Achieving racial and ethnic equity in U.S. health care: a scorecard of state performance
- Collection:
- Health Policy and Services Research
- Author(s):
- Radley, David C., author Baumgartner, Jesse C., author Collins, Sara R., author Zephyrin, Laurie, author Schneider, Eric C., author
- Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- New York, NY : The Commonwealth Fund, November 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Racial Groups Ethnicity Health Equity -- statistics & numerical data Healthcare Disparities -- statistics & numerical data State Government United States
- Genre(s):
- Technical Report
- Abstract:
- Decades of policy choices made by federal, state, and local leaders have led to structural economic suppression, unequal educational access, and residential segregation, all of which have contributed in their own ways to worse health outcomes for many people of color. The failure to ensure all Americans have reliable health coverage has paved the way to inequitable access to health care. Dramatic disparities in the quality of health care, meanwhile, are tolerated. And while the effects of structural racism persist in all states, policy leaders in some states are reluctant to take actions that could mitigate health inequities, like expanding eligibility for Medicaid as provided for under federal law. The Commonwealth Fund's State Scorecard on Health System Performance has long tracked the functioning of each state's health care system, with the goal of motivating actions to improve their residents' health and health care. But assessing how well a state's health system performs on average can mask profound underlying inequities. In this report, we evaluate health equity across race and ethnicity, both within and between states, to illuminate how state health systems perform for Black, white, Latinx/ Hispanic, AIAN, and Asian American, Native Hawaiian, and Pacific Islander (AANHPI) populations. Our hope is that policymakers and health system leaders will use this tool to investigate the impact of past policies on health across racial and ethnic groups, and that they will begin to take steps to ensure an equitable, antiracist health care system for the future.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (35 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918300980506676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918300980506676