Economic cost of health discrepancies

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1. General costs of (racial/ethnic) inequities

This refers both to the 'direct costs' of providing health care as the 'indirect' social costs caused by disability, inability to work etc.


The Economic Burden of Health Inequalities in the United States - T LaVeist, D Gaskin & P Richard (2009), Joint Center for Political and Economic Studies.
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The cost of inaction on the social determinants of health CHA-NATSEM Second Report on Health Inequalities, prepared by Laurie Brown, Linc Thurecht and Binod Nepal for Catholic Health Australia (This report concerns social disadvantage in general)
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The costs of race inequality. Briefing paper, Sainsbury Centre for Mental Health (2006).
Download


Making a Business Case for Reducing Racial and Ethnic Disparities in Health Care: Key Issues and Observations - R Bovbjerg, H Hatry & E Morley (2009). Study conducted by The Urban Institute and released by The Robert Wood John Foundation.
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2. The false economy of limiting care for certain groups to emergency care

This is linked to the general arguments for providing adequate primary care


Background paper on the cost of providing or denying access to healthcare to undocumented migrants, by the HUMA project (2010): Download


Simone Dahrouge, Rose Anne Devlin, Bill Hogg, Grant Russell, Doug Coyle, Dean Fergusson (2012) The Economic Impact of Improvements in Primary Healthcare Performance. Canadian Health Services Research Foundation – CHSRF. Download


"Providing Health Care To Immigrants Makes Economic, Common Sense" Solange Uwimana, Media Matters Blog, August 27th, 2013.


3. The cost of not adapting services to the diversity of users

This concerns the need to improve patient safety and the accessibility/effectiveness of care, e.g. by improving linguistic and cultural competence


Clegg & Associates (2011) Cost-benefit analysis of Seattle Children’s Patient Navigator Program. Download


Bonnie B. Blanchfield, G. Scott Gazelle, Mursal Khaliif, Izabel S. Arocha, Karen Hacker (2011) A Framework to Identify the Costs of Providing Language Interpretation Services. Journal of Health Care for the Poor and Underserved 22: 523–531.
Download.


What do language barriers cost? An exploratory study among asylum seekers in Switzerland - Alexander Bischoff and Kris Denhaerynck (2010). BMC Health Serv Res. 2010; 10: 248.
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Making a Business Case for Reducing Racial and Ethnic Disparities in Health Care: Key Issues and Observations - R Bovbjerg, H Hatry & E Morley (2009). Study conducted by The Urban Institute and release by The Robert Wood John Foundation.
Download


Literature Review:Costs of Not Providing Interpretation in Health Care, Access Alliance (2009). Download


The Economics of Language Services, Douglas Green (2009). Presentation at the Texas Association of Health Care Interpreters and Translators (TAHIT) 3rd Annual Symposium, April 2009.
View here


An email on costs of (not) interpreting from Douglas Green


The ROI of Language Assistance, Michael Lattif (2009). Presentation at the Texas Association of Health Care Interpreters and Translators (TAHIT) 4th Annual Symposium, June 2009.
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Cost-benefit analysis of interpretation services (in Dutch)

Kosten- en batenanalyse van tolkdiensten (Regioplan)

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