Health Affairs, 27, no. 2 (2008): 447-455 doi: 10.1377/hlthaff.27.2.447 © 2008 by Project HOPE	New Online Disparities in Health:   Obama aide on legislation   Smedley call to action   Shrink regulations first   A Real Policy Debate   Top 10 HA Articles Of '07

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Role Of States

Moving Beyond Access: Achieving Equity In State Health Care Reform

The Institute of Medicine’s 2003 Unequal Treatment report raised the public’s and policymakers’ awareness of racial and ethnic health care disparities, but federal policy-makers have implemented few of the report’s more than two dozen recommendations. State health care reform efforts, however, are gaining support around the country and have great potential to reduce health care inequality. This paper offers a policy framework to explore how states can move toward eliminating disparities by addressing health care access and quality, state health care infrastructure, patient and community empowerment, state policy infrastructure, and social and community determinants of health.

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