Black Physicians' Experiences with Anti-Black Racism in Healthcare Systems Explored Through An
Myia S Williams1,2,3,4, Alyson K Myers1,2,3,5, Kayla D Finuf1,2
1Department of Medicine, Northwell Health, Manhasset, NY USA.
Summary
Anti-Black racism in healthcare hinders the recruitment, selection, and retention of Black physicians, leading to under-representation. The attraction-selection-attrition model offers a framework to address these inequities and promote diversity.
Area of Science:
- Healthcare Workforce Diversity
- Medical Professionalism
- Health Equity Research
Background:
- Anti-Black racism significantly impacts Black physicians' careers in healthcare.
- Existing research on this topic lacks a consolidated framework.
- This issue affects recruitment, selection, and retention, contributing to under-representation.
Purpose of the Study:
- To present the attraction-selection-attrition (ASA) model as an organizing framework.
- To analyze Black physicians' experiences with anti-Black racism across the job cycle.
- To offer strategies for mitigating racism in healthcare settings.
Main Methods:
- Literature review and synthesis.
- Application of the attraction-selection-attrition (ASA) model.
- Discussion of empirical findings within the ASA framework.
Main Results:
- Anti-Black racism manifests at attraction, selection, and retention stages.
- The ASA model effectively structures understanding of these experiences.
- Inequitable outcomes and under-representation are linked to systemic racism.
Conclusions:
- The ASA model provides a valuable framework for addressing anti-Black racism in healthcare.
- Mitigation strategies are crucial for enhancing diversity, equity, and inclusion.
- Future research should focus on practical interventions and long-term impacts.
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