Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Nadha Hassen, Aisha Lofters, Sinit Michael, Amita Mall, Andrew D. Pinto and Julia Rackal
Additional contact information
Nadha Hassen: Faculty of Environmental and Urban Change, York University, Toronto, ON M3J 1P3, Canada
Aisha Lofters: Women’s College Hospital, Toronto, ON M5S 1B2, Canada
Sinit Michael: Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada
Amita Mall: Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada
Andrew D. Pinto: Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada
Julia Rackal: Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON M5G 1V7, Canada

IJERPH, 2021, vol. 18, issue 6, 1-15

Abstract: Racism towards Black, Indigenous and people of colour continues to exist in the healthcare system. This leads to profound harm for people who use and work within these settings. This is a scoping review to identify anti-racism interventions in outpatient healthcare settings. Searching the peer-reviewed and grey literature, articles were screened for inclusion by at least two independent reviewers. Synthesizing the socio-ecological levels of interventions with inductively identifying themes, a conceptual model for implementing anti-racism interventions in healthcare settings is presented. In total, 37 peer-reviewed articles were included in the review, with 12 empirical studies and 25 theoretical or conceptual papers. Six grey literature documents were also included. Healthcare institutions need to incorporate an explicit, shared language of anti-racism. Anti-racism action should incorporate leadership buy-in and commitment with dedicated resources, support and funding; a multi-level approach beginning with policy and organizational interventions; transparent accountability mechanisms for sustainable change; long-term meaningful partnerships with Black, Indigenous, and people of colour (i.e., racialized communities); and ongoing, mandatory, tailored staff education and training. Decision-makers and staff in healthcare settings have a responsibility to take anti-racism action and may improve the success and sustainability of their efforts by incorporating the foundational principles and strategies identified in this paper.

Keywords: anti-racism interventions; systemic racism; institutional racism; healthcare interventions; social determinants of health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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