We are part of the problem: the role of children's hospitals in addressing health inequity

Hosp Pract (1995). 2021 Oct;49(sup1):445-455. doi: 10.1080/21548331.2022.2032072. Epub 2022 Mar 4.

Abstract

Racism is an ongoing public health crisis that undermines health equity for all children in hospitals across our nation. The presence and impact of institutionalized racism contributes to health inequity and is under described in the medical literature. In this review, we focus on key interdependent areas to foster inclusion, diversity, and equity in Children's Hospitals, including 1) promotion of workforce diversity 2) provision of anti-racist, equitable hospital patient care, and 3) prioritization of academic scholarship focused on health equity research, quality improvement, medical education, and advocacy. We discuss the implications for clinical and academic practice.Plain Language Summary: Racism in Children's Hospitals harms children. We as health-care providers and hospital systems are part of the problem. We reviewed the literature for the best ways to foster inclusion, diversity, and equity in hospitals. Hospitals can be leaders in improving child health equity by supporting a more diverse workforce, providing anti-racist patient care, and prioritizing health equity scholarship.

Keywords: Child health; anti-racism; diversity; equity; healthcare workforce; hospital medicine; inclusion; justice; pediatrics; racism.

Publication types

  • Review

MeSH terms

  • Child
  • Health Inequities*
  • Hospitals
  • Humans
  • Racism*
  • Systemic Racism
  • Workforce