Multi-Tiered Care: Investigating How Segregated Care Manifests at Academic Medical Centers
Daniel Neghassi, Medicine (in the Center for Family and Community Medicine)
Previous research has shown that healthcare delivery at academic medical centers is often segregated by insurance status, leading to disparate access and quality of care. Because people of color make up a disproportionate share of patients with public insurance, this constitutes de facto racial segregation.
This project explored how segregated care manifests at academic medical centers in New York City, including NewYork-Presbyterian–Columbia University Irving Medical Center. Specifically, the research team explored the difference in wait times between clinics serving primarily patients with Medicaid and faculty practices serving primarily patients with private insurance. The research team also gathered feedback from the patient community through focus groups and community events, and discuss findings with stakeholders.
This project was funded through the Addressing Racism: A Call to Action for Higher Education initiative of the Office of the Vice Provost for Faculty Advancement.