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Public Policy and the Black Hospital

Public Policy and the Black Hospital
Author: Woodrow Jones
Publisher: Bloomsbury Publishing USA
Total Pages: 174
Release: 1994-01-26
Genre: History
ISBN: 0313036225

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This study adds to the small but growing literature on Black health history--the rise of hospital care and hospital services provided to Blacks from the antebellum era to the integration era, a period of some 150 years. The work examines the political, policy, legal, and philanthropic forces that helped to define the rise, development, and decline of Black hospitals in the United States. Particular discussion is given to the federal Hill-Burton Act of 1946 and the extent to which the legislation impacted Black hospital development. The roles of the Freedman's Bureau, National Medical Association, National Hospital Association, and the U.S. Commission on Civil Rights in the development of Black hospitals is highlighted.


Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Unequal Treatment

Unequal Treatment
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 781
Release: 2009-02-06
Genre: Medical
ISBN: 030908265X

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Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.


Deluxe Jim Crow

Deluxe Jim Crow
Author: Karen Kruse Thomas
Publisher: University of Georgia Press
Total Pages: 401
Release: 2011
Genre: History
ISBN: 0820330167

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"Thomas provides a detailed history of federal health policy as it was applied to the U.S. South in the mid-twentieth century, a period when the region was described as "the number one health problem in the nation." In particular, she focuses on how reformers' early emphasis on across-the-board regional uplift was eclipsed by efforts to desegregate medical facilities and address racial disparities in the health care system"--Provided by publisher.


The Public Health Nurses of Jim Crow Florida

The Public Health Nurses of Jim Crow Florida
Author: Christine Ardalan
Publisher: University Press of Florida
Total Pages: 183
Release: 2021-11-02
Genre: History
ISBN: 0813072166

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Florida Historical Society Harry T. and Harriette V. Moore Award Highlighting the long unacknowledged role of a group of pioneering professional women, The Public Health Nurses of Jim Crow Florida tells the story of healthcare workers who battled racism in a state where white supremacy formed the bedrock of society. They aimed to serve those people out of reach of modern medical care. In the era of Jim Crow discrimination, their marginalization in medical facilities—along with the overall medical neglect to address their health—meant that many African Americans in rural communities rarely saw doctors. Christine Ardalan shows how Florida’s public health nurses took up the charge, traveling into the Florida scrub to deliver health improvement information to the homes of Black and white residents, many of whom were illiterate. Drawing on a rich body of public health and nursing records, Ardalan draws attention to the innovative ways nurses bridged the gap between these communities and government policies that addressed threats of infection and high rates of infant and maternal mortality. From the progressive era to the civil rights movement, Florida’s public health nurses worked to overcome the constraints of segregation. Their story is echoed by the experiences of today’s community health nurses, who are keenly aware that maintaining healthy lives for all Americans requires tackling the nation’s deep-rooted cultural challenges.


Understanding Racial and Ethnic Differences in Health in Late Life

Understanding Racial and Ethnic Differences in Health in Late Life
Author: National Research Council
Publisher: National Academies Press
Total Pages: 184
Release: 2004-09-08
Genre: Social Science
ISBN: 0309165865

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As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.


Making a Place for Ourselves

Making a Place for Ourselves
Author: Vanessa Northington Gamble
Publisher: Oxford University Press, USA
Total Pages: 294
Release: 1995
Genre: Education
ISBN: 0195078896

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This study describes the attempts by black physicians government officials and health care organizations to create and maintain black hospitals in the USA. It emphasizes the central importance of black hospitals in the lives of black physicians.


Sick and Tired of Being Sick and Tired

Sick and Tired of Being Sick and Tired
Author: Susan L. Smith
Publisher: University of Pennsylvania Press
Total Pages: 264
Release: 2010-08-03
Genre: Political Science
ISBN: 0812200276

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Sick and Tired of Being Sick and Tired moves beyond the depiction of African Americans as mere recipients of aid or as victims of neglect and highlights the ways black health activists created public health programs and influenced public policy at every opportunity. Smith also sheds new light on the infamous Tuskegee syphilis experiment by situating it within the context of black public health activity, reminding us that public health work had oppressive as well as progressive consequences.