scholarly journals Health Equity Rounds: An Interdisciplinary Case Conference to Address Implicit Bias and Structural Racism for Faculty and Trainees

MedEdPORTAL ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 10858 ◽  
Author(s):  
Joanna Perdomo ◽  
Destiny Tolliver ◽  
Heather Hsu ◽  
Yuan He ◽  
Katherine A. Nash ◽  
...  
Keyword(s):  
Health Equity ◽  
Implicit Bias ◽  
Case Conference ◽  
Structural Racism

scholarly journals Application of an antiracism lens in the field of implementation science (IS): Recommendations for reframing implementation research with a focus on justice and racial equity

2021 ◽  
Vol 2 ◽  
pp. 263348952110494
Author(s):  
Rachel C. Shelton ◽  
Prajakta Adsul ◽  
April Oh ◽  
Nathalie Moise ◽  
Derek M. Griffith
Keyword(s):  
Implementation Science ◽  
Health Equity ◽  
Implementation Research ◽  
Implementation Strategies ◽  
Health Inequities ◽  
Evidence Based ◽  
Racial Equity ◽  
Structural Racism ◽  
Core Elements ◽  
Evaluation Approaches

Background Despite the promise of implementation science (IS) to reduce health inequities, critical gaps and opportunities remain in the field to promote health equity. Prioritizing racial equity and antiracism approaches is critical in these efforts, so that IS does not inadvertently exacerbate disparities based on the selection of frameworks, methods, interventions, and strategies that do not reflect consideration of structural racism and its impacts. Methods Grounded in extant research on structural racism and antiracism, we discuss the importance of advancing understanding of how structural racism as a system shapes racial health inequities and inequitable implementation of evidence-based interventions among racially and ethnically diverse communities. We outline recommendations for explicitly applying an antiracism lens to address structural racism and its manifests through IS. An anti-racism lens provides a framework to guide efforts to confront, address, and eradicate racism and racial privilege by helping people identify racism as a root cause of health inequities and critically examine how it is embedded in policies, structures, and systems that differentially affect racially and ethnically diverse populations. Results We provide guidance for the application of an antiracism lens in the field of IS, focusing on select core elements in implementation research, including: (1) stakeholder engagement; (2) conceptual frameworks and models; (3) development, selection, adaptation of EBIs; (4) evaluation approaches; and (5) implementation strategies. We highlight the need for foundational grounding in antiracism frameworks among implementation scientists to facilitate ongoing self-reflection, accountability, and attention to racial equity, and provide questions to guide such reflection and consideration. Conclusion We conclude with a reflection on how this is a critical time for IS to prioritize focus on justice, racial equity, and real-world equitable impact. Moving IS towards making consideration of health equity and an antiracism lens foundational is central to strengthening the field and enhancing its impact. Plain language abstract There are important gaps and opportunities that exist in promoting health equity through implementation science. Historically, the commonly used frameworks, measures, interventions, strategies, and approaches in the field have not been explicitly focused on equity, nor do they consider the role of structural racism in shaping health and inequitable delivery of evidence-based practices/programs. This work seeks to build off of the long history of research on structural racism and health, and seeks to provide guidance on how to apply an antiracism lens to select core elements of implementation research. We highlight important opportunities for the field to reflect and consider applying an antiracism approach in: 1) stakeholder/community engagement; 2) use of conceptual frameworks; 3) development, selection and adaptation of evidence-based interventions; 4) evaluation approaches; 5) implementation strategies (e.g., how to deliver evidence-based practices, programs, policies); and 6) how researchers conduct their research, with a focus on racial equity. This is an important time for the field of implementation science to prioritize a foundational focus on justice, equity, and real-world impact through the application of an anti-racism lens in their work.

Achieving Health Equity Through Eradicating Structural Racism in the United States: A Call to Action for Nursing Leadership

2020 ◽  
Vol 52 (6) ◽  
pp. 696-704
Author(s):  
Deena Nardi ◽  
Roberta Waite ◽  
Marian Nowak ◽  
Barbara Hatcher ◽  
Vicki Hines‐Martin ◽  
...  
Keyword(s):  
United States ◽  
Health Equity ◽  
The United States ◽  
Nursing Leadership ◽  
Structural Racism ◽  
Call To Action

scholarly journals Sharpening our public health lens: advancing im/migrant health equity during COVID-19 and beyond

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Stefanie Machado ◽  
Shira Goldenberg
Keyword(s):  
Public Health ◽  
Health Equity ◽  
Clinical Training ◽  
White Supremacy ◽  
Research Training ◽  
Migrant Health ◽  
Structural Racism ◽  
Migrant Communities ◽  
Migrant Populations ◽  
Global Pandemic

