Funding Initiative: Effect of Racial and Ethnic Discrimination/ Bias on Health Care Delivery (R01/R21/R03)

Program Announcements


The purpose of this funding initiative is:

  • To improve the measurement of racial/ethnic discrimination in healthcare delivery systems through improved instrumentation, data collection, and statistical/analytical techniques.
  • To enhance understanding of the influence of racial/ethnic discrimination in healthcare delivery and its association with disparities in disease incidence, treatment, and outcomes among disadvantaged racial/ethnic minority groups.
  • To reduce the prevalence of racial/ethnic health disparities through the development of interventions to reduce the influence of racial/ethnic discrimination on healthcare delivery systems in the United States (US).

All proposed studies should be sufficiently powered to provide adequate control for potential confounders including, but not limited to, gender, age, income, disability, and other factors that might explain racial/ethnic differences in study outcomes. Applicants are encouraged to submit applications that go beyond simply identifying an association between race and an outcome as the sole measure of racial/ethnic discrimination. Studies that measure the prevalence, causes, and effects of racial discrimination; explanatory mechanisms that lead to discriminatory behavior and mediating factors; and processes in health delivery systems are of particular interest.

Research Objectives

  • Descriptive and analytical studies that examine racial/ethnic discrimination as a risk factor for racial/ethnic disparities in disease incidence, treatment, and outcomes.
  • The development of data resources including the identification and/or development of new data collection modalities and the evaluation of existing data collection instruments/modalities.
  • Development of innovative methods of measuring racial/ethnic discriminatory behavior, perception of exposure to racial/ethnic discrimination, and novel approaches to the analysis of quantitative and qualitative data for the purpose of describing discriminatory behavior and exposure to racial/ethnic discrimination.
  • Studies that examine the impact of health delivery system practices and policies such as patient “dumping,” Medicare nursing care bed certification limits, privatization, closure or relocation of public hospitals, or other policies that may adversely affect the supply of racial/ethnic minority healthcare providers and how this might relate to racial/ethnic disparities in access to care, health status and outcomes.
  • Eligible organizations include, but are not limited to regional organizations, faith-based or community-based organizations, or other eligible agencies of the Federal government.


Veronica Chollette, RN, MS
Program Director
Process of Care Research Branch
Behavioral Research Program
Division of Cancer Control and Population Sciences
National Cancer Institute
6130 Executive Blvd., Room 4100
Rockville, MD 20852
301-435-2837 (voice)
301-480-6637 (fax)