Racial categories in medicine: A failure of evidence-based practice?
2007

Racial Categories in Medical Practice: A Failure of Evidence-Based Practice

publication Evidence: moderate

Author Information

Author(s): George T. H. Ellison, Andrew Smart, Richard Tutton, Simon M. Outram, Richard Ashcroft

Primary Institution: St George's, University of London

Hypothesis

Are racial and ethnic categories useful in medical practice?

Conclusion

Racial and ethnic categories are imprecise markers for health disparities and can lead to misattribution of health care needs.

Supporting Evidence

  • Racial and ethnic categories are often poorly defined and lack consensus.
  • Using these categories can lead to misattribution of health care needs.
  • Policies promoting equitable participation in research may inadvertently reinforce crude categorizations.

Takeaway

Using race to decide how to treat patients can be confusing and not very helpful because people are very different, even within the same race.

Potential Biases

There is a risk of reinforcing stereotypes and misidentifying causal mechanisms in health care.

Limitations

The study highlights the lack of consensus on defining race and ethnicity and the challenges in standardizing these categories.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040287

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