Feb 1 2013
Discrimination in Treatment of Heart Attacks
-Heart Attacks in women are more frequently unrecognized (37% women 35%
-People who differ from the standard for being normal
-Who are the important people who determine what is normal?
What is normal?
In western societies:
-Middle or upper class
This is what the healthcare profession thinks is considered normal.
In the Emergency Department:
-Social discrimination (interpersonal interactions)
-Clinical discrimination (type and quality of treatment received)
Who suffers from Discrimination?
-Elderly (Blackwell article)
-People with psychiatric problems
-People brought in by police
-People with substance abuse problems
-People with stigmatized medical problems, e.g. HIV/AIDS, sexually transmitted
-Gays, lesbians, bisexuals, transsexuals.
-Native Canadians, blacks Feb 1 2013
Causes of Discrimination
-Moral failure = not deserving (e.g. people with HIV/AIDS, obesity, substance abuse)
-Discrimination based on skin colour
-Stereotyping (e.g., Italians are always complaining, women are hysterical)
-Disruptive behavior (intoxicated patients)
-Rationing of care
-Inability to communicate
-Dislike of people who are dirty, who have bugs