Disparities in Pain Management and Palliative Care

  • Carmen R. Green


Social determinants such as race, ethnicity, age, gender, and class are well-known predictors and indicators of overall health status (N Engl J Med 344:1471–1473, 2001; Med Care Res Rev 57:85–107, 2000; Cancer 91:205–207, 2001; Med Care Res Rev 57:108–145, 2000; Med Care Res Rev 57:218–235, 2000). Differences and disparities in health status and health care based upon social determinants persist. Altogether the scientific progress and advances in technology that have yielded increased longevity for Caucasian-Americans have not universally been translated into improvements in health and well-being, and quality of life for all Americans (especially racial and ethnic minority Americans) (JAMA 283:2579–2584, 2000; Health Services Res 30:237–252, 1995). More specifically, racial and ethnic minority and low-income people have increased morbidity and decreased longevity when compared to Caucasian-Americans. The overall physical, social, and emotional health for racial and ethnic minority Americans is consistently less than that of Caucasian-Americans even when their access to health care and health insurance coverage is similar. The goal of this chapter is to provide information on health and pain care disparities.


Ethnic Minority Cancer Pain Opioid Analgesic Ethnic Disparity Breakthrough Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2013

Authors and Affiliations

  • Carmen R. Green
    • 1
  1. 1.Departments of Anesthesiology, Obstetrics and Gynecology, and Health Management and PolicyUniversity of MichiganAnn ArborUSA

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