Minority Representation in Healthcare: Increasing the Number of Professionals Through Focused Recruitment

Combs, Gwendolyn M.

doi:10.1080/00185868.2013.793556

Cited by 18 publications

(15 citation statements)

References 64 publications

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“…Participants in the current study recognized this racism through their comments on the absence of Black professionals and information on Black populations in the reproductive health care context. This highlights the urgent need, already cited in the literature, for representation of diversity (Flores & Combs, 2013; Nair & Adetayo, 2019), as well as a focus on cultural competency (Johnson-Agbakwu et al, 2020; Johnson-Agbakwu & Manin, 2021) and structural determinants of health/health inequities (Crear-Perry et al, 2021) in health care education and delivery. Making space in professional roles for representation and implementing training that combats “racism, implicit bias, and microaggressions at the institutional as well as individual level” are only a few of many necessary components to work toward improved health care treatment of minority populations including women with female genital cutting (Johnson-Agbakwu et al, 2020, p. 2).…”

Section: Discussionmentioning

confidence: 89%

Emotional Health Work of Women With Female Genital Cutting Prior to Reproductive Health Care Encounters

et al. 2021

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We used institutional ethnography to explore the social relations that shaped the reproductive health care experiences of women with female genital cutting. Interviews with eight women revealed that they engaged in discourse that opposed the practices of cutting female genitals as a human-rights violation. This discourse worked to protect those affected by the practices, but also stigmatized female genital cutting, making participants anticipate experiencing stigmatization during health care. Women’s engagement in this discourse shaped their emotional health work to prepare for such encounters. This work included navigating feelings of worry, shame, and courage to understand what to expect during their own appointment; learning from family/friends’ experiences; and seeking a clinic with the reputation of best care for women with female genital cutting. It is important to strive for more inclusive health care in which women do not have to engage in emotional health work to prepare for their clinical encounters.

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Section: Discussionmentioning

confidence: 89%

Emotional Health Work of Women With Female Genital Cutting Prior to Reproductive Health Care Encounters

et al. 2021

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“…All studies retrieved were written in English. All included studies were comprised of national audits (n = 6), 22‐27 organisational audits (n = 4), 28‐31 consensus methodology (n = 1), 32 narrative reviews (n = 7), 8,30,33‐37 university audits (n = 3), 34,37,38 project audits (n = 7), 33,37,39‐43 viewpoints (n = 8), 2,3,18,44‐48 simulation experiments (n = 3), 49‐51 case surveys (n = 5) 52‐56 and a position paper (n = 1) 15 . Studies centred on ethnic minorities in the United States of America, 2,3,15,22,24‐28,30‐34,36,37,41‐59 China, 24 Switzerland 60 and United Kingdom 18 ; women who identified as an ethnic minority 25,28,38 ; Indigenous peoples 14,35,40,61 ; both ethnic minorities and Indigenous peoples 2,57 ; and people with low socio‐economic status 23,48 …”

Section: Resultsmentioning

confidence: 99%

“…However, society increasingly demands accessible, competent medical practitioners who are knowledgeable, approachable and prepared to serve the needs of special groups such as the elderly, the deprived and the geographically isolated. There is also a contemporary expectation that the medical and surgical workforce is representative of the population it serves 46 . Kamien et al 60 have emphasised that modern medical and surgical education should be relevant and focus on society's health problems.…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, Changoor et al 53 have shown that there is a need for surgeons to provide better cross‐cultural care and that specialised cultural dexterity training should become part of the surgical syllabus for all surgeons regardless of culture or ethnicity. Training in cultural safety has been shown to result in improved communication, patient satisfaction and a larger patient base in health care organisations 46 …”

Section: Resultsmentioning

confidence: 99%

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Affirmative action programmes in postgraduate medical and surgical training—A narrative review

2020

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Objective This review aims to identify and summarise the literature pertaining to the implementation of affirmative action programmes (AAP) for selection of ethnic minorities and Indigenous peoples into selective specialist medical and surgical training programmes. Methods A systematic literature search was conducted to identify relevant studies reporting on the background, implementation and results of AAP for ethnic minorities and Indigenous peoples into medical and surgical training. MEDLINE, EMBASE, PubMed, Scopus and Google Scholar databases were queried from inception through to 1 February 2020. All included studies were subjected to inductive thematic analysis in order to systematically collate study findings. Articles were read through several times in an iterative manner to allow the identification of themes across the included studies. The themes were cross‐compared among the authors to establish their interconnectedness. Results Forty‐five articles described AAP pertaining to ethnic minorities in the United States of America (African‐Americans and Hispanic Americans), women and ethnic minorities, Indigenous peoples (New Zealand Māori) and people with low socio‐economic status. Four themes were identified. These included the need for social responsiveness in clinical training organisations, justification and criticism of AAP, how clinical training agencies should participate in AAP and what constitutes an effective AAP for specialist medical and surgical training. Conclusions Affirmative action programmes have been effective at increasing numbers of ethnic minority medical school graduates but have not been used for specialist medical or surgical training selection. AAP achieve the best results when they are associated with a comprehensive programme of candidate preparation, support and mentorship beginning prior to application, and support and mentorship extending through training and subsequently into the post‐training period as an independent professional. The overall aim of any AAP in medical or surgical training must be graduation of significant numbers of minority and Indigenous trainees into successful practice with appointment to faculty member and leadership positions.

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“…42,43 A lack of diverse representation in health care leadership may exacerbate health disparities for racialized patients. 3,7 Racial diversity in leadership can be beneficial for several reasons. People from racially marginalized groups can share insights to inform perspectives on racial inequity and invoke empathy among health care leaders.…”

Section: Discussionmentioning

confidence: 99%

Diversity among health care leaders in Canada: a cross-sectional study of perceived gender and race

Sergeant

Saha

Lalwani

et al. 2022

CMAJ

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ace and gender-based disparities in health care leadership 1-4 may negatively affect the health of marginalized patients. 5,6 Diverse leadership is an integral step in establishing equitable health care institutions that serve the needs of all community members. 7 Many barriers prevent racialized people, women and gender nonbinary individuals from attaining leadership positions, including reduced access to networking opportunities, 8-10 discrimination from patients and colleagues 2,11-13 and an institutional culture that views white, male leaders as most effective. 14,15 The intersectional effects of discrimination may intensify these barriers for racialized women and nonbinary people. 16,17 Fundamentally, diversity and inclusion in our institutions is important on the basis of basic human rights for all people. 18 Health care leadership in Europe and the United States is thought to lack gender and racial diversity. [19][20][21][22] The degree to which these imbalances exist across Canadian health care institutions is not clear. Despite past evidence that men hold a disproportionate number of health care leadership positions in Canada, 23,24 a recent study noted gender parity among leaders of provincial and terri torial ministries of health. 25 Among university faculty 26,27 and administration, 28 racialized individuals appear to be under-represented, suggesting that a similar trend may exist in health care leadership.Race and gender can be studied in many ways. 29 Perceived race is a measure of "the race that others believe you to be," and these assessments "influence how people are treated and form the basis of racial discrimination including nondeliberate actions

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Minority Representation in Healthcare: Increasing the Number of Professionals Through Focused Recruitment

Cited by 18 publications

References 64 publications

Emotional Health Work of Women With Female Genital Cutting Prior to Reproductive Health Care Encounters

Emotional Health Work of Women With Female Genital Cutting Prior to Reproductive Health Care Encounters

Affirmative action programmes in postgraduate medical and surgical training—A narrative review

Diversity among health care leaders in Canada: a cross-sectional study of perceived gender and race

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