Evidence map›Paper›PMID 41331207›Full record

ArticleJournal of general internal medicine2026

Addressing Structural and Systemic Racism in Social and Health Care Systems to Advance Health Equity.

Marshall H Chin, Amy Gyau-Moyer, Allison Kelliher, Antonia M Villarruel

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marshall H ChinDepartment of Medicine, University of Chicago, Chicago, IL, USA. mchin@medicine.bsd.uchicago.edu.ORCID 0000-0003-1924-5641
Amy Gyau-MoyerNational Academy of Medicine, Washington, D.C, USA.
Allison KelliherUniversity of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
Antonia M VillarruelPenn Nursing, University of Pennsylvania, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmerican Public Health Association, American Medical Association, and American Nurses Association have declared racism a public health crisis because systemic oppression harms the care of individuals and the health of populations.

objectiveTo help increase recognition, knowledge, and action to address structural racism contributing to health inequities. DESIGN/APPROACH: American Public Health Association Press has published a book, Systems That Impact Population Health: Past and Present, that was written with support and coordination from the National Academy of Medicine Culture of Health Program funded by the Robert Wood Johnson Foundation. This article provides an overview of the book and its conceptual model and actionable solutions. KEY

resultsStructural and systemic racism decreases access to opportunity structures for economic vitality, education, housing, justice, and health care, and directly exposes individuals to health risks including chronic stress, discrimination, and stigma. Racism segregates communities, leading to cumulative disadvantage and worse health. Actionable solutions can address structural racism to advance health equity in health care systems and social systems such as economic infrastructure, labor and employment, education, justice and civil rights law, media, immigration and foreign policy, and data and information.

conclusionsImproving social and health care systems helps poor, marginalized white populations, people of color, and the nation overall.

Indexed as

Delivery of Health CareHealth EquityRacismSystemic RacismHealthcare DisparitiesHumansSocioeconomic Disparities in HealthUnited States

Identifiers

PMID41331207
PMCPMC13241554

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.