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Where Has 'Equity' Gone in I&D and Healthcare Hiring?

Where has Equity Gone in I&D and Healthcare Hiring?

In a significant move announced via LinkedIn on July 9th, the Society for Human Resource Management (SHRM) made the decision to remove "Equity" from its Diversity, Equity, and Inclusion (DEI) framework. This shift reflects a focus on the areas of Diversity and Inclusion, which SHRM stated are more widely understood and accessible to the general public. This decision has sparked widespread debate, particularly in sectors like healthcare, where equity plays a crucial role in hiring practices and patient care. Let's dive into Where Has 'Equity' Gone in I&D and Healthcare Hiring?


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Where Has 'Equity' Gone in I&D and Healthcare Hiring?


History: The Addition of Equity into I&D Hiring Processes

The Society for Human Resource Management (SHRM) began discussing equity in the context of diversity and inclusion (DE&I) in 2015, starting with gender pay equity. The incorporation of equity into hiring practices emerged in response to growing awareness of systemic inequalities that prevent certain groups from accessing the same opportunities as others, even when they have similar qualifications or potential. SHRM recognized that addressing these disparities could create truly inclusive workplaces where all individuals could thrive. However, the concept of equity was found to lead to polarization and impede progress. 


To understand the implications of this decision, it's important to distinguish between equity and equality. Equality involves providing the same resources or opportunities to everyone, regardless of their circumstances. On the other hand, equity takes into account the varying needs and barriers individuals face and provides resources to those disparaged individuals so they can compete on the same level as other candidates. In healthcare, the goal of including equitable hiring practices is to create a workforce that can effectively serve a diverse patient population, addressing the specific needs of different groups.

Where Has 'Equity' Gone in I&D and Healthcare Hiring

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The Case for Equity in DEI

Equity incorporation into healthcare hiring practices emerged in response to growing awareness of systemic inequalities that prevent certain groups from accessing the same opportunities as others, even when they have similar qualifications or potential. SHRM recognized that addressing these disparities was essential for creating truly inclusive workplaces where potentially all individuals could thrive.


The impetus for adding equity to hiring practices stemmed from several key factors. One major influence was the increasing recognition of the role that systemic bias plays in the recruitment and promotion processes. Research and case studies highlighted how certain groups, particularly those from marginalized backgrounds, faced significant barriers in the hiring process, from biased job descriptions to unequal access to professional networks and mentorship opportunities. By focusing on equity, SHRM aimed to ensure that these barriers were identified and addressed, thus leveling the playing field for all candidates.


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In the healthcare industry, a diverse and equitable hiring process helps ensure that healthcare organizations are staffed by individuals who understand and can respond to the unique needs of different patient groups. Equity-driven hiring practices also contribute to reducing health disparities by fostering a more culturally competent workforce that can provide care that is sensitive to patients' cultural, social, and economic contexts.


By maintaining a focus on equity in hiring, healthcare organizations can potentially address systemic inequalities that may otherwise lead to a workforce that does not fully represent or understand the communities it serves. This approach supports the professional growth of individuals from underrepresented groups and enhances the overall quality of care provided to patients.


Equity-driven hiring practices can contribute to a more inclusive and supportive workplace culture. When employees feel that their organization values diversity and is committed to creating equal opportunities for all, they are more likely to feel engaged and satisfied with their work. This can lead to higher retention rates, lower turnover, and a more positive work environment, which are all critical factors in the success of healthcare organizations.


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The Argument for Equality versus Equity in Hiring Practices

Many argue that the emphasis on equity in hiring practices is problematic. Critics of equity initiatives often express concerns about the potential for reverse discrimination, where the focus on leveling the playing field for underrepresented groups inadvertently disadvantages others. By removing equity from the hiring equation, organizations can focus more on merit-based hiring practices, ensuring that the most qualified candidates are selected based on their skills and experience.


Another argument against equity in hiring is the belief that it may lead to tokenism, where individuals are hired or promoted primarily to fulfill diversity quotas rather than because they are the best fit for the role. This can undermine the confidence and credibility of those individuals, as well as the overall effectiveness of the organization. By focusing solely on diversity and inclusion, without the specific emphasis on equity, organizations can work towards building a diverse workforce without the potential pitfalls of equity-driven hiring practices.


By discluding equity from I&D initiatives, healthcare organizations remove the need to consider various social and economic factors that contribute to disparities. This can lead to faster hiring decisions, reduced administrative burden, and a more streamlined approach to building a diverse workforce based on clear, consistent criteria.


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Conclusion: Equality or Equity in Healthcare Hiring?

As the debate over the role of equity in hiring practices continues, one thing is clear--A Diverse and Inclusive workforce offers:

  • Innovation

    Diverse teams can lead to more creative problem-solving and innovative business solutions. 

  • Employee engagement

    A more inclusive environment can help employees feel heard and seen, which can increase engagement rates. 

  • Patient Care

    A diverse workforce can better understand the needs of diverse customer bases, which can lead to better customer service and stronger relationships. 

  • Talent pool

    Hiring for diversity can widen the talent pool and attract the best candidates. 

  • Employer branding

    Diversity hiring can improve employer branding and boost a company's reputation.


In the near future, it will be crucial to gather data and analyze the impact of DEI versus I&D on hiring, retention, and its impact on overall patient care. The data tells the story. By comparing the outcomes of organizations that prioritize DEI versus I&D, the healthcare industry can better understand which strategies are most effective in creating a strong, capable, and diverse workforce.


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Resources for Further Reading:


The ongoing conversation around equity in healthcare hiring practices is complex and multifaceted. While opinions may differ, the ultimate goal remains the same: to build a healthcare workforce that is capable of delivering high-quality care to all patients.


Join the Conversation! What do you think? Like, Follow, and Comment below.


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