Finding Care in Medical Deserts: How Dallas, TX Struggles to Offer Adequate Help

The quality of healthcare in Dallas, Texas, has been portrayed as a gulf for certain sections of the population, like racial and ethnic minority groups with respect to the quality of practical care services rendered, and hands-on care that can be expected. In a groundbreaking report by the Institute of Medicine Crossing the quality chasm: A New Health System for the 21st Century the institute threw a gauntlet at all healthcare organizations to induce encompassing six prominent goals: safety, timeliness, effectiveness, efficiency, equity, and patient-centeredness. The essence of the proposal was to ensure equal administration of high quality care to all races and ethnicities, irrespective of any discretely private motive a patient might have for seeking medical attention.

Over time, studies of inequalities in admittance, usage, and consequences of health care in Dallas has looked for and continue to critically scrutinize situations that raise questions about moral, ethical, and economic concerns. These often translate to gross injustice that must be addressed if the recommendations of the Institute of Medicine can come to fruition. Based on significant variations in care according to age, gender, race/ethnicity, and socioeconomic status, aberrations have been noted in the Dallas system that decries expectations of “best care” for all and sundry. An important aspect to eliminating health care injustices, appropriately directed at tackling equity issues, by highlighting specific objectives targeted at eliminating identified injustices that seek to arrive at a culturally astute health care system, must establish a communally advantageous relationship between healthcare providers and the community. Essential mechanisms for arriving at such a relationship must comprise a strengthening of the patient, primary care provider relationships that mitigate kinks within the healthcare system and enhance patient accessibility to care. This will also assist the development of relationships with pertinent local community leaders/lay health advisors, advocates, and organizations.

In a study conducted by Dallas News at the University of Texas Southwestern Medical Center and Parkland Memorial Hospital, two iconic medical care providers of Dallas metropolis. The paper discovered at Parkland, decades of elusive entanglements that resulted in serious, and endless harm to an average of two patients per day; according to the hospital’s own admission statement. Records and testimonials from both hospitals, following referral to Federal inquiries, revealed instances of malpractices among loosely supervised residents, as well as, Medicare billing fraud supportive of the Dallas News findings. The paper has posted its archived findings, along with other investigative writings at its blog “DMN Investigates”. Which is accessible at www.dallasnews.com/medinvestigation. The findings are truly informative, exposing a whole lot of shortcomings, particularly, as applies to the Dallas Medical Care system. Procurement of the true information that went into the compilation of the reports proved very challenging as the hospitals refused to share the data on patient outcomes. However, the News channel resolved to ingenious reporting strategies backed by the implementation of the “open record law” and the like, to procure the data for the compilation of the studies.

The reporting uncovered several malpractices with the Medical Care industry and drew the attention of the Department of Healthcare and Human Services’ Office of the Inspector General. The investigative story exposed that generally, the Medical Care industry do not like to have open discussions, despite the notable grandness of their practice on human toll, grounded on their intense commitment to preserving what is described as “the privilege of self-regulation”, a concentrated defense against the exposition of shortcomings within the industry. Continuous studies by the newspaper, show that although no one takes delight in needless harm to patients, everything depends on the provision of an indiscriminate patient-centered care. Which will require in part, abandoning a reliance on cheap labor provided by residents, believed to offer new doctors the opportunity to learn from their mistakes. Measures to add resident supervision is being emphasized. A replacement of several key officials within the medical system is being implemented. Despite great achievements made because of studies of elusive behavior and malpractices, there is so much at stake with several valuable lives to protect. There is, therefore, still plenty of room for improvement within the Dallas Medical Care system. There exists some evidence that community health workers who play multiple roles in the healthcare system, and act as links between patients and providers, as well as, contributing to the management of patient aftercare can impact the quality of care and help reduce the cost of healthcare. Promotion of sustainable healthcare, disease prevention together with a quality healthcare is only attainable through a delicate balance of “compeers” that eradicates injustices in the healthcare system.