State- and Provider-Level Racism and Health Care in the U.S.

Introduction: This study examines the associations between state-level and provider sources of racism and healthcare access and quality for non-Hispanic Black and White individuals.

Methods: Data from 2 sources were integrated: (1) data from the Association of American Medical Colleges' Consumer Survey of Health Care Access (2014-2019), which included measures of self-reported healthcare access, healthcare quality, and provider racial discrimination and (2) administrative data compiled to index state-level racism. State-level racism composite scores were calculated from federal sources (U.