
A Roadmap and Best Practices for Organizations to Reduce Racial and Ethnic Disparities in Health Care
Organizations can do more than report health disparities by integrating interventions to reduce disparities into their quality improvement processes. Introduction In this special symposium, the authors report findings from Finding Answers: Disparities Research for Change, a national program of the Robert Wood Johnson Foundation. This project investigated and evaluated interventions to reduce racial and ethnic…
Read MoreHow Structural Racism Works — Racist Policies as a Root Cause of U.S. Racial Health Inequities
Introduction The Black Lives Matter movement has put the spotlight on the costly impact of racism on Black lives and led to a growing recognition that racism has a structural basis and is embedded in long-standing social policy. Racism is not ahistorical and neither are U.S. health care and public health institutions and practices. Drs.…
Read MoreThe ecological and evolutionary consequences of systemic racism in urban environments
Introduction Cities are important ecosystems shaped by dynamic and interdependent biological, physical and social influences. However, Schell et al. note that few studies link research on urban ecological and evolutionary studies to that of social inequality. They argue it is integral to integrate these disciplines as human-created systems of power create uneven impacts on non-human…
Read MorePersuasion in Medicine: Messaging to Increase Vaccine Demand
Introduction Despite the demonstrated benefits of preventive medicine, only 45% of American adults typically get a flu shot during flu season. Vaccine hesitancy is particularly common among Black and white lower socioeconomic status men, who don’t trust doctors and are skeptical of the benefits relative to the perceived risk. For Black Americans, this mistrust is…
Read MoreImplicit Organizational Bias: Mental Health Treatment Culture and Norms as Barriers to Engaging with Diversity
Introduction BIPOC communities face many structural barriers to accessing mental health care. To reduce this health disparity and better serve multicultural populations, many providers are turning to person-centered care. Person-centered care is intended to improve quality of care by centering the patient’s values, preferences, and goals in collaboratively designed care plans. Although this approach has…
Read MoreA decade of studying implicit racial/ethnic bias in healthcare providers using the implicit association test
Introduction Existing research indicates that Black, Indigenous, and people of color have worse health outcomes than white people, including incidence, prevalence, severity of disease at diagnosis, rates of mortality, and lower quality of care, despite efforts to close these gaps. The health disparity gap begins at birth and persists throughout one’s life course. Though these…
Read MoreDissecting racial bias in an algorithm used to manage the health of populations
Introduction Obermeyer et al. note both the growing attention to potential racial and gender biases within algorithms and the difficulty of obtaining access to real world algorithms – including the raw data used to design and train them – in order to understand how and why bias could appear in them. This study is important…
Read MoreHealth Disparities due to Diminished Return among Black Americans: Public Policy Solutions
Introduction There is a large, consistent, and persistent gap in many different indicators of health status, across the lifespan, between Black and white populations. The author attempts to break this problem down to its root cause: first, the author notes that while it may be possible that there could be biological or genetic differences between…
Read MoreAssessing risk, automating racism
Introduction This article addresses the growing public concern regarding the automation of racial discrimination through digital tools and technology. Throughout the paper, the author, Dr. Ruha Benjamin, focuses her discussion on a notable publication by Obermeyer et al. entitled, “Dissecting racial bias in an algorithm used to manage the health of populations.” Unlike most researchers who…
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