🎤: Tina Hernandez-Boussard on Promoting Equity in Clinical Decision-Making
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Tuesday, October 10, 2023 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Before we release our final episode of Research and Justice For All tomorrow, check out last week's episode with Karen DeSalvo of Google.

The interview highlighted opportunities for leveraging data and partnerships to drive positive, equitable health outcomes.
Advancing Health Equity in Algorithms
In their article in the October 2023 issue of Health Affairs, Michael Cary Jr. and his team of coauthors offer a scoping review of literature published between 2011–22 to identify tools aimed at mitigating racial and ethnic bias in clinical algorithms.

Identifying more than 100 articles, the authors identify a range of techniques and strategies for bias mitigation, but no consensus on a single best practice.

They broadly categorize mitigation strategies into four categories: algorithm design, preprocessing, processing, and postprocessing.

The authors also find some gaps in the literature for addressing bias, noting that "only five [studies] identified health equity as a key component, and only three tested frameworks in real-world clinical settings."

Cary and coauthors conclude with a series of recommendations for bias mitigation in clinical algorithms including: ensure professional diversity, require auditable clinical algorithms, foster transparent organizational culture, and implement health equity by design, among other recommendations.

For more on this paper, watch a video abstract featuring author Michael Cary Jr. below!
 

Health Affairs' Editor-in-Chief Alan Weil interviews Tina Hernandez-Boussard of Stanford University on her recent paper exploring ways that we can promote equity in clinical decision-making and dismantle race-based medicine.
 
 
Join us for the following events:

 
The October 2023 issue of Health Affairs covers the theme of Tackling Structural Racism In Health.

In conjunction with the issue's release, we will be premiering a short film entitled "Tackling Structural Racism in Health: A Conversation."

We convened a panel of experts, including Dr. Michael Cary, Dr. Chanelle Diaz, Dr. Siobhan Wescott and Dr. Michelle Ko (moderator), to discuss ideas from the October 2023 journal issue on systemic racism and health care.

Topics include immigration, AI, and the interplay between policy and lived experience in health.

Watch the short film to learn more about how structural racism manifests in health and health care.
 
This Hispanic Heritage Month, we're highlighting influential Hispanic and Latino voices and organizations who have made an impact on health equity and policy.

In an August 2023 Forefront article, Dolores Acevedo-Garcia and coauthors discuss how neighborhood indices can be used to understand health inequities.
 
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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