{"id":"https://openalex.org/W4386763786","doi":"https://doi.org/10.1089/heq.2023.0077","title":"A Health System Framework for Addressing Structural Racism: Mass General Brigham's United Against Racism Initiative","display_name":"A Health System Framework for Addressing Structural Racism: Mass General Brigham's United Against Racism Initiative","publication_year":2023,"publication_date":"2023-09-01","ids":{"openalex":"https://openalex.org/W4386763786","doi":"https://doi.org/10.1089/heq.2023.0077","pmid":"https://pubmed.ncbi.nlm.nih.gov/37736521","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10510684"},"language":"en","primary_location":{"id":"doi:10.1089/heq.2023.0077","doi":"https://doi.org/10.1089/heq.2023.0077","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0077","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0077?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0077?download=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054025985","display_name":"Allison Bryant","orcid":"https://orcid.org/0000-0002-1791-8833","observed_orcids":["https://orcid.org/0000-0002-1791-8833"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Allison S. Bryant","raw_affiliation_strings":["Mass General Brigham Health System, Somerville, Massachusetts, USA","Massachusetts General Hospital, Boston, Massachusetts, USA"],"raw_orcid":"https://orcid.org/0000-0002-1791-8833","affiliations":[{"raw_affiliation_string":"Mass General Brigham Health System, Somerville, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092876665","display_name":"Julia A. Healey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julia A. Healey","raw_affiliation_strings":["Massachusetts General Hospital, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110796207","display_name":"Sarah Wilkie","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Wilkie","raw_affiliation_strings":["Mass General Brigham Health System, Somerville, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mass General Brigham Health System, Somerville, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092876666","display_name":"Carla Carten","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carla Carten","raw_affiliation_strings":["Mass General Brigham Health System, Somerville, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mass General Brigham Health System, Somerville, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071151728","display_name":"Thomas Dean Sequist","orcid":"https://orcid.org/0000-0001-6683-1884","observed_orcids":["https://orcid.org/0000-0001-6683-1884"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas D. Sequist","raw_affiliation_strings":["Brigham and Women's Hospital, Boston, Massachusetts, USA","Mass General Brigham Health System, Somerville, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women's Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Mass General Brigham Health System, Somerville, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077589926","display_name":"Elsie M. Taveras","orcid":"https://orcid.org/0000-0001-6158-2807","observed_orcids":["https://orcid.org/0000-0001-6158-2807"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elsie M. Taveras","raw_affiliation_strings":["Mass General Brigham Health System, Somerville, Massachusetts, USA","Massachusetts General Hospital, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mass General Brigham Health System, Somerville, Massachusetts, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Massachusetts General Hospital, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5054025985"],"corresponding_institution_ids":["https://openalex.org/I4210087915","https://openalex.org/I48633490"],"apc_list":{"value":950,"currency":"USD","value_usd":950},"apc_paid":{"value":950,"currency":"USD","value_usd":950},"fwci":4.3176,"has_fulltext":true,"cited_by_count":15,"citation_normalized_percentile":{"value":0.93877516,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"7","issue":"1","first_page":"533","last_page":"542"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.6079000234603882,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10652","display_name":"Racial and Ethnic Identity Research","score":0.6079000234603882,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12194","display_name":"Cultural Competency in Health Care","score":0.32499998807907104,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10843","display_name":"Diversity and Career in Medicine","score":0.012900000438094139,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/structural-racism","display_name":"structural racism","score":0.9729999899864197},{"id":"https://openalex.org/keywords/antiracism","display_name":"anti-racism","score":0.8230000138282776},{"id":"https://openalex.org/keywords/health-system-transformation","display_name":"health system transformation","score":0.5410000085830688},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.6800000071525574},{"id":"https://openalex.org/keywords/community-health","display_name":"community health","score":0.7289999723434448},{"id":"https://openalex.org/keywords/health-policy-advocacy","display_name":"health policy