Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care's Books

Unequal Treatment

Confronting Racial and Ethnic Disparities in Health Care (with CD)

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care

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Unequal Treatment

Confronting Racial and Ethnic Disparities in Health Care (with CD)

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

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781

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National Academies Press

Published Date

ISBN 10

030921582X

ISBN 13

9780309215824

Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

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Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

Disparities in health and health care across racial, ethnic, and socioeconomic backgrounds in the United States are well documented. The reasons for these disparities are, however, not well understood. Current data available on race, ethnicity, SEP, and accumulation and language use are severely limited. The report examines data collection and reporting systems relating to the collection of data on race, ethnicity, and socioeconomic position and offers recommendations.

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Page Count

310

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National Academies Press

Published Date

ISBN 10

0309166136

ISBN 13

9780309166133

Unequal Treatment

Confronting Racial and Ethnic Disparities in Health Care (with CD)

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care

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Unequal Treatment

Confronting Racial and Ethnic Disparities in Health Care (with CD)

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care

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781

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National Academies Press

Published Date

ISBN 10

030908265X

ISBN 13

9780309082655

Guidance for the National Healthcare Disparities Report

By: Institute of Medicine,Committee on Guidance for Designing a National Healthcare Disparities Report

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Guidance for the National Healthcare Disparities Report

By: Institute of Medicine,Committee on Guidance for Designing a National Healthcare Disparities Report

The Agency for Healthcare Research Quality commissioned the Institute of Medicine establish a committee to provide guidance on the National Healthcare Disparities Report is of access to health care, utilization of services, and the services received. The committee was asked to con population characteristics as race and ethnicity, society status, and geographic location. It was also asked to examine factors that included possible data sources and types of measures for the report.

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215

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National Academies Press

Published Date

ISBN 10

0309085195

ISBN 13

9780309085199

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life

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Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life

In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

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753

Publisher

National Academies Press

Published Date

ISBN 10

0309092116

ISBN 13

9780309092111

Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

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Eliminating Health Disparities

Measurement and Data Needs

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on DHHS Collection of Race and Ethnicity Data

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310

Publisher

National Academies Press

Published Date

ISBN 10

0309166136

ISBN 13

9780309166133

Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

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Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

As the United States devotes extensive resources to health care, evaluating how successfully the U.S. system delivers high-quality, high-value care in an equitable manner is essential. At the request of Congress, the Agency for Healthcare Research and Quality (AHRQ) annually produces the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). The reports have revealed areas in which health care performance has improved over time, but they also have identified major shortcomings. After five years of producing the NHQR and NHDR, AHRQ asked the IOM for guidance on how to improve the next generation of reports. The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the health care system. In addition to being sources of data on past trends, the national healthcare reports can provide more detailed insights into current performance, establish the value of closing gaps in quality and equity, and project the time required to bridge those gaps at the current pace of improvement.

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246

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National Academies Press

Published Date

ISBN 10

0309149851

ISBN 13

9780309149853

Parenting Matters

Supporting Parents of Children Ages 0-8

By: National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Children, Youth, and Families,Committee on Supporting the Parents of Young Children

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Parenting Matters

Supporting Parents of Children Ages 0-8

Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

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525

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National Academies Press

Published Date

ISBN 10

0309388570

ISBN 13

9780309388573

Systems Practices for the Care of Socially At-Risk Populations

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Population Health and Public Health Practice,Committee on Accounting for Socioeconomic Status in Medicare Payment Programs

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Systems Practices for the Care of Socially At-Risk Populations

The Centers for Medicare & Medicaid Services (CMS) have been moving from volume-based, fee-for-service payment to value-based payment (VBP), which aims to improve health care quality, health outcomes, and patient care experiences, while also controlling costs. Since the passage of the Patient Protection and Affordable Care Act of 2010, CMS has implemented a variety of VBP strategies, including incentive programs and risk-based alternative payment models. Early evidence from these programs raised concerns about potential unintended consequences for health equity. Specifically, emerging evidence suggests that providers disproportionately serving patients with social risk factors for poor health outcomes (e.g., individuals with low socioeconomic position, racial and ethnic minorities, gender and sexual minorities, socially isolated persons, and individuals residing in disadvantaged neighborhoods) may be more likely to fare poorly on quality rankings and to receive financial penalties, and less likely to receive financial rewards. The drivers of these disparities are poorly understood, and differences in interpretation have led to divergent concerns about the potential effect of VBP on health equity. Some suggest that underlying differences in patient characteristics that are out of the control of providers lead to differences in health outcomes. At the same time, others are concerned that differences in outcomes between providers serving socially at-risk populations and providers serving the general population reflect disparities in the provision of health care. Systems Practices for the Care of Socially At-Risk Populations seeks to better distinguish the drivers of variations in performance among providers disproportionately serving socially at-risk populations and identifies methods to account for social risk factors in Medicare payment programs. This report identifies best practices of high-performing hospitals, health plans, and other providers that serve disproportionately higher shares of socioeconomically disadvantaged populations and compares those best practices of low-performing providers serving similar patient populations. It is the second in a series of five brief reports that aim to inform the Office of the Assistant Secretary of Planning and Evaluation (ASPE) analyses that account for social risk factors in Medicare payment programs mandated through the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.

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National Academies Press

Published Date

ISBN 10

0309392004

ISBN 13

9780309392006

Understanding Racial and Ethnic Differences in Health in Late Life

A Research Agenda

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life

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Understanding Racial and Ethnic Differences in Health in Late Life

A Research Agenda

By: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

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Page Count

185

Publisher

National Academies Press

Published Date

ISBN 10

0309092477

ISBN 13

9780309092470

Guidance for the National Healthcare Disparities Report

By: Institute of Medicine,Committee on Guidance for Designing a National Healthcare Disparities Report

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Guidance for the National Healthcare Disparities Report

By: Institute of Medicine,Committee on Guidance for Designing a National Healthcare Disparities Report

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Page Count

215

Publisher

National Academies Press

Published Date

ISBN 10

0309085195

ISBN 13

9780309085199

Book's by Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care

Unequal Treatment

Unequal Treatment

Eliminating Health Disparities

Eliminating Health Disparities

Unequal Treatment

Unequal Treatment

Guidance for the National Healthcare Disparities Report

Guidance for the National Healthcare Disparities Report

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

Eliminating Health Disparities

Eliminating Health Disparities

Future Directions for the National Healthcare Quality and Disparities Reports

Future Directions for the National Healthcare Quality and Disparities Reports

Parenting Matters

Parenting Matters

Systems Practices for the Care of Socially At-Risk Populations

Systems Practices for the Care of Socially At-Risk Populations

Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life

Guidance for the National Healthcare Disparities Report

Guidance for the National Healthcare Disparities Report

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