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August 18, 2025Open Access

Systemic Racism in Canadian Healthcare: A Policy and Equity Analysis

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Authors

KAK.A. AdegokeNew York Medical CollegeAAAbimbola AdegokeThe University of Texas Rio Grande ValleyDDDeborah DawoduThe University of Texas Health Science Center at Houston

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Implication

Narrative review uncovers healthcare disparities faced by racialized patients, highlighting the need for policy reforms.

Key Points

  • Systemic racism continues to undermine equitable healthcare access for Indigenous and Black patients, and appears most prevalent in emergency and maternal services.
  • Thematic analysis reveals structural obstacles, such as institutional discrimination, affecting access for foreign-trained physicians seeking licensure and integration.
  • Narrative review framework employed qualitative document analysis of case files, government audits, and peer-reviewed publications from 2000 to 2024.
  • Advocating for systemic reform, including mandatory cultural safety training and collection of race-disaggregated data, is essential to ensure equitable healthcare.

Cite This Study

Adegoke et al. (2025) studied this question.

synapsesocial.com/papers/68af453fad7bf08b1ead2c76https://doi.org/10.20944/preprints202502.1086.v2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Black Canadians’ Experiences of Structural Racism in Ontario’s Healthcare System2025
  2. 2A moral economy of care: How clinical discourses perpetuate Indigenous‐specific discrimination and racism in western Canadian emergency departments2024 · 2 citations
  3. 3Anti-Black discrimination in primary health care: a qualitative study exploring internalized racism in a Canadian context2024 · 12 citations
  4. 4“Don't shut down, these conversations need to happen”: Indigenous health professionals insights for advancing anti‐racism in health care2025 · 1 citations
  5. 5Denialism: repudiation of anti-Indigenous racism in healthcare in Canada2026