Healthcare in New York City

Healthcare in New York City refers to all health care available in New York City. In 2020 approximately 50,000 physicians were working in the city.[1]

New York City Department of Health and Mental Hygiene
Main article: New York City Department of Health and Mental Hygiene

The New York City Department of Health and Mental Hygiene manages city government projects in New York City. Public hospitals and clinics are organized under NYC Health + Hospitals.

The health insurance marketplace for New York is NY State of Health.

Hospitals in New York

In 2000, a report expressed concern that too many people in New York did not have access to primary care, and were using emergency department services as a substitute.[2]

History

Many health care systems in place in New York developed from nonprofit charitable organizations.[3]

Covid-19

The first case of Covid-19 in New York City was confirmed in March 2020.[4][5] By April, the COVID-19 pandemic in New York City had more confirmed coronavirus cases than China, the U.K., or Iran, and by May, had more cases than any country other than the United States. The resulting pressure on the New York City healthcare system, created a scarcity of hospital beds and available intensive care unit space, requiring the institution of emergency measures, including the deployment of the hospital ship USNS Comfort to New York Harbor, and the creation of multiple temporary field hospitals.[6][7][8] The ongoing pandemic is the deadliest disaster by death toll in the history of New York City.[9][10]

Disparities in New York City health and healthcare

In 2010, the New York City Department of Health and Mental Hygiene began a program to document existing health disparities in the city's healthcare system. The first report focused on disparities in life expectancy and death, and stated that death rates were 30% higher in the poorest New York City neighborhoods than the wealthiest.[11] A 2011 report on disparities in breast, colorectal, and cervical cancer stated that while new breast cancer cases are highest among high-income white women, low-income Black women have the highest breast cancer death rates.[11] No such reports have been produced by NYC DOHMH since 2011.

Early pandemic

The consequences of the pandemic have exposed disparities in New York City's health care. Prior to the pandemic, the Upper East Side of Manhattan had 27 times the number of primary care providers as Queens neighborhoods Elmhurst and Corona, and eight times the number of such providers as the city average. Those same Queens communities had four times the Covid infection rate as the East side of Manhattan, and six times the death rate.[12]

Covid-19 testing

A study done through the National Bureau of Economic Research in 2020 found that distribution of Covid-19 testing in New York City was more egalitarian than income distribution across the city. The same study found significant disparity in test results across income levels: moving from the poorest ZIP codes to the wealthiest was associated with an increase in negative test results from 38 to 65 percent.[13]

Vaccination

Early distribution of the various Covid-19 vaccines in New York City faced logistical obstacles including supply issues.[14] In some cases, concerns over eligibility resulted in vaccine doses being discarded; in response to this, in early January 2021 New York State began to expand its eligibility criteria.[15] Despite this, short supply, extended wait times, and difficulties with eligibility and registration have remained obstacles.[16] In addition, early data showed demographic disparities in vaccine distribution. As of January 31, 2021, 48% of people receiving vaccine doses were white, compared to 11%, 15%, and 15% for Black, Asian, and Latinx individuals respectively. However, at that time the city did not have demographic data on 40% of people to whom vaccines doses had been given.[17] As of February 6, 2021, over 650,000 people in New York City had received at least one vaccine dose.[18]

See also

References
  1. "Active physicians New York number by specialty 2020". Statista. Retrieved 2020-11-21.
  2. Billings, J; Parikh, N; Mijanovich, T (Nov 2000). "Emergency department use in New York City: a substitute for primary care?". Issue brief (Commonwealth Fund) (433): 1–5. PMID 11665698.
  3. Rosner, David (1982). A once charitable enterprise : hospitals and health care in Brooklyn and New York, 1885-1915. Cambridge [Cambridgeshire]: Cambridge University Press. ISBN 0521242177.
  4. Goldstein, Joseph; McKinley, Jesse (2020-03-02). "Coronavirus in N.Y.: Manhattan Woman Is First Confirmed Case in State". The New York Times. ISSN 0362-4331. Retrieved 2020-11-21.
  5. Hansen, Sarah. "Coronavirus Crisis Has Cost NYC Up To $10 Billion: 'Basic Services' At Risk As De Blasio Pleads For More Federal Aid". Forbes. Retrieved 2020-11-21.
  6. "Coronavirus live updates: USNS Comfort arrives in New York City; Anthony Fauci defends social distancing; US death toll tops 3,100". news.yahoo.com. Retrieved 2020-11-21.
  7. Myers, Meghann (2020-03-27). "The Army Corps of Engineers has two or three weeks to get thousands of new hospital beds up and running". Military Times. Retrieved 2020-11-21.
  8. "Central Park And Home Of Tennis' U.S. Open To House Hospital Beds For New York". NPR.org. Retrieved 2020-11-21.
  9. "COVID-19: Data Main - NYC Health". www1.nyc.gov. Retrieved 2020-11-21.
  10. "The Flu Epidemic of 1918". NYC Department of Records & Information Services. Retrieved 2020-11-21.
  11. "Health Disparities". www1.nyc.gov. Retrieved 2021-02-06.
  12. "Covid-19 sharpens focus on health disparities in New York". Crain's New York Business. 2020-11-18. Retrieved 2020-11-21.
  13. Schmitt-Grohé, Stephanie; Teoh, Ken; Uribe, Martín (April 2020). "Covid-19: Testing Inequality in New York City". Cite journal requires |journal= (help)
  14. News, Eyewitness (2021-01-25). "COVID vaccination pace slows as New York awaits more supply". ABC7 New York. Retrieved 2021-02-06.
  15. Rubinstein, Dana (2021-01-10). "After Unused Vaccines Are Thrown in Trash, Cuomo Loosens Rules". The New York Times. ISSN 0362-4331. Retrieved 2021-02-06.
  16. "'We had hope': Misinformation frenzy reveals NYC vaccine distribution challenges". NBC News. Retrieved 2021-02-06.
  17. Honan, Deanna Paul and Katie (2021-01-31). "Covid-19 Vaccine Distribution in New York City Skews Across Racial Lines". Wall Street Journal. ISSN 0099-9660. Retrieved 2021-02-06.
  18. "COVID-19: Data on Vaccines - NYC Health". www1.nyc.gov. Retrieved 2021-02-06.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.