{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T22:04:45Z","timestamp":1771020285991,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["ascpt.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Pharma and Therapeutics"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>In order to achieve health equity, we must implement innovative health system, public health, and policy\u2010level interventions to address the historical root causes of structural and institutional racism embedded in our medical and social systems. A history of unconsented medical and research experimentation on vulnerable groups and residual healthcare provider biases toward minoritized patients has led to patient distrust of medical systems and poor quality of care. Historical discriminatory housing and lending policies resulted in racial residential segregation and neighborhoods with inadequate housing, healthy food access, and educational resources, resulting in present\u2010day social determinants of health (SDOH). To reduce these disparities and achieve health equity, four disruptive healthcare innovations are recommended: (i) infuse health equity principles into clinical workflows by implementing National Culturally and Linguistically Appropriate Services Standards; (ii) address poverty\u2010related SDOH; (iii) deliver care and recruit for research in nonclinical settings to reach marginalized communities; and (iv) leverage health system subject matter experts to advocate for health equity policies. During the COVID\u201019 pandemic we leveraged the diversity of our workforce to deliver bilingual and culturally tailored COVID\u201019 testing, education, and vaccines to the Hispanic and Black communities in nonclinical settings, the primary marginalized communities served by our health system that were also disproportionately impacted by COVID\u201019 infections, hospitalizations, and deaths. Now that we understand the importance of using innovative health equity strategies to reach marginalized communities, we must continue to re\u2010engineer our healthcare systems to deliver care outside of our brick and mortar to overcome barriers in access to care and mistrust in the healthcare establishment stemming from past abuses and remaining experiences of bias.<\/jats:p>","DOI":"10.1002\/cpt.2812","type":"journal-article","created":{"date-parts":[[2022,12,6]],"date-time":"2022-12-06T06:29:51Z","timestamp":1670308191000},"page":"500-508","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Disruptive Innovations to Achieve Health Equity Through Healthcare and Research Transformation"],"prefix":"10.1111","volume":"113","author":[{"given":"Sherita Hill","family":"Golden","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Department of Epidemiology Johns Hopkins University Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Office of Diversity, Inclusion, and Health Equity Johns Hopkins Medicine  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"e_1_2_11_1_1","volume-title":"Report of the Secretary's Task Force on Black and Minority Health","author":"Heckler M.","year":"1985"},{"key":"e_1_2_11_2_1","volume-title":"Remembering Margaret Heckler's Commitment to Advancing Minority Health","author":"Gracia J.N.","year":"2018"},{"key":"e_1_2_11_3_1","volume-title":"Diabetes: A History of Race and Disease","author":"Tuchman A.M.","year":"2020"},{"key":"e_1_2_11_4_1","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","author":"Smedley B.D.","year":"2002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgaa938"},{"key":"e_1_2_11_6_1","unstructured":"Holland B.The \u2018Father of Modern Gynecology\u2019 Performing Shocking Experiments on Enslaved Women. 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