Training to Build Antiracist, Equitable Health Care Systems

Emily Cleveland Manchanda; Karthik Sivashanker; Steffie Kinglake; Emily Laflamme; Vikas Saini; Aletha Maybank

doi:10.1001/amajethics.2023.37

Training to Build Antiracist, Equitable Health Care Systems

AMA J Ethics. 2023 Jan 1;25(1):E37-47. doi: 10.1001/amajethics.2023.37.

Authors

Emily Cleveland Manchanda¹, Karthik Sivashanker², Steffie Kinglake³, Emily Laflamme⁴, Vikas Saini⁵, Aletha Maybank⁶

Affiliations

¹ Assistant professor of emergency medicine at the Boston University School of Medicine in Massachusetts.
² Vice president of equitable health systems innovation in the Center for Health Equity at the American Medical Association in Chicago, Illinois.
³ Health equity communication and narrative strategist and senior content manager at the American Medical Association Center for Health Equity in Chicago, Illinois.
⁴ Senior research analyst at the American Medical Association Center for Health Equity in Chicago, Illinois.
⁵ President of the Lown Institute in Needham, Massachusetts.
⁶ Chief health equity officer and senior vice president at the American Medical Association in Chicago, Illinois.

PMID: 36623303
DOI: 10.1001/amajethics.2023.37

Abstract

All clinicians should provide high-quality, safe, and equitable care to every patient and community. Yet, in practice, health care delivery systems are designed and organized to exacerbate inequity in access and outcomes, and clinicians are incentivized to deliver unequal and inequitable care in deeply segregated academic health centers that are structured to reify white supremacy. This article investigates the nature and scope of health professions educators' obligations to acknowledge harms of segregation in health care as widespread, unjust, iatrogenic, and preventable.

MeSH terms

Delivery of Health Care*
Humans