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A Health System Framework for Addressing Structural Racism: Mass General Brigham's United Against Racism Initiative.

Allison S Bryant1,2, Julia A Healey2, Sarah Wilkie1

  • 1Mass General Brigham Health System, Somerville, Massachusetts, USA.

Health Equity
|September 22, 2023
PubMed
Summary
This summary is machine-generated.

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Addressing racism in healthcare requires structural change. An antiracism campaign focused on leadership, patient care, and community advocacy was implemented to improve health outcomes for all.

Area of Science:

  • Health equity research
  • Public health policy
  • Healthcare system transformation

Background:

  • Systemic racism and inequality significantly impact healthcare access and patient outcomes.
  • Achieving optimal health for all necessitates evidence-based, measurable structural changes within health systems.

Purpose of the Study:

  • To describe an antiracism campaign implemented across a large integrated health system.
  • To present data-driven strategies and metrics for improving health equity.

Main Methods:

  • An antiracism campaign structured around three pillars: Leadership/Employees/Culture, Patient Care Equity, and Community Health and Policy Advocacy.
  • Implementation across Mass General Brigham, a major integrated health system.
  • Development of data-driven focus areas, programs, and metrics.
Keywords:
antiracismhealth equityhealth systemsocial risk mitigationstructural racism

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Main Results:

  • Examples of programs include staff education, social risk mitigation, and innovative clinical service models.
  • Metrics were developed for the healthcare workforce, patients, and surrounding communities.
  • The campaign addresses foundational to aspirational goals for health equity.

Conclusions:

  • Structural changes are essential for health systems to address the legacy of racism.
  • A multi-pillar antiracism campaign can drive meaningful progress in health equity.
  • Data-driven approaches and community engagement are key to successful implementation.