In-depth interviewing and the structure of its insights. Perceived race-based and socioeconomic status SES -based discrimination in interactions with health care providers.
They believed their physician was knowledgeable and seldom questioned the treatment plans their physician had developed for them. So my confidence is small. At the time of the study, all those who were currently uninsured or who were Medicaid recipients met the other criteria for categorization as low income; that is, there were no uninsured people in this study who were experiencing a temporary economic setback.
Low-income persons also reported reluctance to become attached to physicians who treated them in these settings because they anticipated that their physician would move on before long and they would be given a new physician.
They know that such physicians are learning medicine and are often not yet expert at what they do. This may, in fact, increase health care costs. And weeks go by.
This study, however, suggests that low-income African Americans are fully able to articulate their experiences of discrimination and that they view not only individual interactions as discriminatory but the overall system in which they receive care as a testament to ongoing discrimination as well.
In conclusion, despite the current emphasis on eliminating health disparities, this goal cannot be achieved without concomitant reductions in disparities by social class, as racial disparities hinge, in part, on social class disparities.
They were preoccupied with how to access the system and what to do in an emergency. The continual aggravation of trying to gain access and get their health care needs met leads them to view themselves as receiving inadequate health care.
Because of the persistence of the institutional mechanisms underlying racial inequality, there has been remarkable stability in the racial gap in SES over time. These sites encompassed a wide spectrum of health care delivery. So I started going to [county hospital]. My focus is clearly in the information realm, specifically on enhancing education regarding disease prevention and living life with vitality.
Reports of satisfaction with health care were widespread. At least 15 different sites were used by the 60 respondents. Low-income respondents who did not have a regular physician questioned physician knowledge and wondered whether they were receiving good health care.
The type of insurance that respondents had dictated the sector of the health care system in which they were seen. A recent survey by the Commonwealth Fund 35 found that of the various ethnic groups surveyed, African Americans were the most likely to rely on hospital-based services: Ann N Y Acad Sci.
Access to medical care for black and white Americans: This, after all, is the message of a book that I recently wrote with Dr. Comparison of uninsured and privately insured hospital patients: First, the research clearly suggests that studies of satisfaction with health care should encompass both ethnicity and social class.
Low-income respondents seldom reported having a regular physician for any length of time. And I bounce and bounce about. To reduce health disparities, it is necessary not only to overcome the present policy inertia and develop universal health insurance that is equitable but also to undermine racist and class biases in the health care system.
Middle-income persons had long, steady work histories, a concomitant steady income, and had seldom or never received public assistance. Middle-income persons went to private physicians or had health plans that provided comprehensive care through a health maintenance organization HMO.
Annu Rev Public Health.
My son moved away.Innon-Māori were more advantaged than Māori across all socioeconomic indicators presented. Socioeconomic indicators | Ministry of Health NZ Skip to main content.
Determinants of Health in New Zealand: Action to Improve Health A Report from the National Advisory Committee on Health and Disability (National Health Committee) June DIRECTION OF THE ASSOCIATION BETWEEN SOCIOECONOMIC STATUS AND HEALTH PATHWAYS.
Low socioeconomic status is an important determinant of access to health care. Results from a qualitative, in-depth interview study of 60 African Americans who had one or more chronic illnesses found that low-income respondents expressed much greater dissatisfaction with health care than did middle-income respondents.
Access to, use of, and quality of health care vary by socioeconomic status.
Among adults, 40 percent of those who have not graduated from high school are uninsured, compared with only 10 percent of college graduates; more than 60 percent of the uninsured are in low-income families. Women also play a big role in the health care industry.
Most health care providers and nurses are female as more women prefer such job roles than males. According to The Nursing Council of New Zealand, “The nursing workforce is overwhelmingly female, with only % of nurses being male (essentially unchanged from report figures of %).
How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study Nicholas C. Arpey, Anne H.
Gaglioti, and Marcy E. Rosenbaum Journal of Primary Care & Community Health.Download