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Updated: Sep 18, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Informal Segregation in Health Care Delivery: Historical, Anecdotal, and Objective Evidence.

Olveen Carrasquillo1

  • 1Olveen Carrasquillo is with the Departments of Medicine and Public Health, University of Miami, Miller School of Medicine, Miami, FL.

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|June 25, 2025
PubMed
Summary
This summary is machine-generated.

Achieving health equity is hindered by persistent racial and ethnic segregation in healthcare delivery, despite the end of formal segregation. Addressing this uncomfortable issue requires greater recognition and advocacy to eliminate deep-rooted disparities.

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Area of Science:

  • Public Health
  • Health Equity Research
  • Sociology of Healthcare

Background:

  • Limited progress has been made in achieving health equity over several decades.
  • Healthcare delivery systems continue to exhibit significant racial and ethnic segregation.
  • Informal segregation persists despite the official end of racial segregation in the 1960s.

Purpose of the Study:

  • To demonstrate the persistence of informal racial and ethnic segregation in healthcare delivery.
  • To highlight the lack of discussion and action on pervasive segregation in healthcare.
  • To advocate for increased recognition and visibility to address health disparities.

Main Methods:

  • Review of historical data, anecdotal evidence, and objective data on healthcare segregation.
  • Author's 40-year personal experience within segregated healthcare systems.
  • Brief review of key studies and research on racial and ethnic segregation in healthcare.

Main Results:

  • Informal segregation in healthcare delivery remains widely practiced, accepted, and justified.
  • Pervasive segregation in healthcare delivery is an uncomfortable and undiscussed topic.
  • Significant challenges to achieving health equity are rooted in this persistent segregation.

Conclusions:

  • Greater recognition, visibility, and advocacy are essential to address healthcare segregation.
  • Meaningful community engagement is crucial for eliminating health disparities.
  • Remaining silent on deep-rooted challenges like segregation hinders progress toward health equity.