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Change Management Strategies Toward Dismantling Race-Based Structural Barriers in Radiology

Journal

ACADEMIC RADIOLOGY
Volume 30, Issue 4, Pages 658-665

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.acra.2023.01.035

Keywords

Racism; Equity Diversity and Inclusion; Change Management; Leadership; Health Equity

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Political momentum for antiracist policies grew out of collective trauma highlighted during the COVID pandemic, leading to discussions on the root causes of health disparities among historically underserved populations. Dismantling structural racism in medicine requires widespread support and collaboration to establish systematic approaches for sustainable change. Radiology, as a central component of medical care, can leverage its renewed focus on equity, diversity, and inclusion (EDI) to lead discussions and catalyze lasting change.
Political momentum for antiracist policies grew out of the collective trauma highlighted during the COVID pandemic. This prompted dis-cussions of root cause analyses for differences in health outcomes among historically underserved populations, including racial and eth-nic minorities. Dismantling structural racism in medicine is an ambitious goal that requires widespread buy-in and transdisciplinary collaborations across institutions to establish systematic, rigorous approaches that enable sustainable change. Radiology is at the center of medical care and renewed focus on equity, diversity, and inclusion (EDI) provides an opportune window for radiologists to facilitate an open forum to address racialized medicine to catalyze real and lasting change. The framework of change management can help radiology practices create and maintain this change while minimizing disruption. This article discusses how change management principles can be leveraged by radiology to lead EDI interventions that will encourage honest dialogue, serve as a platform to support institutional EDI efforts, and lead to systemic change.

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