Section outline

  • Lecture: Multi-level etiologies of health in diverse populations, Part 4: Health systems and health care determinants

    While the social determinants of health are key in determining who gets sick, health care access and quality is key to determining the outcome of illness.  This class will review how ethnic/racial (and other) health care disparities play out in the highly complex US health care system.  We will discuss the contributions of provider bias, health system structural inequities, and segregated care to health care disparities while also examining how fundamental assumptions about the role of the individual, family, and society play out in the care of acute and chronic illness. Finally, we will review the experience of quality improvement programs in mitigating health care disparities.

     

    Faculty:  Christine Dehlendorf

    Location:      Mission Hall 1406

    • Session Slides:

    • HCD Lecture 2018 CLE File

    • Session Audio/Video Recording (Access restricted to registered students):

    • Required Reading:

    • Hidden Curriculum Brooks File
      Not available unless: Your ID number contains 02
    • vanryn disparities File
      Not available unless: Your ID number contains 02
    • DISTANCE Interpreter JGIM File
      Not available unless: Your ID number contains 02
    • Fiscella HCD File
      Not available unless: Your ID number contains 02

    • Assignment:

      Please read required readings and write your responses and upload to the CLE by 1 pm on the day of class February 6th.

      1) How do individual physicians contribute to health care disparities?  Thinking about an area of health care of particular interest to you, what research do you think could be done to either understand the effect of individual physicians on health disparities, or to decrease this effect?

      2) Structural issues within health care delivery are implicated in health care disparities.  Please brainstorm 4 structural issues that might contribute to these disparities. Which of these are relevant to your particular area of research, and how?