Informal Segregation in Health Care Delivery
Historical, Anecdotal, and Objective Evidence
Bibliographic Data
| ID | 11036907 |
|---|---|
| Authors | Olveen Carrasquillo (0000-0002-6524-7878, Olveen Carrasquillo is with the Departments of Medicine and Public Health, University of Miami, Miller School of Medicine, Miami, FL., corresponding author) |
| Year | 2025 |
| Volume | 115 |
| Issue | S2 |
| Pages | S148-S151 |
| Publication date | 2025-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.2025.308028 |
| PMID | 40561404 |
| OpenAlex | W4411630160 |
| Language | EN |
| Citations received | 1 |
| References cited | 13 |
Over the past several decades, our nation has made limited progress toward achieving health equity. One challenge is that health care delivery remains highly segregated by race and ethnicity. Although formal racial segregation officially ended in the 1960s, informal segregation remains widely practiced, accepted, and even justified. I provide historical, anecdotal, and objective data to demonstrate its persistence. I discuss my 40-year journey in segregated health care systems and a brief review of key studies and research on such segregation. I also highlight how despite the ample evidence, pervasive segregation in health care delivery remains an uncomfortable topic that few want to broach or discuss. I note that greater recognition, visibility, and advocacy are needed to address this unfair, unjust, and pervasive practice. I conclude that in the current political climate, being trustworthy and engaging communities in a meaningful way to eliminate disparities means we cannot remain complacent and silent on some of the most deeply rooted challenges to achieving health equity. ( Am J Public Health. 2025;115(S2):S148–S151. https://doi.org/10.2105/AJPH.2025.308028 )
Economic growth · Economics · Equity (law) · Ethnic group · Health care · Health equity · Political science · Politics · Public health · Public relations · Food Security and Health in Diverse Populations · Healthcare Policy and Management · Law · Medicine · Nursing · Racial and Ethnic Identity Research
Structural racism and health inequities in the USA
Segregated Patterns of Hospital Care Delivery and Health Outcomes
A Call for Health Care Desegregation
Using Civil Rights Law to Undermine Profitability of Ongoing Racial Segregation in Health Care
The Epic Conquest of Medicare and Hospital Desegregation
Systemic racism and U.S. health care
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |