Inequalities in health care in the US have been documented for racial and ethnic minority members: African Americans, Native Americans, Asians, LatinX, as well as women, immigrants and refugees, disabled persons, LGBTQ+ individuals, obese persons, some religious minorities, and prisoners. Institutional racism and implicit bias contribute to unequal access to basic health care, and worse outcomes for disadvantaged patients even after controlling for insurance status and demographic factors. The purpose of this forum is to explore the history of health care inequity, and the current state of health care differences and disparities for minority patient populations with respect to prenatal care, and adult hereditary breast and ovarian cancer. The speakers will identify the sources, scope, research into, and solutions for health care disparities in genetics.
Learning Objectives:
• Recall three groups of patients who are at risk to experience poorer health care outcomes for genetic conditions
• Identify the historical, social, institutional, and individual factors that contribute to health care disparities
• Interpret the reasons behind underutilization of genetic testing for hereditary breast ovarian cancer in African American and LatinX women
• Demonstrate factors identified to contribute to disparities in prenatal care
• Differentiate explicit and implicit bias, and how to recognize and reduce implicit bias
• Describe strategies to reduce disparities in access to genetic counseling
• Identify the major goals of the All of Us Program
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