Race-neutral versus race-conscious workforce policy to improve access to care

被引:73
作者
Saha, Somnath [1 ]
Shipman, Scott A. [2 ]
机构
[1] Portland VA Med Ctr, Gen Internal Med Sect, Portland, OR USA
[2] Dartmouth Med Sch, Inst Hlth Policy & Clin Practice, Lebanon, NH USA
关键词
D O I
10.1377/hlthaff.27.1.234
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Access to care for racial and ethnic minority groups, low-income populations, and the un- and underinsured has been problematic despite expansion in the health workforce. Workforce policies that improve access to care are needed, as is funding to support them. Reviewing evidence related to providers' patterns of service to the underserved, this paper concludes that underrepresented minority health professionals have consistently been more likely than those from low socioeconomic backgrounds or the National Health Service Corps to deliver health care to the underserved. These findings have implications for policies and programs that might leverage the workforce to better meet the needs of disadvantaged patients.
引用
收藏
页码:234 / 245
页数:12
相关论文
共 25 条
[1]  
*AAMC, 2004, UND MED DEF
[2]  
*ASS AM MED COLL, 2006, AAMC STAT PHYS WORKF
[3]   Primary care physicians who treat blacks and whites [J].
Bach, PB ;
Pham, HH ;
Schrag, D ;
Tate, RC ;
Hargraves, JL .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (06) :575-584
[4]   DETERMINANTS OF PRIMARY-CARE SPECIALTY CHOICE - A NONSTATISTICAL METAANALYSIS OF THE LITERATURE [J].
BLAND, CJ ;
MEURER, LN ;
MALDONADO, G .
ACADEMIC MEDICINE, 1995, 70 (07) :620-641
[5]   Minority and nonminority pediatricians' care of minority and poor children [J].
Brotherton, SE ;
Stoddard, JJ ;
Tang, SFS .
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 2000, 154 (09) :912-917
[6]   The entry of underrepresented minority students into US medical schools: An evaluation of recent trends [J].
Carlisle, DM ;
Gardner, JE ;
Liu, HH .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1998, 88 (09) :1314-1318
[7]   Race, gender, and partnership in the patient-physician relationship [J].
Cooper-Patrick, L ;
Gallo, JJ ;
Gonzales, JJ ;
Vu, HT ;
Powe, NR ;
Nelson, C ;
Ford, DE .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (06) :583-589
[8]  
Grumbach K, 2003, Strategies for Improving the Diversity of the Health Professions
[9]  
*HLTH RES SERV ADM, FISC YEAR 2007 JUST
[10]   EFFECTS OF AFFIRMATIVE-ACTION IN MEDICAL-SCHOOLS - A STUDY OF THE CLASS OF 1975 [J].
KEITH, SN ;
BELL, RM ;
SWANSON, AG ;
WILLIAMS, AP .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 313 (24) :1519-1525