Rena Boss-Victoria
Bowie State University, USA
Title: Social determinants of healthcare outcomes revisited: The continuing persistence of disparities in communities of color
Biography
Biography: Rena Boss-Victoria
Abstract
Over the last few two decades, a plethora of studies have documented disparities in healthcare outcomes in communities of color. Consequently, a crescendo of knowledge about, symptoms of and potential solutions to close the gaps healthcare outcomes between communities of color as other communities who consistently experience higher healthcare outcomes has exponentially grown. Moreover, efforts of government and private agencies have grown significantly. The enactment of the American Affordable Care Act by the Congress of United States of American and signed in to federal law by President Barrack M Obama represented a very important set of changes in the healthcare delivery system in the U.S. The policy changes mandated by that law are still unfolding today. Unfortunately, identified gaps that were identified long ago still persist. In fact, in some cases, identified gaps have actually increased. The current paper is focused on an analysis of three major elements regarding healthcare outcomes with the context of social determinants of healthcare and disabilities outcomes. Those elements are: Activities of Daily Living Deficit (ADLD), Service Expectation Deficit (SED), and Confidence in Service Deficit (CISD).