Hardcover: 432 pages
Publisher: National Academies Press (February 6, 2009)
Language: English
ISBN-10: 030908265X
ISBN-13: 978-0309082655
Product Dimensions: 9.5 x 6 x 1.3 inches
Shipping Weight: 1.9 pounds
Average Customer Review: 4.2 out of 5 stars See all reviews (6 customer reviews)
Best Sellers Rank: #604,259 in Books (See Top 100 in Books) #96 in Books > Medical Books > Dentistry > Preventive #196 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Health Policy #300 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Ethics
Recognize this book is over ten years old - provides a historical account of interest to those in health policy or public health. The material is over 10 years old at this point the statistics are dated. A classic read and sadly, the disparities still exist.
This is a really important national study of health disparities in the US - mainly health disparities between African Americans and Caucasians (but other ethnic groups are occasionally mentioned). It shows that African Americans experience higher rates of certain medical conditions than other ethnic groups (e.g. diabetes), but also identifies clinical and practical barriers and forms of discrimination which result in inferior treatment. Importantly, it does not address inequalities which stem from discrepancies in insurance coverage -- this is a major limitation, I think.A word of warning - this is published by the National Institutes of Medicine, so it is incredibly academic - there is a comprehensive, but somewhat excessive, literature review of some topics that lasts 126 pages. Useful for public health/epidemiology students (particularly grad students), but not for the general reader.Although there is an Executive Summary at the beginning, it is also written in a very academic, rather than accessible, tone. So I would suggest the intended audience is really public health/epidemiology professionals.
A good read on some of the many problems we have in the US health system with strategies to improve.I enjoyed reading it.
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