People in different socioeconomic, racial, and ethnic groups often experience unequal access to health care, worse health outcomes, and higher rates of disease. These differences, also called health disparities, sometimes relate to personal choice but also occur as a result of variations in income, language proficiency, health insurance status, culture, neighborhood features, and many other factors. However, the public, media, and policymakers often see these gaps as a result of individual choice alone. Therefore, public health officials can face difficulties in drawing attention to health disparities or gaining funding for programs to reduce health disparities. Public health officials are searching for ways to encourage people to see reducing health disparities as a matter of social, rather than personal, responsibility.
The IOM held a workshop on July 28, 2008, to examine strategies for discussing health disparities in ways that engage the public and motivate change. Speakers focused on health disparities in California, which continues to see dramatic demographic shifts. The meeting featured presentations by representatives of East Palo Alto, Fresno, and South Central Los Angeles on their successes and challenges in reducing health disparities in their communities.