Event Details
Agenda
Event Details
Event Description
Substantial racial and ethnic disparities exist in health outcomes among patients with kidney disease, and structural racism is widely recognized to be a fundamental determinant. Structural racism is defined as macrolevel systems, social forces, institutions, ideologies, and processes that interact with one another to generate and perpetuate inequities among racial and ethnic minority populations. For marginalized racial and ethnic groups, this leads to greater exposure to adverse social determinants and risks (e.g., residential segregation, housing insecurity, food insecurity, inadequate health care, financial resource deprivation) that negatively affect individuals’ risk of chronic kidney disease (CKD) and its progression and contributes to inequitable care and outcomes across the spectrum of CKD. Interventions that dismantle or address the effects of structural racism are essential to achieve health equity for patients with kidney disease.
Meeting Objectives
- Review the mechanisms by which structural racism (racism embedded within clinical, organizational, institutional, and societal practices and policies) contributes to health and health care disparities for patients along the continuum of kidney disease (CKD and CKD risk groups, dialysis care, and transplant care) and identify feasible areas for intervention.
- Identify and describe meaningful interventions to address identified areas and discuss feasible approaches and/or study designs needed to evaluate potential intervention.
Registration Deadline
February 22, 2022
Agenda
February 24, 2022
All times listed are Eastern Time
- 10:00 a.m. – 10:25 a.m.
- Welcome and Overview
- Workshop Introduction and Overview
Raquel Greer, M.D., M.H.S., Division of Kidney, Urologic, and Hematologic Diseases (KUH), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
- Welcome and Opening Remarks
Larissa Avilés-Santa, M.D., M.P.H., Director, Clinical and Health Services Research, National Institute on Minority Health and Health Disparities
Gregory Germino, M.D., Deputy Director, NIDDK
Robert Star, M.D., Director, KUH, NIDDK
- 10:25 a.m. – 11:35 a.m.
- Racism and Health
Moderators: Keith Norris, M.D., Ph.D., University of California, Los Angeles (UCLA), and Milda Saunders, M.D., M.P.H., The University of Chicago
- Structural Racism and Health: Where Have We Been and Where Are We Going?
Kimberly Jacob Arriola, Ph.D., M.P.H., Emory University
- Interventions to Address Structural Racism: Challenges and Opportunities
Arleen Brown, M.D., Ph.D., UCLA
- Structural Racism, Housing, and Health Equity
Danya Keene, Ph.D., Yale School of Public Health
- Advancing Health Equity Through Payment and Delivery System Reform: An Anti-racist Lens
Marshall Chin, M.D., M.P.H., The University of Chicago
- General Discussion/Q&A
- 11:35 a.m. – 11:45 a.m.
- Break
- 11:45 a.m. – 12:35 p.m.
- Racism and Kidney Disease
Moderators: Janice Lea, M.D., M.Sc., Emory University, and Dinushika Mohottige, M.D., M.P.H. Duke University
- Racism and Risk Factors for Chronic Kidney Disease
Nwamaka Eneanya, M.D., M.P.H., University of Pennsylvania
- Racism and Dialysis Care and Outcomes
Rudolph Rodriguez, M.D., University of Washington
- Achieving Health Equity in Renal Disease: Transplantation as a Model
Winfred Williams, Jr., M.D., Massachusetts General Hospital
- General Discussion/Q&A
- 12:35 p.m. – 1:00 p.m.
- Lunch
- 1:00 p.m. – 2:00 p.m.
- Interventions—What Has Worked and What Hasn’t Worked? What’s Possible?
Moderators: Neil Powe, M.D., M.P.H., University of California, San Francisco, and Ebele Umeukeje, M.D., M.P.H., Vanderbilt University
- The Special Diabetes Program for Indians: Interventions to Improve Diabetes and Kidney Health Disparities
Carmen Hardin, M.S.N., ANP-BC, Indian Health Service
- Health Care System Interventions/Implementation Science to Address Inequities in Transplant Care and Outcomes
Rachel Patzer, Ph.D., M.P.H., Emory University
- Community-Engaged and Advocacy Approaches to Mitigate Social Challenges for Patients Receiving Dialysis
Lilia Cervantes, M.D., University of Colorado Anschutz
- Community Level Interventions Addressing Food Apartheid and Its Impact on Kidney Disease Risk
Deidra Crews, M.D., Sc.M., Johns Hopkins University
- General Discussion/Q&A
- 2:00 p.m. – 2:30 p.m.
- Patient/Caregiver Panel
Moderators: Richard Knight, M.B.A., American Association of Kidney Patients, and Tanjala Purnell, Ph.D., M.P.H., Johns Hopkins University
Panelists: Claudia Camacho, Denver Health Medical Center; Dawn Edwards, Alabama A&M University; Patrick Gee, Ph.D., iAdvocate, Inc.; and Katina Lang-Lindsey, Ph.D., L.M.S.W., Alabama A&M University
- 2:30 p.m. – 2:35 p.m.
- Break
- 2:35p.m. – 3:55 p.m.
- Breakout Sessions
Charge: Identify Areas for Intervention and Measurable Outcomes
(Facilitators TBD)
- Group 1: Health Care System Interventions
- Group 2: Health Care System Interventions
- Group 3: Community and Public Health Interventions
- Group 4: Structural Interventions Addressing Upstream Causes
- 3:55 p.m. – 4:05 p.m.
- Break
- 4:05 p.m. – 5.25 p.m.
- Reports from Breakout Session
- 5:25 p.m. – 5:30 p.m.
- Summary of Day 1
- 5:30 p.m.
- Adjournment
February 25, 2022
- 10:00 a.m. – 10:10 a.m.
- Welcome and Recap of Day 1
- 10:10 a.m. – 10:40 a.m.
- Plenary Session
- Excuse Me. Can You Tell Me How to Get to Social Justice?
Derek Griffith, Ph.D., Georgetown University
- General Discussion/Q&A
- 10:40 a.m. – 12:40 p.m.
- Breakout Session
Charge: Discuss Approaches/Strategies/Study Designs Needed to Evaluate Potential Interventions
(Same Groups and Facilitators as Day 1)
- Group 1: Health Care System Interventions
- Group 2: Health Care System Interventions
- Group 3: Community and Public Health Interventions
- Group 4: Structural Interventions Addressing Upstream Causes
- 12:40 p.m. – 1:30 p.m.
- Lunch
- 1:30 p.m. – 3:50 p.m.
- Reports from Breakout Groups with Discussion and Synthesis
- 3:50 p.m. – 4:00 p.m.
- Closing Comments
Robert Star, M.D., Director, KUH, NIDDK
- 4:00 p.m.
- Adjournment
