Racial Disparity - 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; Health Industry; Boston

July 2024
Article

Mass General Brigham’s Patient-Reported Outcomes Measurement System: A Decade of Learnings

By: Jason B. Liu, Robert S. Kaplan, David W. Bates, Mario O. Edelen, Rachel C. Sisodia and Andrea L. Pusic

This article describes the strategies that leaders at the Mass General Brigham (MGB) health system have used in launching a standardized patient-reported outcome measure (PROM) collection program in 2012, a major step in the value-based transformation of health care.... View Details

Keywords: Patient-reported Outcomes; Value Based Health Care; Health Care and Treatment; Transformation; Outcome or Result; Organizational Change and Adaptation; Performance Improvement; Health Industry

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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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2023
Working Paper

Applications or Approvals: What Drives Racial Disparities in the Paycheck Protection Program?

By: Sergey Chernenko, Nathan Kaplan, Asani Sarkar and David S. Scharfstein

We use the 2020 Small Business Credit Survey to study the sources of racial disparities in use of the Paycheck Protection Program (PPP). Black-owned firms are 8.9 percentage points less likely than observably similar white-owned firms to receive PPP loans. About 55% of... View Details

Keywords: Borrowing and Debt; Small Business; Race; Financing and Loans

April 2023
Article

Racial Inequality in Work Environments

By: Letian Zhang

This article explores racial stratification in work environments. Inequality scholars have long identified racial disparities in wage and occupational attainment, but workers’ careers and well-being are also shaped by elements of their work environment, including firm... View Details

Keywords: Discrimination; Race; Equality and Inequality; Working Conditions; Personal Development and Career; Organizational Culture

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2023
Working Paper

The Limits of Algorithmic Measures of Race in Studies of Outcome Disparities

By: David S. Scharfstein and Sergey Chernenko

We show that the use of algorithms to predict race has significant limitations in measuring and understanding the sources of racial disparities in finance, economics, and other contexts. First, we derive theoretically the direction and magnitude of measurement bias in... View Details

Keywords: Racial Disparity; Paycheck Protection Program; Measurement Error; AI and Machine Learning; Race; Measurement and Metrics; Equality and Inequality; Prejudice and Bias; Forecasting and Prediction; Outcome or Result

2022
Working Paper

Distributional Consequences of Monetary Policy Across Races: Evidence from the U.S. Credit Register

By: Laura Alfaro, Ester Faia and Camelia Minoiu

We examine the consequences of monetary policy on racial disparities, focusing on the role of bank lending to firms through collateral and selection channels. Leveraging comprehensive loan-level data from the U.S. credit register (Y-14Q) of the Federal Reserve, we show... View Details

Keywords: Monetary Policy Transmission; Inequity; Credit Registry; Wealth; Collateral Channel; Selection; Racial Disparity; Racial Inequality; Equality and Inequality; Banks and Banking; Credit; Governing Rules, Regulations, and Reforms; Banking Industry; United States

Article

Creating High-Impact Coalitions: CEOs Can Lead the Charge on Society’s Biggest Problems

By: Rosabeth M. Kanter and Tuna Cem Hayirli

Traditionally, responses to crises and societal problems—the COVID-19 pandemic, natural disasters, racial inequities—are considered the responsibility of the public sector and NGOs. But addressing the world’s most critical problems requires leadership, resources, and... View Details

Keywords: Coalition; Change; Problem Solving; Organization; Boundaries; Evolution; Mission; Moral Leadership; Balance; ＂Solutions Approach; Society; Problems and Challenges; Organizations; Mission and Purpose; Leading Change; Trust

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March 2022
Background Note

Climate Challenges for Cities: Introduction to Issues and Actions in the United States

By: Rosabeth Moss Kanter and Catarina Mia Martinez

This background Note introduces the implications of climate change (global warming) for American cities. In the U.S., partisan political divides and unaddressed economic and racial disparities in climate vulnerabilities can inhibit action. The two main fronts for... View Details

2021
Working Paper

Racial Disparities in the Paycheck Protection Program

By: Sergey Chernenko and David S. Scharfstein

Using a large sample of Florida restaurants, we document significant racial disparities in borrowing through the Paycheck Protection Program (PPP) and investigate the causes of these disparities. Black-owned restaurants are 25% less likely to receive PPP loans.... View Details

Keywords: Discrimination; Paycheck Protection Program; Economic Injury Disaster Loans; Bank Lending; Nonbank Lending; Banks and Banking; Financing and Loans; Prejudice and Bias; Race

January 17, 2022
Article

Reducing Racial Disparities in Cancer Outcomes

By: Kathy Giusti and Richard G. Hamermesh

A disproportionate number of Black patients die from cancer in the United States. A key to addressing this problem is enrolling more Black patients in clinical trials. A strategy consisting of these three parts can help accomplish this goal: 1) centralize information... View Details

