Discrimination in their respective roles in decision-making. It is

Discrimination in the Health Care System

Introduction

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            Discrimination is the unjust or biased treatment of
various classes of individuals or things, particularly on the grounds of race,
age, sex or economic status. It is very important to engage in good
interpersonal relationship between a patient and healthcare provider. It is
characterized by mutual respect from the patient and the healthcare provider,
transparency and a balance in their respective roles in decision-making. It is
a critical marker of healthcare. Unfortunately be that as it may, the patient
and healthcare provider boundary has frequently been portrayed by patients as
discriminatory, underestimating, and oppressive. This remains constant for both
developed and developing nations. This experience of segregation and poor
quality care is much more set apart for poorer, bring down class, rank ladies
and men and is likewise negotiated frequently by different factors including
ethnicity, religion and economic status. While there have been vital
territorial and nation endeavors to give more patient centered care,
discrimination is a major factor today. “Patient perceptions of discrimination may play an important,
yet variable role in ratings of health care quality across racial/ethnic
minority groups. Health care institutions should consider how to address this
patient concern as a part of routine quality improvement” (Sorkin, Ngo-Metzger
and De Alba, 2010). In this paper I will be discussing how discrimination is
evident in health care, focusing on race, gender and socio-economic status.

Racial Discrimination

When
considering racism, we frequently are alluding to personal or social bigotry
when people encounter some type of discrimination on a personal level in their
everyday lives.

This could go in seriousness
from being dealt with poorly or differentially from others to obvious types of
brutality. It can be purposeful or unexpected. The expectation are that doctors
and other healthcare providers keep up a demeanor of professionalism and test
any obvious segregation that they see or involvement in the work environment.

In spite of these desires, accidental interpersonal bigotry is an inevitable
issue in a healthcare setting. It can be difficult to address and oversee, in
light of the fact that we are regularly not in any case mindful that it is
occurring. “Studies have shown that the large majority of physicians in the
United States, for example, have significantly higher implicit positive
associations toward patients that they racialize as white compared with those
they racialize as black” (Leyland, et al., 2016).  This kind of race preference bias has been
connected to differential treatment by doctors, although when the doctor is
clearly ethically restricted to prejudice. For Indigenous people groups in
Canada, unintentional bigotry normally shows as mistaken with respect to
understanding wellbeing practices or judgments. Minority patients will probably
report being the subject of negative demeanors among the healthcare process,
and these feelings of discrimination may contrarily affect their assessments of
quality care. Such negative emotions may prompt reduced medication adherence
and medical follow-ups. In the article Racial/Ethnic
Discrimination in Health Care: Impact on Perceived Quality of Care studies and
surveys have been done and the authors state “we found that Asians and African
Americans were less likely than other racial/ethnic groups to rate the quality
of their health care favorably. In addition, although discrimination in health
care was reported by respondents from all racial/ethnic backgrounds, members of
minority populations were significantly more likely to report being
discriminated against compared to non-Hispanic whites” (Sorkin, Ngo-Metzger and
De Alba, 2010). The authors also stated the ethnic/ racial groups that believed
they would receive a better healthcare services if they were a different race
were more likely to report poor service (Sorkin, Ngo-Metzger and De Alba, 2010).

Gender
Discrimination

A
standout amongst the most interesting fields where gender discrimination
happens is healthcare. Unlike different fields where one gender is obviously
given advantage over the other, healthcare is more unclear. Both male and
females are looked with unfair stereotypes and expectations, and keeping in
mind that specific occupations still obviously prefer one gender over the
other, discrimination still equally occurs with both genders. Among doctors,
females have generally confronted discrimination and problems entering the
field. In the field of nursing however, men have been met with stereotypes and
segregation from both colleagues and patients. While the quantity of female
specialists and male attendants has consistently expanded, there still is by all
accounts a ton of gender inconsistencies in these two professions. Health
status and the experience of working in healthcare roles are both undeniably
formed gender and, in spite of the fact that there have been endeavors to
incorporate gender awareness in both health and employment policies, the
importance of gender in these grounds keeps on being marginalized. Today,
around 30% of full time doctors are female and around half of medical school students
are females. The tremendous change in statistics isn’t just encouraging yet
additionally moving for different divisions of the workforce that have not seen
that speedy of a change. In any case, it is still clear that gender still plays
an unfair role in the success of a doctor. “Between 80 to 90 percent of
leadership roles in medicine, like medical school deans, are filled by men, and
depending on the specialty of medicine, the ratio of male to female doctors is
depressingly high. In emergency medicine, about 62% of residents are men.” (Nazroo,
2013). “Evolving attitudes and current expectations of both female and male
physicians transcend gender and reflect this generation’s desires to have
fulfilling lives in many sectors, not just in the workplace. The healthcare
workplace has to become more responsive to these realities. Failure to respond
to these changing attitudes and expectations will result in a weaker physician
workforce” (Brodsky, 2011).