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 <subject>Health care services</subject>
 <subject>Racial discrimination</subject>
 <subject>Health care cost control</subject>
 <subject>Health care costs</subject>
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 <title>Health Care: Approaches to Address Racial and Ethnic Disparities</title>
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<abstract>A recent report by the Institute of Medicine, a branch of the
National Academy of Sciences, found that racial and ethnic	 
minority groups tend to receive a lower quality of health care	 
than nonminorities, even when access-related factors such as	 
income and insurance coverage are controlled. It concluded that  
the elimination of racial and ethnic health care disparities is a
major challenge in the United States. Racial and ethnic minority 
groups identified by the federal government--American Indians or 
Alaska Natives, Asians, Blacks or African Americans, Hispanics or
Latinos, and Native Hawaiians or other Pacific Islanders--are	 
expected to make up an increasingly large portion of the U.S.	 
population in coming years. The federal government, primarily	 
through programs under the Department of Health and Human	 
Services (HHS), plays a major role in providing and financing	 
health care for minority groups. HHS is also the primary federal 
entity involved in projects and research aimed at understanding  
and addressing disparities in health care. HHS has focused on	 
racial and ethnic disparities in health access and outcomes in	 
six areas: cancer screening and management, cardiovascular	 
disease, diabetes, HIV infection/AIDS, immunizations, and infant 
mortality. HHS offices and agencies, researchers at philanthropic
foundations, and private organizations such as employers and	 
health plans have efforts under way to try to address racial and 
ethnic disparities in health care, using interventions such as	 
disease management programs, disease prevention programs, health 
literacy and language service projects, and education and	 
outreach programs. Congress requested that we identify approaches
that experts view as promising to address racial and ethnic	 
disparities in health care.</abstract>
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<note>Correspondence</note>
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 <topic>Health care services</topic>
 <topic>Racial discrimination</topic>
 <topic>Health care cost control</topic>
 <topic>Health care costs</topic>
 <topic>Minorities</topic>
 <topic>Strategic planning</topic>
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