Achieving health care equity requires addressing institutional and structural forms of racism operating both within health care systems and in society broadly. Comprehensive strategies that engage affected communities as full partners in system redesign are necessary.
Researchers identified three general methods of measuring structural racism used in health literature: geographic, self-reported, and specific policy approaches. Each is essential, and no single approach can overcome all the challenges inherent to measuring structural racism.
Adults in immigrant families continued to avoid safety net programs because of immigration concerns in 2022, and adults in mixed-status families were more likely than other adults to report program avoidance.
Medicaid-enrolled children are concentrated in neighborhoods that tend to be underresourced and have higher environmental risks. Ensuring equity may require tailoring Medicaid/Children’s Health Insurance Program (CHIP) interventions to specific communities where children face higher risks.
