Health care disparities at the intersection of race, ethnicity, and disability

种族、民族和残疾交叉点的医疗保健差异

• 批准号: 8461030
• 负责人: Willi HORNER-JOHNSON
• 金额: $ 5万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8461030
• 关键词: Health; care; disparities; intersection; race

DESCRIPTION (provided by applicant): Extensive research has documented disparities in access to and quality of health care among racial and ethnic minorities. There are some indications that these disparities are even greater among individuals who also have disabilities. Disability, especially complex disability, is more common in some racial and ethnic minority groups than it is among non-Hispanic Whites. The combination of disability with membership in a minority racial or ethnic group is associated with less access to the social determinants of health (e.g. education, employment, income) than belonging to either group alone. Yet, little work has been done to specifically examine the intersection of race, ethnicity, and disability in relation to health care access and utilization. The proposed conference will address this gap. The purpose of the conference is to share what is currently known and generate an action plan for developing new knowledge to address identified problems and gaps. The rationale for conducting such a conference is that research on racial and ethnic disparities and research on disability- related disparities has thus far been conducted largely independently. A meeting with both groups of researchers is needed to build bridges between these two bodies of research and focus on the overlap of the two populations. Further, there is a need to facilitate translation of research findings into practice. Health care consumers, clinicians, health plans, and policy makers will be included in the conference in order to speed distribution of data that can inform and influence health care practices. These end users will also provide valuable input regarding informational needs, ensuring that future research is relevant and responsive to patient and health system priorities. The conference has three specific aims: 1) Disseminate findings from current projects studying disparities in health care access and utilization among minorities with disabilities; 2) Promote collaboration between racial and ethnic health disparity researchers and disability researchers in addressing health care disparities experienced by minorities with disabilities; and 3) Define issues and challenges in the practice of health care for racial and ethnic minorities with disabilities and develop a research agenda to study and address these issues. The conference will culminate in recommendations for further research into disparities and strategies to increase access to and utilization of health care for people with disabilities in racial and ethnic minority groups. Future implementation of these recommendations, in turn, will contribute to improvements in the quality, safety, efficiency, and effectiveness of health care for minorities with physical, sensory, and/or intellectual disabilities. PUBLIC HEALTH RELEVANCE: The proposed conference is important to improving health care efficiency and quality by advancing efforts to eliminate disparities in access to care and receipt of recommended preventive care services. It focuses on a particularly high risk population: individuals in racial and ethnic minority groups who also have disabilities. This conference will disseminate current research on disparities in health care access and utilization within this population and develop an action agenda for future health services research regarding improvements in health care delivery.

描述（由申请人提供）：广泛的研究记录了种族和少数民族之间获得医疗保健方面的差异和质量。有一些迹象表明，在残疾人中，这些差异甚至更大。与非西班牙裔白人相比，在某些种族和少数民族群体中，残疾，尤其是复杂的残疾更为普遍。与单独属于任何一个群体相比，残疾与少数种族或族裔的成员资格的结合与较少获得卫生社会决定因素（例如教育，就业，收入）相关。然而，几乎没有做过专门研究与医疗保健获得和利用有关的种族，种族和残疾的交集。拟议的会议将解决这一差距。会议的目的是分享当前已知的内容，并制定一项行动计划，以制定新知识来解决已确定的问题和差距。进行这样的会议的理由是，关于种族和种族差异的研究以及有关残疾人与残疾差异的研究已经很大程度上是独立进行的。需要与两组研究人员举行会议，以在这两个研究机构之间建立桥梁，并专注于两个人群的重叠。此外，有必要促进翻译 研究结果实践。卫生保健消费者，临床医生，健康计划和政策制定者将包括在会议中，以加快可以为医疗保健实践提供信息和影响的数据分配。这些最终用户还将提供有关信息需求的有价值的意见，以确保未来的研究对患者和卫生系统的优先事项有相关性和反应。会议有三个具体的目标：1）从当前项目中传播研究结果，研究少数残疾人群体中卫生保健访问和利用方面的差异； 2）促进种族和种族健康差异研究人员与残疾研究人员之间的合作，以解决少数残疾人经历的卫生保健差异； 3）在为残疾人和少数民族的卫生保健实践中定义问题和挑战，并制定研究议程来研究和解决这些问题。该会议将最终提出建议，以进一步研究差异和策略，以增加对残疾人的医疗保健机会的机会和利用 种族和少数民族群体。这些建议的未来实施反过来将有助于改善医疗保健的质量，安全性，效率和有效性 有身体，感觉和/或智力残疾的少数民族。 公共卫生相关性：拟议的会议对于消除获得护理差异和接收推荐的预防保健服务的差异来提高卫生保健效率和质量很重要。它专注于一个特别高的风险人群：种族和少数民族群体中也有残疾的人。这次会议将传播有关该人群中医疗保健访问和利用方面差异的当前研究，并为未来的医疗服务研究制定了有关改善医疗保健提供的行动议程。