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Racism in healthcare in Europe: an umbrella review
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Description: Background: Racism has a great impact on the health of racialized groups, leading to greater morbidity and premature mortality. Racism can be defined as a form of social construction assembled within a network of social, economic and political relations in which groups of people are classified and hierarchically ordered through a historical process of racialization. The health system is one of the institutions in which racism is substantiated, posing a fundamental barrier to equitable healthcare. The vast majority of existing evidence of racism in healthcare has been conducted in the USA or the UK, being much scarce the studies in continental Europe. A lack of tradition on measuring race or ethnic origin does not mean the racialization processes had not been occurred, having effects on everyday lives of racialized groups, including healthcare access and experiences in healthcare delivery. Objective: The aim of this umbrella review is to summarize the scientific evidence on the barriers that compromise healthcare for racialized people in European health systems, as well as the impacts that racial discrimination in healthcare has on the health and use of healthcare system of racialized population in Europe. Methods: An umbrella review is carrying out. The literature search was conducted in four databases (Pubmed, PsycInfo, SCOPUS and Web of Science) in July 2024. Studies published between January 2010 and June 2024 in English, French and Spanish that report on the aim topic in Europe (EU+EFTA, not UK). Three reviewers will screen all abstracts and full texts independently and extract relevant information, including study characteristics and relevant findings. We used the software Rayyan for supporting the collective screening process. Results will be synthesized numerically and narratively.