TY - JOUR
T1 - Doctors' and nurses' explanations for racial disparities in medical treatment
AU - Clark-Hitt, Rose
AU - Malat, Jennifer
AU - Burgess, Diana J
AU - Friedemann-Sanchez, Greta
PY - 2010/2
Y1 - 2010/2
N2 - Racial inequality in medical treatment is a problem whose sources are not fully understood. To gain better insight into how race may affect treatment, semi-structured interviews were conducted with 26 doctors and nurses. Using an open coding scheme, the explanations of racial inequality in treatment were coded by two people. Four major categories of responses emerged to explain why Black patients are less likely to receive the same levels of medical care as Whites: access to care, physician bias, Black patients' perceived shortcomings, and White patients' demands. Interviewees commonly cited access and patient factors before naming physician bias. The majority questioned the validity of studies reporting disparities. Educational campaigns should emphasize evidence that racial disparities persist even after controlling for factors such as insurance and patient characteristics. Educational programs should also address subconscious racial bias and how it may operate in a clinical setting.
AB - Racial inequality in medical treatment is a problem whose sources are not fully understood. To gain better insight into how race may affect treatment, semi-structured interviews were conducted with 26 doctors and nurses. Using an open coding scheme, the explanations of racial inequality in treatment were coded by two people. Four major categories of responses emerged to explain why Black patients are less likely to receive the same levels of medical care as Whites: access to care, physician bias, Black patients' perceived shortcomings, and White patients' demands. Interviewees commonly cited access and patient factors before naming physician bias. The majority questioned the validity of studies reporting disparities. Educational campaigns should emphasize evidence that racial disparities persist even after controlling for factors such as insurance and patient characteristics. Educational programs should also address subconscious racial bias and how it may operate in a clinical setting.
KW - Educational programs to reduce disparities
KW - Provider perceptions
KW - Racial disparities in health care
KW - White patient demands
UR - http://www.scopus.com/inward/record.url?scp=77249089357&partnerID=8YFLogxK
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U2 - 10.1353/hpu.0.0275
DO - 10.1353/hpu.0.0275
M3 - Article
C2 - 20173277
AN - SCOPUS:77249089357
SN - 1049-2089
VL - 21
SP - 386
EP - 400
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 1
ER -