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Marc Imhotep Cray, M.D.

Marc Imhotep Cray, M.D.

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Published by: web1_webteam on Jan 03, 2010
Copyright:Attribution Non-commercial

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01/15/2013

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Link to the videoenhanced version of this presentation
 
Goals of this Presentation
To demonstrate/document racial disparities in healthcare exist
To show how trust is important to good healthoutcomes
To explain why African Americans tend to mistrust themedical profession (and this mistrust is notunfounded)
To emphasize why the medical profession needs todemonstrate its trustworthiness. Some initial ideas...
2
 
Disparities AcrossHealth Care
Disparities have been recognized among variousminority groups, but are best documented amongAfrican Americans
Adjusted for disease severity and socioeconomicstatus, African Americans experience:
 –
Fewer referrals for renal transplant evaluation andfewer transplants
(Ayanian
‘99, Epstein ‘00)
 –
Less adequate pain medication for cancer
(Cleeland
‘97)
 –
Inferior HIV Care
(Moore ‘94, Shapiro ‘99)
 –
Fewer admissions to CCU and fewer revascularizationprocedures, especially CABG
(Ayanian
‘93, Peterson ‘97,Schneider ‘01)
 –
Fewer eye examinations in DM, B-blockers after MI,and follow-up after hosp. for mental illness
(Schneider ‘02
)
3

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