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Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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HOW FAR HAVE WE COME IN
REDUCING HEALTH DISPARITIES?

Progress Since 2000

Workshop Summary

Karen M. Anderson, Rapporteur

Roundtable on the Promotion of Health Equity
and the Elimination of Health Disparities

Board on Population Health and Public Health Practice

INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This study was supported by contracts between the National Academy of Sciences and the Centers for Disease Control and Prevention; Aetna Inc.; Merck & Co., Inc.; Sanofi Aventis; and Kaiser Permanente. The views presented in this publication do not necessarily reflect the view of the organizations or agencies that provided support for this project.

International Standard Book Number-13: 978-0-309-25530-1
International Standard Book Number-10: 0-309-25530-9

Additional copies of this report are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2012 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2012. How far have we come in reducing health disparities?: Progress since 2000: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
×

“Knowing is not enough; we must apply.
Willing is not enough; we must do.”

Goethe

image

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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MEMBERS OF THE PLANNING COMMITTEE1

CARA V. JAMES (Chair), Henry J. Kaiser Family Foundation

JEFFREY LEVI, Trust for America’s Health

MILDRED THOMPSON, PolicyLink

PATTIE TUCKER, Centers for Disease Control and Prevention

WILLIAM VEGA, University of Southern California

SID VOORAKKARA, The California Endowment

WINSTON WONG, Kaiser Permanente

image

1 Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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MEMBERS OF THE ROUNDTABLE ON THE PROMOTION OF HEALTH EQUITY AND THE ELIMINATION OF HEALTH DISPARITIES1

WILLIAM VEGA (Chair), University of Southern California

MILDRED THOMPSON (Co-Chair), PolicyLink

PATRICIA BAKER, The Connecticut Health Foundation

KAREN BARCH, Sanofi-Aventis

ANNE C. BEAL, Aetna Foundation

AMERICA BRACHO, Latino Health Access

FRANCIS D. CHESLEY, Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services (Ex Officio)

JAMILA DAVISON, Emory University

ALLAN GOLDBERG, Merck & Co., Inc.

GARTH N. GRAHAM, Office of Minority Health, U.S. Department of Health and Human Services

TOM GRANATIR, Humana, Inc.

CARA V. JAMES, Henry J. Kaiser Family Foundation

JENNIE R. JOE, University of Arizona

JAMES R. KIMMEY, Missouri Foundation for Health

ANNE C. KUBISCH, The Aspen Institute

JEFFREY LEVI, Trust for America’s Health

JOHN LEWIN, American College of Cardiology

NEWELL McELWEE, Merck & Co., Inc.

GARY D. NELSON, Healthcare Georgia Foundation

ELENA O. NIGHTINGALE, Institute of Medicine

SAMUEL NUSSBAUM, WellPoint, Inc.

DAVID P. PRYOR, Aetna, Inc.

STEVE M. PU, Missouri Foundation for Health

AMELIE G. RAMIREZ, University of Texas Health Science Center at San Antonio

KYU RHEE, Health Resources and Services Administration, U.S. Department of Health and Human Services

SAMUEL SO, Stanford University

PATTIE TUCKER, Centers for Disease Control and Prevention

SID VOORAKKARA, The California Endowment

VICTORIA WICKS, Sanofi-Aventis

WINSTON F. WONG, Kaiser Permanente

TERRI D. WRIGHT, W.K. Kellogg Foundation

image

1 Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteur and the Institute of Medicine

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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IOM Project Staff

KAREN M. ANDERSON, Senior Program Officer

ROSE MARIE MARTINEZ, Director, Board on Population Health and Public Health Practice

ALEJANDRA MARTIN, Research Assistant

ANDRES GAVIRIA, Senior Program Assistant

DORIS ROMERO, Financial Officer

HOPE HARE, Administrative Assistant

DANQING ZHU, Intern

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this report:

Magda Barini-Garcia, Office of Health Equity, Health Resources and Services Administration

James Kimmey, Saint Louis University

Jamila Rashid, Office of Minority Health, Department of Health and Human Services

Melissa A. Simon, Northwestern University

Although the reviewers listed above provided many constructive comments and suggestions, they did not see the final draft of the report before its release. The review of this report was overseen by Carmen R. Green, University of Michigan Medical School. Appointed by the Institute of Medicine, she was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the author and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2012. How Far Have We Come in Reducing Health Disparities?: Progress Since 2000: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13383.
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At the turn of the 21st century, several important reports and events designed to raise awareness of health disparities and to describe initial efforts to reduce health disparities took place. The Surgeon General's office released several reports that showed dramatic disparities in tobacco use and access to mental health services by race and ethnicity. The first real legislation focused on reducing health disparities was signed into law, creating the National Center for Minority Health and Health Disparities within the NIH. In 2001, the IOM released its landmark report, Crossing the Quality Chasm: A New Health System for the 21st Century, highlighting the importance of a focus on health care quality rather than a focus on only access and cost issues.

Building upon these reports and events, the IOM held a workshop on April 8, 2010, that discussed progress to address health disparities and focused on the success of various federal initiatives to reduce health disparities. How Far Have We Come in Reducing Health Disparities? summarizes the workshop and explains the progress in the field since 2000.

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