Wk 3 discussion 2 response

Review posts below and respond to your course colleagues in 150 words. Why do you agree or disagree with their post? What in your professional experience supports your assertions?

A health care organization that demonstrated implication of bias that was witnessed was a hospital. In 2008 an African American thirty-six-year-old Muslim male was transmitted by ambulance to a local hospital because he was unresponsive. He had been previously diagnosed with Acquired immunodeficiency syndrome (AIDS); Syphilis, which covered seventy-five percent of his brain, and he had only Medicaid for insurance to cover the cost of his medical expensive. He was a full-code with his power-of-attorney present. He was admitted to the hospital and placed on the Intensive Care Unit (ICU) floor. Based on the medical assessment by the ICU physician, the physician placed him on life support and advised his power-of-attorney to contact family members and friends to say their final good-byes. Friends and family came to say their good-byes and the hospital took him off life-support. Not even thirty minutes after they removed the life-support, his eyes opened and inquired what was happening and why everyone was surrounding him. Sukhera, Gonzalez, and Watling (2020) stated that Implicit bias detection and management programs are offered as a resource that is prevalent solution that will address health inequalities and gaps and demonstrate fairness. Boscadin (2015) suggested that by utilizing evidence based research from different areas of the medical professionals on implicit bias, it can help address in the area by increase self-awareness; create an inclusive learning environment; create learning opportunities for positive interaction; and develop empathetic skills to decrease implicit bias. By being focused on these four recommendations by Boscadin, it will help with the execution of the success. In this situation, it limited the hospital from achieving The Triple Aim by not offering a care plan that was patient centered because Medicaid does not offer a competitive rate for services render compared to private sector insurances. Health care facilities are for profit entities and increase of state or government funded patients reduces the profit margin for services rendered to patients. Private insurance reimburses at a higher rate based off contracted services. Due to the disparities of rate of reimburse healthcare facilities limit the services that are offered to specific patients. Although this is not ethical or legal, it is a practice that exist; offering him a better quality of life was compromised due to demographics and diagnose.

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Boscardin, C. K. (2015). Reducing implicit bias through curricular interventions. Journal of General Internal Medicine, 30(12), 1726-1728. doi:http://dx.doi.org.uiwtx.idm.oclc.org/10.1007/s11606-015-3496-y

Sukhera, J., Gonzalez, C., & Watling, C. J. (2020). Implicit Bias in Health Professions. Academic Medicine, 1. doi: 10.1097/acm.0000000000003173

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