Informal Segregation in Health Care Delivery: Historical, Anecdotal, and Objective Evidence.

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Olveen Carrasquillo
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引用次数: 0

Abstract

Over the past several decades, our nation has made limited progress toward achieving health equity. One challenge is that health care delivery remains highly segregated by race and ethnicity. Although formal racial segregation officially ended in the 1960s, informal segregation remains widely practiced, accepted, and even justified. I provide historical, anecdotal, and objective data to demonstrate its persistence. I discuss my 40-year journey in segregated health care systems and a brief review of key studies and research on such segregation. I also highlight how despite the ample evidence, pervasive segregation in health care delivery remains an uncomfortable topic that few want to broach or discuss. I note that greater recognition, visibility, and advocacy are needed to address this unfair, unjust, and pervasive practice. I conclude that in the current political climate, being trustworthy and engaging communities in a meaningful way to eliminate disparities means we cannot remain complacent and silent on some of the most deeply rooted challenges to achieving health equity. (Am J Public Health. 2025;115(S2):S148-S151. https://doi.org/10.2105/AJPH.2025.308028).
卫生保健服务中的非正式隔离:历史、轶事和客观证据。
在过去的几十年里,我们的国家在实现卫生公平方面取得了有限的进展。一项挑战是,卫生保健服务仍然按种族和族裔高度隔离。虽然正式的种族隔离在20世纪60年代正式结束,但非正式的种族隔离仍然广泛实行、接受,甚至是合理的。我提供了历史的、轶事的和客观的数据来证明它的持久性。我讨论了我在隔离医疗体系中40年的经历,并简要回顾了关于这种隔离的关键研究和研究。我还强调,尽管有充分的证据,但在医疗服务中普遍存在的种族隔离仍然是一个令人不安的话题,很少有人愿意提出或讨论。我注意到,要解决这种不公平、不公正和普遍存在的做法,需要更多的认识、可见度和宣传。我的结论是,在当前的政治气候下,值得信赖并以有意义的方式让社区参与消除差距意味着我们不能对实现卫生公平的一些最根深蒂固的挑战保持自满和沉默。[J] .公共卫生,2025;15(增刊2):S148-S151。https://doi.org/10.2105/AJPH.2025.308028)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American journal of public health
American journal of public health 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.50
自引率
3.90%
发文量
1109
审稿时长
2-4 weeks
期刊介绍: The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
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