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Anti-Racist Practices in Health Care Organizations-A Qualitative Analysis.
Sidra Khan-Gökkaya1,2, Faye McMillan3, David R Williams1,4
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.
International Journal of Environmental Research and Public Health
|November 27, 2025
Summary
This study identifies organizational anti-racist practices in health care, including data collection and policy development, to address racial inequities. Further evaluation is needed to assess the effectiveness of these interventions for promoting health equity.
Area of Science:
- Health Services Research
- Health Equity
- Organizational Behavior
Background:
- Significant racial inequities persist in health care access, treatment, and employee well-being.
- While many organizations commit to anti-racist change, systematic knowledge on practices, implementation, and effectiveness is limited.
- This research focuses on identifying organizational anti-racist practices, stakeholder roles, challenges, and strategies within US health care.
Purpose of the Study:
- To identify organizational anti-racist practices in health care.
- To analyze the role of stakeholders in implementing anti-racist change.
- To understand challenges and strategies in addressing racial disparities and discriminatory behavior.
Main Methods:
- Qualitative content analysis of primary (n=11) and secondary (n=26) data.
- Insights gathered from anti-racism diversity experts and health equity officers across US organizations.
- Data collected in early 2024.
Main Results:
- Organizations utilize practices such as collecting patient/staff data and normalizing anti-racist standards.
- Development of policies, tools, and accountability procedures to address racism.
- Creation of safe spaces and acknowledgment of past harms to foster health equity.
Conclusions:
- Identified anti-racist practices offer visible solutions for addressing racism in health care.
- Stakeholders have a crucial role and responsibility in implementing these practices.
- Rigorous evaluation of interventions is necessary to determine effectiveness for broader application.
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