Erschienen in:
10.12.2023 | ASO Author Reflections
ASO Author Reflections: Association Between Historical Redlining and Access to High-Volume Hospitals Among Patients Undergoing Complex Cancer Surgery in California
verfasst von:
Mujtaba Khalil, MD, Muhammad Musaab Munir, MD, Timothy M. Pawlik, MD, PhD, MPH, MTS, MBA
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 3/2024
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Excerpt
The Home Owner’s Loan Corporation (HOLC), a government-sponsored entity, was established during the 1930s to deny or limit financial services, including loans and insurance, to certain neighborhoods on the basis of housing conditions, infrastructure, amenities, and racial or ethnic composition.
1 Notably, Black neighborhoods were disproportionately considered high risk for investment and marked with red ink on maps in a process known as redlining.
1 This practice resulted in further economic disinvestment in these communities, leading to diminished access to quality education, barriers to employment, limited income mobility, and poor access to healthcare, ultimately contributing to intergenerational impoverishment.
2,3 Discriminatory policies, such as redlining, have had long-lasting detrimental effects on healthcare.
3,4 However, the impact of historical redlining on access to high-volume hospitals (HVH) for cancer care has not been thoroughly investigated. Therefore, the current study sought to assess the association between historical redlining and access to high-volume hospitals among patients with cancer. …
