📢 Overcoming Racism in Care Delivery, a special issue for July 2025, is now available. 📖 View the issue: . Articles linked below🧵👇

Efforts at Oregon Health & Science University seek to support health equity by organizing with community members, in an approach that differs from service to or advocacy for others, and which creates opportunities for meaningful impact on community health:

Asian Americans working in medicine face unique challenges because of harmful stereotypes and a history of discrimination. This article examines specific ways to dispel these stereotypes and heal racial trauma:

Expanding cardiology access for Black and Latine patients with heart failure contributed to a shift from admission to general medical to specialized cardiology service, showing that timely clinician notifications may reduce racial gaps in care delivery:

A Penn Medicine program provides staff opportunities to submit stories of racism within the workplace, whether witnessed or personal, to spark discussion, enhance understanding, and enable leaders to develop responsive antiracist policies and programs:

July 2025 special issue: Overcoming Structural Racism in Health Care Delivery - browse the issue here:

July 2025 issue letter from the editors - Naming and Responding to Structural Racism in Health Care:

Community experts with lived expertise of incarceration played a key role in a Yale New Haven Health initiative to help clinicians and students navigate perceptual and systems-based complexities associated with care for people impacted by incarceration:

University of Chicago Medicine developed community-focused holistic approaches to trauma care delivery through the Violence Recovery Program and the bedside Recovery Legal Care initiative, to further address SDOH and violence in Chicago’s South Side:

RT @NEJM: Since reopening its level 1 trauma center in 2018, leaders @UChicagoMed have developed community-focused holistic approaches to c….

A majority of NEJM Catalyst Insights Council members say their organizations remain committed to addressing structural racism:

A systems-level approach to transforming health care centers structural racism as a root cause of disparities, offering a collective journey toward building a just and healing health care system for all:

The authors also discuss and provide actionable solutions for challenges encountered while implementing and sustaining HEAL:

The authors share an evaluation model developed to understand the impacts of policy or system-change work and apply it to demonstrate impact on both individual and collective community power, as well as broader health factors (such as loneliness and isolation).

The program’s community core teams — composed of patients and community members with lived experiences of oppression — have also led local and state policy efforts on issues that reflect their health priorities, including housing and language access.

the program has created change in local clinical practice and quality improvement efforts that improve conditions for systemically harmed communities.

Through applying a four-step relational organizing model that emphasizes listening to lived experience, convening core teams rooted in trust and love, developing community-organizing skills, and taking collective action,.

This setting offers unique opportunities to influence clinical practice and build effective collaborations beyond the clinic walls.

The authors describe their experience with the Health Equity And Leadership (HEAL) initiative, a relational community-organizing program, created by leaders at Oregon Health and Science University, and embedded in a health clinic setting.

It has been argued that building community power is a key and often overlooked component of transforming structural harms. Although community organizing is often used to improve health issues, rarely is it integrated into health systems.

Relational community organizing is a set of practices and skills that can be applied to build community power — a concept emphasizing the sustained and collective influence of people most affected by a practice or policy — to advance health equity.