Chapter 4 © 2010 Jones and Bartlett Publishers, LLC

 Recruiting for Diversity  October 1985 Black and Minority Report  6 causes of death in US :  Cancer, CVD, Stroke, Cirrhosis, Diabetes, Homicide, Accidents, Infant mortality.  Recommendations:  More research in minority health  Increase education out-reach to minority community  Increase coordination with government and minority health issues © 2010 Jones and Bartlett Publishers, LLC

 1986 US DHSOffice of Minority Health  1990NIHOffice of Research on Minority Health  States/territories established Minority Health Offices  Medical centers provide care to minorities, train the majority of future providers, generate the knowledge about treatment and care: Enormous potential to eliminate health disparities © 2010 Jones and Bartlett Publishers, LLC

 Recruiting for Diversity  Academic center recommendations  Increase proportion of under representative minorities  Integration of cross cultural education in to the training of professionals  Force research to identify the source of real disparities  Minorities  30% (2003)  Minorities professionals likely to practice in minority communities  Most of the academic centers value diversity © 2010 Jones and Bartlett Publishers, LLC

 Medical centers can achieve diversity  Incorporate strategy plan and leaders at all levels  Institute officers will overall be responsible for diversity in the organization  Implementing and maintain diversity programs and generate revenue  Affirmative action © 2010 Jones and Bartlett Publishers, LLC

 Cultural Competency Training  Barriers :  Inadequately prepare faculty, ineffective evaluation methods, inadequate integration of material through out the curriculum, lack of institutional support, risk of simplification and stereotyping, marginalization in the curriculum, variability of definition of cultural competency, range in expectations of what should be learned. © 2010 Jones and Bartlett Publishers, LLC

 AAMC – TACCT 2005 Release  Cultural competencies  Key aspects of cultural competencies  Risk of the oversimplification and stereotyping  Inadequate integration of material through the curriculum © 2010 Jones and Bartlett Publishers, LLC

 Health Disparities Research  2002 Minority Health and Health Disparities Research and Education  Coordination NIH disparities research effort, research programs on health disparities, support health department treatment  NCMHD  Develop health disparities research infrastructure and capacity building  Training  Mentoring © 2010 Jones and Bartlett Publishers, LLC

 Advocacy  Several agencies involve health care education in increase diversity and support health disparities  2008 Titles VII- VIII 10 million  % decrease programs. All States decrease except Indiana © 2010 Jones and Bartlett Publishers, LLC