Research Paper on "Interview on Health Disparities"

Research Paper 4 pages (1300 words) Sources: 4

[EXCERPT] . . . .

Ryan also noted that passage of the Patient Protection and Affordable Care Act of 2010 resulted in improvements in care access, but a number of barriers persist that affect routine access to preventive services. Overall, Ryan believed that health disparities will experience a significant reduction only when national, state, and local governments, in addition to the public and the health care system, begin to view health disparities as a top priority. Part of the problem, according to Ryan, is that the issue of health disparities is too politicized because some segments of society want to maintain the status quo. The opinions of physicians and scientists could help, but there is too much distrust in these experts for them to make a difference.

Discussion

From Ryan's perspective, the health disparities she encounters at SRH are caused by a lack of access to quality preventive care on a routine basis, poor family patient education, deficient clinician training concerning patient motivation, and clinician ignorance about the barriers minority patients' face. Her views are largely aligned with the health disparities action plan developed by the U.S. Department of Health and Human Services (2011), which focuses primarily on access to quality non-acute medical services. Other goals in the action plan include diversifying the clinical workforce, increasing clinician cultural competency, and educating the underserved about the benefits of preventive services.

Advanced practice nurses (APNs) have historically been at the forefront of providing quality healthcare to disadvantaged populations, but much more apparently needs to be done. Increasing the presence of AP

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Ns in disadvantaged communities will help to increase access to preventive care, while clinician training in the benefits of preventive services, provision of patient education, motivational encounters with patients, and increased cultural competency are additional steps that can be taken to reduce the prevalence of health disparities. If such efforts are successful, maybe the number of preventable complications due to chronic conditions treated at SRH would be reduced.

References

Boston Public Health Commission. (2005). Data Report: A Presentation and analysis of Disparities in Boston. Boston, MA: Boston Public Health Commission.

Cooper, M. (2012, December 12). Census officials, citing increasing diversity, say U.S. will be a 'plurality nation.' New York Times, A20.

Ryan, C. (2015). Caitlin Ryan. Retrieved from https://www.linkedin.com/pub/caitlin-ryan/5/556/90.

Spaulding Rehabilitation Network. (2015). About Spaulding Rehabilitation Network. Retrieved from http://www.spauldingrehab.org/about/.

U.S. Census Bureau. (2014). Annual estimates of the resident population: April 1, 2010 to July 1, 2013 -- United States -- Metropolitan Statistical Area; and for Puerto Rico. Retrieved from http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk.

U.S. Department of Health and Human Services. (2011). HHS Action Plan to Reduce Racial and Ethnic Health Disparities: A Nation Free of Disparities in Health and Health Care. Retrieved from http://www.minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete.pdf.

Appendix

Interview questions

1. In your role as Manager of Case Management at Spaulding Rehabilitation Hospital, what are the most common health disparities faced by the communities you serve?

2. What do you consider to be the main barriers preventing your organization from reducing health disparities?

3. What role do you believe clinicians are playing in helping to reduce health disparities? What more do you believe they should be doing?

4. What role do hospital administrators play in helping to reduce health disparities? What more do you believe they should be doing?

5. Do you believe the health disparity mission and goals published by the Department of Health and Human Services can play an important role in your efforts to reduce health disparities?

6. What more can federal, state, and local governments, in particular public health departments, do to help reduce health disparities? Are there government-associated barriers preventing further progress in reducing health disparities?

7. Do you have any other recommendations? READ MORE

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“Interview on Health Disparities.” A1-TermPaper.com, 2015, https://www.a1-termpaper.com/topics/essay/community-leader-interview/9798738. Accessed 5 Oct 2024.

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