Anti-Racism, Inequity, and Implicit Bias in Health Care
This guide contains links to informational resources related to issues of race, inequality, and implicit bias in medicine, medical education, and health care.
An American Health Dilemma presents a comprehensive and groundbreaking history and social analysis of race, race relations and the African-American medical and public health experience. Beginning with the origins of western medicine and science in Egypt, Greece and Rome the authors explore the relationship between race, medicine, and health care from the precursors of American science and medicine through the days of the slave trade with the harrowing middle passage and equally deadly breaking-in period through the Civil War and the gains of reconstruction and the reversals caused by Jim Crow laws.
This ground-breaking textbook examines Asian American health from a public health perspective. It provides an overview of the social, political, economic, and cultural forces that influence the distribution of disease and illness in Asian American communities.
The first systematic description of how American doctors think about racial differences and how this kind of thinking affects the treatment of their black patients.
In Breaking Ground, Louis W. Sullivan, M.D. recounts his extraordinary life including his childhood in Jim Crow south Georgia and continuing through his trailblazing endeavors training to become a physician in an almost entirely white environment in the Northeast. He was the founding dean and president of Morehouse School of Medicine in Atlanta, and served as secretary of the U.S. Department of Health and Human Services in President George H. W. Bush's administration.
Science studies scholar Lundy Braun traces the little-known history of the spirometer to reveal the social and scientific processes by which medical instruments have worked to naturalize racial and ethnic differences, from Victorian Britain to today.
In this book, Dr. Richard Allen Williams has assembled the very best scholars on healthcare disparities to raise the public consciousness of this issue.
Susan M. Reverby's Examining Tuskegee is a comprehensive analysis of the notorious study of untreated syphilis among African American men, who were told by U.S. Public Health Service doctors that they were being treated, not just watched, for their late-stage syphilis.
LIMITED TO 1 CONCURRENT USER. PLEASE CLOSE WHEN FINISHED TO ALLOW OTHERS TO USE THE BOOK. Historical narrative ranging from the Renaissance to the current moment, analyzing important works of art, newspaper and magazine articles, and scientific literature and medical journals--where fat bodies were once praised--showing that fat phobia, as it relates to black women, did not originate with medical findings, but with the Enlightenment era belief that fatness was evidence of "savagery" and racial inferiority.
In February 2016, the National Academies of Sciences, Engineering, and Medicine held a workshop in which speakers shared strategies for individuals, organizations, and communities to advance racial and health equity. This publication serves as a factual summary of the presentations and discussions from the workshop.
LIMITED TO 1 CONCURRENT USER. PLEASE CLOSE WHEN FINISHED TO ALLOW OTHERS TO USE THE BOOK. Her name was Henrietta Lacks, but scientists know her as HeLa. She was a poor Southern tobacco farmer who worked the same land as her slave ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the atom bomb’s effects; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions.
Exploring the politics of race, reform, and public health, Infectious Fear uses the tuberculosis crisis to illuminate the limits of racialized medicine and the roots of modern health disparities. Ultimately, it reveals a disturbing picture of the United States' health history while offering a vision of a more democratic future.
This is a no-holds-barred response to the liberal and conservative retreat from an assertive, activist, and socially transformative civil rights agenda of recent years--using a black feminist lens and the issue of the impact of recent legislation, social policy, and welfare "reform" on black women's--especially poor black women's--control over their bodies' autonomy and their freedom to bear and raise children with respect and dignity in a society whose white mainstream is determined to demonize, even criminalize their lives.
Summary of a workshop convened in 2012 by the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities of the Institute of Medicine. The workshop brought together more than 100 health care providers, policy makers, program administrators, researchers, and Native advocates to discuss the sizable health inequities affecting Native American, Alaska Native, First Nation, and Pacific Islander populations and the potential role of culture in helping to reduce those inequities.
This innovative ethnographic study animates the racial politics that underlie genomic research into type 2 diabetes, one of the most widespread chronic diseases and one that affects ethnic groups disproportionately.
