23 Matching Annotations
  1. Sep 2023
  2. accessmedicine-mhmedical-com.proxy.library.nyu.edu accessmedicine-mhmedical-com.proxy.library.nyu.edu
    1. Access barriers related to communication problems may be particularly acute for the subset of Latino patients for whom Spanish is the primary language. However, language issues do not fully account for access barriers faced by Latinos. In the study of emergency department pain medication cited previously, even Latinos who spoke English as their primary language were much less likely than non-Latino whites to receive pain medication. ++ Because many of these hypotheses do not satisfactorily explain the observed racial and ethnic disparities in access to care, an important consideration is whether racism may also contribute to these patterns (King & Wheeler, 2016).

      Although language barriers are an issue for Latinos, many English speaking Latinos still face issues with accessing the care they need.

    2. Neighborhoods that have high proportions of African-American or Latino residents have far fewer physicians practicing in these communities. African-American and Latino primary care physicians are more likely than white physicians to locate their practices in underserved communities (Komaromy et al., 1996; Marrast et al., 2014).

      Neighborhoods that have a high proportion of POC ppl have fewer physicians practicing in these communities

    3. Because a far higher proportion of minorities than whites is uninsured, has Medicaid coverage, or is poor, access problems are amplified for these groups. In 2016, African American, Latino, Asian, and American Indian adults were twice as likely as whites to report difficulty obtaining a timely medical appointment for illness or injury. Analyzing a group of quality measures in 2014–16, African Americans received worse care than whites for 40% of these quality measures and Latinos and American Indians received worse care than whites for about one-third of the indicators. While some inequities in access and quality, such as adolescent immunization rates, have decreased over the past 15 years, others have widened, such as disparities in blood pressure control among African Americans relative to other groups (U.S. Agency for Healthcare Research and Quality, 2017). Overall, there has been a clear lack of progress on health equity over the past 25 years (Zimmerman and Anderson, 2019)

      Difficulties in getting appointments & worse care than whites. Inequities such asses disparities in blood pressure control among African American groups.

  3. Aug 2022
    1. Williams' model helps us see how racial marking becomes desirable to white geeks: if suffering equals virtue and moral superiority, then the virtue of a marked identity type (black, female, gay, disabled) can be reduced to how much one suffers for it. Here is also the key to why our analysis reads geeks primarily as straight white men. The anxieties of the straight white male geek's identity are transformed into the authenticating devices that paradoxically make him a moral hero in a postmodern world in which an unmarked and untroubled straight white male hero would normally be out of place.
  4. Mar 2022
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  6. Oct 2021
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  11. Sep 2020
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  15. Nov 2018
    1. The problem is far worse when used to generalize about groups, such as gender and especially race. When combined with the cultural belief that only the "brainy" are worthy of science training, it becomes a self-reinforcing cycle: only certain white men are inherently "smart enough", as decided primarily by other white men. You'll hear (and I'll bet cash money that someone will argue in the comments) that African-American underrepresentation in science is because they're not "smart" or "motivated" enough, not that black-majority school districts are often underfunded, lacking teachers, supplies, and other necessities for STEM prep — not to mention daily challenges to their authority and intelligence for those who do earn STEM degrees.