Advertisement

Health Care System Use and Disparities in Integrative Health Services

  • Heather Mullins-Owens
Chapter
Part of the SpringerBriefs in Public Health book series (BRIEFSPUBLIC)

Abstract

Most developed countries ensure access to health care for all citizens, and the United States is the major exception to this rule. When people do not have access to health care, they are typically left without preventative care, which is one of the central focuses of the integrative health model. This raises ethical questions related to access to health care in the U.S. Not only is going without preventive care putting people at risk, it is also creating additional costs for the health system in the long term. Health disparities related to race, ethnicity, and age will be discussed in this chapter, and concepts of health equity and health inequality will be introduced.

Keywords

Health systems Universal health care Health equity Health disparity Bioethics Access to care Barriers to care Cultural competence 

References

  1. Aday, L. A., & Andersen, R. M. (1981). Equity of access to medical care: A conceptual and empirical overview. Medical Care, 19(12), 4–27.CrossRefGoogle Scholar
  2. Agency for Healthcare Research and Quality (AHRQ). (2008). National Healthcare Disparities Report. Retrieved from http://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhdr08/nhdr08.pdf
  3. Betancourt, J. R., Green, A. R., Carrillo, J. E., & Ananeh-Firempong, O., II. (2003). Defining cultural competence: A practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 118(4), 293.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Currey, R. (2008). Ageism in healthcare: Time for a change. Aging Well. 1(1), 16. Retrieved from http://www.todaysgeriatricmedicine.com/archive/winter08p16.shtml
  5. Davis, K., Stremikis, K., Squires, D., & Schoen, C. (2014, June). Mirror, Mirror on the wall: How the performance of the U.S. health care system compares internationally. 2014 Update. The Commonwealth Fund.Google Scholar
  6. Fiscella, K., Franks, P., Gold, M. R., & Clancy, C. M. (2000). Inequality in quality: Addressing socioeconomic, racial, and ethnic disparities in health care. Journal of the American Medical Association, 283(19), 2579–2584.CrossRefPubMedGoogle Scholar
  7. Institute of Medicine. (2002). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press.Google Scholar
  8. Kawachi, I., Subramanian, S. V., & Almeida-Filho, N. (2002). A glossary for health inequalities. Journal of Epidemiology and Community Health, 56(9), 647–652.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Lovett-Scott, M., & Prather, F. (2012). Global health systems: Comparing strategies for delivering health services. Burlington, MA: Jones & Bartlett.Google Scholar
  10. Mullins-Owens, H. (2015). Inequities in Chinese health services. SAGE Open, 5(1), 2158244015575187.CrossRefGoogle Scholar
  11. National Center for Health Statistics. (2015). Health, United States, 2014: With special feature on adults aged 55–64. Hyattsville, MD. Retrieved from http://www.cdc.gov/nchs/data/hus/hus14.pdf#102
  12. Viets, V. L, Baca C., Verney, S. P., Venner, K., Parker, T., & Wallerstein, N. (2009). Reducing health disparities through a culturally centered mentorship program for minority faculty: The Southwest Addictions Research Group (SARG) experience. Academic Medicine 84, 8: 1118.Google Scholar
  13. Whitehead, M. (1992). The concepts and principles of equity and health. International Journal of Health Services, 22(3), 429–445.CrossRefPubMedGoogle Scholar
  14. World Health Organization (WHO). (2010). Health systems financing: The path to universal coverage. Retrieved from: http://www.who.int/whr/2010/en/.

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Heather Mullins-Owens
    • 1
  1. 1.HERO Network LLCIndianapolisUSA

Personalised recommendations