How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary

by Institute of Medicine, Board on Population Health and Public Health Practice, Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities, Karen M. Anderson

Overview

At the turn of the 21st century, several important reports and events designed to raise awareness of health disparities and to describe initial efforts to reduce health disparities took place. The Surgeon General's office released several reports that showed dramatic disparities in tobacco use and access to mental health services by race and ethnicity. The first real legislation focused on reducing health disparities was signed into law, creating the National Center for Minority Health and Health Disparities within the NIH. In 2001, the IOM released its landmark report, Crossing the Quality Chasm: A New Health System for the 21st Century, highlighting the importance of a focus on health care quality rather than a focus on only access and cost issues.

Building upon these reports and events, the IOM held a workshop on April 8, 2010, that discussed progress to address health disparities and focused on the success of various federal initiatives to reduce health disparities. How Far Have We Come in Reducing Health Disparities? summarizes the workshop and explains the progress in the field since 2000.

Product Details

ISBN-13:	9780309255301
Publisher:	National Academies Press
Publication date:	10/12/2012
Pages:	118
Product dimensions:	6.00(w) x 9.00(h) x 0.20(d)

Table of Contents

1 Introduction 1

Scope of the Workshop 2

Workshop Agenda 3

Key Themes 4

References 5

2 What Progress in Reducing Health Disparities has Been Made?: A Historical Perspective 7

Building Stronger Communities for Better Health: Moving from Science to Policy and Practice 8

Where Do Health Disparities Stand Today? 13

Magnitude and Consequences of Health Disparities 23

Discussion 27

References 29

3 Healthy People 2010: How Far Have we Come in Reducing Health Disparities? 31

Healthy People 31

HHS and Efforts to Reduce Disparities 38

HHS and Health Care Reform 39

HHS and Prevention 39

References 40

4 Federal Perspectives on Reducing Health Disparities 43

John Ruffin 43

Carolyn Clancy 47

Discussion 52

References 52

5 Promising Practices in Addressing Social Determinants: Obesity Prevention 53

The President's Task Force on Childhood Obesity 53

Reducing Childhood Obesity: A Strategy to Address Health Disparities 58

The California Endowment's Building Healthy Communities Initiative 63

Discussion 67

References 68

6 What Do We Still Need to Learn About Reducing Health Disparities? 69

Paula Braveman 69

Anne Beal 75

Dennis Andrulis 78

Discussion 83

References 84

7 Legislative Actions to Reduce Health Disparities 85

The Senate Perspective 85

The House of Representatives Perspective 89

Discussion 90

Appendixes

A Workshop Agenda 93

B Speaker Biographical Sketches 97