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Physician Perspectives on Addressing Anti-Black Racism.
Crystal E Brown1,2,3, Arisa R Marshall2, Kristine L Cueva4
1Cambia Palliative Care Center of Excellence at UW Medicine, Seattle, Washington.
JAMA Network Open
|January 24, 2024
Summary
Physicians identified strategies to address anti-Black racism but did not fully embrace accountability. Restorative justice may help clinicians repair harm and promote racial healing.
Area of Science:
- Medical ethics
- Health equity
- Sociology of medicine
Background:
- Clinicians face uncertainty in addressing anti-Black racism.
- Anti-Black racism negatively impacts Black patients with serious illness.
Purpose of the Study:
- To understand physicians' perspectives on addressing anti-Black racism.
- To explore physicians' roles in resolving conflicts related to anti-Black racism.
Main Methods:
- Qualitative study using semistructured interviews with 21 physicians.
- Explored responses to clinical scenarios involving anti-Black racism.
- Analyzed data using a restorative justice framework.
Main Results:
- Physicians recognized clinical practices perpetuating anti-Black racism.
- Participants described harm to Black patients due to these practices.
- Strategies and resources were identified, but accountability was limited.
Conclusions:
- Physicians identified some restorative justice principles but lacked accountability steps.
- Restorative justice can create a space for repairing harm and racial healing.
- Further development of accountability mechanisms is needed.
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