Health Disparities: Weaving a New Understanding Through Case Narratives

This uniquely accessible volume challenges professionals to understand—and help correct—health disparities, both at the patient level and in their larger social contexts. Dedicated to eradicating this ongoing injustice, contributors focus on marginalized populations, the role of healthcare systems in perpetuating inequities, the need for deeper engagement and listening by professionals, and the need for advocacy within professional education and the political/policy arena. The compelling case narratives at the core of the book illustrate the interrelated biopsychosocial components of patients’ health problems and the gradations of learning needed for practitioners to address them effectively. The book’s tools for developing a health disparities curriculum include a selection of workshop exercises, facilitator resources, and a brief guide to writing effective case narratives.

A sampling of the narratives:

• “Finding the Person in Patient-Centered Health Care” (race/ethnicity/culture).
• “The Annual Big Girl / Big Boy Exchange” (gender).
• “Just Give Me Narcan and Let Me Go” (poverty/addiction).
“Everyone Called Him Crazy” (immigration).
• “Adrift in the System” (disability).
• “Aging out of Pediatrics” (mental illness and stigma).
• “Time to Leave”  (LGBT)

A work of profound compassion, Health Disparities will be of considerable interest to researchers and practitioners interested in public health, population health, health disparities, and related fields such as sociology, social work, and narrative medicine. Its wealth of educational features also makes it a quality training text.

"I was impressed when I read Health Disparities: Weaving a New Understanding through Case Narratives. As a patient who has experienced unpleasant situations in health care, I was moved to see that it was emotional and personal for the writers. The book confirms for me that the time is now for change to take place in our health care systems. I see this book as a light that can shine bright in the darkest places of health care. The editors have assembled a powerful book that provides all health professionals with specific steps they can take towards addressing and then eventually eliminating health disparities. A few steps that I really connected with were improving critical awareness, delivering quality care, listening and empathizing with patients and families, and advocating for changes. I recommend that anyone interested in working to improve health care obtain a copy of this book—it’s filled with useful information that every medical professional should know. The book reminds me of a quote by Wayne Dyer, 'When you change the way you look at things, the things you look at change.'"

-Delores Collins, Founder and Executive Director, A Vision of Change Incorporated, Certified Community Health Worker. Founder of The Greater Cleveland Community Health Workers Association.

 

Dr. Perzynski is an Assistant Professor of Medicine and Sociology in the Center for Health Care Research and Policy at MetroHealth and Case Western Reserve University. His doctoral degree is in sociology and his current research interests include: novel strategies to eliminate health disparities, health outcomes measurement over the life course and mixed methods research. His methodologic expertise spans the continuum from focus groups and ethnography to psychometrics and structural equation modelling. He routinely shares this expertise locally in undergraduate and graduate courses and nationally at scientific meetings. He has more than 50 publications and 100 presentations at scientific meetings which span many disciplines and stand out against the backdrop of a career long effort to infuse the study of biomedical scientific problems with the knowledge, theories and methods of social science. In 2014, he was recognized with CWRU’s Scholarship in Teaching Award for his creative contributions to primary care medical education on the topic of health disparities.

Sarah Shick is a Research Associate in the Center for Health Care Research and Policy at MetroHealth and Case Western Reserve University. Ms. Shick is a doctoral candidate in the Department of Sociology at Case Western Reserve University, specializing in medical sociology and disability, with interests in health disparities, global health trends, and health measurement. She is trained as a certified nursing assistant through Lorain Community College, and has earned a B.A. in Women’s Studies from Cleveland State University's Honors College and an M.A. in Medical Sociology from Case Western Reserve University. Sarah also has extensive experience in community outreach, medical education, women’s health, disability assessment, health policy, and research.

Dr. Adebambo trained as a physician at the University of Ibadan in Nigeria in 1987. She subsequently excelled in residency of both surgery and family medicine becoming a fellow of the Royal College of Surgeons, Edinburgh in 1996 and chief resident of family medicine in 2000. Bode was also presented with the Family Medicine Obstetric award for her commitment to her female patients and their children. Bode is currently faculty at MetroHealth in Cleveland, Ohio, a public safety net teaching hospital where she continues to practice full spectrum family medicine and is on the list of best doctors in America for 2016, which is an impartial peer review process that about 5% doctors in America are awarded. Her position as a minority physician, the diversity of patients in her practice and diversity in her group at an inner city hospital and its surrounding community puts her in a unique position to develop and execute research projects.