Health care disparities at the intersection of race, ethnicity, and disability

描述(由申请人提供)：广泛的研究证明，种族和族裔少数群体之间在获得卫生保健和保健质量方面存在差异。有一些迹象表明，在同样患有残疾的人中，这些差距甚至更大。残疾，特别是复杂残疾，在一些种族和少数民族群体中比在非西班牙裔白人中更常见。残疾与少数族裔或族裔群体的成员身份相结合，与单独属于任何一个群体相比，获得健康的社会决定因素(例如教育、就业、收入)的机会更少。然而，在具体审查种族、族裔和残疾与卫生保健的获取和利用有关的交集方面所做的工作很少。拟议的会议将解决这一差距。会议的目的是分享目前已知的情况，并制定一项行动计划，发展新的知识，以解决已查明的问题和差距。召开这样一次会议的理由是，迄今为止，关于种族和族裔差异的研究以及与残疾有关的差异的研究基本上是独立进行的。需要与这两组研究人员举行会议，以便在这两个研究机构之间建立桥梁，并专注于这两个群体的重叠。此外，还需要促进翻译 将研究成果转化为实践。医疗保健消费者、临床医生、健康计划和政策制定者将参加会议，以加快数据的分发，这些数据可以提供信息并影响医疗保健实践。这些最终用户还将提供有关信息需求的宝贵意见，确保未来的研究与患者和卫生系统的优先事项相关并做出反应。会议有三个具体目标：1)传播研究残疾少数群体在获得和利用医疗保健方面的差距的现有项目的结果；2)促进种族和族裔健康差距研究人员与残疾研究人员之间的合作，解决残疾少数群体所经历的医疗差距问题；3)确定残疾少数族裔保健实践中的问题和挑战，并制定研究议程，以研究和解决这些问题。会议将最终提出进一步研究差距和战略的建议，以增加#年残疾人获得和利用医疗保健的机会和利用率。 种族和少数民族群体。这些建议的未来执行反过来将有助于改善卫生保健的质量、安全性、效率和有效性。 有身体、感觉和/或智力残疾的少数群体。 与公共卫生相关：拟议的会议通过推动努力消除在获得护理和接受建议的预防性护理服务方面的差距，对于提高卫生保健的效率和质量很重要。它侧重于特别高风险的人群：也有残疾的种族和少数民族群体中的个人。这次会议将传播目前关于这一人群在获得和利用卫生保健方面的差距的研究，并为未来关于改善卫生保健提供的卫生服务研究制定一项行动议程。

DESCRIPTION (provided by applicant): Extensive research has documented disparities in access to and quality of health care among racial and ethnic minorities. There are some indications that these disparities are even greater among individuals who also have disabilities. Disability, especially complex disability, is more common in some racial and ethnic minority groups than it is among non-Hispanic Whites. The combination of disability with membership in a minority racial or ethnic group is associated with less access to the social determinants of health (e.g. education, employment, income) than belonging to either group alone. Yet, little work has been done to specifically examine the intersection of race, ethnicity, and disability in relation to health care access and utilization. The proposed conference will address this gap. The purpose of the conference is to share what is currently known and generate an action plan for developing new knowledge to address identified problems and gaps. The rationale for conducting such a conference is that research on racial and ethnic disparities and research on disability- related disparities has thus far been conducted largely independently. A meeting with both groups of researchers is needed to build bridges between these two bodies of research and focus on the overlap of the two populations. Further, there is a need to facilitate translation of research findings into practice. Health care consumers, clinicians, health plans, and policy makers will be included in the conference in order to speed distribution of data that can inform and influence health care practices. These end users will also provide valuable input regarding informational needs, ensuring that future research is relevant and responsive to patient and health system priorities. The conference has three specific aims: 1) Disseminate findings from current projects studying disparities in health care access and utilization among minorities with disabilities; 2) Promote collaboration between racial and ethnic health disparity researchers and disability researchers in addressing health care disparities experienced by minorities with disabilities; and 3) Define issues and challenges in the practice of health care for racial and ethnic minorities with disabilities and develop a research agenda to study and address these issues. The conference will culminate in recommendations for further research into disparities and strategies to increase access to and utilization of health care for people with disabilities in racial and ethnic minority groups. Future implementation of these recommendations, in turn, will contribute to improvements in the quality, safety, efficiency, and effectiveness of health care for minorities with physical, sensory, and/or intellectual disabilities. PUBLIC HEALTH RELEVANCE: The proposed conference is important to improving health care efficiency and quality by advancing efforts to eliminate disparities in access to care and receipt of recommended preventive care services. It focuses on a particularly high risk population: individuals in racial and ethnic minority groups who also have disabilities. This conference will disseminate current research on disparities in health care access and utilization within this population and develop an action agenda for future health services research regarding improvements in health care delivery.