Rice M F, Winn M
Public Administration Institute, Louisiana State University, Baton Rouge 70803.
J Natl Med Assoc. 1990 Jun;82(6):429-37.
Despite recent improvements in the health status of blacks, significant disparities continue to exist between blacks and whites in nearly every health status index. Contributing to these disparities are biases in the health system; economic bias being the most significant. This article assesses the competitive market strategy, the most recent federal initiative to promote equity in the access to health services in terms of the consequences for black health. Several policy actions are recommended to improve the health status of the black population.
尽管近年来黑人的健康状况有所改善，但在几乎每一项健康状况指标上，黑人和白人之间仍然存在显著差距。医疗系统中的偏见导致了这些差距；经济偏见最为显著。本文评估了竞争市场战略，这是最近一项旨在促进医疗服务可及性公平的联邦举措，并探讨了其对黑人健康的影响。文中还建议采取若干政策行动来改善黑人的健康状况。
