fyi- from a conservative org.
daisy
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2002
Health Headlines
From Yahoo News
Wednesday March 20 1:33 PM ET
Racism Impacts Healthcare of U.S. Blacks: Report
NEW YORK (Reuters Health) - African Americans continue to receive poorer quality healthcare compared with their white peers, and racial stereotyping by American doctors, nurses and other healthcare providers is at least partly to blame, according to a report released Wednesday by the Institute of Medicine (IOM).
The IOM is a scientific group that advises the federal government.
``Disparities in the healthcare delivered to racial and ethnic minorities are real and are associated with worse outcomes in many cases, which is unacceptable,´´ said Dr. Alan R. Nelson, former President of the American Medical Association and chair of the committee that produced the report.
The committee combed through dozens of studies that compared the healthcare delivered to American minority patients with that delivered to whites. They found that blacks--and, to a lesser extent, Hispanic--patients are less likely to receive potentially life-saving treatments such as bypass surgeries and specific medications for heart disease, kidney dialysis or transplants, HIV-suppressing medications, or disease-targeted cancer diagnostic tests and therapies.
On the other hand, minorities were more likely than whites to receive less-desirable treatments, such as limb amputation (used in advanced diabetes, for example) or removal of the testes in the case of prostate or testicular cancers.
While poorer access to doctors and healthcare facilities is a factor in these types of inequalities, the report's authors contend that subtle racism on the part of doctors and other healthcare staff plays a role, too.
``It is reasonable to assume...that the vast majority of healthcare providers find prejudice morally abhorrent and at odds with their professional values,´´ the report authors note. ´´But healthcare providers, like other members of society, may not recognize manifestations of prejudice in their own behavior.´´
This prejudice has much to do with provider's stereotyped notions of black patients' lifestyle, predisposition to illness and ability to comply with treatment, according to the report. For example, in one study, heart doctors presented with a range of patients ``were significant less likely´´ to recommend cardiac catheterization--an invasive test designed to spot blockages in the heart--for black female patients versus other patients.
And another study found that that male doctors prescribed twice the level of pain medications for white patients versus blacks.