Structural Racism, Health Inequities, and Nursing Advocacy in U.S. Health Care

All flashcards

Implicit bias

Automatic assumptions or associations that can influence judgment and behavior without conscious intent.

Medicaid coverage gap

A situation in some non-expansion states where income is too high for traditional Medicaid but too low to afford private coverage.

Allostatic load

Cumulative physiological dysregulation associated with repeated or chronic stress.

Microaggression

An everyday slight, snub, or insult that communicates a negative message about minority-group status.

Community accountability

Assessing whether initiatives change policies, resource distribution, access, and disparities over time.

Quiz questions

1. In a state that has not expanded Medicaid, which situation describes the Medicaid coverage gap?Answer: Income is too high for traditional Medicaid eligibility but too low to afford private coverage.
2. Why can a color-blind value-based payment program disadvantage safety-net providers?Answer: It may penalize providers for outcomes shaped by structural barriers beyond their control.
3. What does allostatic load describe?Answer: Cumulative physiological dysregulation associated with chronic stress.
4. How should the impact of health equity initiatives be assessed?Answer: By whether they change policies, distribute resources more equitably, improve access, and reduce disparities.