Temple University Hospital, 3401 N Broad Street, Philadelphia, PA 19140, USA.
Alvarez & Marsal, 600 Madison Avenue, 8th Floor, New York, NY 10022, USA; University of Pennsylvania Perelman School of Medicine.
Thorac Surg Clin. 2022 Feb;32(1):13-21. doi: 10.1016/j.thorsurg.2021.09.005.
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.
医疗保健系统中的种族差异存在于医疗保健提供的所有阶段。《平价医疗法案》未能完全减轻医疗保健方面的差异,因为根本原因(即社会经济不平等)仍未得到解决。保险状况、缺乏交通工具、高成本、健康素养、提供者不可用、对卫生系统缺乏信任以及隐性偏见,使少数民族无法获得应有的优质护理。随着 COVID-19 危机的加剧,有必要提高敏感性并开发创新方法来提供可及和高质量的医疗保健。