1) Structural issues within health care delivery are implicated in health care disparities. Please brainstorm 4 structural issues that might contribute to clinical HCD.
Regional differences between urban and rural disparities create different patterns of the epidemiology of risk factors and diseases, this true in almost all countries where population living in rural areas are expose to differences in access to care, styles of live etc.
Transportation: Government policies have tended to promote spatial inequalities making public transportation more inefficient in certain areas which drive to communities isolation resulting in less access to care.
Employment is a key source of income for a majority of the world’s population and therefore is the most direct method through which people can escape poverty. However, unequal access to decent work and persistent labor market drive to HCD.
Language: differences around language during access to health care may impact the relation between the doctor and the patient when is not perform in a fluent and confidential conversations and required the participation of a 3erd person for translations, this also may lead to mistake when symptoms are explained in an incorrect way.
2) Do individual physicians contribute to health care disparities? If you think so, and you ran a medical school, what would you do to change that? If you think they don’t, how would you teach medical students about HCD?
I think that sometimes physicians may contribute to health care disparities, most of the cases happened as an unconsciousness act, but by end drive to health care disparities; for example physicians tend to explain more to those with higher level of education this contributes to better understanding of the disease so make possible to prevent complications, however, those with lower education receive less explanation around the disease, ways to prevent complications etc. This happened by the assumption that those with lower education will understand less but in reality, this is a falling from our medical training in how to target and explain people with less education, so if I ran a medical school I will train medical students in effective communications skills.