Healthcare inequalities: The United States vs India

Authors

  • Sharifa Ezat Wan Puteh Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur.

Keywords:

Health inequalities - developed countries - developing countries

Abstract

Introduction

The relationship between healthcare services and inequalities is more likely when a group that shares a salient identity faces severe inequalities of various kinds. Such inequalities may be catalyzed by economic, social, political or concern cultural status. The objectives of this review are to identify the issues and challenges involve in healthcare inequalities, to compare factors contributes to healthcare inequalities and to purpose suggestions and recommendations for improvement based on issues and challenges between United States and India.

Methods

Comparing annual year healthcare report, documentation of healthcare institutional, Ministry of Health‘s report and circular, official institutional website, scientific healthcare journals, articles and reports published in 1994 until 2011 regarding healthcare inequalities between United States and India.

Results

Health inequalities in the healthcare system contributed by the different in socioeconomic status and accessibility to the healthcare facility due to high cost of treatment has been common risk ‘Catastrophic’ factors to the inequalities in both countries. Health financing system and resource allocation that benefit only the upper class social spectrum of the population

Conclusions

Disparities occur due to the imbalance in distribution of wealth, discrimination and change in the world economy. Adapting healthcare system that provides care to all classes of people need improvement as no healthcare system is perfect. This matter must be tackle urgently as it’s a matter of national concern.

 

References

Astrom AN, Ekback G, Ordell S, Unell L. Social inequality in oral health-related quality-of-life, OHRQoL, at early older age: Evidence from a prospective cohort study. Acta Odontol Scand. 2011; 69(6): 334-42.

Wilkinson R, Bezruchka S. Income inequality and population health. Better measures of social differentiation and hierarchy are needed. BMJ. 2002; 324(978): 1756-1833.

Stewart TL, Latu IM, Branscombe NR, Denney HT. Yes we can!: prejudice reduction through seeing (inequality) and believing (in social change). Psychol Sci. 2010; 21(11): 1557-1562.

Xu JQ, Kochanek KD, Murphy SL, Tejada-Vera B. Deaths: final data for 2007. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics. National Vital Statistics Reports. 2007; 58: 19.

Paulozzi LJ, Annest JL. US data show sharply rising drug-induced death rates. Inj Prev. 2007;13:130–2.

Paulozzi LJ, Budnitz DS, Xi Y. Increasing deaths from opioid analgesics in the United States. Pharmacoepidemiol Drug Saf. 2006;15:618–27.

CDC. QuickStats: Percentage of persons reporting use of at least one prescription drug during the preceding month, by sex and race/ethnicity—United States, 1999–2002. MMWR. 2006;55:15.

Chakravarty, Sukhamoy. Development Planning: The Indian Experience. Oxford University Press, New Delhi. 1987.

Jha, Raghbendra. Reducing poverty and inequality in India: Has the liberalization helped? In G.A. Cornia (ed.). Inequality, Growth and Poverty in an Era of Liberalization and Globalization. UNU-WIDER Studies in Development Economics, Oxford University Press, New York, for UNU-WIDER, Helsinki. 2004;297-327.

Tufts Managed Care Institute. The Health Care System in the United States: Integrating Cost and Quality. 1998.

Healthcare in India: Emerging market report. 2007.

Macinko JA, Shi L, Starfield B. Wage inequality, the health system, and infant mortality in wealthy industrialized countries, 1970-1996. Soc Sci Med. 2004; 58(2): 279-292.

Eslava-Schmalbach J, Alfonso H, Gaitan H, Agudelo C. Epidemiological estimators' power of rating inequality in health in high-income OECD countries, 1998-2002. Rev Salud Publica (Bogota). 2008; 10: 3-14.

Fransen L. The impact of inequality on the health of mothers. Midwifery. 2003;19(2): 79-81.

Clark R. World health inequality: convergence, divergence, and development. Soc Sci Med. 2011; 72(4): 617-624.

Book EL. Health insurance trends are contributing to growing health care inequality. Health Aff (Millwood): 2005. P. 577-579.

Madhok V, Falk G, Fahey T, Sullivan FM. Prescribe prednisolone alone for Bell's palsy diagnosed within 72 hours of symptom onset. BMJ. 2009; 338: 410-411.

Madhok V, Falk G, Fahey T, Sullivan FM. Prescribing prednisolone alone in idiopathic facial paralysis and diagnosis within 72 hours of symptom onset. Praxis (Bern 1994). 2009; 98(12): 655-670.

Ramachandran A, Ma RC, Snehalatha C. Diabetes in Asia. Lancet. 2010; 375(9712): 408-418.

Ferraro KF, Farmer MM. Double jeopardy, aging as leveler, or persistent health inequality? A longitudinal analysis of white and black Americans. J Gerontol B Psychol Sci Soc Sci. 1996; 51(6): 319-328.

Schoen C, Davis K, DesRoches C, Donelan K, Blendon R. Health insurance markets and income inequality: findings from an international health policy survey. Health Policy. 2000;51(2): 67-85.

Becker G. Deadly inequality in the health care "safety net": uninsured ethnic minorities' struggle to live with life-threatening illnesses. Med Anthropol Q. 2004; 18(2): 258-275.

Subramaniam M, Sum CF, Pek E, Stahl D, Verma S, Liow PH, et al. Comorbid depression and increased health care utilisation in individuals with diabetes. Gen Hosp Psychiatry. 2009; 31(3): 220-224.

Bruce N. Household energy, health and development. J Epidemiol Community Health. 2001; 55(4): 221-222.

Jain V. Evaluating EHR systems. What practice owners should consider when looking at electronic health records systems. Health Manag Technol. 2010; 31(8): 22-4.

Volandes AE, Paasche-Orlow MK. Health literacy, health inequality and a just healthcare system. Am J Bioeth. 2007; 7(11): 5-10.

Asada Y. Is health inequality across individuals of moral concern? Health Care Anal. 2006; 14(1): 25-36.

Gakidou EE, Murray CJ, Frenk J. Defining and measuring health inequality: an approach based on the distribution of health expectancy. Bull World Health Organ. 2000; 78(1): 42-54.

Pannarunothai S, Mills A. The poor pay more: health-related inequality in Thailand. Soc Sci Med. 1997; 44(12): 1781-1790.

Powell-Jackson T, Basu S, Balabanova D, McKee M, Stuckler D. Democracy and growth in divided societies: A health-inequality trap? Soc Sci Med. 2011; 73(1): 33-41.

Farooq A, Klohn F, Schmitt M. Economic modeling of the relationship between insurance, inequality and health. Expert Rev Pharmacoecon Outcomes Res. 2011; 11(5): 503-505.

Vallgarda S. Social inequality in health: dichotomy or gradient? A comparative study of problematizations in national public health programmes. Health Policy. 2008; 85(1): 71-82.

Downloads

Published

2012-09-01

How to Cite

Wan Puteh, S. E. (2012). Healthcare inequalities: The United States vs India. International Journal of Public Health Research, 2(2), 177–183. Retrieved from https://spaj.ukm.my/ijphr/index.php/ijphr/article/view/142