Inequalities and Disparities in Health Care and Health, Volume 25: Concerns of Patients, Providers and Insurers (Research in the Sociology of Health Care)

cover.jpg......Page 1
List of contributors......Page 2
Health inequalities and health disparities: a sociological perspective......Page 5
Health care inequalities and disparities......Page 6
The federal effort to address health and health care disparities......Page 9
Review of organization of the book......Page 12
References......Page 15
Theorising inequalities in™the experience and management of chronic illness: Bringing social networks and social capital back in (critically)......Page 17
Introduction......Page 18
Body-society connections and realist/relativist tensions......Page 21
The controversy of ’variables’ and accounting for social and cultural context in studying networks for™chronic™illness support......Page 24
Conceptualising social support, network ties, and the significance of organisations and technology......Page 28
Translating theory to method: a way forward for researching social networks and inequalities in the experience and management of chronic illness......Page 34
Conclusion......Page 36
References......Page 38
U.S. minorities’ access to™health care under managed care: a synthesis of™the literature......Page 45
Background......Page 46
Categorizing managed care practices......Page 47
Rules and Programs......Page 48
Programs......Page 49
Program Implementation......Page 50
Implications for Ethnic Disparities......Page 51
Discretion and Ethnic Disparities......Page 53
Rule Implementation and Discretion......Page 54
Goal Setting......Page 55
Financial Risk Shifting......Page 56
Implications for Ethnic Disparities......Page 57
Client Coordination......Page 58
Boundary Setting......Page 59
Clients......Page 60
Employees and Contractors......Page 61
Empirically evaluating the validity of the theory......Page 62
Coordination of Care......Page 67
Boundary Setting......Page 68
Discussion and conclusion......Page 70
Notes......Page 72
References......Page 73
Korean immigrants and health care access: implications for the uninsured and underinsured......Page 77
Introduction......Page 78
Korean Americans: demographics and history......Page 79
Methodology......Page 81
Health Insurance Too Expensive......Page 82
Health Insurance Used Only for Emergency Purposes......Page 84
Discussion......Page 87
Conclusion......Page 89
References......Page 91
The Social Underpinnings of™Trust in Physicians......Page 95
Definitions of Physician Trust......Page 97
What Predicts Trust?......Page 98
Other Factors......Page 99
Factors Contributing to Physician Trust......Page 100
Unstable Environments......Page 101
Vulnerability......Page 102
Trust in Physicians......Page 103
Knowledge......Page 105
Health Care Flexibility......Page 106
Sociodemographics......Page 107
Results......Page 108
Summary: Predictions and Results......Page 112
Health Status......Page 113
Knowledge, Confidence, Unstable Environments......Page 114
Generalized Trust......Page 115
Limitations......Page 116
Future Research......Page 117
References......Page 118
Disparities in Medicaid support for and the quality™of nursing facility™long-term care across the™states......Page 122
Previous work......Page 125
Research design and data......Page 126
Dependent Variables......Page 127
Independent Variables......Page 131
Expectations for the Independent Variables......Page 132
Results......Page 133
Discussion......Page 140
Notes......Page 142
References......Page 143
Professional politics and™the challenge of anesthesia availability in™rural hospitals......Page 146
Introduction......Page 147
Legislation, regulation, and court cases: the changing context of anesthesia services......Page 150
Data......Page 155
Findings......Page 156
Conclusion......Page 161
References......Page 163
Socioeconomic and racial/ethnic disparities in substance abuse treatment provision, treatment needs and utilization......Page 165
Introduction......Page 166
Socioeconomic and Racial/Ethnic Disparities in Health......Page 169
The Provision of Health Care Services......Page 170
The Ecology of Substance Abuse Treatment Provision......Page 171
Substance Use and Abuse and Treatment Needs......Page 172
Hypotheses......Page 173
Data......Page 174
Substance Abuse Treatment Provision......Page 175
Substance Abuse Need......Page 177
Areal Disadvantage......Page 178
Methods......Page 180
Results......Page 181
Discussion and conclusion......Page 187
Notes......Page 190
References......Page 191
Geographic disparities in adult mental health utilization and need for service......Page 195
Introduction......Page 196
Andersen’s Sociobehavioral Model......Page 199
Data and methods......Page 200
Any Use of Mental Health Services......Page 201
Intensity of Mental Health Services......Page 202
Findings......Page 205
Need for Mental Health Services......Page 207
Unmet Need of Mental Health Services......Page 211
Overuse of Mental Health Services......Page 212
Discussion......Page 213
References......Page 215
Transgender bodies, identities, and healthcare: effects of perceived and actual violence and abuse......Page 218
Traditional Western Biomedical Perspective of Sex/Gender......Page 219
Multi-Cultural Minority Gender Identities......Page 220
Transgender Hate Violence and Abuse......Page 221
Reporting of Transgender Violence and Abuse......Page 223
Healthcare Perceptions of Non-Western Normatively Gendered Person/Identities......Page 224
Transgender Elder Healthcare Abuse and Violence......Page 225
Institutionalized Bias, Terminology Conflation, and Marginalization in™Healthcare Systems......Page 226
Transgender Identities and Multiple Marginalizations: Emergent Complexities......Page 229
Confidentiality......Page 230
Cost/Economics......Page 231
Respondent Healthcare Stories......Page 232
Discussion......Page 233
Conclusions......Page 234
Acknowledgments......Page 235
References......Page 236
Introduction......Page 243
Relevant literature......Page 245
Parent Study......Page 248
Sub-Study Methods......Page 251
Sub-Study Population......Page 252
Finding Help in the Public Health Care System......Page 254
Seeking Alternative Health Services......Page 257
Discussion and conclusion......Page 261
References......Page 262
Introduction......Page 266
Background......Page 267
Literature review......Page 269
Popular Cultural Representations of Breast Cancer......Page 270
Medical Literature on Breast Cancer......Page 272
Methods......Page 275
Findings......Page 277
Variation in Health Knowledge and Practice......Page 278
Variation in Treatment Planning......Page 283
Discussion and conclusion......Page 286
Notes......Page 291
References......Page 292
Colorectal cancer patients dually eligible for VA and™medicare health benefits: Improved health outcomes or increased health disparities?......Page 296
Introduction......Page 297
Background......Page 299
Methods......Page 302
Sources of Data......Page 304
Statistical Analysis......Page 308
Results......Page 309
Discussion......Page 313
References......Page 315