By - A lack of resources is the biggest barrier to supporting traditionally marginalized communities, a group of industry leaders emphasized at the Value-Based Care Summit | Telehealth20: Virtual Series.
The coronavirus pandemic negatively highlighted the inequity of healthcare treatment and delivery. Data from New York City revealed that black individuals were nearly twice as likely to die from coronavirus compared to white individuals, with a mortality rate of 184 per 100,000 compared to 93 per 100,000.
These inequities are not limited to the coronavirus, though. Black individuals are more likely to be diagnosed with colorectal cancer, pancreatic cancer, heart disease, diabetes, and a slew of other diseases according to the Centers for Disease Control and Prevention.
Researchers believe these differences have complex ties to racism, discrimination, and social determinants of health including income, education, and health care access.
But eliminating these disparities requires resources many in the industry do not feel they have.
Attendees at the Value-Based Care Summit | Telehealt20: Virtual Series articulated this challenge during a discussion with Rhonda Medows, MD, president of population health management at Providence St. Joseph Health.
A lack of resources to support the needs of traditionally marginalized communities was the biggest barrier to supporting these populations, according to 52 percent of the event’s attendees.
A lack of awareness or education about the needs of these populations was also identified as a challenge by 29 percent of respondents. Part of this could stem from a lack of data and underrepresentation of these populations in traditional studies and literature.
Only 13 percent of event attendees said it was a lack of desire to help these populations. Another seven percent said it was the inability to identify the needs of these populations.
So, resources to help and even identify the needs of traditionally marginalized populations are the first barriers to helping these individuals.
Despite limited resources, many across the industry remain optimistic that the current public health crisis will accelerate change moving forward.
Seventy-two percent of attendees believed social determinants of health would play a larger role in care delivery moving forward to address these inequities. Another 60 percent said regulatory bodies would play an important role in this change as improved laws and regulations can help increase care access to underserved communities.
Nearly half (46 percent) of attendees said provider training to recognize and combat care inequities is a likely strategy they will employ.
But all these strategies require robust resources. Tackling patient social determinants of health means providers need strategies to identify these problems, coaching on how to discuss them, and resources to connect patients with that will help them overcome these challenges.
Changing regulations requires advocacy and data to prove a return on investment, be that a capital investment or otherwise. And provider training means frontline workers must step back from seeing patients while they undergo training.
So regardless of the method of change, organizations need financial resources, partnerships with outside organizations, and data to combat care inequities.
The coronavirus may have shone a light on disparities in care but addressing them will require more than an acknowledgment of these differences. It is a long, uphill battle for the healthcare industry that begins with more investments into solving the problem.
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June 15, 2020 at 08:30PM
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Addressing Care Inequities Requires More Resources - PatientEngagementHIT.com
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