A student's lesson in healthcare disparities

This narrative was born out of a desire to examine the effects of healthcare disparities among minority populations. As a medical student, I had the opportunity to spend a 4-week rotation working with physicians specializing in palliative care during what is arguably the most challenging public heal...

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Autores principales:	Daniel Macaulay, Christine Khandelwal, Leah Rosen
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	disparity palliative care covid-19 human experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/902db6b00b5a4658ac1598e0b8d623c9
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spelling	oai:doaj.org-article:902db6b00b5a4658ac1598e0b8d623c92021-11-15T04:31:28ZA student's lesson in healthcare disparities2372-0247https://doaj.org/article/902db6b00b5a4658ac1598e0b8d623c92020-11-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss3/4https://doaj.org/toc/2372-0247This narrative was born out of a desire to examine the effects of healthcare disparities among minority populations. As a medical student, I had the opportunity to spend a 4-week rotation working with physicians specializing in palliative care during what is arguably the most challenging public health crisis in over a century. This provided a unique perspective that allowed the observation of the intersection of healthcare systems with underserved and vulnerable minority populations, and palliative medicine. It also allowed us to observe the negative consequences it has had, particularly during a hard-hitting global pandemic. The paper gives a brief introduction to the problem of healthcare disparities as described by the WHO and CDC. We discuss some of the statistical data that show how certain demographics like workers in service industries, or meat-packing facilities are more likely to contract the COVID-19 virus, and how these same populations are disproportionately affected by the pandemic due to their limited access to healthcare systems. We then discuss the case of a COVID-19 patient that was treated by a multidisciplinary team during this period. This patient, like many others, was an immigrant with limited proficiency in the English language, as well as a limited medical education. We provide details about his medical course during his admission, and we try to highlight some of the pitfalls in the healthcare system as it relates to this patient’s prognosis and healthcare outcome. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>Daniel MacaulayChristine KhandelwalLeah RosenThe Beryl Institutearticledisparitypalliative carecovid-19human experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	disparity palliative care covid-19 human experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	disparity palliative care covid-19 human experience Medicine (General) R5-920 Public aspects of medicine RA1-1270 Daniel Macaulay Christine Khandelwal Leah Rosen A student's lesson in healthcare disparities
description	This narrative was born out of a desire to examine the effects of healthcare disparities among minority populations. As a medical student, I had the opportunity to spend a 4-week rotation working with physicians specializing in palliative care during what is arguably the most challenging public health crisis in over a century. This provided a unique perspective that allowed the observation of the intersection of healthcare systems with underserved and vulnerable minority populations, and palliative medicine. It also allowed us to observe the negative consequences it has had, particularly during a hard-hitting global pandemic. The paper gives a brief introduction to the problem of healthcare disparities as described by the WHO and CDC. We discuss some of the statistical data that show how certain demographics like workers in service industries, or meat-packing facilities are more likely to contract the COVID-19 virus, and how these same populations are disproportionately affected by the pandemic due to their limited access to healthcare systems. We then discuss the case of a COVID-19 patient that was treated by a multidisciplinary team during this period. This patient, like many others, was an immigrant with limited proficiency in the English language, as well as a limited medical education. We provide details about his medical course during his admission, and we try to highlight some of the pitfalls in the healthcare system as it relates to this patient’s prognosis and healthcare outcome. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Daniel Macaulay Christine Khandelwal Leah Rosen
author_facet	Daniel Macaulay Christine Khandelwal Leah Rosen
author_sort	Daniel Macaulay
title	A student's lesson in healthcare disparities
title_short	A student's lesson in healthcare disparities
title_full	A student's lesson in healthcare disparities
title_fullStr	A student's lesson in healthcare disparities
title_full_unstemmed	A student's lesson in healthcare disparities
title_sort	student's lesson in healthcare disparities
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/902db6b00b5a4658ac1598e0b8d623c9
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A student's lesson in healthcare disparities

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