Fomento de la desigualdad desde la formación en el cuidado a la salud y, en última instancia, en la impartición de salud: la sentencia de la Suprema Corte de los Estados Unidos sobre la discriminación positiva
DOI:
https://doi.org/10.71164/socialmedicine.v19i1.2026.1765Resumen
En junio de 2023, la Suprema Corte de los Estados Unidos (EEUU) anuló las últimas protecciones vinculadas a la acción afirmativa. La acción afirmativa constituyó un factor importante para paliar injusticias históricas y contemporáneas. Esta sentencia desembocará inevitablemente en una disminución del número de profesionales en el cuidado a la salud pertenecientes a minorías. Esto contradice los cambios demográficos en Estados Unidos y, sin duda, dará lugar a afectaciones en el cuidado a la salud para poblaciones ya desfavorecidas. La diversidad entre los profesionales del cuidado a la salud es fundamental. Es necesario tomar medidas para mantener y ampliar la incorporación de las minorías en el ámbito de la atención a la salud.
Citas
O’Neil J. The Legacy and Opportunity of Affirmative Action. Washington DC: Thurgood Marshall Institute, May 2023.
Garces LM, Mickey-Pabello D. Racial Diversity in the Medical Profession: The Impact of Affirmative Action Bans on Underrepresented Student of Color Matriculation in Medical Schools. The Journal of Higher Education. 2015; 86(2): 264-294.
Kitchens RF, Aemstead AB, Mani K, Ghulmi L, Collins DM. Exploring the Experiences of Black/African American Students in Entry Level Occupational Therapy and Occupational Therapy Assistant Programs: A Survey Study. Journal of Occupational Therapy Education. 2022; 6(2): 2. https://doi.org/10.26681/jote.2022.060202
Scott JM, Wilson P, Pals A. "Freedom Is Not Enough...": Affirmative Action and J.D. Completion Among Underrepresented People of Color. AccessLex Institute Research. 2023; 23. https://arc.accesslex.org/research/23
Bhasin A, Curfman G. Gutting Grutter: The Effect of the Loss of Affirmative Action on Diversity Among Physicians. Indiana Health Law Review. 2023; XX(1): 1-22.
Laurencin C, Murray M. An American Crisis: The lack of Black Men in Medicine. J Racial Ethn Disparities. 2017; 4(3): 317-321. Doi:10.1007/s40615-017-0380-y
Blake A. The Journey of the Underrepresented: History of Exclusion in the Health Care Field. The Pulse, Northeastern Ohio Medical University, 2023. https://www.neomed.edu/news/the-journey-of-the-underrepresented-the-history-of-exclusion-in-the-health-care-field/https://www.neomed.edu/news/the-journey-of-the-underrepresented-the-history-of-exclusion-in-the-health-care-field/ (Accessed 17 May 2024)
Baxter A. Minorities are severely underrepresented in the healthcare workforce. Health Exec 2021. https://healthexec.com/topics/healthcare-management/minorities-are-severely-underrepresented-healthcare-workforce#:~:text=Latino%20representation%20in%20the%20healthcare,workforce%20to%200.9%25%20in%20representation. (Accessed 17 May 2024)
Cody Stanford F. The Importance of Diversity and Inclusion in the Healthcare Workforce. J Natl Med Assoc. 2020; 112(3): 247–249. doi: 10.1016/j.jnma.2020.03.014
Gil RM, Hardy, D. Spectrum of Diversity in Today’s Infectious Diseases Workforce: It’s Much Broader and Brighter Than You Think. Journal of Infectious Diseases. 2019; 220(Suppl 2): S42-S49.
Faulkner VN, Stiff LV, Marshall PL, Nietfeld JL, Crossland CL. Race and Teacher Evaluations as Predictors of Algebra Placement. J. Research Mathematics Education. 2014; 45(3):288-311. DOI: 10.5951/jresematheduc.45.3.0288
Chatterji R, Campbell N, Quirk, A. Closing Advanced Coursework Equity Gaps for all Students. Washington DC: Centre for American Progress, 2021.
CS Mott Children’s Hospital. Moll Poll Report- Pay to Participate: Impact on School Activities. 2019; 33(5). https://mottpoll.org/sites/default/files/documents/031819_PayToParticipate.pdf (Accessed 17 May 2024)
Smedley BD, Stith AY, Colburn L, et al.; Institute of Medicine (US). The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions: Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W. Nickens, M.D.. Washington (DC): National Academies Press (US); 2001. The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions. https://www.ncbi.nlm.nih.gov/books/NBK223623/ (Accessed 17 May 2024)
Van Buren A. Which students are most likely to end up in a crowded classroom? You can probably guess. Michigan Radio, 21 September 2016. https://stateofopportunity.michiganradio.org/education/2016-09-21/which-students-are-more-likely-to-end-up-in-a-crowded-classroom-you-can-probably-guess (Accessed 17 May 2024)
American Schools Counsellors Association (2019) The School Counsellors Matter. https://www.schoolcounselor.org/getmedia/b079d17d-6265-4166-a120-3b1f56077649/School-Counselors-Matter.pdf (Accessed 17 May 2024)
American Schools Counsellors Association. (2020) The School Counsellor and Letters of Recommendation. https://www.schoolcounselor.org/Standards-Positions/Position-Statements/ASCA-Position-Statements/The-School-Counselor-and-Letters-of-Recommendation#:~:text=The%20School%20Counselor's%20Role,harm%20to%20students%20(nonmaleficence). (Accessed 17 May 2024)
Tello C, Goode CA. Factors and barriers that influence the matriculation of underrepresented students in medicine. Front. Psychol. 2023; 14:1141045. doi: 10.3389/fpsyg.2023.1141045
Agency for Healthcare Research and Quality. 2023 National Healthcare Quality and Disparities Report. Rockville, MD: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, 2023.
Ogunwole SM, Dill M, Jones K, Golden SH. Trends in Internal Medicine Faculty by Sex and Race/Ethnicity, 1980-2018. JAMA Network Open. 2020; 3(9): 22015205. Doi:10.1001/jamanetworkopen.2020.15205
Pfeffinger A, Fernandez A, Tapia M, Rios-Fetchko F, Coffman J. Recovery with Limited Progress: Impact of California Proposition 209 on Racial/Ethnic Diversity of California Medical School Matriculants, 1990 to 2019. San Francisco: Healthforce Center, UCSF, 2020.
Yancy CW, Bauchner H. Diversity in Medical Schools- Need for a New Bold Approach. JAMA. 2021; 325(1):31-32. doi:10.1001/jama.2020.23601
Abdul-Mutakabbir JC, Bisono Garcia BS. Supreme Court’s affirmative action ruling: impacts on ID educational quality & access. Arlington, VA: ISDA, 2023.
Descargas
Publicado
Número
Sección
Licencia

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.