Podcast: Michael Sun on racial biases hiding in EHRs
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Tuesday, February 8, 2022 | The Latest Research, Commentary, And News
From Health Affairs

Dear John,

Today, Health Affairs published a video interview with guest Harriet A.
Washington ,
author of Medical Apartheid: The Dark
History of Medical Experimentation on Black Americans from Colonial
Times to the Present.

In the interview Washington discusses the history of racism in medicine
and research with Vabren Watts, Health Affairs' director of health
equity, and Aletha Maybank, chief health equity officer and senior vice
president of the American Medical Association.

Systemic Racism And Health

In the new Health Affairs issue, Racism & Health
,
several papers provide important background and context for the research
findings and policy discussion in the issue.

In one overview paper, Paula Braveman and coauthors explain the path
from systemic racism to poor health

and provide examples of dismantling racist systems.

They outline how systemic racism harms health by disenfranchising
people, obstructing economic resources and opportunities, increasing
exposure to health-harming conditions, and limiting access to
health-promoting resources and opportunities.

Among their recommended approaches to dismantling racist systems:
enforcing antidiscrimination laws; building public support for policies
that promote health and well-being for all; and implementing
interventions to repair or reduce the damage that systemic racism has
caused.

In another overview article, Ruqaiijah Yearby and coauthors explore the
racist roots of past and present health policy

as it relates to coverage, financing, and quality.

Laws and policies across the various payers-employers, insurance
companies, the federal government, and the states-have created a
"two-tier health care system that limits racial and ethnic minority
populations' equitable access to high-quality care," they write.

Today in Health Affairs Forefront, Alexandra Carter and coauthors ask:
Are we preparing the next generation of public health practitioners to
advocate for what is needed

to advance health, particularly for groups plagued by structural
inequities?

Read The Racism & Health Issue

Donald Crane offers a counterpoint to a recent Forefront

article and argues that, while neither Medicare Advantage nor direct
contracting are without imperfections, it is important to address areas
where these programs can be improved without eliminating them.

Elise Lowry and coauthors discuss how a new tool for advocates

and state policy makers provides critical information about states'
performance in four domains of action related to health care
affordability.

Health Affairs Editor-in-Chief Alan Weil discusses the journal's first
issue devoted entirely to the topic of racism and health, offering a few
of his own observations

related to putting the issue together.

Elevating Voices: Black History Month: In a May 2021 article, Anaeze
Offodile and coauthors provide an overview of private equity
acquisitions of acute care hospitals

from 2003 to 2017.

They find that these acquisitions occurred predominantly in the
Mid-Atlantic and Southern US and were more likely to be of hospitals
that were for profit; are in urban areas; and have larger bed sizes,
more discharges, and more full-time staff.

Advertise with Health Affairs this month to take advantage of our
current promotions. Learn more about advertising opportunities here.

Health Affairs Branded Post:

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Increasing Value For Customers Through Advocacy Actions And Tools

Sanchit Madan, Keith Fangler, C. David Ader

Sponsored by PwC

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Racism & Health In US Medicine: A Conversation with Harriet A.
Washington

Harriet A. Washington discusses the history of racism in medicine and
research with Vabren Watts, Health Affairs' director of health equity,
and Aletha Maybank, chief health equity officer and senior vice
president of the American Medical Association.

Watch The Interview

[link removed]

Advertisement

Daily Digest

Video: Racism & Health in US Medicine: A Conversation With Harriet A.
Washington
Vabren Watts et al.

Systemic And Structural Racism: Definitions, Examples, Health Damages,
And Approaches To Dismantling

Paula Braveman et al.

Structural Racism In Historical And Modern US Health Care Policy

Ruqaiijah Yearby et al.

Public Health Advocacy Must Be Taught

Alexandra Carter et al.

The Important Roles Of Medicare Advantage And Direct Contracting: A
Response To Gilfillan And Berwick

Donald Crane

States Hold Keys To Health Care Affordability, But Are They Using Them?

Elise Lowry et al.

Observations On Publishing Racism & Health

Alan Weil

Private Equity Investments In Health Care: An Overview Of Hospital And
Health System Leveraged Buyouts, 2003-17

Anaeze C. Offodile II et al.

Podcast: Michael Sun on Racial Biases Hiding In EHRs

Alan Weil and Michael Sun

[link removed]

Michael Sun On Racial Biases Hiding In EHRs

Listen to Health Affairs Editor-in-Chief Alan Weil interview Michael
Sun, a medical student from the University of Chicago, on his research
that examined racial bias in electronic health records and found that
Black patients had over 2.5 times the odds of having negative
descriptors in their medical records when compared to White patients.

Listen Now

 

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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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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