History of Racial Inequity in Healthcare

所在平台: Coursera

课程主页: https://www.coursera.org/learn/history-of-racial-inequity-in-healthcare

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课程简介

课程名称:医疗保健中的种族不平等历史 概述:本课程是“应对医疗保健中的种族健康不平等”专项的第一门课程。课程将首先阐明公共卫生在医疗保健中的角色,并介绍一些在整个课程及后续课程中会看到的重要概念和定义。学员将了解种族和种族主义的社会与生物学视角,并深入探讨美国历史上不平等待遇的背景。此外,课程还将介绍美国的健康保险体系、不同医疗服务的获取途径以及医疗保健领域在多样性方面所面临的职业挑战。最后,学员将探索在维护边缘化人群健康方面至关重要的医疗保健领域的韧性案例。 课程大纲: 第一部分:概念和定义的解读 内容:本周将构建并扎根于我们对“种族”是什么,以及它如何影响社会各个方面的理解。为了观察和理解医疗保健系统中的不平等现象,首先需对健康公平文献中的概念和定义有基本了解,以及种族的起源及其如何成为现代社会普遍存在的一部分。 第二部分:医疗保健中种族和族裔差异的历史根源 内容:本周课程的目的是理解特定事件如何导致某些社区的疾病负担不成比例,并说明为什么种族存在健康差异,从而引发医疗差异。 第三部分:健康保险体系的演变与影响 内容:本周我们将学习美国健康保险的历史。美国的健康保险体系复杂多样,依赖于您所在的位置、年龄、能力状况以及某些群体的身份。了解这些差异有助于揭示健康保险在健康不平等,尤其是种族健康不平等中所扮演的角色。 第四部分:医疗保健中的获取途径与专业代表性 内容:本周将探索缺乏获取途径和代表性如何影响医疗保健的公平性。通过阐明社会其他领域的排斥和歧视,我们可以更好地看到医疗保健中所观察到的相同平行现象,以及医疗以外的排斥性实践如何加剧健康差异和不平等的成因,这将在第二课程中详细阐述。 第五部分:医疗保健中的韧性历史 内容:本周我们将重点学习边缘化社区如何团结起来照顾自己,展示出面对不平等时的韧性。这种现象不仅发生在美国,各国的许多群体也都表现出了相似的韧性。

课程大纲

Part: 1

Title:Unpacking Concepts and Definitions

Description:This week, we will structure and root our understanding of what race is and how it interacts and affects all aspects of our society. To observe and understand inequities in the healthcare system, we must first have a basic understanding of concepts and definitions in the health equity literature, and the origins of race and how it came to be a ubiquitous part of modern society.

Part: 2

Title:Historical Roots of Racial & Ethnic Disparities in Healthcare

Description:The purpose of this week’s lessons are to understand specific events that contributed to the disproportionate disease burden seen in certain communities, and illustrate why health disparities, and in turn, healthcare disparities, exist by race.

Part: 3

Title:Evolution & Impact of the Health Insurance System

Description:This week, we will learn about the history of health insurance in the United States. The US health insurance system is complex and can vary based on your location, age, ability status, and for some groups, your identity. Understanding these differences helps shed a light on how health insurance plays a role in health inequity and specifically, racial health inequity.

Part: 4

Title:Access & Professional Representation in Healthcare

Description:This week, we will explore how lack of access and representation in various sectors have had an impact on healthcare equity. By illustrating exclusion and discrimination in other sectors of society, we can better see the same parallels that are observed in healthcare, and how exclusionary practices outside of healthcare contribute to health disparities and causes of inequities that will be detailed in Course 2.

Part: 5

Title:History of Resilience in Healthcare

Description:This week, we will spend time learning about how marginalized communities came together to take care of themselves and their demonstration of resilience in the face of inequity. This not only occurred in the US but around the world with many groups.

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课程详情

The first course of the Addressing Racial Health Inequity in Healthcare specialization will first situate the role of public health in healthcare, and walk through important concepts and definitions that you will see throughout the course and subsequent courses. You will walk through the social and biological perspectives on the concepts of race and racism, and unpack the history of unequal treatment in the U.S. You will learn about the health insurance system in the U.S., differential access to care, and professional challenges to diversity in healthcare. And finally, you will explore examples of resilience in healthcare that were critical to preserving the health of marginalized populations.

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