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Moving Beyond Access: Achieving Equity In State Health Care Reform
Brian D. Smedley
The Institute of Medicines 2003 Unequal Treatment report raised the publics and policymakers awareness of racial and ethnic health care disparities, but federal policy-makers have implemented few of the reports 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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Related Blog Posts:
- Brian Smedley on Health and Health Care Inequality: Time to Act
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A. Weil
A New Approach To The State-Federal Relationship In Health
Health Aff.,
March 1, 2009;
28(2):
w188 - w193.
[Abstract]
[Full Text]
[PDF]
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