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Exploring the intersection of structural racism and ageism in healthcare.
Farrell, Timothy W; Hung, William W; Unroe, Kathleen T; Brown, Teneille R; Furman, Christian D; Jih, Jane; Karani, Reena; Mulhausen, Paul; Nápoles, Anna María; Nnodim, Joseph O; Upchurch, Gina; Whittaker, Chanel F; Kim, Anna; Lundebjerg, Nancy E; Rhodes, Ramona L.
  • Farrell TW; Division of Geriatrics, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah, USA.
  • Hung WW; VA Salt Lake City Geriatric Research, Education, and Clinical Center, Salt Lake City, Utah, USA.
  • Unroe KT; Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Brown TR; Geriatric Research, Education and Clinical Center, James J Peters VA Medical Center, New York, New York, USA.
  • Furman CD; Department of Medicine, Indiana University, Indianapolis, Indiana, USA.
  • Jih J; Regenstrief Institute, Indiana University Center for Aging Research Indianapolis, Indianapolis, Indiana, USA.
  • Karani R; Center for Law and Biomedical Sciences, University of Utah S.J. Quinney College of Law, Salt Lake City, Utah, USA.
  • Mulhausen P; Department of Geriatric Medicine, Department of Geriatric and Palliative Medicine, Trager Institute/Optimal Aging Clinic, University of Louisville, Louisville, Kentucky, USA.
  • Nápoles AM; Division of General Internal Medicine, Multiethnic Health Equity Research Center, Asian American Research Center on Health, University of California, San Francisco, San Francisco, California, USA.
  • Nnodim JO; Department of Medical Education, Department of Medicine, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Upchurch G; Iowa Total Care, West Des Moines, Iowa, USA.
  • Whittaker CF; Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland, USA.
  • Kim A; Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
  • Lundebjerg NE; Senior PharmAssist, Durham, North Carolina, USA.
  • Rhodes RL; Eshelman School of Pharmacy, Department of Public Health Leadership, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
J Am Geriatr Soc ; 2022 Oct 19.
Article in English | MEDLINE | ID: covidwho-2229895
ABSTRACT
The American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts of ageism in healthcare. The intersection of structural racism and ageism compounds the disadvantage experienced by historically marginalized communities. Structural racism and ageism have long been ingrained in all aspects of US society, including healthcare. This intersection exacerbates disparities in social determinants of health, including poor access to healthcare and poor outcomes. These deeply rooted societal injustices have been brought into the forefront of the collective public consciousness at different points throughout history. The COVID-19 pandemic laid bare and exacerbated existing inequities inflicted on historically marginalized communities. Ageist rhetoric and policies during the COVID-19 pandemic further marginalized older adults. Although the detrimental impact of structural racism on health has been well documented in the literature, generative research on the intersection of structural racism and ageism is limited. The AGS is working to identify and dismantle the healthcare structures that create and perpetuate these combined injustices and, in so doing, create a more just US healthcare system. This paper is intended to provide an overview of important frameworks and to guide future efforts to both identify and eliminate bias within healthcare delivery systems and health professions training with a particular focus on the intersection of structural racism and ageism.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Jgs.18105

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Prognostic study Language: English Year: 2022 Document Type: Article Affiliation country: Jgs.18105