Johns Hopkins University School of Nursing

CHDR FUNDED PILOT STUDIES

Improvement in Health Disparities: A Secondary Analysis of IOM Data

Fannie Gaston-Johansson, PhD, RN, FAAN (JHUSON)
Felicia Hill-Briggs, PhD, ABPP (JHUSOM)
Vanessa Bradley, MBA (JHUSON)
Lola Oguntomilade, MPH (JHUSON)
Phyllis Mason, MSN (JHUSON)
Von Best Whitaker, PhD, RN, FAAN (NCA&TSON)
Crystal Cody Connor, RN (NCA&TSON)

The purpose of this study is to identify ways to improve health disparities based on the perspective of people from health disparities populations with minority backgrounds.

A secondary analysis has been performed on the focus group data collected by the Institute of Medicine (IOM) on racial disparities in healthcare and published in 2001. Qualitative methodology was used to extract themes and sub-themes expressed by focus group participants to identify information and gather clues as to how effective health care can be made available to vulnerable health disparities populations.

Study populations participating in the study were: Mandarin/Chinese, Native American, Hispanic East Coast; Hispanic West Coast; African American East Coast; African American West Coast) and health care professionals ~ Nurses (Mixed African American; Hispanic group) and physicians (Mixed African American; Hispanic group.

Thus far two major themes have been identified from the data that were not previous reported in the IOM publication in 2001. They are:

  1. System changes needed to improve health care
  2. Changes needed to achieve improvements in processes of care
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