Eliminating Race-Based Medicine
Abstract
Race-based medicine has been pervasively interwoven into the fabric of health care delivery in the United States for more than 400 years. Race is a historically derived social construct that has no place as a biologic proxy. In addition to valid measures of social determinants of health, the effects of racism require consideration in clinical decision-making tools in ways that are evidence informed and not inappropriately conflated with the limiting phenotype of race categorization. This policy statement addresses the elimination of race-based medicine as part of a broader commitment to dismantle the structural and systemic inequities that lead to racial health disparities.
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Black and Hispanic women's maternal morbidity and mortality rates are elevated by race corrections in the vaginal birth after cesarean clinical algorithm.
“Similarly, Black and Hispanic women's maternal morbidity and mortality rates are elevated by race corrections in the vaginal birth after the cesarean clinical algorithm, which recommend that they opt for surgery.28”
From Challenging Race-Based Medicine Through Historical Education About the Social Construction of Race (2023) · cites this paper as [28]
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References 98 · Cited by 140
- Authors
- Wright, J. L., Davis, W. S., Joseph, M. M., Ellison, A. M., Heard-Garris, N. J., Johnson, T. L., & the AAP Board Committee on Equity
- Affiliations
- University of Maryland, Baltimore (US)
- University of Vermont (US)
- University of Florida (US)
- Northwestern University (US)
- fDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- University of California, Davis (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2022-06-27
- Volume
- 150
- Issue
- 1
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W4225272264
- Cited by
- 140
- References
- 98
- Citations by year
- 2026: 26 · 2025: 25 · 2024: 48 · 2023: 28 · 2022: 13
- FWCI
- 17.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- race-based medicine, social construction of race, social determinants of health, racism in healthcare, racial disparities in health, clinical decision-making, health equity, structural inequality, pediatric health care
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