By taking a hard look at the racial ideas of both northern and southern medical schools in the antebellum United States, Christopher D. E. Willoughby reveals that racist ideas were not external to the medical profession but fundamental to medical knowledge. In this history of racial thinking and slavery in American medical schools, the founders and early faculty of these schools emerge as singularly influential proponents of white supremacist racial science.
From the era of slavery to the present day, the first full history of black America's shocking mistreatment as unwilling and unwitting experimental subjects at the hands of the medical establishment.
In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white "ladies."
On Race and Medicine: Insider Perspectives is a collection of enlightening personal essays written by an interdisciplinary group of scholars, physicians, and medical school deans. They address the very real, everyday circumstances of healthcare differences where race is concerned, and shine light on the realities of race itself, inequalities in healthcare, and on the very way these American complexities can be discussed and considered.
Exploring the interplay between disease as a biological phenomenon, illness as a subjective experience, and race as an ideological construct, this volume weaves together a complicated history to show the role that health and medicine have played throughout the past in defining the ideal citizen.
In Race and Medicine historian Todd Savitt presents revised and updated versions of his seminal essays on the medical history of African Americans in the late nineteenth and early twentieth centuries, especially in the South. This collection examines a variety of aspects of African American medical history, including health and illnesses, medical experimentation, early medical schools and medical professionals, and slave life insurance.
In Reproductive Justice, sociologist Barbara Gurr provides the first analysis of Native American women's reproductive healthcare and offers a sustained consideration of the movement for reproductive justice in the United States. The book examines the reproductive healthcare experiences on Pine Ridge Reservation, home of the Oglala Lakota Nation in South Dakota--where Gurr herself lived for more than a year.
This book brings together scholarship on the structural dimensions of the AIDS epidemic and the social construction of sexuality to assert that shifting forms of sexual stories--structural intimacies--are emerging, produced by the meeting of intimate lives and social structural patterns. These stories render such inequalities as racism, poverty, gender power disparities, sexual stigma, and discrimination as central not just to the dramatic, disproportionate spread of HIV in Black communities in the United States, but to the formation of Black sexualities.
The color of blood is red, not black or white. Yet blood, along with fingerprints, skin, and color is commonly cited as objective evidence of racial identity. Drawing on this concept of "evidence", Sarah Chinn interweaves analyses of the history of science, popular culture, forensic technology and literary texts to examine how racial identity has been constructed in the United States over the past century.
In the decades since it was identified in 1981, HIV/AIDS has devastated African American communities. To Make the Wounded Whole offers the first history of African American AIDS activism in all of its depth and breadth. Dan Royles introduces a diverse constellation of activists, including medical professionals, Black gay intellectuals, church pastors, Nation of Islam leaders, recovering drug users, and Black feminists who pursued a wide array of grassroots approaches to slow the epidemic's spread and address its impacts.
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities.
In this follow-up to the path-breaking An American Health Dilemma: A Medical History of African Americans and the Problem of Race, the authors complete their study of African American healthcare. This volume's statistic-packed and thoroughly documented narrative explores 20th-century advances in healthcare, the development of the insurance industry, declining support for public health, and the myriad social and economic factors that have had disparate impacts on the health of black Americans.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans.
USE THE 'REQUEST THIS' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. In 1989, a cache of some 9800 dissected and amputated human bones - more than 75 percent of them African American - was found in the earthen basement floor of the Medical College of Georgia in Augusta. Robert L. Blakely and Judith M. Harrington argue that the procurement of cadavers by American medical schools was part of a racist system that viewed African Americans as expendable not only in life but also after death.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. In Caring for Equality, David McBride chronicles the struggle by African Americans and their white allies to improve poor black health conditions as well as inadequate medical care--caused by slavery, racism, and discrimination--since the arrival of African slaves in America.
Charts the dynamic transformation of representations of Chinese immigrants from medical menace in the nineteenth century to model citizen in the mid-twentieth century. Examining the cultural politics of public health and Chinese immigration in San Francisco, this book looks at the history of racial formation in the U.S. by focusing on the development of public health bureaucracies.
