Health Equity in Medical Imaging

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Make healthcare screenings equitable

• ll individuals regardless of their social class or location have access to high quality of healthcare.

• Mammogram making it more accessible for the African American women population 

• Cancer 

• Low dose 

Conduct Equitable and impactful radiologic research

• Consider health in every step or clinical research 

• Having people of color participate in research 

Address in health care institution community

• Should understand utilization of services

•  Having more hours opened 

Championing in education and training

• Giving everyone opportunities to become an imaging professional 

• No basis 

CDC

• Health equity is the state in which everyone had a fair and just opportunity to attain the highest level of health 

WHO

• Health is a fundamental human right. Health equity is achieved when everyone can attain their full potential for health and well being

Social and Community Context

• Interactions 

• Support 

• Discrimination

Health Access and Use 

• Barriers 

• Inequities in treatment

Neighborhood and Physical

• Affordable quality housing 

• Environmental pollution 

• Redlining

Workplace condition 

• Organizational factors 

• Mental health and wellness 

Education

• Access 

• Literecay 

• College or job training 

Income and Wealth Gaps

• High paying jobs 

• Job benefits 

• Generational Wealth

Culture

An umbrella that subsumes within its values, rituals, practices, and behaviors. In short culture is a combination of the material and non-material components of human society that as fluid as it is fluid as it is diverse 

Culture influences health and illness behaviors

• Perception of illness 

• Experience of illness

• Expression of symptoms 

• Chosen remedies

• Who is consulted 

Intersectionality

Overlapping and interacting forms of discrimination. People experience the world differently because of each aspect of their identity — race, gender, sexuality, and abilities – and because of combination of these factors   

American Culture 

• Autonomy and interdependence are valued 

• Generally, prefer western medicine approach to treatment 

• Emotional control, stoicism expected 

• Patients want to be well informed of their condition and potential treatments 

• Patient want autonomy and to be able to make their own decisions about their health and healthcare 

Western Medicine

• Prominent in North America, Europe and Australia 

• Most illness have bio;coal cause which can be fixed with meds 

• Cultural perspective may have different of health that include the social, emotional, and spiritual realm   

• Approaches to health and healing not rooted in Western Medicine may be termed “alternative” and potentially viewed as inferior 

The Connection between religion and healing

•  Religious faiths often encourage service to others 

• Strong religions beliefs may help an individual navigate uncertainty and adversity while promoting a positive outlook   

African Americans 

• Unturstness 

• Slavery 

• Syphilis experiment 

• 1962 Oklahoma burning of city 

Hispanic

• Family oriented 

• Older hericaity 

• Older women are more modest 

• Be active in patient care 

• Not expressive with pain 

Traditional Chinese medicine 

• Yin (cold)

• Yang (hot)

• Unbalanced 

• Agree in face but will not do what you want 

• Not expressive

Native American

• Self, Beauty & Hameonet 

• Comment elder hericay 

• Nature

Middle Eastern 

• Hijab 

• Women listen to men 

• Do not want to be examined by man 

• Prayers 

• Islam and Muslims  

Neonatal

• Talk about procedure with parents 

• Warm blanket for child 

Pediatric

• Talk to child 

• Get down to there level 

• Use familiar words 

• One sentence at a time 

Adolescent

•  Honest Dignity 

• Privacy 

Young Adult 

• Typical exchange 

• Non-judgemental 

• Privacy 

Middle Adult 

• Typical exchange (don't have time) 

• Sandwich generation (taking care of children and parent) 

• Concerns over time/responsibilities  

Geriatric

• Don’t Assume 

• Balance (scared of falling) 

• Adjust as needed 

• Reassurance 

• Warm blankets  

Emotional Response

• Age 

• Gender 

• Marital/family status 

• Socioeconomic factors

• Cultural and religious variations

• Physical condition 

•  Self-image 

• Past health care experiences

• Beliefs 

• Attitudes 

• Prejudice 

• Self Awareness

Minimize sensory overload 

• Reduce noise, lights

• Use noise canceling headphones if able  

• Consider tempo of room 

• Consider the scenario of the x-ray table linen

Allow extra time 

Use very plain, direct language 

• Ask direct questions one at a time 

Invite their questions: answer directly 

Allow for choice when able 

Involve family giver 

respect boundaries

Blind/visually impaired 

• Check how patient would prefer to follow guide (steps or lead)

• No need to shout 

• Use ft or number of steps 

• Can use clock numbers 

Deaf/Hard of hearing 

• Get the attention of individual before speaking 

• Face the individual 

• Speak slower

• Speak lower register 

• Seek quiet environment 

• Turn light up 

• Not too much info to older people 

• Be patient 

Gender diversity

• Ask patient 

• Inclusion 

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