Expert in Black American Health & Healthcare
Having written and lectured extensively on the topic and treated thousands of patients, Dr. Greg Hall is an expert in Black American health & healthcare. As an Associate Professor at the Northeast Ohio Medical University and an Assistant Clinical Professor at Case Western Reserve University, Dr. Hall’s healthcare experience with working with African Americans is second to none. As the former chair of the Ohio Commission on Minority Health and a board member of the Cuyahoga County Board of Health, he advocates for the elimination of health disparities across the county . . . and the State of Ohio. Dr. Hall recently established the National Center for African American Health, Research, Education and Policy at Cleveland State University. This first-of-a-kind center will address African American health disparities and the social determinants of health.
He “wrote the book” on the medical care of African Americans.
His book titled “Patient-Centered Clinical Care for African Americans: A Concise, Evidence-Based Guide to Important Differences and Better Outcomes” has been released by Springer International Publishing. This book was written for physicians, nurse practitioners and other clinicians treating African Americans and is an easy-to-read guide outlining specific differences in communication, clinical therapies, medications, protocols, and other critical approaches to the care of African Americans. The book discusses a wide range of disorders impacting African Americans and takes a comprehensive and evidence-based approach to the clinical support of providers that see African American patients.
To provide the best personalized care is to apply the latest research information that pertains to African Americans. Ignoring these “important differences” leads to worse outcomes and inferior care. In hypertension, obesity, diet counseling, cancer screening and so much more, there are significantly different approaches to medical management in Black Americans.
Differences in High Blood Pressure Care
The two top prescribed blood pressure medications have been proven to not work well in African Americans with high blood pressure and are actually associated to poor outcomes, yet a recent report confirms its continued use in almost a third of elderly African Americans. Too many clinicians fail to follow proven clinical guidelines for hypertension treatment. These sub-optimal treatment practices result in more strokes, heart attacks, and kidney failure in Blacks.
Salt sensitivity impacts a vast majority of African Americans whereas a minority of White Americans have salt sensitivity. African Americans need repeated and informed salt restriction counseling.
Differences in Diabetes Care
In the care of diabetes, the interpretation of lab tests that track control is different in African Americans, with a critical adjustment (or fudge factor) needed to be applied for proper interpretation and treatment. Unfortunately, too many physicians fail to be aware of this factor and put their patients at risk for serious side effects from the medications.
Differences in Disease Prevalence
African Americans have the worst survival and increased complications in:
- Lung Cancer
- Breast Cancer
- Colon Cancer
- Cervical cancer
- Liver Cancer
- Head and Neck Cancer
Yet screening and aggressive treatment in these cancers remains lower in African Americans.
Differences in Diet and Dynamics
Effective diet counseling in African Americans requires a basic knowledge of what African Americans eat. Too many providers fail to understand or appreciate the cultural impact of soul food, or proven ways to make an existing diet better.
Even smoking in significantly different in African Americans with the vast majority smoking more menthol cigarettes which have been shown to be associated with a higher nicotine burden due to deeper inhaling . . . and is much harder to stop. Smoking cessation counseling with this in mind is essential.
Smoking in African Americans has also be shown to increase their risk for diabetes. Too many Blacks actually avoid stopping smoking in order to NOT gain weight and get diabetes. Does their doctor know the difference?
These and countless other medical problems make up the significant important differences in the healthcare of African Americans. Until these differences are weaved into the fabric of the clinical care of African Americans, inferior healthcare will continue, countless dollars will to be wasted, and precious lives will continue to be lost.
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