tag:blogger.com,1999:blog-2417858178588416830.post524867155099669551..comments2024-03-19T09:45:12.928-04:00Comments on Hospice and Nursing Homes Blog: Urban Palliative Care: Low-Income Communities (Research)Frances Shani Parkerhttp://www.blogger.com/profile/13963810627889715839noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2417858178588416830.post-58059871744170884892014-04-28T01:02:32.365-04:002014-04-28T01:02:32.365-04:00Thanks for sharing that example, Trudy.Thanks for sharing that example, Trudy.Frances Shani Parkerhttp://www.francesshaniparker.com/noreply@blogger.comtag:blogger.com,1999:blog-2417858178588416830.post-17310800648263008592014-04-27T20:42:58.879-04:002014-04-27T20:42:58.879-04:00Frances, you cite caregiver burden as a factor det...Frances, you cite caregiver burden as a factor detracting from palliative care for the poor. In California, where I live, MediCal (medicaid) pays for a few hours a day of home care, or covers custodial care in a SNF at 100%. That means that working families are forced to place their dying relatives in a SNF because the few hours of paid caregiving are not enough time to go out and earn a living. I find this especially sad because the day rate for a SNF and for a 24/7 paid caregiver are quite similar. Trudy Egannoreply@blogger.comtag:blogger.com,1999:blog-2417858178588416830.post-77399872778122278992014-04-27T17:47:31.232-04:002014-04-27T17:47:31.232-04:00John, thank you for responding. The responsibility...John, thank you for responding. The responsibility for changing the general mistrust many urban populations, particularly people of color, have regarding the healthcare system lies with the healthcare system that created the mistrust. You are correct when you say, "And with good reason!" And it doesn't require a search into the historic past to find numerous reasons. Current health disparities and inequalities reported by the CDC Health Disparities & Inequalities Report (CHDIR) speak for themselves.<br />http://www.cdc.gov/minorityhealth/CHDIReport.html<br /><br />The whole nation is impacted by these injustices. Reducing disparities requires national leadership to engage a diverse array of stakeholders; facilitate coordination and alignment among federal departments, agencies, offices, and nonfederal partners; champion the implementation of effective policies and programs; and ENSURE ACCOUNTABILITY.<br /><br />The "healthcare system" includes everyone who works in it, not just those in the highest paid positions. Everyone has the responsibility of treating patients equally with quality care. It's a moral issue.Frances Shani Parkerhttp://www.francesshaniparker.com/noreply@blogger.comtag:blogger.com,1999:blog-2417858178588416830.post-5298981346705121912014-04-27T17:00:58.199-04:002014-04-27T17:00:58.199-04:00I agree completely with this article. I find the m...I agree completely with this article. I find the most common barrier for hospice to a general mistrust in the urban population; and with good reason! Only through education of the inner city populations on a consistent basis will the first threads of trust be established.Anonymoushttps://www.blogger.com/profile/14871398679689098109noreply@blogger.com