As a nation healthy equity does not exist especially among racial and ethnic populations. health disparities as discussed in the report, are differences in health outcomes that are closely linked with social, economic and environmental disadvantage, which are often driven by the social conditions in Which individuals live in, learn, work, and play. Mart differences in social determinants, such as poverty, low social economic status (SES), and lack of access to care, exist along racial ethnic lines, lean into poor health outcomes. The economic burden between 2003 and 2006 alterable to health disparities was estimated to be 1.24 trillion. The major dimensions of racial ethnic health disparities outlined are the following:

·        lack of insurance negatively affect the quality of health care received by minorities. 1/3 of the population consists of racial and ethnic minorities but constitutes more than half of the 50,000,000 individuals without health insurance.

·        minorities are overrepresented among the 56,000,000 people in America who have inadequate access to primary care physician minority children I left likely than non Hispanic white children to have a usual source of care.

·        Ratio and ethnic minorities often receive poorer quality of care an face more barriers and seeking care, including preventative care, acute treatment, or chronic disease management, than non Hispanic whites

·        ask Americans have higher hospitalization rates from influenza than other populations in African American children are more then 4 times as likely to die from Asthma as non Hispanic white children. Higher obesity rates and African American population contribute to the onset of diabetes hypertension and cardiovascular disease

as the demographics of the United States continued become more diverse, nurses need to be culturally competent as one strategy for eliminating racial and ethnic disparities. In 2004, the IOM report title and the nations compelling interest: “Ensuring Diversity in Health Care Workforce”, Diversity in the workforce with a key element of patient center care. Efforts in mash the ethnic and racial composition of the health care workforce with the US population would contribute to addressing health disparities. Providers who speak a second language will also be needed because 24,000,000 adults have limited English proficiency. Shortages of primary care providers in underserved areas significantly affect the health of ethnic and racial minorities . The primary care nurse practitioner is ideally suited to care for underserved populations in urban and rural areas.

After reading the material above, research and report on stakeholder positions on reducing racial and ethnic health disparities.  The stakeholders I would like you to focus on are USDHHS (U.S. Department of Health & Human Services), Healthy People 2020, WHO, and the CDC, though others are also encouraged.  Articulate the responsibilities, goals, and objectives of these key public stakeholders in regards to health disparities.  Describe how knowledge, skill, attitude, socioeconomic environment, and culture affect health disparities.  (3-4 pages) 

All written submissions should reflect professionalism in grammar, spelling, writing style/format (one-inch margins, double spaced, typed in 12-point Times New Roman font), include APA 6th citations when appropriate, an appropriate title page, and be uploaded as .doc or .docx documents.

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