shows that within one of the top institutions in the country, they see these same findings, where Black patients go to one service and the White patients go to the cardiology service. It's a very deeply ingrained issue that we have to recognize. Yes, structural racism exists, and we have to determine what we're going to do to try to address it.When we talk about structural racism, we also have to think about what our responsibility is as clinicians caring for patients.
We did think-aloud, step-by-step interviews and identified that, yes, race actually impacts how people make decisions and that Black people aren't given the benefit of the doubt. Black people are judged more harshly. Black people die. This is from people who, I don't think, would believe in their hearts that they could be a part of that system, but they are.
It's hard work, and it's something I'm incredibly passionate about, and I'm leading a national, pragmatic, randomized, controlledto try to address this. It's definitely hard work. I think we need more studies like this that use implementation science using different strategies to try to address these known disparities so we can actually change them instead of talking about the stats year after year.
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