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Ethnogeriatrics and the US Healthcare System February 7-23, 2012

Ethnogeriatrics and the US Healthcare System February 7-23, 2012. Course Directors : Seema S. Limaye, MD Assistant Professor of Medicine Pat MacClarence, MA, LCSW Outpatient South Shore Senior Center Section of Geriatrics and Palliative Medicine University of Chicago. Pre-Test.

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Ethnogeriatrics and the US Healthcare System February 7-23, 2012

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  1. Ethnogeriatrics and the US Healthcare SystemFebruary 7-23, 2012 Course Directors: Seema S. Limaye, MD Assistant Professor of Medicine Pat MacClarence, MA, LCSW Outpatient South Shore Senior Center Section of Geriatrics and Palliative Medicine University of Chicago

  2. Pre-Test

  3. WELCOME and Introductions

  4. Course Introduction:Why does this stuff matter? • Complexities of US HCS. • Multiple geriatric health care settings. • Interprofessional is real-world. • Growth of ethnogeriatric population

  5. US Census Bureau 2000: Projected Population Growth of Elderly Blacks, American Indian/Alaska Natives, Asian and Pacific Islander, Hispanic/Latino 16% 36% 64% 84% 2050 2000 Whites

  6. GOAL & OBJECTIVES • Medicare Module • Long-Term Care Module • Health Literacy Module • Hospice and Palliative Medicine Module • FOCUS: • “System” basics • Health disparities • Ethnogeriatrics—WHAT???

  7. Intersection of the Studies of Aging, Ethnicity, and Health Aging Geriatrics Ethnogerontology Ethnogeriatrics Health Ethnicity Transcultural Health

  8. How will we learn about this topic?

  9. Course Schedule:Please note room changes

  10. Small Group Projects • PURPOSE: • Highlighting a geriatric healthcare disparity • Identifying various “levels” at which this disparity exists, and • Developing potential interventions to narrow this disparity.

  11. Definition of Health Disparity Clinical Appropriateness and Need; Patient Preferences Operation of HCS; Legal and Regulatory Climate Difference Disparity Quality of Health Care Discrimination: Biases, Stereotyping, and Uncertainty Non-Minority Minority Gomes and McGuire, 2001

  12. More Definitions… • What is race? • Socially constructed categories based on parentage and physical appearance • What is culture? • The way of life of a population, including shared knowledge, beliefs, values, attitudes, rules of behavior, language, skills, and world view among members of a given society • What is an ethnic group? • A group of individuals with a shared sense of peoplehood based on race, religion, or national origin (Gordon, 1964), now commonly used to refer to a group with a distinctive culture

  13. A few more definitions… Health Status Health Care

  14. Disparities in Health Status and Health Care How extensive are health care disparities? Why do health care disparities exist? What are the perceptions of providers and the public regarding disparities?

  15. Small Group Projects • REQUIREMENTS: • Assigned Groups. • Pick a topic. • Confirm topic by Thursday, Feb 9, 2012. • 30 minute presentation. • Feedback.

  16. Developing an Intervention • Use the strengths of all your colleagues. • Be creative! • Consider various levels on which to develop your intervention: • National: Federal policy • Regional: Local/State policy, community programs, grassroots. • Institution/Facility/Practice • Clinician-Patient-Family

  17. Other Topics to Consider • Disparities in cancer detection/treatment in older minority patients • Disparities in long-term care facilities • Disparities in access to food for income-limited seniors • Other thoughts?

  18. On to Dr. Rush…

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