Health Inequality - Publications - Faculty & Research - Harvard Business School

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September 2024
Case

The Health Equity Accelerator at Boston Medical Center

By: Susanna Gallani, Mary Witkowski and Katie Sonnefeldt

This case describes how Boston Medical Center, a hospital and safety net organization, changed its strategic approach to health equity after realizing that previous efforts were not sufficient to address the health disparities among their patients. In 2021, the Health... View Details

Keywords: Health Care and Treatment; Health Disorders; Innovation and Management; Innovation Leadership; Innovation Strategy; Adaptation; Business Strategy; Mission and Purpose; Decisions; Organizational Change and Adaptation; Organizational Structure; Diversity; Race; Ethnicity; Urban Scope; Local Range; Equality and Inequality; Health Industry; Boston

April 2024 (Revised July 2024)
Case

Market Dynamics and Moral Dilemmas: Novo Nordisk’s Weight-Loss Drugs

By: Joseph L. Badaracco, Tom Quinn and John Schultz

Danish pharmaceutical company Novo Nordisk was owned by a charitable foundation, and since its founding in the 1920s had focused on producing insulin to treat diabetes. In 2017, however, it released Ozempic, a diabetes treatment with the revolutionary side effect of... View Details

February 2024
Article

An Economic Framework for Vaccine Prioritization

By: Mohammad Akbarpour, Eric Budish, Piotr Dworczak and Scott Duke Kominers

We propose an economic framework for determining the optimal allocation of a scarce supply of vaccines that become gradually available during a public health crisis, such as the Covid-19 pandemic. Agents differ in observable and unobservable characteristics, and the... View Details

Keywords: Vaccine; Fairness; Public Finance; Public Goods; Allocation Problems; Allocative Efficiency; Allocation Rules; Social Welfare; Pandemics; Inequality; COVID-19; COVID-19 Pandemic; Public Sector; Resource Allocation; Market Design; Marketplace Matching; Public Administration Industry

February 2024
Article

Representation and Extrapolation: Evidence from Clinical Trials

By: Marcella Alsan, Maya Durvasula, Harsh Gupta, Joshua Schwartzstein and Heidi L. Williams

This article examines the consequences and causes of low enrollment of Black patients in clinical trials. We develop a simple model of similarity-based extrapolation that predicts that evidence is more relevant for decision-making by physicians and patients when it... View Details

Keywords: Representation; Racial Disparity; Health Testing and Trials; Race; Equality and Inequality; Innovation and Invention; Pharmaceutical Industry

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January 2024
Article

A Cost Model for a Low Threshold Clinic Treating Opioid Use Disorder

By: Sarah E. Wakeman, Elizabeth Powell, Syed Shehab, Grace Herman, Laura Kehoe and Robert S. Kaplan

The US fee-for-service payment system under-reimburses clinics offering access to comprehensive treatments for opioid use disorder (OUD). The funding shortfall limits a clinic’s ability to expand and improve access, especially for socially marginalized patients with... View Details

Keywords: Health Care and Treatment; Cost; Equality and Inequality; Health Industry

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March 2023 (Revised March 2025)
Case

Close Concerns: Diabetes Research and Advocacy

By: Regina Herzlinger and Brian L. Walker

Diagnosed with diabetes at the age of 18, Kelly Close understood the importance of balancing consistency and iteration. This principle had also informed her professional work, which started with a rapid promotion from financial analyst at Goldman Sachs to an analyst... View Details

Keywords: Diabetes; Health; Health Care; Health Care And Treatment; Health Care Outcomes; Health Care Industry; Knowledge Dissemination; Outcome or Result; Equality and Inequality; Business Model; Entrepreneurship

January 2023
Case

Natura: Weathering the Pandemic at Brazil's Cosmetic Giant

By: Brian Trelstad, Pedro Levindo and Carla Larangeira

Brazil's Natura, a multi-brand cosmetics group, has taken several measures to safeguard the livelihoods of its thousands of employees and millions of sales representatives during the COVID-19 health and economic crisis. The company has also made strides in its efforts... View Details

Winter 2022
Article

Distributing a Billion Vaccines: COVAX Successes, Challenges, and Opportunities

By: Eric Budish, Hannah Kettler, Scott Duke Kominers, Erik Osland, Canice Prendergast and Andrew A. Torkelson

By January 2022, the COVAX international vaccine collaboration had allocated over a billion vaccines to over 140 countries. We describe and review the allocation process chosen, which reflected both an objective of equitably distributing vaccines across the world and... View Details

Keywords: Vaccines; Pandemics; Health Care and Treatment; Health Pandemics; Distribution; Supply Chain; Equality and Inequality

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November 2022
Article

Measuring Inequality beyond the Gini Coefficient May Clarify Conflicting Findings

By: Kristin Blesch, Oliver P. Hauser and Jon M. Jachimowicz

Prior research has found mixed results on how economic inequality is related to various outcomes. These contradicting findings may in part stem from a predominant focus on the Gini coefficient, which only narrowly captures inequality. Here, we conceptualize the... View Details

Keywords: Economic Inequalty; Gini Coefficient; Income Inequality; Equality and Inequality; Social Issues; Health; Status and Position

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October 2022
Case

Afrigen Biologics: Vaccines for the Global South

By: Debora L. Spar and Julia Comeau

The majority of vaccines used on the continent of Africa (99%) are produced offshore. This makes African nations reliant on the West for major health care needs, a problem which was exacerbated by the COVID-19 pandemic. Afrigen Biologics (in partnership with the WHO)... View Details

