About this theme area:
The IRL program seeks leaders who will conduct research projects focused on solutions to eliminating structural racism and advancing equity in health care and health services delivery. We are especially interested in projects that address public health crises such as the COVID-19 pandemic. Our primary interest with this theme is in fostering community-engaged evidence for equitable approaches to improving the well-being of Black, Indigenous, and other people of color in the health care setting.
We seek projects that address priorities for the communities they serve and will generate evidence that is actionable within health care systems, broadly defined. Projects can focus on generating evidence about equitable implementation measures of accountability (e.g., for providers, for systems), safety, and well-being in health care settings. Projects can also focus on resources (both public and private) devoted to supporting health care system efforts to mitigate the impact of structural racism on patients and staff.
The following research projects are examples of topics of potential interest under this theme. These examples are
merely illustrative, and we welcome proposals on a range of topics and approaches, provided they are consistent
with the discussion above:
● A qualitative study examining the strengths and weaknesses of different approaches for community oversight
and review of active and ongoing mental health initiatives focused on rural migrant workers to improve service
● A pilot study to develop accountability measures that can assess the impact of community representation in
hospital governance changes on structural racism.
● A model study comparing Medicaid expansion, Medicaid buy-in, and a universal coverage system on gaps in
health outcome gaps between low-income Americans, disaggregated by race and ethnicity.
● Ethnographic study or historical review of relationships between health care and communities of color. What
are the underlying factors that contribute to the structures and barriers that impede quality health care?