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Part of the book series: Respiratory Medicine ((RM))

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Abstract

The factors that lead to health disparities in critical illness are similar to those found in the general population, but the sequelae are magnified. The combined effects of diminished access to high-quality care, less preventive services, and a higher burden of chronic disease among the disadvantaged create a perfect storm that necessitates the highest level of acute care. To complicate matters further, high-quality critical care is expensive and scarce. It is no surprise, therefore, that in the United States of America, uninsured critically ill patients have a higher mortality rate compared to insured patients of similar severity of illness. Studies have begun to untangle the complex mechanisms at work in creating health disparities among the critically ill. Future studies will need to develop and evaluate the effect of targeted interventions on reducing health disparities in this population. It is quite possible that eliminating health disparities may have a significant effect on improving the quality and duration of life for those affected while reducing health expenditures for society as a whole.

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Chaves, D.M., Thornton, J.D. (2016). Health Disparities in Critical Illness. In: Gerald, L., Berry, C. (eds) Health Disparities in Respiratory Medicine. Respiratory Medicine. Humana Press, Cham. https://doi.org/10.1007/978-3-319-23675-9_13

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