The traditional health care model requires the patient to seek care by coming to the health system (e.g., office, hospital, pharmacy, etc.). Health care providers often do not represent or have the lived experiences of the communities they serve, which can lead to overt and implicit bias within the health care system. These structural and political determinants of health further reinforce relationships that contribute to a problematic power dynamic that exacerbates long-standing health disparities primarily for communities who are underserved, notably Black, Indigenous, and people of color populations.
Jasmine D. Gonzalvo, PharmD, CDCES, FADCES