Dr. Michael J. Bloch This is Me

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1. 1. news.acponline.org

   news.acponline.org/clinical_in - [Cached]

   Published on: 5/21/2008   Last Visited: 5/26/2008

   The same as any other hypertensive patient, said Michael J. Bloch, ACP Member, during last week's session "Racial and Ethnic Disparities in Cardiometabolic Risk: Lessons for Clinical Practice."
   
   While research has shown that the prevalence of certain cardiovascular risk factors varies based on race and ethnicity-and this should affect one's approach to screening-it doesn't affect the therapies one should recommend.
   
   "These differences ...
   
   Studies have shown that race and ethnicity affect health care outcomes, even when researchers control for income, education, occupation and insurance coverage.The root causes of this are complex, and may include inequities in the health care delivery system, differences in patient behaviors and preferences, and problems with the provider-patient relationship, Dr. Bloch said.
   
   Indeed, a 2004 observational study published in the American Journal of Public Health found that physicians were 23% more verbally dominant and engaged in 33% less patient-centered communication with African-American patients than with white patients, regardless of the provider's own race, Dr. Bloch said.
   
   Some cultural competency programs have used this kind of data as a basis for educating physicians on specific values, customs and beliefs that are thought to be unique to different racial and ethnic groups.But focusing on stereotypes is not the best solution to altering provider behavior, Dr. Bloch said.
   
   "These programs are well-meaning but run the risk of over-simplifying," Dr. Bloch said.
   ...
   "You may not ask every single question, but you can use it as a guide in deciding which questions are the most meaningful in a given situation," Dr. Bloch said.

2. 2. ACP: InternistWeekly - 20 May 2008

   news.acponline.org/clinical_in - [Cached]

   Published on: 5/20/2008   Last Visited: 5/26/2008

   Michael J. Bloch, ACP Member, discussed possible causes for persisting racial and ethnic disparities in health care, including inequities in the health care delivery system, difference in patient behaviors and preferences, and problems with the provider-patient relationship in last week's session, "Racial and Ethnic Disparities in Cardiometabolic Risk: Lessons for Clinical Practice."More ...

3. 3. ACP - ACP HospitalistWeekly - 21 May 2008

   news.acponline.org/clinical_in - [Cached]

   Published on: 5/21/2008   Last Visited: 5/26/2008

   Michael J. Bloch, ACP Member, discussed possible causes for persisting racial and ethnic disparities in health care, including inequities in the health care delivery system, differences in patient behaviors and preferences, and problems with the provider-patient relationship, in last week's session "Racial and Ethnic Disparities in Cardiometabolic Risk: Lessons for Clinical Practice."More ...