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Semin Respir Crit Care Med 2022; 43(05): 752-762
DOI: 10.1055/s-0042-1756491
Review Article

Structural Inequities in Medicine that Contribute to Racial Inequities in Asthma Care

Sande O. Okelo
1   Division of Pediatric Pulmonology and Sleep Medicine, The David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California
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Abstract

Structural inequities in medicine have been present for centuries in the United States, but only recently are these being recognized as contributors to racial inequities in asthma care and asthma outcomes. This chapter provides a systematic review of structural factors such as racial bias in spirometry algorithms, the history of systemic racism in medicine, workforce/pipeline limitations to the presence of underrepresented minority health care providers, bias in research funding awards, and strategies to solve these problems.

Keywords

asthma - spirometry - systemic racism - workforce/pipeline - research funding inequities - strategies


Publication History

Article published online:
11 October 2022

© 2022. Thieme. All rights reserved.

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