The Intersection of Racism, Discrimination, and Social Risk Screening in Clinical Settings

Dr. Toyin Ajayi, Co-founder and Chief Health Officer at Cityblock Health speaks with Dr. Monica Peek, associate professor of General Internal Medicine at the University of Chicago. This conversation is the second in a series focused on health care sector efforts to increase Awareness about both patient and community-level social conditions. Drs. Ajayi and Peek discuss concerns structurally marginalized people may have in spaces like health care in and outside the context of social risk screening and explore ways health care organizations can earn trust and build rapport with patients of color.

Recommended references:

• Peek ME, Odoms-Young A, Quinn MT et al. Racism in healthcare: Its relationship to shared decision-making and health disparities: A response to Bradby. Soc Sci Med. 2010;71:13-17.
• Peek ME, Nunez-Smith M, Drum M, Lewis TT. Adapting the Everyday Discrimination Scale to medical settings: Reliability and validity testing in a sample of African-American patients. Ethn Dis. 2011;21(4):502-9.
• Peek ME, Lopez F, Williams HS et al. Development of a conceptual framework for understanding Shared Decision-Making among African-American LGBT patients and their clinicians. J Gen Intern Med. 2016;31(6):677-87.
• Tung EL, Johnson TA, O’Neal Y, Steenes AM, Caraballo G, Peek ME. Experiences of Community Violence Among Adults with Chronic Conditions: Qualitative Findings from Chicago. J Gen Intern Med. 2018;33(11): 1913-1920.
• Tung EL, Cagney K, Hawkley L, Peek ME. Social Isolation, Loneliness, and Violence Exposure in Urban Adults. Health Affairs. 2019;10;2670-2678.
• Peek ME, Vela MD, Chin MH. Practical lessons for teaching about race and racism: Successfully leading free, frank and fearless discussions. Acad Med. 2020;95:S139–S144.
• Peek ME, Simons R, Parker WF et al. Our Collective Obligation: An Action Plan for Mitigating COVID-19 Disparities. Am J Public Health.
• Persad G, Peek ME, Emanuel EJ. Fairly Prioritizing Groups for COVID-19 Vaccine Access. JAMA. 2020;324(16):1601-2.