accomplished without fixed numerical quotas, such affirmative diversity efforts are permissible under the U.S. Constitution. We think that it is time for those entities that maintain significant leverage over health professionals schools and training programs to exercise those incentives.

The committee offers three core recommendations to encourage definitive action by academic medical centers and health professions education institutions in support of the societal imperative to increase the diversity of the health-care workforce. They include:

Recommendation 6-1: HPEI governing bodies should develop institutional objectives consistent with community benefit principles that support the goal of increasing health-care workforce diversity including, but not limited to (1) ease financial and non-financial obstacles to URM participation (redistributive intent), (2) increase involvement of diverse local stakeholders in key decision-making processes (collaborative governance), and (3) undertake initiatives that are responsive to local, regional, and societal imperatives (response to local needs) (see Recommendation 5-4).

Recommendation 6-2: Health professions accreditation institutions should explore the development of new standards that acknowledge and reinforce efforts by HPEIs to implement community benefit principles as they relate to increasing health-care workforce diversity.

Recommendation 6-3: HPEIs should develop a mechanism to inform the public of progress toward and outcomes of efforts to provide equal health care to minorities, reduce health disparities, and increase the diversity of the health-care workforce.

Recommendation 6-4: Private and public entities (e.g., federal, state, and local governments) should convene major community benefit stakeholders (e.g., community advocates, academic institutions, health-care providers), to inform them about community benefit standards and to build awareness that placing a priority on diversity and cultural competency programs is a societal expectation of all institutions that receive any form of public funding.


Barnett K. 1997. The Future of Community Benefit: An Expanded Model for Planning and Assessing the Participation of Health Care Organizations in Community Health Improvement Activities. Berkeley, CA: Public Health Institute and the Western Consortium for Public Health. Published jointly with the AHA/HRET.

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