Keywords: Vaccination; Vaccine; mRNA; COVID; COVID-19; Inequity; Hub-and-spoke; Health Care and Treatment; Health Pandemics; Production; Social Issues; Business and Government Relations; South Africa; Africa

September 2022
Case

HPP: Tapping the Netherlands’ Potential

By: Brian Trelstad and Idelès Kaandorp

Stichting Het Potentieel Pakken (HPP) was launched to solve a systemic problem in the Dutch Labor Market: gender inequity that was leading to a large number of women to work part-time in fields that were in desperately short supply of labor, like health care, child... View Details

Keywords: COVID-19 Pandemic; Grants; Scaling And Growth; Nonprofit Organizations; Opportunities; Gender; Income; Employment; Health Care and Treatment; Human Capital; Mission and Purpose; Motivation and Incentives; Growth and Development Strategy; Health Industry; Health Industry; Health Industry; Health Industry; Europe; Netherlands

August 29, 2022
Other Article

Income Inequality Is Rising. Are We Even Measuring It Correctly?

By: Jon M. Jachimowicz, K. Blesch and Oliver P. Hauser

Income inequality is on the rise in many countries around the world, according to the United Nations. What’s more, disparities in global income were exacerbated by the COVID-19 pandemic, with some countries facing greater economic losses than others. Policymakers... View Details

Keywords: Income Inequality; Gini Coefficient; COVID-19 Pandemic; Government Administration; Equality and Inequality; Health Pandemics; Measurement and Metrics

April 27, 2022
Article

Inequality in Researchers' Minds: Four Guiding Questions for Studying Subjective Perceptions of Economic Inequality

By: Jon M. Jachimowicz, Shai Davidai, Daniela Goya-Tocchetto, Barnabas Szaszi, Martin Day, Stephanie Tepper, L. Taylor Phillips, M. Usman Mirza, Nailya Ordabayeva and Oliver P. Hauser

Subjective perceptions of inequality can substantially influence policy attitudes, public health metrics, and societal well-being, but the lack of consensus in the scientific community on how to best operationalize and measure these perceptions may impede progress on... View Details

Keywords: Equality and Inequality; Perception; Analysis

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March 8, 2022
Article

Women Can’t Go Back to the Pre-Pandemic Status Quo

By: Colleen Ammerman and Boris Groysberg

Survey data collected in 2018 and 2019 from Harvard Business School graduates revealed that for women—and especially women of color—well-being at work was suffering long before the pandemic. While 17% of all respondents said that they often or very often experienced... View Details

Keywords: Women; Burnout; Gender; Race; Resignation and Termination; Well-being; Employees

Article

Health Equity, Schooling Hesitancy, and the Social Determinants of Learning

By: Meira Levinson, Alan C. Geller, Joseph G. Allen and John D. Macomber

At least 62 million K-12 students in North America—disproportionately low-income children of color— have been physically out of school for over a year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm... View Details

Keywords: COVID-19; Public Health; Air Quality; Social Determinants Of Health; Schooling Hesitancy; Vaccine Hesitancy; Racial Injustice; Inequity; Inequality; Health Pandemics; Education; Health Care and Treatment; Policy; Race; Equality and Inequality

2021
Working Paper

The Great Unequalizer: Initial Health Effects of COVID-19 in the United States

By: Marcella Alsan, Amitabh Chandra and Kosali I. Simon

We measure inequities from the COVID-19 pandemic on mortality and hospitalizations in the United States during the early months of the outbreak. We discuss challenges in measuring health outcomes and health inequality, some of which are specific to COVID-19 and others... View Details

Keywords: COVID-19; Health Inequality; Health Pandemics; Demographics; Equality and Inequality

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2021
Article

Fair Influence Maximization: A Welfare Optimization Approach

By: Aida Rahmattalabi, Shahin Jabbari, Himabindu Lakkaraju, Phebe Vayanos, Max Izenberg, Ryan Brown, Eric Rice and Milind Tambe

Several behavioral, social, and public health interventions, such as suicide/HIV prevention or community preparedness against natural disasters, leverage social network information to maximize outreach. Algorithmic influence maximization techniques have been proposed... View Details

2022
Article

Gender Inequality in Research Productivity During the COVID-19 Pandemic

By: Ruomeng Cui, Hao Ding and Feng Zhu

We study the disproportionate impact of the lockdown as a result of the COVID-19 outbreak on female and male academics' research productivity in social science. The lockdown has caused substantial disruptions to academic activities, requiring people to work from home.... View Details

Keywords: Gender Inequality; Research Productivity; Telecommuting; COVID-19 Pandemic; Research; Performance Productivity; Gender; Equality and Inequality; Health Pandemics

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2020
Working Paper

Hospital Allocation and Racial Disparities in Health Care

By: Amitabh Chandra, Pragya Kakani and Adam Sacarny

We develop a simple framework to measure the role of hospital allocation in racial disparities in health care and use it to study Black and white Medicare patients who are treated for heart attacks—a condition where virtually everyone receives care, hospital care is... View Details

Keywords: Health Care and Treatment; Equality and Inequality; Race; Analysis

September 2020
Teaching Note

West Side United: Hospitals Tackle the Racial Health and Wealth Gap

By: Rosabeth Moss Kanter and Joyce J. Kim

Teaching Note for HBS Case No. 321-026. View Details

Keywords: COVID-19; COVID; Hospital; Coalition; Health Pandemics; Race; Health; Wealth and Poverty; Equality and Inequality; Change; Leadership; Chicago

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