Alright, let’s talk about
our healthcare system
and maybe some of the disparities that
we have to embrace and address.
So, desired system are perfectly and is
everybody getting equal access to care.
And the answer is no.
So healthcare disparity includes
population specific differences in the
presence of disease, health outcomes
and quality of healthcare across
different social groups.
So in English, we’re basically saying within
our population, we have certain subgroups
that don’t have the same equal
access to healthcare.
Why is that and how
do we pull as apart?
So, this disparity is seen across
the following social factors.
I think the most obvious and clear is the SES.
The socioeconomic status of individuals
clearly impacts quality
in access to care.
So as socioeconomic status increases, access
and quality of healthcare increases as well.
So if you live in affluent area,
you going to have a nicer hospital.
You’re going to have a better doctors.
You’re going to have a better equipment’s.
You’re going to have more
medicine available too.
So all of these things obviously
going to improve your health outcomes.
Now, when you look at some of the – not as
affluent areas, and some of the suburbs or gatos.
You might not have the
same access to healthcare.
You won’t have the same quality of doctors.
And so that this proportionate density
of healthcare resources
will directly impact health.
You also see that individuals who live
in the lower socioeconomic status areas
have differences in terms of diet.
Okay, so we know that poor in
living conditions, poor diet are also
direct factors impacting overall health.
So when you look at some of the lower SES
areas, we have things called food desserts.
And these refers to the fact that you find
almost exclusively fast food, pre-package food
and you have very few markets and grocery
stores wherein get frost produce fresh meats.
You can actually cook your food.
The end result is you’re getting
lower quality food lace with fatty acids,
laced with cholesterol, salt, all these
things that directly impact your health.
Leading the things like cardiovascular
issues, strokes, so many other problems.
Now, let’s take a looks of some other jobs.
Individuals who work, who live in the SES
areas have to on. So those that
are lower on that social scale,
it take on more dangerous jobs or
jobs that put their health at risk.
So their working in some of the factories,
coalmines, lot of area risk of injury or death.
Especially if they’re working in these areas
long term. You see long-term chronic disease.
You also can see those individuals
who are low in SES scale
cannot afford aesthetic
healthcare programs and plans.
So if you work at a factory or a
shift job or a fast-food restaurant,
they are not necessarily offering you
extended healthcare benefits that you see
in some other professional jobs that you
would have if you’re hire in the SES scale.
And so they can’t afford
that extended treatment.
If some things offered by the city
or the state, that’s great.
But if it requires some additional medicine
or addition equipment, a procedure that
you have to pay out of the pocket.
They can afford it.
That obviously again will have
an impact overall health outcomes.
Now, we also understand that race place a role.
That visible minorities like African Americans,
Hispanics and Natives so obviously
we’re taking sort of a US perspective here.
It tend to have higher morbidity,
mortality and illness rates. So morbidity
refers to occurrence of different diseases
and mortality is the actual death.
So these same individuals have poor access
to care and lower quality to care.
So we mention all these already.
So, the they kind to go hand in hand.
A lot of these individuals that are visual
minorities tend to be lower on the SES scale.
and therefore all the points
that we just made apply.
So less access to care, poor quality of care which
then again equals less positive health outcomes.
Gender plays a role. Men seem to have
a lower self-report of illness
and are less app to use the health resources.
So it’s not that they’re not getting us sick.
They just tend to not report their illness.
We think of the modular factor guys tend to not
want to run to the doctor every 20 minutes.
I am not saying that women are
complainers. But women are more
They are actaully brighter than we are. And they
say, “you know if there is something wrong,
I’m going to check this out if
there’s pain, if there is an issue,
I am going to use the health resources. In men,
there’s this gender role of trying to be macho
and just saying not just a
big deal or I’ll deal with it.
So there’s a disproportionate
use of these resources
towards dealing with
some of these disorders.
Now, if you look at the medical
research we also understand there is
some of disproportion allocation
of resources as well.
A lot of a resources in terms of a
research and guidance around an illness
and the treatments are around men.
So an example, are looking at things like cancer.
And lot of research and lot of the media and
educational resources revolve around men in cancer.
And we’re now understanding
that cancer rates are just as high
and sometimes even in higher in women.
Things like cardiac issues, again, we automatically
assume we have this sort of stereotype
of a cardiac patient in being a big
overweight guy eating hamburgers and hotdogs.
and that’s why they have the issue.
One reality we actually understanding
that a lot of women have extremely
high rates that match resonance
surpass that were saying in men.
And right now these two of cancer and cardiac
events are the number one killers in women.
So gender then also creates this polarity in terms
of actual access to care and health outcomes.