Friday, July 22, 2016

We need to become more aware of unconscious bias

Anonymous Interview; Region X (7/15/16)

                1.     Identification:

                -What is your name? Anonymous 
                -Where were you born? LA Boy
                -Where did you grow up? LA; Santa Monica Area
                -Profession currently: Health Profession
                -Region working in right now: 10
                -State living in right now: Oregon

           2.     Why are you interested in public health and how did you get into the field of public                    health?

      Both parents were health professionals. Just figured it was a natural place for me to go. It seemed to be a natural way for me to give back.

3.     What is health equity to you?

      Doing the things that individualize care to help optimize health status. Doing the individual things specific to a consumer, family or community that helps level their playing field that helps them achieve optimal health and their health goals.

4.     What are some challenges (that still persist) within the field of health equity in public health?

      People not knowing what it means, i.e., cultural competence -cultural awareness and cultural sensitivity. Just knowing what it is important. What s even more so is when people know why it is in their best interest as well as their client’s. Far too often, however, people see it as a zero sum game, that is helping one community at the expense of another.  But often we fail to see how effectively helping our clients is actually in the best interest of society and the professionals and organizations working on their behalf.

5.     Why do you think those challenges still persist?

      Miscommunication about the viability of human services. One side of the political aisle that would like to diminish public health and another aisle does not understand the full extent of health and related determinants. If you don’t have a life worth living, then personal health may not a priority. We have to get on the same page to promote health equity in ways that decrease health expenditures and increase satisfaction in life.

6.     What models within your workforce have worked to encourage health equity?

      Hiring, on boarding and orienting the correct people. Ensuring that everyone is ready for this. And while we desire and understand the value of a diverse work force, not just hire based on race, ethnicity or what they look like but their willingness to become  a health equity asset. Furthermore, we need to become more aware of unconscious bias. We need to be able to have the ability to work cross-culturally. This means doing your HW around different cultures and advocating for different groups. Getting people to understand the platinum rule is a lot of work. You have to ask, do your HW, and it varies from client to client.

7.     At the beginning of your career, what were some root causes for health inequities and health disparities? How has those changed (or not at all) following the end of your career?

      Some root causes are people being uninsured or underinsured for generations and or unemployed or underemployed for generations. The concern for pursuing one’s health often competes with paying rent and putting food on the table. There is also the issue of the lack of access to providers.  Then they potentially face another issue of the providers not speaking their language and are not comfortable with them as a whole. On a different note, among the other issues include micro aggressions, biases, food deserts are impacting certain group of people.