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Let's Get Serious About Racial and Ethnic Disparities

Department of Medicine, Johns Hopkins University School of Medicine, Departments of Epidemiology and Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, and Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, Maryland

Correspondence: Dr. Neil R. Powe, Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins Medical Institutions, 2024 E. Monument Street, Suite 2-600, Baltimore, MD 21205. Phone: 410-955-6953; Fax: 410-955-0476; E-mail: npowe{at}jhmi.edu

Racial and ethnic disparities in health and health care have been documented for over two decades in kidney disease, in a variety of other conditions, across settings, and for different medical and surgical interventions. We now have government reports that track progress on reducing racial disparities, but the pace of progress has been disheartening. The reasons for some of these disparities are known and include biologic, socioeconomic, cultural, and environmental factors as well as system, patient, and provider factors that affect access and quality of medical services. For other disparities, they remain an enigma. Solutions have been slow incoming in large part because we have not held ourselves, and others, accountable for better results. It is time to get serious about equitable health care for all of us.

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				D. E. Wesson Is the Ethnic Disparity in CKD a Symptom of Dysfunctional Primary Care in the US? J. Am. Soc. Nephrol., July 1, 2008; 19(7): 1249 - 1251. [Full Text] [PDF]

Copyright © 2009 by the American Society of Nephrology. Online ISSN: 1533-3450 Print ISSN: 1046-6673