A Conceptual Map of Structural Racism in Health Care
Structural racism in the U.S. healthcare system is perpetuated not only by historical and contemporary race-based laws and policies but also by policies that are “race-neutral,” a research brief from the Urban Institute finds. According to A Conceptual Map of Structural Racism in Health Care (25 pages, PDF), policies that do not adequately consider and correct for racially inequitable preconditions and solutions that target health disparities but not their drivers may only create temporary or narrow improvements. The map comprises three groupings—inequitable mental models that shape views and actions around race and health; inequitable structures, including laws and policies that formally codify the distribution of resources; and racial/ethnic disparities in healthcare experiences and outcomes. The connections among the elements illustrate how multiple structures within healthcare practice and policy connect, as well as how healthcare structures connect to and supported by policies and practices in other domains, including education, employment, and immigration.
