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Health Disparity

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HEALTH DISPARITY

Health Care Disparities


• The World Health Organization (WHO) defines health
disparities as:

Differences in health outcomes that are closely linked with


social, economic, and environmental disadvantage — are

often driven by the social conditions in which individuals live,


learn, work and play
Definitions
Disparity

• The lack of similarity or equality; any quality difference; the condition of being

unequal
Definitions Health:
• State of complete physical, mental and social well-being.

Healthcare:
• The prevention, treatment and management of illness and the preservation of mental
and physical well-being; services offered by the medical and Allied health professions
Health disparity
• refers to a higher burden of illness, injury, disability, or mortality
experienced by one population group relative to another.
Health care disparity
Refers to differences between groups in
• health insurance coverage
• access to and use of care
• quality of care.
Sources of Disparities in Care
• Variations in health care needs

• Patient level – i.e. patient preferences, Individual factors


include a variety of health behaviors from maintaining a
healthy weight to following medical advice.

• Healthcare systems level – i.e lack of interpretation and


translation services
Sources of Disparities in Care

• Provider level – i.e. bias clinical uncertainty or treatment


recommendations. provider bias and cultural and linguistic
barriers to patient-provider communication

• social and environmental factors, such as poverty, education,


proximity to care, and neighborhood safety.
Determinants of Health
1. Behavior
2. Physical environment
3. Social environment
4. Biology
5. Individual
Social Determinants
1. Education
2. Food
3. Decent and Safe Housing
4. Affordable Public
Transportation
5. Health Insurance
6. Clean Water, Sanitation and
7. Non-Polluted Air
Leading Causes of Death
• Heart Disease
• Cancer
• Accidents
• Diabetes/hypertension
Measures of Health Care Disparities

• Prevention Quality – Ambulatory Care, Sensitive Conditions(conditions


that outpatient care can potentially prevent the need for hospitalization)

• Vital Statistics – Population, Births, Deaths

• Access – Health Insurance, Geography

• Demographics – Socioeconomic Status

• Clinical Indicators – Co-morbidity (i.e obesity and diabetes)


Factors That Influence Health Status
- Race or Ethnicity - language
- Religion - citizenship status
- Gender - Age
- Mental Health - Disability
- Geographic Location - Socioeconomic status
- Sexual Orientation or Gender Identity

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