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Hospitals and the History of Structural Racism in the United States.

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Title: Hospitals and the History of Structural Racism in the United States.
Authors: Adolphson, LeNie, Hoffman, Beatrix
Source: American Journal of Public Health. May2026, Vol. 116 Issue 5, p643-648. 6p.
Subjects: Health services accessibility, Segregation, Institutional racism, Social justice, African Americans, Social determinants of health, Medical care, Hospitals, Racialization, Anti-Black racism, Health equity, Public health, Minorities
Geographic Terms: United States
Abstract: W. Michael Byrd and Linda A. Clayton's two-volume work An American Health Dilemma powerfully describes how racism has permeated every aspect of the US health delivery system. As part of commemorating An American Health Dilemma 25 years after its publication, this article discusses the place of hospitals in Byrd and Clayton's analysis. They argued that US hospitals have perpetuated health inequities through formal segregation, structural factors such as White flight and government disinvestment, and racist practices and ideologies that stigmatize African American patients as inferior or other. This article also seeks to integrate Byrd and Clayton's foundational work with recent scholarship on the history of community struggles against health disparities, including a new dissertation examining Chicago's Provident Hospital, the nation's first Black-run hospital. We demonstrate the enduring relevance of An American Health Dilemma and emphasize the need to recognize the role of hospitals in both maintaining and dismantling racial injustice. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Hospitals and the History of Structural Racism in the United States.
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  Data: <searchLink fieldCode="AR" term="%22Adolphson%2C+LeNie%22">Adolphson, LeNie</searchLink><br /><searchLink fieldCode="AR" term="%22Hoffman%2C+Beatrix%22">Hoffman, Beatrix</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. May2026, Vol. 116 Issue 5, p643-648. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Segregation%22">Segregation</searchLink><br /><searchLink fieldCode="DE" term="%22Institutional+racism%22">Institutional racism</searchLink><br /><searchLink fieldCode="DE" term="%22Social+justice%22">Social justice</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Racialization%22">Racialization</searchLink><br /><searchLink fieldCode="DE" term="%22Anti-Black+racism%22">Anti-Black racism</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Minorities%22">Minorities</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Data: W. Michael Byrd and Linda A. Clayton's two-volume work An American Health Dilemma powerfully describes how racism has permeated every aspect of the US health delivery system. As part of commemorating An American Health Dilemma 25 years after its publication, this article discusses the place of hospitals in Byrd and Clayton's analysis. They argued that US hospitals have perpetuated health inequities through formal segregation, structural factors such as White flight and government disinvestment, and racist practices and ideologies that stigmatize African American patients as inferior or other. This article also seeks to integrate Byrd and Clayton's foundational work with recent scholarship on the history of community struggles against health disparities, including a new dissertation examining Chicago's Provident Hospital, the nation's first Black-run hospital. We demonstrate the enduring relevance of An American Health Dilemma and emphasize the need to recognize the role of hospitals in both maintaining and dismantling racial injustice. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=192845822
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2026.308421
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 643
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Segregation
        Type: general
      – SubjectFull: Institutional racism
        Type: general
      – SubjectFull: Social justice
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Hospitals
        Type: general
      – SubjectFull: Racialization
        Type: general
      – SubjectFull: Anti-Black racism
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Public health
        Type: general
      – SubjectFull: Minorities
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Hospitals and the History of Structural Racism in the United States.
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            NameFull: Adolphson, LeNie
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            NameFull: Hoffman, Beatrix
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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              Value: 116
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              Value: 5
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