Keywords: Cancer Trials; Racial Disparity; Health Testing and Trials; Race; Strategy

September–October 2021
Article

Frontiers: Can an AI Algorithm Mitigate Racial Economic Inequality? An Analysis in the Context of Airbnb

By: Shunyuan Zhang, Nitin Mehta, Param Singh and Kannan Srinivasan

We study the effect of Airbnb’s smart-pricing algorithm on the racial disparity in the daily revenue earned by Airbnb hosts. Our empirical strategy exploits Airbnb’s introduction of the algorithm and its voluntary adoption by hosts as a quasi-natural experiment. Among... View Details

Keywords: Smart Pricing; Pricing Algorithm; Machine Bias; Discrimination; Racial Disparity; Social Inequality; Airbnb Revenue; Revenue; Race; Equality and Inequality; Prejudice and Bias; Price; Mathematical Methods; Accommodations Industry

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August 2021
Case

Zoom Video Communications: Building a Culture of Diversity, Equity, & Inclusion During COVID-19

By: Karen G. Mills, Scott Duke Kominers, Christopher Stanton, Andy Wu, George Gonzalez and Gabriella Elanbeck

Keywords: Diversity Management; Diversity Training; Cultural Change; Cultural Diversity; Inclusion; Inclusive Growth; Inclusive Hiring; Hiring; Hiring Of Employees; Recruiting; Performance Management; Change Leadership; Race And Ethnicity; Racial Bias; Racial Disparity; Racial Injustice; Racial Tensions; Racism; Organization; Organization Process; Organization Structure; Structural/institutional Racism; Leadership And Change Management; Leadership And Managing People; Leading; Gender Bias; Discrimination; Inequalities; Inequality; Social Change; Employee Attitude Development And Empowerment; Employee Bonding; Employee Empowerment; Employee Engagement; Employee Fairness; Employee Morale; Employee Performance Management; Employee Relations; Company Culture; Company Values; Values; COVID-19 Pandemic; Demographics; Diversity; Age; Ethnicity; Gender; Business Processes; Change Management; Change; Race; Human Capital; Human Resources; Compensation and Benefits; Employees; Employee Relationship Management; Recruitment; Retention; Selection and Staffing; Jobs and Positions; Job Interviews; Leadership; Leading Change; Management; Management Teams; Business or Company Management; Crisis Management; Goals and Objectives; Growth and Development; Growth and Development Strategy; Growth Management; Management Style; Organizational Change and Adaptation; Organizational Culture; Organizational Design; Organizational Structure; Organizations; Mission and Purpose; Culture; Happiness; Prejudice and Bias; Satisfaction; Equity; Identity; Leadership Style; Values and Beliefs; Technology Industry; United States

June 2021
Supplement

Linda Oubré at Whittier College (B)

By: Debora L. Spar and Haley P. Brown

The case follows President Linda Oubré (HBS MBA Class of 1984) as she seeks to move Whittier College towards a more diverse, equitable, and inclusive campus.
In 2020, the student body of Whittier, a private liberal arts college in Los Angeles County, California,... View Details

Keywords: Women And Leadership; Racial Disparity; Higher Education; Education; Diversity; Race; Change Management; Gender; Los Angeles; California; United States

June 2021
Supplement

Linda Oubré at Whittier College (C)

By: Debora L. Spar and Haley P. Brown

The case follows President Linda Oubré (HBS MBA Class of 1984) as she seeks to move Whittier College towards a more diverse, equitable, and inclusive campus.
In 2020, the student body of Whittier, a private liberal arts college in Los Angeles County, California,... View Details

Keywords: Women And Leadership; Racial Disparity; Higher Education; Education; Diversity; Race; Change Management; Gender; Los Angeles; California; United States

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
Case

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

By: Rosabeth Moss Kanter and Paul Stramaglia

During the COVID-19 pandemic, Dr. David Ansell, Darlene Hightower, and Ayesho Jaco, leaders of West Side United (WSU), a coalition of Chicago hospitals, community residents, banks, and small businesses conceived in 2016, reviewed progress toward WSU’s goal of ending... View Details

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

Forthcoming
Article

Differentiating on Diversity: How Disclosing Workforce Diversity Influences Consumer Choice

By: Maya Balakrishnan, Jimin Nam and Ryan W. Buell

Companies are facing increased pressure to “walk the talk” on diversity, equity, and inclusion (DEI) in their operations. One specific call-to-action from stakeholders is the public disclosure of EEO-1s. Companies with 100+ employees are federally mandated to annually... View Details

Keywords: Consumer Behavior; Corporate Disclosure; Diversity; Employees; Perception

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