In defense of not treating everyone the same – Boston, Massachusetts

Boston, Massachusetts 2021-12-03 04:45:45 –

NSIt can be said that the drug has changed since the days of grandparents, a third-generation black doctor who experienced direct discrimination from healthcare providers. But that’s not really the case.

When my grandparents and parents practiced the drug, black doctors made up only 3% of healthcare providers.Today I 5% of providers The United States identified as a black or African-American. I have spent most of my career as an advocate, educating myself and others, and uncovering the unconscious prejudices that prevail in our healthcare system. In many cases, I’ve been backed up by fellow healthcare providers and care managers, and many felt it wasn’t their problem. Instead, it’s “my problem.”

Many initiatives have been launched to improve the health of people who have historically been underserved by the US health system. Most of them are primarily aimed at reducing health inequalities. I admire these efforts and the energy and purpose behind them. But I started asking myself and others, “Are we taking an overly broad approach?” In other words, the general premise is that everyone should be treated the same, but should they really be?


I will clarify. Health fairness is the ultimate’s been Well discussed The black community should be treated like everyone else.That is, black Americans should be prescribed Painkiller Equivalent to their white counterpart.or Breast Cancer Screening Guidelines Despite the alarming racial disparity, it should be the same for all women.There is Infinite report The Covid-19 pandemic further reveals issues with access to health care, showing that blacks are not treated equally positively by healthcare providers.

But just as the scale of justice aims to balance the truth and fairness of our system of justice, our medical system, like everyone else, at the same time takes care of black Americans. You have to find a balance between providing a tuned approach, which is just as important, but not so. This represents true health equality.


This balanced or more comprehensive approach must fully recognize the unique sociocultural reality and experience of individual patients and their impact on physical, behavioral and mental health. Hmm.Perceived discrimination Proven Becoming a psychological stressor commonly associated with various chronic illnesses. Disproportionately poor brain health has been observed, especially in older black Americans who have endured discrimination.

I ask my fellow healthcare providers to ask themselves, “Are you thinking of these aspects as part of your overall healthcare approach with your patients?”

The formidable place to start is where I opened this essay. Healthcare leaders must insist on a deeper bench of care professionals with the cultural abilities needed to build trust in the black community.Caucasian clinician Unlikely to admit When a patient is treated improperly based on race. This can foster harmful unconscious prejudice in racially discordant encounters. According to a recent study by the National Bureau of Economic Research, black patients Black clinician..Still recently Yale Studies Minority patients want culturally competent doctors, but they have found that they have little access to them.

Support for higher education institutions by the Biden administration Recruit more color students A more diverse public health workforce is evidence of this urgent need.A network of medical education and healthcare providers need to face the opportunity and provide better training. all A doctor to interact with patients of different cultures and beliefs.

Many blacks today do not feel that they are hearing or understanding from their healthcare providers.They don’t feel the relationship with the “system” Based on trust.. Healthcare leaders are responsible for providing a safer and more comfortable environment, and the first step is to acknowledge that there is a problem. Our people, who work as healthcare providers and managers within the healthcare system, must recognize unconscious bias in healthcare and leave unnecessary patient assumptions in the waiting room.

What if a black patient could experience a health ecosystem designed to meet his or her individual needs until a true health inequalities were achieved? Is an ecosystem designed based on real-world data and input from black Americans designed to solve access, cultural sensitivities, health challenges, and overall support needs?

One way to do this is to ensure that the black community plays an important role in informing and redesigning healthcare systems that are not designed for them. Get pages from initiatives such as CDC Racial and ethnic approaches to community health programs (To reach Black Innovation Community UnionI’m an executive champion this fall, with virtual care company Included Health (recently rebranded from Grand Rounds Health and Doctor On Demand) launching in partnership with major employers such as Best Buy, Genentech and Walmart. rice field. The coalition relies on the community to inform the first virtual care model of its kind, designed to promote the health fairness of African Americans.

Telemedicine can also play a role. Some people claim Increasing telemedicine has the potential to widen health inequalities. I disagree. Virtual Care believes that access issues can be addressed by providing large-scale, customized, quality health care to people in many resource-deficient communities. As it expands to become a more integrated tool for chronic care management, virtual care is providing a deeper understanding of the social, family and cultural aspects of patient health in the patient’s life and home. Serves as a clearer window to. Providing high-quality, more frequent touchpoints to collect and measure data in real time to better better educate, care, and positive results that are urgently needed by today’s poorly serviced people. You can be notified.

To increase the fairness of health, everyone needs to commit to the fact that not all minds, bodies, backgrounds, living conditions and social status are the same. Do black Americans like me want to see better? We demand better things.

Poorly serviced people, such as the black community, need to be treated the same in terms of fairness and respect. However, it is also essential that this definition of fairness and respect includes treating people as unique individuals when and where they are most needed. Can healthcare providers achieve this? We can do it by pushing the boundaries and raising the standard of care for all. Only then will we achieve true health equality.

Ian Tong is a Black Doctor and Chief Medical Officer at Include Health.

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