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Going backward into the future

David Barton Smith1

  • 1Fox School of Business and Management at Temple University, Philadelphia, USA. david.smith@temple.edu

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|September 28, 2005
PubMed

Insights

Racial and ethnic disparities in medical treatment persist despite legislation. Linking treatment goals with financial incentives is crucial for eliminating healthcare inequality.

Area of Science:

  • Health Services Research
  • Health Equity
  • Medical Economics

Background:

  • Persistent racial and ethnic disparities in medical treatment exist 40 years post-Medicare and Medicaid legislation.
  • Rising healthcare costs have diverted attention from addressing treatment inequalities.
  • Current healthcare policies have not adequately resolved disparities in medical care access and outcomes.

Purpose of the Study:

  • To analyze the ongoing racial and ethnic disparities in medical treatment.
  • To investigate the impact of healthcare cost concerns on efforts to eliminate treatment inequality.
  • To propose a framework for eliminating disparities by linking treatment goals with financial incentives.

Main Methods:

  • Review of historical healthcare legislation and policy documents.
  • Analysis of healthcare cost trends and their influence on equity initiatives.
  • Examination of the relationship between financial incentives and the reduction of treatment disparities.

Main Results:

  • Racial and ethnic disparities in medical treatment continue to be a significant issue.
  • Economic pressures in healthcare have impeded progress in achieving treatment equity.
  • A strong correlation exists between the implementation of financial incentives and the mitigation of disparities.

Conclusions:

  • Addressing persistent racial and ethnic disparities in medical treatment requires innovative strategies.
  • Financial incentives are a viable mechanism for promoting equitable healthcare delivery.
  • Policy interventions must integrate economic considerations with the goal of achieving health equity.

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