Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May;63(5):e465-e471.
doi: 10.1016/j.jpainsymman.2021.11.012. Epub 2021 Nov 29.

A Race-Conscious Approach Toward Research on Racial Inequities in Palliative Care

Crystal E Brown  1 , J Randall Curtis  2 , Kemi M Doll  3
Affiliations

A Race-Conscious Approach Toward Research on Racial Inequities in Palliative Care

Crystal E Brown et al. J Pain Symptom Manage. 2022 May.

Abstract

Racial inequities in palliative and end-of-life care have been well-documented for many years. This inequity is long-standing and resistant to many intervention efforts. One reason for this may be that research in racial inequity in palliative care, and the interventions developed, do not account for the effects of race and the everyday racism that patients of color experience while navigating the healthcare system. Public Health Critical Race Praxis (PHCRP) offers researchers new routes of inquiry to broaden the scope of research priorities in palliative care and improving racial outcomes through a novel conceptual framework and methodology. PHCRP, based off critical race theory (CRT), contains 10 principles within four foci to guide researchers toward a more race conscious approach for the generation of research questions, research processes, and development of interventions targeting racial inequities.

Keywords: Public health critical race praxis; critical race theory; end-of-life care; palliative care; racial inequities.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The authors declare that there is no conflict of interest.

References

    1. Jones CP. Levels of racism: a theoretic framework and a gardener’s tale. Am J Public Health 2000;90(8):1212–1215. doi:10.2105/ajph.90.8.1212 - DOI - PMC - PubMed
    1. Harawa NT, Ford CL. The foundation of modern racial categories and implications for research on black/white disparities in health. Ethn Dis 2009;19(2):209–217. - PubMed
    1. Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (Smedley BD, Stith AY, Nelson AR, eds.). National Academies Press; (US: ); 2003. Accessed July 29, 2021. http://www.ncbi.nlm.nih.gov/books/NBK220358/ - PubMed
    1. Braveman PA, Kumanyika S, Fielding J, et al. Health disparities and health equity: the issue is justice. Am J Public Health 2011;101 Suppl 1:S149–155. doi:10.2105/AJPH.2010.300062 - DOI - PMC - PubMed
    1. Bailey ZD, Feldman JM, Bassett MT. How Structural Racism Works - Racist Policies as a Root Cause of U.S. Racial Health Inequities. N Engl J Med 2021;384(8):768–773. doi:10.1056/NEJMms2025396 - DOI - PMC - PubMed

Publication types