Providing minority patients a medical home in which they have a regular doctor or health professional who oversees and coordinates their care would help eliminate racial and ethnic health disparities and promote more healthcare equity, says a new report from The Commonwealth Fund. The report, based on a 2006 survey of 2,837 adults, shows that linking minority patients with a healthcare setting that offers timely, well-organized care where they can routinely seek physicians and medical advice can help them better manage chronic conditions and obtain critical preventive care services.
According to the report, Closing the Divide: How Medical Homes Promote Equity in Health Care, in 2006 nearly one-half of Hispanics and more than one of four African-Americans were uninsured at some point during the year. In contrast, 21% of whites and 18% of Asian Americans lacked coverage. While health insurance coverage is an important determinant of whether people can obtain essential care, the authors say insurance alone cannot eliminate racial and ethnic disparities in health.
“Insurance coverage helps people gain access to health care, but the next thing you have to ask is, ‘access to what?’” says lead co-author Anne Beal, MD, senior program officer at The Commonwealth Fund. “We found many disparities in care; however, disparities are not immutable. This survey shows if you can provide both insurance and access to a true medical home, racial and ethnic differences in getting needed medical care are often eliminated.”
