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Actions to Transform US Preventive Services Task Force Methods to Mitigate Systemic Racism in Clinical Preventive
, Karina W Davidson1, Carol M Mangione2
1Feinstein Institutes for Medical Research at Northwell Health, New York, New York.
JAMA
|November 8, 2021
Summary
The US Preventive Services Task Force (USPSTF) is updating its methods to address systemic racism and reduce health inequities in preventive care recommendations for all populations.
Area of Science:
- Public Health
- Health Services Research
- Health Equity
Background:
- US life expectancy and health outcomes for preventable diseases disproportionately affect populations experiencing racism.
- Systemic racism contributes to significant health disparities and inequities in the United States.
Purpose of the Study:
- To propose iterative changes to the US Preventive Services Task Force (USPSTF) processes, methods, and recommendations.
- To commit to eliminating health inequities for individuals affected by systemic racism.
Main Methods:
- A commissioned methods report was conducted to inform proposed updates to USPSTF methods.
- Proposed changes will be piloted on selected USPSTF topics with partner and public input.
Main Results:
- USPSTF will integrate evidence on systemic racism and health inequities into its reviews and recommendations.
- Strategies are being developed to mitigate the influence of systemic racism on preventive care guidelines.
Conclusions:
- The USPSTF is implementing changes to reduce health inequities caused by systemic racism.
- Iterative improvements in evidence-based recommendation development aim to address racial disparities in health outcomes.
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