Abstract
Despite countless social and societal norms, we are all different. Having a book that advances generalizations based on race or ethnicity can be a risky and potentially inflammatory endeavor. This chapter provides a framework to help clinicians understand the far reaching impact of poor clinical outcomes in African Americans, not just the fundamental quality outcomes which reflect poorly on our healthcare system, but also the direct negative impact on the providers reimbursement. It is no longer just hospitals and healthcare organizations that are penalized for costly and poor outcomes, it will also include the providers. Once trends and outliers are identified, providers will begin to be rewarded and/or penalized for their outcomes. In addition to objective measures like length of stay, cost of care, and mortality, patients are also asked (through generated questionnaires) their experience from a communication standpoint. Providing expert patient-centered care to African Americans will be rewarding in many ways.
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References
Ejike CO, Cransfield MT, Hansel NN, et al. Chronic obstructive pulmonary disease in America’s black population. Am J Respir Crit Care Med. 2019;200(4):423–30. https://doi.org/10.1164/rccm.201810-1909PP.
Smedley BD, Stith AY, Nelson AR, editors. Unequal treatment: confronting racial and ethnic disparities in health care. Washington: The National Academies Press; 2003. p. 200–1.
Vick AD, Burris HH. Epigenetics and health disparities. Curr Epidemiol Rep. 2017;4(1):31–7.
Chou V. How science and genetics are reshaping the race debate of the 21st century. Science in the news. Harvard University. The Graduate School of Arts and Sciences. http://sitn.hms.harvard.edu/flash/2017/science-genetics-reshaping-race-debate-21st-century/. Accessed 5 May 2019.
Genetics vs. genomics fact sheet. National Human Genome Research Institute. https://www.genome.gov/about-genomics/fact-sheets/Genetics-vs-Genomics. Accessed 5 May 2019.
Rosenthal MB, Frank RG, Li Z, Epstein AM. Early experience with pay-for-performance: from concept to practice. JAMA. 2005;294:1788–93.
Rosenthal MB. Beyond pay for performance--emerging models of provider-payment reform. New Engl J Med. 2008;359:1197–200.
Bond AM, Volpp KG, Emanual EJ, et al. Real-time feedback in pay-for-performance: Does more information lead to improvement? J Gen Inter Med. 2019;34(9):1737–43. https://doi.org/10.1007/s11606-019-05004-8.
2015 national healthcare quality and disparities report chartbook on health care for blacks. Rockville: Agency for Healthcare Research and Quality; 2016. AHRQ Pub. No 16-0015-1-EF.
Kendrick J, Nuccio E, Leiferman JA, Sauaia A. Primary care providers’ perceptions of racial/ethnic and socioeconomic disparities in hypertension control. Am J Hypertens. 2015;28(9):1091–7.
Luft FC, Grim CE, Higgins JT Jr, Weinberger MH. Differences in response to sodium administration in normotensive white and black subjects. J Lab Clin Med. 1977;90(3):555–62.
Madhavan S, Alderman MH. Ethnicity and the relationship of sodium intake to blood pressure. J Hypertens. 1994;12(1):97–103.
Picker Institute. Retrieved from http://www.ipfcc.org/resources/picker-institute.html. Accessed 6 May 2019.
Institute of Medicine (US) Committee on Quality Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies Press (US); 2001.
United States Census Bureau. Retrieved from https://www.census.gov/quickfacts/fact/table/US. Accessed 6 May 2019.
“The heckler report: a force for ending health disparities in America.” Retrieved from https://minorityhealth.hhs.gov/heckler30/. Accessed 6 May 2019.
Berger J. Culture and ethnicity in clinical care. Arch Intern Med. 1998;158(19):2085–90.
Cultural competence. https://www.samhsa.gov/capt/applying-strategic-prevention/cultural-competence. Accessed 6 May 2019.
Stewart M, Brown J, Donner A, et al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796–804.
Boulware L, Cooper L, Ratner L, LaVeist T, Powe N. Race and trust in the health care system. Public Health Rep. 2003;118:358.
Halbert C, Armstrong K, Gandy O, Shaker B. Racial differences in trust in health care providers. Arch Intern Med. 2006;166(8):896–901.
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Hall, G.L. (2020). Why Is Patient-Centered Culturally Competent Care Important?. In: Patient-Centered Clinical Care for African Americans. Springer, Cham. https://doi.org/10.1007/978-3-030-26418-5_1
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DOI: https://doi.org/10.1007/978-3-030-26418-5_1
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