{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:54:29Z","timestamp":1775868869615,"version":"3.50.1"},"reference-count":59,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Informatics researchers and practitioners have started exploring racism related to the implementation and use of electronic health records (EHRs). While this work has begun to expose structural racism which is a fundamental driver of racial and ethnic disparities, there is a lack of inclusion of concepts of racism in this work. This perspective provides a classification of racism at 3 levels\u2014individual, organizational, and structural\u2014and offers recommendations for future research, practice, and policy. Our recommendations include the need to capture and use structural measures of social determinants of health to address structural racism, intersectionality as a theoretical framework for research, structural competency training, research on the role of prejudice and stereotyping in stigmatizing documentation in EHRs, and actions to increase the diversity of private sector informatics workforce and participation of minority scholars in specialty groups. Informaticians have an ethical and moral obligation to address racism, and private and public sector organizations have a transformative role in addressing equity and racism associated with EHR implementation and use.<\/jats:p>","DOI":"10.1093\/jamia\/ocad023","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T12:15:03Z","timestamp":1677932103000},"page":"995-999","source":"Crossref","is-referenced-by-count":3,"title":["Racism and Electronic Health Records (EHRs): Perspectives for research and practice"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6217-5792","authenticated-orcid":false,"given":"Srinivas","family":"Emani","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham & Women\u2019s Hospital, Harvard Medical School , Boston, Massachusetts, USA"},{"name":"Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University , Atlanta, Georgia, USA"}]},{"given":"Jorge A","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham & Women\u2019s Hospital, Harvard Medical School , Boston, Massachusetts, USA"}]},{"given":"David W","family":"Bates","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham & Women\u2019s Hospital, Harvard Medical School , Boston, Massachusetts, USA"}]}],"member":"286","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"2023041909003252600_ocad023-B1","author":"Office of the National Coordinator for Health Information Technology"},{"issue":"7","key":"2023041909003252600_ocad023-B2","doi-asserted-by":"crossref","first-page":"e2117052","DOI":"10.1001\/jamanetworkopen.2021.17052","article-title":"Physician use of stigmatizing language in patient medical 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