Full Citation
Title: Proposing A Racism-Conscious Approach To Policy Making And Health Care Practices
Citation Type: Journal Article
Publication Year: 2023
ISBN:
ISSN: 15445208
DOI: 10.1377/hlthaff.2023.00482
NSFID:
PMCID:
PMID: 37782862
Abstract: Racial and ethnic health inequities are driven by multiple social and political factors. Race-neutral policies that overlook the role of racism in policy and in disparities may also contribute to inequities. In response, one broad policy-making approach has been to craft race-based policies that attempt to improve outcomes explicitly for specific racial groups. However, race-based policies can be politically infeasible. We propose a racism-conscious approach to policy making and health care practices that addresses racism and advances health equity. Using postacute and long-term care policies as a backdrop, we identify five key steps to creating racism-conscious policies that rest on continuous community engagement and policy evaluation. The proposed racism-conscious framework can be used to develop a new health policy or to redesign an existing policy, and it can work for federal, state, local, and organizational policies, practices, or both.
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Authors: Fashaw-Walters, Shekinah A.; McGuire, Cydney M.
Periodical (Full): Health affairs (Project Hope)
Issue: 10
Volume: 42
Pages: 1351-1358
Countries: