title: The Health Care Institution, Population Health and Black Lives.
abstract: The ongoing existence of institutionalized racism and discriminatory practices in various systems (education, criminal justice, housing, employment) serve as root causes of poor health in Blacks Lives. Furthermore, these unjust social structures and their complex interplay result in inefficient utilization of health services and reactive or futile interactions with medical providers. Collectively, these factors contribute to racial disparities in health and treatment represents a significant portion of the nation's health care expenditures. In order for health care systems to optimize population health goals, racism must be recognized as a determinant of health. As anchor institutions in their respective communities, we offer hospitals and health systems a conceptual framework to address the issue within internal and external constructs.
authors.affiliation: Health Systems Administration, Georgetown University Medical Center, USA. Electronic address: ck806@georgetown.edu.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: King
authors.affiliation: Consumer Health Foundation, USA.
authors.forename: Yanique
authors.initials: Y
authors.lastname: Redwood
mesh_terms: D001741:Black or African American; D003695:Delivery of Health Care; D006801:Humans; D000075485:Population Health; D044469:Racial Groups; D063505:Racism; D014481:United States