scholarly journals Physician Bias and Racial Disparities in Health: Evidence from Veterans' Pensions

2019 ◽  
Author(s):  
Shari Eli ◽  
Trevon Logan ◽  
Boriana Miloucheva
Keyword(s):  
Racial Disparities ◽  
Physician Bias ◽  
Racial Disparities In Health

Teaching physicians-in-training to address racial disparities in health: a hospital-community partnership

2003 ◽  
Vol 118 (4) ◽  
pp. 349-356 ◽  
Author(s):  
Elizabeth A Jacobs ◽  
Claire Kohrman ◽  
Maurice Lemon ◽  
Dennis L Vickers
Keyword(s):  
Racial Disparities ◽  
Community Partnership ◽  
Racial Disparities In Health

scholarly journals Quantifying the contribution of occupational segregation to racial disparities in health: A gap-closing perspective

2021 ◽  
Author(s):  
Ian Lundberg
Keyword(s):  
Racial Disparities ◽  
Occupational Segregation ◽  
Structural Racism ◽  
Black And White ◽  
Causal Assumptions ◽  
Micro Level ◽  
White Workers ◽  
Racial Disparities In Health ◽  
Population Disparity ◽  
Gap Closing

Racism causes racial disparities in health, and structural racism has many components. Focusing on one of those components, this paper addresses occupational segregation. I document high onset of work-limiting disabilities in occupations where many workers identify as non-Hispanic Black or as Hispanic. I then pivot to a causal question. Suppose we took a sample from the population and reassigned their occupations to be a function of education alone. To what degree would health disparities narrow for that sample? Using observational data, I estimate that the disparity between non-Hispanic Black and white workers would narrow by one-third. This estimate is credible because of adjustment for lagged measures of demographics, human capital, and health carried out under transparent causal assumptions. The result contributes to understanding about inequality and health by quantifying the contribution of occupational segregation to a disparity: if we took a sample and reassigned occupations, the disparity would narrow but would not disappear. The paper contributes to methodology by illustrating an approach to macro-level claims (how segregation affects a population disparity) that draws on explicitly causal micro-level analyses (potential outcomes for individuals) for which data are abundant.

Racial Disparities in the Military Health System: A Framework Synthesis

2021 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Jessica Korona-Bailey ◽  
Miranda Lynn Janvrin ◽  
Cathaleen Madsen
Keyword(s):  
Health Care ◽  
Health System ◽  
Racial Disparities ◽  
Women’S Health ◽  
Women's Health ◽  
Military Health System ◽  
Electronic Health Record Data ◽  
Military Health ◽  
Racial Disparities In Health ◽  
The Military

ABSTRACT Introduction Racial disparities in health care are a well-documented phenomenon in the USA. Universal insurance has been suggested as a solution to mitigate these disparities. We examined race-based disparities in the Military Health System (MHS) by constructing and analyzing a framework of existing studies that measured disparities between direct care (care provided by military treatment facilities) and private sector care (care provided by civilian health care facilities). Materials and Methods We conducted a framework synthesis on 77 manuscripts published in partnership with the Comparative Effectiveness and Provider-Induced Demand Collaboration Project that use MHS electronic health record data to present an overview of racial disparities assessed for multiple treatment interventions in a nationally representative, universally insured population. Results We identified 32 studies assessing racial disparities in areas of surgery, trauma, opioid prescription and usage, women’s health, and others. Racial disparities were mitigated in postoperative complications, trauma care, and cancer screenings but persisted in diabetes readmissions, opioid usage, and minimally invasive women’s health procedures. Conclusion Universal coverage mitigates many, but not all, racial disparities in health care. An examination of a broader range of interventions, a closer look at variation in care provided by civilian facilities, and a look at the quality of care by race provide further opportunities for research.

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