Agents of Change: Geriatrics Workforce Programs Addressing Systemic Racism and Health Equity

Author:

Gordon Barbara A1,Azer Lilian2,Bennett Katherine3,Edelman Linda S4,Long Monica5,Goroncy Anna6,Alexander Charles7,Lee Jung-Ah8,Rosich Rosellen9,Severance Jennifer J10ORCID

Affiliation:

1. University of Louisville Trager Institute Optimal Aging Clinic, University of Louisville , Louisville, Kentucky , USA

2. Department of Neurobiology and Behavior, University of California Irvine , Irvine, California , USA

3. Division of Gerontology & Geriatric Medicine, University of Washington , Seattle, Washington , USA

4. College of Nursing, University of Utah , Salt Lake City, Utah , USA

5. Department of Geriatrics & Palliative Medicine, Share Network, University of Chicago Medicine , Chicago, Illinois , USA

6. College of Medicine, University of Cincinnati , Cincinnati, Ohio , USA

7. School of Medicine, Virginia Commonwealth University , Richmond, Virginia , USA

8. Sue & Bill Gross School of Nursing, University of California Irvine , Irvine, California , USA

9. Department of Psychology, University of Alaska Anchorage , Anchorage, Alaska , USA

10. Department of Internal Medicine and Geriatrics, Texas College of Osteopathic Medicine, University of North Texas Health Science Center , Fort Worth, Texas , USA

Abstract

Abstract Many factors affect how individuals and populations age, including race, ethnicity, and diversity, which can contribute to increased disease risk, less access to quality healthcare, and increased morbidity and mortality. Systemic racism—a set of institutional policies and practices within a society or organization that perpetuate racial inequalities and discrimination—contributes to health inequities of vulnerable populations, particularly older adults. The National Association for Geriatrics Education (NAGE) recognizes the need to address and eliminate racial disparities in healthcare access and outcomes for older adults who are marginalized due to the intersection of race and age. In this paper, we discuss an anti-racist framework that can be used to identify where an organization is on a continuum to becoming anti-racist and to address organizational change. Examples of NAGE member Geriatric Workforce Enhancement Programs (GWEPs) and Geriatrics Academic Career Awards (GACAs) activities to become anti-racist are provided to illustrate the framework and to guide other workforce development programs and healthcare institutions as they embark on the continuum to become anti-racist and improve the care and health of vulnerable older adults.

Funder

Health Resources and Services Administration

U.S. Department of Health and Human Services

Publisher

Oxford University Press (OUP)

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