Segregation in Health Care: The Rule more than the exception
- · Stop the hospital segregation of Medicaid patients to clinics with only medical students and residents. If health training is crucial then doctors-in-training should be equally exposed to both private and Medicaid patients. Conversely, regardless of insurance, all patients should have an equal or access to see and be treated by attending physicians.
- · Accreditation organizations and surveyors should monitor for signs of segregating referral practices by hospital administrators or social workers.
- · Facilities in minority communities should be reimbursed or be incentivized in a way that support investment of more resources and specialty services that optimize health care to minority populations such as social workers, community health workers and cultural competency training and resources.
- · Maintain credentialing criteria in hiring health care providers in all health care settings regardless of population served.
- · Assess business health care facilities opening in minority communities and inquire what is their process to address the needs of the community.