Published on March 16, 2014
The Excess Mortality of Blacks Linsey Tran Writing 39C: Knighten 2/26/14
What is excess mortality? • a premature death OR • one that occurs before the average life expectancy for a person of a particular demographic category Source: medical-dictionary.thefreedictionary.com
The Problem • “In 2002, blacks suffered 40.5 percent more deaths (83,570 deaths) than would be expected if they had experienced the mortality rate of whites” • A decade later today, the total number of excess deaths is close to a million. Source: David Satcher et al., "What If We Were Equal? A Comparison of the Black-White Mortality Gap in 1960 and in 2000," Health Affairs 24 (2005): 459.
1. Why are there so many excess deaths of blacks? And why are there so many more than whites?
1. Black Patients’ Lack of Trust for Doctors 1932 Tuskegee syphilis experiment “Claudia Baquet, M.D., professor and assistant dean of at the University of Maryland School of Medicine, says that the Tuskegee syphilis experiment is still on the minds of black patients”
2. Doctor’s Preference for White Patients (racism) Source: Journal of Health Care for the Poor and Underserved
3. Poor Demographics of Blacks
Source: Centers for Disease Control and Prevention
There are huge racial disparities between blacks and whites in health care.
There are huge racial disparities between blacks and whites in health care. So how should these disparities be removed?
The Solution is Medical Homes! • also known as the patient- centered medical home (PCMH) • More medical homes should be built across the U.S to eliminate racial disparities and lower the excess mortality of blacks
What Is a Medical Home? • Not exactly a home where people live in WATCH VIDEO OF WHAT IS A MEDICAL HOME http://www.emmisolutions.com/medicalhome/a cp/english.html (1:34-2:34)
Why Medical Homes? • Studies have shown that health care disparities are due mostly to where minorities receive treatment rather than to racism or cultural insensitivity. • Medical homes directly solve the problem of racial disparities by eliminating them. Source: "Closing the Divide: How Medical Homes Promote Equity in Health Care: Results From the Commonwealth Fund 2006 Health Care Quality Survey"
Why Medical Homes?
Why Medical Homes?
Why Medical Homes? • Get help or information immediately without going to the office (phone/e-mail) • Making appointments is a lot more flexible (same day & longer appointments) • Use of reminders for preventive care is associated with higher rates of preventive screening.
Supporters Source: American College of Physicians
Concern of Medical Homes Are the costs of medical homes more expensive than traditional health care?
Thank You For Your Time! Any questions?