburg, MD: Aspen Publishers.
Weitz, R. (1996). The sociology of health, illness, and health care: A critical approach. Belmont, CA: Wadsworth.
Young, Q. (1984). The urban hospital: Inequity, high tech, and low performance. In V. W. Sidel & R. Sidel (Eds.), Reforming medicine: Lessons of the last quarter century (pp. 33–49). New York: Pantheon Books.
Zuvekas, S. H., & Weinick, R. M. (1999). Changes in access to care, 1977–1996: The role of health insurance. Health Services Research, 34(1), 271–280.
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Lewis, B.L., Parent, F.D. (2001). Healthcare Equity. In: Rebach, H.M., Bruhn, J.G. (eds) Handbook of Clinical Sociology. Clinical Sociology: Research and Practice. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1217-2_15
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DOI: https://doi.org/10.1007/978-1-4615-1217-2_15
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