Institutionalized racism embeds our systems of healthcare delivery and medical education. This produces racial healthcare disparities which have been shown to severely impact both physical and behavioral health outcomes. Efforts to address institutionalized racism often focus on individualized efforts directed towards the healthcare workforce. However, more effective system level approaches are emerging. The behavioral health sciences can play a role in dismantling institutionalized racism by providing the evidence needed to understand effects on individuals and develop targeted system level approaches.
LaffM. From the American academy of family physicians: AAFP takes ledership role with launch of center for diveristy, health equity. Annals of family medicine. 2017;15(4):389-390.
2.
JabbarpourYWestfallJ. Diversity in the family medicine workforce. Family medicine. 2021;53(7):640-643.
3.
KovachKALutgenCBCallenEFHesterCM. Informing the American academy of family physician’s health equity strategy - an environmental scan using the Delphi technique. International journal for equity in health. 2019;18(1):97.
4.
JacksonBHardimanR. Continuum on becoming an anti-racist. In: Multicultural institution, 20. Retrieved March;1999.
5.
AAoF Physicians. Institutional racism in the health care system;2020.
6.
OgedegbeG. Responsibility of medical journals in addressing racism in health care. JAMA network open. 2020;3(8):e2016531.
7.
YousifHAyoguNBellT. The path forward—an antiracist approach to academic medicine. New England Journal of Medicine. 2020;383(15):e91.
8.
KhazanchiRCrittendenFHeffronAManchandaESivashankerKMaybankA. Beyond declarative advocacy: Moving organized medicine and policy makers from position statements to anti-racist praxis. Health Affairs;2021.
9.
TanneJH. JAMA editor is placed on leave after controversial podcast on structural racism. British Medical Journal Publishing Group;2021.
10.
JonesCP. Levels of racism: A theoretic framework and a gardener’s tale. American journal of public health. 2000;90(8):1212-1215.
11.
AtkinsR. Instruments measuring perceived racism/racial discrimination: Review and critique of factor analytic techniques. International Journal of Health Services. 2014;44(4):711-734.
ParadiesY. A systematic review of empirical research on self-reported racism and health. International journal of epidemiology. 2006;35(4):888-901.
14.
ShonkoffJPBoyceWTBushNR, et al.Translating the biology of adversity and resilience into new measures for pediatric practice. Pediatrics. 2022;149(6):e2021054493.
15.
Jee-Lyn GarcíaJSharifMZ. Black lives matter: A commentary on racism and public health. American journal of public health. 2015;105(8):e27-e30.
16.
PaineLde la RochaPEyssallenneAP, et al.Declaring racism a public health crisis in the United States: Cure, poison, or both?Frontiers in public health. 2021;9:606.
17.
JonesDE. The unknown legacy of the 13th amendment;2016.
18.
Ashford-HanserdSSpringerSBHaytonMPWilliamsKE. Shadows of plessy v. Ferguson: The dichotomy of progress toward educational equity since 1954. The Journal of Negro Education. 2020;89(4):410-422.
19.
HillierAE. Redlining and the home owners’ loan corporation. Journal of Urban History. 2003;29(4):394-420.
20.
DeWittL. The decision to exclude agricultural and domestic workers from the 1935 Social security act. Soc Sec Bull. 2010;70:49-68.
21.
DuffyTP. The flexner report―100 years later. The Yale journal of biology and medicine. 2011;84(3):269-276.
22.
LaurencinCTMurrayM. An American crisis: The lack of black men in medicine. Journal of racial and ethnic health disparities. 2017;4(3):317-321.
23.
ThomasKK. The hill-burton act and civil rights: Expanding hospital care for black southerners, 1939-1960. The Journal of Southern History. 2006;72(4):823-870.
24.
MichenerJ. Race, politics, and the affordable care act. Journal of Health Politics, Policy and Law. 2020;45(4):547-566.
25.
HardemanRRBurgessDMurphyK, et al.Developing a medical school curriculum on racism: Multidisciplinary, multiracial conversations informed by public health critical race praxis (PHCRP). Ethnicity and disease. 2018;28(suppl 1):271-278.
26.
BraunL. Theorizing race and racism: Preliminary reflections on the medical curriculum. American journal of law and medicine. 2017;43(2-3):239-256.
27.
RobertsDE. Is race-based medicine good for us? African American approaches to race, biomedicine, and equality. Journal of law, medicine and ethics. 2008;36(3):537-545.
28.
CrawfordC. From the American academy of family physicians: THE Everyone Project unveils implicit bias training guide. Annals of family medicine. 2020;18(2):182-183.
29.
FordCLAirhihenbuwaCO. The public health critical race methodology: Praxis for antiracism research. Social science and medicine. 1982;71(8):1390-1398.
30.
TsaiJCrawford-RobertsA. A call for critical race theory in medical education. Academic medicine : journal of the Association of American Medical Colleges. 2017;92(8):1072-1073.
31.
EdenARJonesDDBazemoreAWJabbarpourY. Informing equity and diversity in primary care policy and practice: Introducing a new series of policy briefs, commentaries, and voices in JABFM. The Journal of the American Board of Family Medicine. 2022;35(1):190-196.
32.
AssociationAM. AMA adopts guidelines that confront systemic racism in medicine. Published June. 2021;15.
