4. Be able to identify factors that affect health care disparities in patient-provider care• 2 parts

• 1. Operations of healthcare systems/ legal and regulatory climate• Cultural or linguistic barriers• Fragmentation  of healthcare systems

• Minorities in lower cost health plans• Types of incentives in place to contain costs•Where minorities tend to receive care

•2. Clinical encounter•Three mechanisms might be operative in healthcare disparities from the provider’s side of the exchange:

• bias (or prejudice) against minorities;•greater clinical uncertainty when interacting with minority patients;• beliefs (or stereotypes) held by the provider about the behavior or health of minorities

5. Be able to describe the IAT test and the medical IAT test, what it measures and how it measures•Implicit Association Tests

IAT scores (normal continuous variable) measuring physicians’ implicit race preference and perceptions of cooperativeness.

6. Be able to discuss how patient-provider interactions and communication may affect health disparities• Three mechanisms might be operative in healthcare disparities from the provider’s side of the exchange:

• 1. bias (or prejudice) against minorities;• 2. greater clinical uncertainty when interacting with minority patients;•  3. beliefs (or stereotypes) held by the provider about the behavior or health of minorities

7. Be able to define healthcare disparities based on the IoM report definitionedge gap is the gap in knowledge dependent on one’s social network•          Those without dependable social networks reported less access to potentially Life-altering information. (in Hurricane Katrina example)•          Ex: H1N1, those that had flu shots tended to write positive tweets on twitter while those who did not take it they wrote negative things about H1N1