Unequal treatment: confronting racial and ethnic disparities in health care

Alan Nelson

doi:10.5860/choice.40-5843

Cited by 7,043Cultural Competency in Health CareHealth disparities and outcomesRacial and Ethnic Identity Research

Unequal treatment: confronting racial and ethnic disparities in health care

Open access

Alan Nelson·2003·Choice Reviews Online

DOI 10.5860/choice.40-5843PMC PMC2594273

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Abstract

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.

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The 2003 Institute of Medicine's report identified increasing the number of underrepresented health professionals as a possible key strategy to eliminate health disparities.
“The report identified increasing the number of underrepresented health professionals as a possible key strategy to eliminate health disparities.10”
From Perceived Success After Participation in the Summer Health Professions Education Program (2024) · cites this paper as [10]
The 2003 Institute of Medicine's study documented lower health care quality and higher rates of illness, disability, and premature deaths among underrepresented populations in the US.
“The 2003 Institute of Medicine’s landmark study, “Unequal Treatment,”10 documented lower health care quality and higher rates of illness, disability, and premature deaths among underrepresented populations in the US.”
From Perceived Success After Participation in the Summer Health Professions Education Program (2024) · cites this paper as [10]

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Authors: Nelson, A.
Corresponding author: Alan Nelson
Venue: Choice Reviews Online
Publisher: American Library Association
Published: 2003-06-01
Volume: 40
Issue: 10
Pages: 40-5843-40-5843
ISSN: 0009-4978 (ISSN-L)
1523-8253
DOI: 10.5860/choice.40-5843
PMC: PMC2594273
OpenAlex: W1918881530
Cited by: 7,043
References: 0
Citations by year: 2026: 3 · 2025: 54 · 2024: 150 · 2023: 156 · 2022: 204 · 2021: 319 · 2020: 391 · 2019: 257 · 2018: 244 · 2017: 248 · 2016: 301 · 2015: 346 · 2014: 400 · 2013: 401 · 2012: 395
Type: book review
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Choice Reviews Online (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Social Sciences › Health › Health disparities and outcomes
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords: racial and ethnic disparities in health care, quality of care, health care access, socioeconomic status, patient encounters, provider attitudes, patient expectations, language translation, community-based care, intercultural education, provider-patient communication, health professions education, health care financing, healthcare resource allocation, health disparities research
MeSH terms: Health Services Accessibility, Humans, Minority Groups, Quality of Health Care, Socioeconomic Factors, United States

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Unequal treatment: confronting racial and ethnic disparities in health care

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