Abstract Background Differential impacts of the COVID-19 pandemic have brought deeply rooted inequities to the forefront, where increasing evidence has shown that racialized immigrant and migrant (im/migrant) populations face a disproportionate burden of COVID-19. Im/migrant communities may be worst affected by lockdowns and restrictive measures, face less opportunity to physically distance or stay home sick within ‘essential’ jobs, and experience severe barriers to healthcare. Insufficient attention to experiences of racialized im/migrants in current pandemic responses globally highlights an urgent need to more fulsomely address unmet health needs through an anti-racist, equity-oriented lens. This commentary aims to highlight the need for public health and clinical training, research, and policy to thoughtfully prioritize im/migrant health equity during and beyond the COVID-19 pandemic. Main text Global pandemic responses have neglected im/migrants by continuing to ignore or insufficiently address inequities, exacerbating COVID transmission, xenophobia, and occupational injustice. Deaths, illness, stress, and other negative outcomes of the overlapping epidemics of COVID-19 and structural racism disproportionately borne by racialized im/migrants suggest the urgent need for action. As evidence mounts about how im/migrants have been left behind in times of crises, we need enhanced focus on health equity within COVID-19 research and interventions, including research that examines and pursues structural interventions necessary to mitigate these impacts, and that identifies patterns and harms of xenophobic policy, structural racism, and white supremacy in shaping im/migrant health outcomes. We must also strengthen anti-racist and equity-oriented curriculum within health education, and ensure sufficient attention to the needs of im/migrant communities within public health, clinical, and research training. Conclusion The COVID-19 pandemic has exacerbated and rendered more visible the deeply rooted health and social inequities faced by racialized im/migrants across diverse settings. We argue for a greater emphasis on equity-focused and anti-racist im/migrant health research, interventions, and training. Policymakers and practitioners must ensure that healthcare policies and practices do not exacerbate inequities, and instead meaningfully address unmet needs of communities, including racialized im/migrants. Ethical and respectful community engagement, commitment and collaboration with global, national, and local communities, policymakers, academics, and educators, as well as accountability across sectors, is critical.

Income inequality, structural racism, and Canada’s low performance in health equity

2018 ◽  
Vol 31 (6) ◽  
pp. 245-251
Author(s):  
Nathan C. Nickel ◽  
Janelle Boram Lee ◽  
Joanne Chateau ◽  
Michael Paillé
Keyword(s):  
Income Inequality ◽  
Health Equity ◽  
World Health ◽  
Structural Racism ◽  
Commonwealth Fund ◽  
The Social ◽  
History Of ◽  
Societal Level ◽  
Low Performance ◽  
Equity Measures

In 2017, the Commonwealth Fund released a report evaluating 11 countries’ healthcare systems on a variety of domains; one of these domains was health equity. Canada’s score on health equity placed it among the bottom three countries. This article applies a conceptual framework for health equity developed by the World Health Organization’s Commission on the Social Determinants of Health to reflect upon and discuss mechanisms that may help to explain Canada’s low score. We discuss the role that two societal-level constructs—income inequality and structural racism—play in shaping population health and health equity. We use publically available data to examine whether income inequality correlates with the Commonwealth Fund report’s equity measures. We also comment on the role that Canada’s history of colonialism may play in its health equity ranking.

Pernicious executive order 13950 revoked, yet structural racism looms large

Leadership ◽  
2021 ◽  
pp. 174271502110124
Author(s):  
Rebecca L Fix
Keyword(s):  
Diversity Training ◽  
Implicit Bias ◽  
Research Work ◽  
Recent Change ◽  
Executive Order ◽  
Racial Equity ◽  
Leadership Positions ◽  
Structural Racism ◽  
The Public ◽  
Training And Research

This commentary piece discusses the important and harmful outcomes that would have followed the recently signed United States’ Executive Order 13950—Combatting Race and Sex Stereotyping. Put simply, the Executive Order would have seriously restricted federal diversity training content, and federal funding toward training and research work of federal contractors, on structural racism, sexism, and implicit bias. Executive Order 13950 was revoked by President Biden on his Inauguration Day; still, more needs to be done to address structural racism. Below, I describe why trainings that target implicit bias and structural racism and related research—are necessary for the public good. I also talk about critical next steps in trainings, research, and policy for key leadership toward reduction of structural racism. Given the recent change in US presidential administration, this timely paper has important implications for research focused on structural racism. Additionally, this discourse addresses how those in leadership positions within public health, through evaluation and modification of policies, can dramatically hinder or promote racial equity.

Not Separate but Not Equal: Improving Equity in Discipline in Racially and Ethnically Diverse School Settings

2021 ◽  
pp. 107429562110241
Author(s):  
Sara C. McDaniel ◽  
Daniel Cohen ◽  
Tamika LaSalle ◽  
Rhonda Nese
Keyword(s):  
Data Analysis ◽  
Behavioral Interventions ◽  
Culturally Responsive ◽  
Implicit Bias ◽  
Code Of Conduct ◽  
Ethnically Diverse ◽  
Systems Change ◽  
Structural Racism ◽  
School Settings ◽  
Positive Behavioral Interventions

Educational inequities leading to deleterious outcomes and related to discipline continue within racially and ethnically diverse schools for a myriad of reasons. Districts and schools require deliberate planning and systems change prioritized by educational administrators to address both interpersonal and structural racism and biases. This article outlines a blueprint that leverages the positive behavioral interventions and supports framework in completion of the following: (a) code of conduct revisions, (b) data analysis, (c) cultural and implicit bias awareness, and (d) culturally responsive hiring, training, and teaching.

scholarly journals Eliminating Disparities and Achieving Health Equity Using Implementation Science

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 50-50
Author(s):  
Beth Prusaczyk ◽  
Ana Baumann
Keyword(s):  
Older Adults ◽  
Implementation Science ◽  
Health Equity ◽  
Structural Racism ◽  
Aging Services ◽  
Equity Research ◽  
Health Equity Research ◽  
Shared Goal ◽  
Different Populations ◽  
Multiple Levels

Abstract Eliminating health disparities and achieving equity are central to aging services, programs, and research, as we work to ensure older adults are treated equitably compared to their younger counterparts. Additionally, aging services, programs, and research are not immune from the structural racism and other inequities that plague all facets of our lives, and we must work to eliminate disparities within them as well. This presentation will discuss how Implementation science can be used to advance both of these fronts. Implementation science frameworks can be used to ensure multiple levels of context are considered, which is critical when working against something as pervasive and structural as racism. Implementation science can also guide the adaptation of evidence-based interventions for different populations, including for older adults or for different racial or ethnic groups. Furthermore, there are important ways health equity research can improve implementation science that advance the shared goal of eliminating disparities.

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