The 24-Hour Workday for New York State Home Health Care Workers: Institutional Racism in Health Care Delivery

Doris W. Chiu, Sarah Ahn, Anne Kochman, Makini Chisolm-Straker

Research output: Contribution to journalArticlepeer-review

Abstract

Racism named as a public health issue largely focuses on those at the care-receiving end of health care. Home health care workers (HHCWs) are predominantly Black, immi-grant, and women; in New York state it is illegal for HHCWs to work 24 consecutive hours, but homecare agencies assign HHCWs to 24-hour shifts and only pay for 13 hours of work. The demanding work of HHCWs increases their risk for and experiences of injury, depres-sion, cardiovascular disease, and cerebrovascular events. This manifestation of exploitation illustrates that racism affects health care workers as well as the public.

Original languageEnglish
Pages (from-to)1121-1128
Number of pages8
JournalJournal of Health Care for the Poor and Underserved
Volume34
Issue number3
DOIs
StatePublished - Aug 2023

Keywords

  • 24-hour work shifts
  • Institutional racism
  • exploitation
  • health equity
  • home health care workers
  • institutional sexism
  • occupational health
  • public health crisis

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