Objectives: This novel critical transdisciplinary scoping review examined the literature on integrated care pathways that consider Black people living with traumatic brain injury (TBI). The objectives were to (a) summarize the extent, nature, and range of literature on care pathways that consider Black populations, (b) summarize how Blackness, race, and racism are conceptualized in the literature, (c) determine how Black people come to access care pathways, and (d) identify how care pathways in research consider the mechanism of injury and implications for human occupation. Methods: Six databases were searched systematically identifying 178 articles after removing duplicates. In total, 43 articles on integrated care within the context of Black persons with TBI were included. Narrative synthesis was conducted to analyze the data and was presented as descriptive statistics and as a narrative to tell a story. Findings: All studies were based in the United States where 81% reported racial and ethnic disparities across the care continuum primarily using race as a biological construct. Sex, gender, and race are used as demographic variables where statistical data were stratified in only 9% of studies. Black patients are primarily denied access to care, experience lower rates of protocol treatments, poor quality of care, and lack access to rehabilitation. Racial health disparities are disconnected from racism and are displayed as symptoms of a problem that remains unnamed. Conclusion: The findings illustrate how racism becomes institutionalized in research on TBI care pathways, demonstrating the need to incorporate the voices of Black people, transcend disciplinary boundaries, and adopt an anti-racist lens to research.

目标：这项新颖的批判性跨学科范围界定审查检查了有关考虑黑人患有创伤性脑损伤 (TBI) 的综合护理途径的文献。目标是 (a) 总结关于考虑黑人人口的护理途径的文献的范围、性质和范围，(b) 总结文献中黑人、种族和种族主义是如何概念化的，(c) 确定黑人是如何来的访问护理途径，以及 (d) 确定研究中的护理途径如何考虑伤害机制和对人类职业的影响。方法：系统地搜索了六个数据库，在删除重复项后确定了 178 篇文章。总共包括 43 篇关于黑人脑外伤患者综合护理的文章。进行了叙事综合以分析数据，并以描述性统计数据和讲述故事的叙述形式呈现。发现：所有研究均基于美国，其中 81% 的研究报告了整个护理连续体中的种族和民族差异，主要使用种族作为生物结构。性别、性别和种族被用作人口统计变量，其中只有 9% 的研究对统计数据进行了分层。黑人患者主要无法获得医疗服务，接受治疗的比例较低，医疗质量差，并且无法获得康复服务。种族健康差异与种族主义脱节，并显示为仍未命名的问题的症状。结论：研究结果说明了种族主义如何在 TBI 护理途径研究中制度化，表明需要纳入黑人的声音、超越学科界限并采用反种族主义视角进行研究。