Interventions that Reach into Communities--Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare

Ana Quinones, Gregory A. Talavera, Sheila F. Castañeda, Somnath (Som) Saha

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Racial/ethnic disparities in healthcare are widespread in the United States and are prevalent across healthcare organizations, including the "equal access" Veterans' Affairs (VA) integrated healthcare system. Despite substantial attention to these disparities over the last decade, there has been limited progress in reducing them. Based on a review of evidence commissioned by the VA to guide its efforts to address racial and ethnic disparities, the conceptual framework describes the root causes of disparities in healthcare quality and outcomes, demonstrating why improvements in the quality of medical care have had limited influence over healthcare disparities that depend largely on social determinants of health. The recommended interventions-including care coordination, culturally-tailored health education, and community health workers-extend the reach of health systems beyond clinics and hospitals and into the communities and social and cultural contexts in which patients live, and in which most health promotion activities occur. To make inroads into addressing disparities, healthcare systems will need to move beyond conceptualizing care delivery as constrained to the clinical encounter and instead, incorporate an understanding of the social determinants of health.

Original languageEnglish (US)
Pages (from-to)336-340
Number of pages5
JournalJournal of racial and ethnic health disparities
Volume2
Issue number3
DOIs
StatePublished - Sep 1 2015

Fingerprint

Healthcare Disparities
Social Determinants of Health
Quality of Health Care
Veterans
Delivery of Health Care
community
Health Promotion
health
Health Education
Organizations
determinants
Health
health promotion
medical care
Direction compound
worker
cause
evidence

Keywords

  • Disparities
  • Interventions
  • Race/ethnicity
  • Veterans

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Interventions that Reach into Communities--Promising Directions for Reducing Racial and Ethnic Disparities in Healthcare. / Quinones, Ana; Talavera, Gregory A.; Castañeda, Sheila F.; Saha, Somnath (Som).

In: Journal of racial and ethnic health disparities, Vol. 2, No. 3, 01.09.2015, p. 336-340.

Research output: Contribution to journalArticle

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