Leading legal scholar and social critic Dorothy Roberts argues that America is once again at the brink of a virulent outbreak of classifying population by race. By searching for differences at the molecular level, a new race-based science is obscuring racism in our society and legitimizing state brutality against communities of color at a time when America claims to be post-racial.
The Medical Committee for Human Rights was organized in 1964 to support civil rights activists during Mississippi's Freedom Summer. MCHR volunteers exposed racism within the American Medical Association, desegregated southern hospitals, set up free clinics in inner cities, and created the model for the community health center. They were early advocates of single-payer universal health insurance. In The Good Doctors, celebrated historian John Dittmer gives an insightful account of a group of idealists whose message and example are an inspiration to all who believe that "Health Care is a Human Right."
USE THE 'REQUEST THIS' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. In this fascinating medical history, Rana A. Hogarth examines the creation and circulation of medical ideas about blackness in the Atlantic World during the late eighteenth and early nineteenth centuries. She shows how white physicians deployed blackness as a medically significant marker of difference and used medical knowledge to improve plantation labor efficiency, safeguard colonial and civic interests, and enhance control over black bodies during the era of slavery.
Traces the intersecting discourses of race, pharmaceuticals, and heart disease in the United States over the past century, from the founding of cardiology through the FDA's approval of BiDil, the first drug sanctioned for use in a specific race.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. Mexican Americans and Health explains how the health of Mexican-origin people is often related to sociodemographic conditions and genetic factors, while historical and political factors influence how Mexican Americans enter the health care system and how they are treated once they access it.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. More than 100 contributors from across the United States present information on the vast racial and ethnic health disparities, as well as approaches that can be used to reduce or eliminate these disparities. Chapters address topics from heart health, hypertension, diabetes, asthma and lung disease, and HIV/AIDS to alcohol and drug abuse, infant mortality, nutrition and exercise.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. This anthology assembles two decades of work initiated by SisterSong Women of Color Health Collective, creators of the human rights-based 'reproductive justice' framework to move beyond polarised pro-choice/pro-life debates. Rooted in Black feminism and built on intersecting identities, this revolutionary framework asserts a woman's right to have children, to not have children, and to parent and provide for the children they have.
In Sick from Freedom, historian Jim Downs recovers the untold story of one of the bitterest ironies in American history - that the emancipation of the slaves, seen as one of the great turning points in U.S. history, had devastating consequences for innumerable freedpeople. With emancipation, African Americans seized the chance to move,migrating as never before. But in their journey to freedom, they also encountered yellow fever, smallpox, cholera, dysentery, malnutrition, and exposure.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. From race-based pharmaceutical prescriptions and marketing, to race-targeted medical "hot spotting" and the Affordable Care Act, to stem-cell trial recruitment discourse, Subprime Health is a timely examination of race-based medicine as it intersects with the concept of debt.
An examination of the re-emergence of scientific research into racial differences. Superior tells the disturbing story of the persistent thread of belief in biological racial differences in the world of science.
USE THE 'REQUEST DELIVERY' BUTTON IN IUCAT TO REQUEST FROM ANOTHER CAMPUS. Harriet A. Washington takes apart the spurious notion of intelligence as an inherited trait, using copious data that instead point to a different cause of the reported African American-white IQ gap: environmental racism - a confluence of racism and other institutional factors that relegate marginalized communities to living and working near sites of toxic waste, pollution, and insufficient sanitation services. She investigates heavy metals, neurotoxins, deficient prenatal care, bad nutrition, and even pathogens as chief agents influencing intelligence to explain why communities of color are disproportionately affected -- and what can be done to remedy this devastating problem.
Prepare your students for the culturally rich and ethically diverse world in which they will practice. Noted researchers, educators, and clinicians, from a wealth of backgrounds, use the Purnell twelve-step model to examine more than 30 population groups from a health care perspective. Each brings a personal understanding of the traditions and customs of their societies, providing a unique perspective on the implications for patient care.