advocacy","score":0.890999972820282},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.8199999928474426}],"concepts":[{"id":"https://openalex.org/C139838865","wikidata":"https://www.wikidata.org/wiki/Q8461","display_name":"Racism","level":2,"score":0.7067957520484924},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.6677714586257935},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.6470891833305359},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.57267165184021},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5329685211181641},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.5328305959701538},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.45641428232192993},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.41943174600601196},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.4178849756717682},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.39332085847854614},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.37415289878845215},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3414399027824402},{"id":"https://openalex.org/C107993555","wikidata":"https://www.wikidata.org/wiki/Q1662673","display_name":"Gender studies","level":1,"score":0.08818319439888},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1089/heq.2023.0077","doi":"https://doi.org/10.1089/heq.2023.0077","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0077","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0077?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10510684","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10510684","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10510684/pdf/heq.2023.0077.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"Text"},{"id":"pmid:37736521","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37736521","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health equity","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2960fd9d5f374ac8ad72ad1a980dad1a","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2960fd9d5f374ac8ad72ad1a980dad1a","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Equity, Vol , Iss , Pp - (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1089/heq.2023.0077","doi":"https://doi.org/10.1089/heq.2023.0077","is_oa":true,"landing_page_url":"https://doi.org/10.1089/heq.2023.0077","pdf_url":"https://www.liebertpub.com/doi/pdf/10.1089/heq.2023.0077?download=true","source":{"id":"https://openalex.org/S4210216380","display_name":"Health Equity","issn_l":"2473-1242","issn":["2473-1242"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Equity","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/10","score":0.9629999995231628,"display_name":"Reduced inequalities"},{"id":"https://metadata.un.org/sdg/3","score":0.9476000070571899,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G9000857003","display_name":"Patient Oriented Research and Mentorship in Childhood Obesity","funder_award_id":"K24HL159680","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320308349","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4386763786.pdf","grobid_xml":"https://content.openalex.org/works/W4386763786.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1957062247","https://openalex.org/W2012868368","https://openalex.org/W2062453916","https://openalex.org/W2088121266","https://openalex.org/W2122889339","https://openalex.org/W2163406783","https://openalex.org/W2585048344","https://openalex.org/W2604748569","https://openalex.org/W2907260560","https://openalex.org/W2947355367","https://openalex.org/W3035885149","https://openalex.org/W3162216427","https://openalex.org/W3189573268","https://openalex.org/W3191454583","https://openalex.org/W3192695493","https://openalex.org/W3198021583","https://openalex.org/W3209004666","https://openalex.org/W3217336409","https://openalex.org/W4200094543","https://openalex.org/W4200450083","https://openalex.org/W4210909957"],"related_works":["https://openalex.org/W7117542907","https://openalex.org/W4210909957","https://openalex.org/W3042526598","https://openalex.org/W4379600641","https://openalex.org/W7170062492","https://openalex.org/W4383371916","https://openalex.org/W4309951229","https://openalex.org/W7111503224","https://openalex.org/W4285147951","https://openalex.org/W4416926151"],"abstract_inverted_index":{"The":[0],"legacy":[1],"of":[2,21,25,61,87,102,105,117],"racism":[3],"and":[4,17,23,48,67,70,73,100,114,120,129],"structural":[5,42],"inequality":[6],"has":[7],"taken":[8],"a":[9,79],"heavy":[10],"toll":[11],"on":[12],"the":[13,18,85,88,95,98,124],"health":[14,19,32,36,82,125],"care":[15,126],"system":[16,83],"outcomes":[20,33],"patients":[22],"members":[24],"community":[26],"catchment":[27],"areas.":[28],"To":[29],"achieve":[30],"optimal":[31],"for":[34,123],"all,":[35],"systems":[37],"will":[38],"need":[39],"to":[40,97],"enact":[41],"change":[43],"that":[44],"is":[45],"meaningful,":[46],"measurable,":[47],"rooted":[49],"in":[50,84],"evidence.":[51],"We":[52],"describe":[53],"an":[54],"antiracism":[55],"campaign":[56],"organized":[57],"into":[58],"three":[59],"pillars":[60],"focus":[62],"(Leadership/Employees/Culture,":[63],"Patient":[64],"Care":[65],"Equity,":[66],"Community":[68],"Health":[69],"Policy":[71],"Advocacy)":[72],"implemented":[74],"across":[75],"Mass":[76],"General":[77],"Brigham,":[78],"large":[80],"integrated":[81],"northeast":[86],"United":[89],"States.":[90],"Our":[91],"study":[92],"ranges":[93],"from":[94],"foundational":[96],"aspirational":[99],"examples":[101],"data-driven":[103],"areas":[104],"focus,":[106],"programs":[107],"(e.g.,":[108],"staff":[109],"education,":[110],"social":[111],"risk":[112],"mitigation,":[113],"new":[115],"models":[116],"clinical":[118],"service),":[119],"metrics":[121],"developed":[122],"workforce,":[127],"patients,":[128],"surrounding":[130],"communities":[131],"are":[132],"presented.":[133]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":5}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2023-09-16T00:00:00"}
