Disparities in Health Care Delivery Systems

Muhammad Farhan Nadeem; Larry R Kaiser

doi:10.1016/j.thorsurg.2021.09.005

Disparities in Health Care Delivery Systems

Thorac Surg Clin. 2022 Feb;32(1):13-21. doi: 10.1016/j.thorsurg.2021.09.005.

Authors

Muhammad Farhan Nadeem¹, Larry R Kaiser²

Affiliations

¹ Temple University Hospital, 3401 N Broad Street, Philadelphia, PA 19140, USA.
² Alvarez & Marsal, 600 Madison Avenue, 8th Floor, New York, NY 10022, USA; University of Pennsylvania Perelman School of Medicine. Electronic address: lkaiser@alvarezandmarsal.com.

PMID: 34801191
DOI: 10.1016/j.thorsurg.2021.09.005

Abstract

Racial disparities in health care systems exist in all phases of health care delivery. The Affordable Care Act has been unable to completely mitigate disparities in health care as the root cause (ie, socioeconomic inequality) remains unaddressed. Uninsured status, lack of transportation, high costs, health literacy, provider unavailability, lack of trust in the health system, and implicit bias block minority populations from obtaining deserved quality care. With the COVID-19 crisis, increased sensitivity and development of innovative approaches to provide accessibly and quality health care are necessary.

Keywords: Affordable care act; COVID-19; Health care delivery; Health care disparities; Health care utilization; Racial disparities; Social determinants of health.

Publication types

Review

MeSH terms

COVID-19*
Delivery of Health Care
Humans
Patient Protection and Affordable Care Act*
Quality of Health Care
SARS-CoV-2
United States