Forming State Collaborations to Diversify the Nation’s Health Workforce: The Experience of the Sullivan Alliance to Transform the Health Professions
Diversifying the nation’s health professions is essential in order to maintain a vigorous health workforce, able to respond to the needs of all Americans. The inability of the health workforce to keep pace with the changing demographics of the nation is a major cause of the persistent inequities in access to quality health care for ethnic and racial minorities in the U.S. Ethnic and racial minorities have been underrepresented in the genetic counseling profession since its inception, despite vigorous professional initiatives to remedy this situation. Mittman and Downs published a critical review of these initiatives detailing recommendations for change in this journal in 2008. One of their major recommendations was the need to learn from, and join, efforts with other health professions in seeking to increase professional diversity in genetic counseling. This paper reviews new findings on issues impacting health workforce diversity in the nation, presents a case study of a national best practice to diversify the health workforce and illuminates actions that can be taken by the genetic counseling profession. The Sullivan Alliance to Diversify the Health Professions is a culmination of two historic initiatives for addressing the dearth of minority health professionals and is a national catalyst for increasing diversity within the health professions by forging state collaborations among institutions of higher education, health professions schools and other key stakeholders.
KeywordsDiversity Health Workforce Genetic counseling
- Agency for Healthcare Research and Quality. (2010). National Healthcare Quality and Disparities Report, 2010. Retrieved 7/24/11, from http://www.ahrq.gov/qual/nhdr10/nhdr10.pdf.
- American Medical Association. (2009). Total Physicians by Race and Ethnicity - 2008. Retrieved 7/24/11, from http://www.ama-assn.org/ama/pub/about-ama/our-people/member-groups-sections/minority-affairs-consortium/physician-statistics/total-physicians-raceethnicity.page.
- Association of Academic Health Centers. (2008). Out of order out of time: The State of the Nation’s Health Workforce. Washington, DC: AAHC.Google Scholar
- Association of American Medical Colleges. (2006). Closing the Gaps in the Medical School Applicant Pool— Research in Support of AspiringDocs.org. Retrieved 7/24/11, from http://www.aspiringdocs.org/download/127314/data/closing_the_gaps_in_the_medical_school_applicant_pool.pdf
- Association of Schools of Public Health. (2008). Confronting the Public Health Workforce Crisis. Retrieved 5/21/08, from http://www.asph.org/document.cfm?page=1038
- Bureau of Labor Statistics. (2010). Career Guide to Industries 2010-2011 Edition. Retrieved 7/27/10, from http://www.bls.gov/oco/cg/cgs035.htm
- Grumbach, K., Coffman, J., Rosenoff, E., Munoz, C., Gandara, P., & Sepulveda, E. (2003). Strategies for improving the diversity of the Health Professionals. Woodland Hills: The California Endowment.Google Scholar
- Higher Education Research Institute. (2010). Degrees od Success: Bachelor’s Degree Completion Rates Among Initial STEM Majors. Retrieved 12/30/10, from http://heri.ucla.edu/nih/HERI_ResearchBrief_OL_2010_STEM.pdf.
- HRSA. (2010a). Findings from the 2008 National Sample Survey of Registered Nurses. Retrieved 7/24/11, from http://bhpr.hrsa.gov/healthworkforce/rnsurveys/rnsurveyfinal.pdf.
- HRSA. (2010b). Health workforce studies. Retrieved 7/22/10, from http://bhpr.hrsa.gov/healthworkforce/.
- Lee, P. R., & Frank, P. E. (2009). Diversity in U.S. Medical Schools Revitalizing Efforts to Increase Diversity in a Changing Context, 1960–2000s. Institute for Health Policy Studies, School of Medicine University of California, San Francisco.Google Scholar
- Lin-Fu, J., Lloyed-Puryear, M., Khoury, M., Burke, M., & Thomson, E. (2000). Access to genetic services in the United States: A challenge to genetics in Public Health Genetics and Public Health in the 21st Century (pp. 273–289). New York: Oxford University Press.Google Scholar
- National Society of Genetic Counselors. (2010). 2010 Professional Status Survey: Professional Satisfaction.Google Scholar
- PricewaterhouseCoopers Health Research Institute. (2007). What Works: Healing the healthcare staffing shortage.Google Scholar
- Roberts, S. (2008). Minorities often a majority of the population under 20. The New York Times. August 7.Google Scholar
- Rosenthal, E. (2007). Shortage of Genetic Counselors May be Anecdotal, but Need is Real. Oncology Times, 29(19), 34–36.Google Scholar
- Smedley, B., & Mittmain, I. (2011). The diversity benefit: How does diversity among health professionals address public needs? In R. A. Williams (Ed.), Healthcare disparities at the cross road with healthcare reform. New York: Springer.Google Scholar
- Smedley, B. D., Stith, A. Y., & Bristow, L. R. (2004). In the nation’s compelling interest: Ensuring diversity in the health-care workforce. Washington, DC: Institute of Medicine.Google Scholar
- Smedley, B. D., Stith, A. Y., & Nelson, A. R. (2003). Unequal treatment: Confronting ethnic and racial disparities in health care. Washington, DC: Institute of Medicine.Google Scholar
- Starfield, B., Shi, L., Grover, A., & Macinko, J. (2005). The effects of specialist supply on populations’ health: assessing the evidence. Health Aff (Millwood), Suppl Web Exclusives, W5-97-W95-107.Google Scholar
- Sullivan Commission on Diversity in the Health Workforce. (2004). Missing persons: Minorities in the health professions. Washington, DC.Google Scholar
- U.S. Census Bureau. (2008). An older and more diverse nation by Midcentury. Retrieved 10/22/08, from http://www.census.gov/Press-Release/www/releases/archives/population/012496.html.
- U.S. Census Bureau. (2010). People quick facts. Retrieved 12/29/10, from http://quickfacts.census.gov/qfd/states/00000.html.