Tuesday, April 17, 2012

summary Research on Race/Ethnicity and Health Care Discrimination: Where We Are and Where We Need to Go

disparities in health observed for racial/ethnic minority populations.   However, often little information or consideration is given to the social history and current social climate that is responsible for racial/ethnic socioeconomic disparities, namely, the role of racism/racial discrimination. The research on health disparities has focused on the relationship between demographic/clinical characteristics and health outcomes in main-effects multivariate models. This article explores the effect of targeted marketing of harmful products and environmental justice is also discussed as they relate to racial/ethnic disparities in health. Her study revolves around the Racial/ethnic disparities in health are the result of a combination of social factors that influence exposure to risk factors, health behavior and access to and receipt of appropriate care. This article I found will help my paper delivery the views of literature that has been conducted on the role that discrimination in education, housing, employment, the judicial system and the healthcare system plays in the origination without being bias.

Precis Research on Race/Ethnicity and Health Care Discrimination: Where We Are and Where We Need to Go


Shavers have done research with a 2008 nationwide Gallup Poll conducted June 5–6, 2008, 56% of those surveyed agreed that racism against African Americans was widespread. Data from the National Latino and Asian American Study show that 30% of Latinos perceived that they had been discriminated against. The purpose of this study was to investigate the biases, stereotypes and prejudices prevalent in the general community held by our medical or other institutions. The research was focus on the year 2008 United Nations Committee on the Elimination of Racial Discrimination (CERD) urged then President George W. Bush’s administration to “take effective actions to end racist practices against minorities in the United States in areas of criminal justice, housing, healthcare and education. Through this study this help the author develop an understanding the awareness of racial/ethnic disparities in access to care, receipt of treatment, health status, and health outcomes. This research will help my paper because it provides meaningful data and insight number of factors are posited to underlie these disparities including socioeconomic status, lack of health care knowledge, cultural beliefs and preferences, and racial/ethnicity-based discrimination

Summary Aversive Racism and Medical Interactions with Black Patients


In the article, “Aversive Racism and Medical Interactions with Black Patients “by Louis A. Penner, John F. Dovidio, Tessa V. West and etc. The argument of the scholarly article dialogs how racism in the medical field between black and nonblack patients are less helpful and creative than the same race getting help in the healthcare. According to the authors approximately 75% of all medical interactions for Black patients in the US are “racially discordant” that is, they involve nonblack health care providers. Moreover, relative to racially concordant medical interactions, racially discordant interactions are characterized by less patient trust, less positive affect, fewer attempts at relationship building, and less joint decision-making. Although provider bias has been proposed as a contributor to such outcomes in racially discordant interactions, it has not, as far as we know, been directly investigated. Therefore, more often it is not always reported. The question is how these problems can be approached to help reduce aversive racism. So, according to “Aversive Racism and Medical Interactions with Black Patients,” there are mixed messages conveyed by aversive racists during interracial interactions can interfere with effective social coordination and jointly affect Blacks and nonblack’ abilities to work together successfully. For example, dyads consisting of a black participant and a white aversive racist performed less effectively than dyads involving blacks with whites who had in agreement with explicit and implicit attitudes and ironically, even those with high explicit and high implicit bias.


Precis Aversive Racism and Medical Interactions with Black Patients


In their article, “Aversive Racism and Medical Interactions with Black Patients: A medical interactions between black patients and nonblack physicians are usually less positive and productive than same-race interaction Louis A. Penner, John F. Dovidio, Tessa V. West and etc., investigated the role that physician explicit and implicit biases play in shaping physician and patient reactions in racially discordant medical interactions. They hypothesized that whereas physicians’ explicit bias would predict their own reactions, physicians’ implicit bias, in combination with physician explicit (self-reported) bias, would predict patients’ reactions. They had done a study that predicted that patients would react most negatively when their physician fit the profile of an aversive racist. The theory of the study showed the effects of explicit bias on physicians’ reactions were partially supported. However the black patients had less positive reactions to medical interactions with physicians relatively low.

Summary Racism in Healthcare: Its Relationship to Shared Decision-Making and Health Disparities


In their article, “Racism in Healthcare: Its Relationship to Shared Decision-Making and Health Disparities: a response to Bradby,” Monica E. Peek, Angela Odoms-Young, PhD, Michael T Quinn conducted a study to point out the important questions about racism, patient/provider communication is U.S. health disparities. According to “Racism in Healthcare,” “There are three levels of racism: institutionalized racism, personally-mediated racism and internalized racism. Institutionalized racism, defined as differential access to goods, services, and opportunities by race, includes differential access to health insurance, which study participants described as a contributing factor to communication disparities between African-Americans and their physicians. It is imperative to note that institutional racism does not require personal bias commonly associated with term ‘racism.’ This type of racism, termed personally-mediated racism, is defined as prejudice. After going through the study, there were significant developments in these areas, with Prejudice and discrimination that may manifest as disrespect, poor service and failure to communicate options, all of which our study participants described in their experiences within the U.S. healthcare system. They attributed differential physician assumptions and behaviors (“they just talk right at the patient because they are black”) specifically to being African-American, indicating participants’ perceived influence of race on patient/physician encounters. There were studies that indicated the Healthcare providers may harbor racial biases personally mediated racism, and may be at increased risk of using stereotypes as cognitive short-cuts because of clinical encounter characteristics time pressure, high cognitive demand, limited resources and uncertainty. There is evidence that physicians hold stereotypes based on patient characteristics (race), which may influence their interpretation of patient behaviors and symptoms, and consequently their clinical decisions. For example, one study found that physicians were more likely, after controlling for confounding variables, to rate their African-American patients as less educated, less intelligent, more likely to abuse drugs and alcohol, and less likely to adhere to treatment documented the association between implicit physician bias and racial disparities in treatment. 

Precis Racism in Healthcare: Its Relationship to Shared Decision-Making and Health Disparities


In her article, “Racism in Healthcare: Its Relationship to Shared Decision-Making and Health Disparities: a response to Bradby,” Monica E. Peek, Angela Odoms-Young, PhD, Michael T recognizes that the important questions about racism, patient/provider communication is U.S. health disparities. In her article, she shows the conceptualize racism in healthcare and evidence for racism in the current U.S. healthcare system. In order to get her argument across, she shows disentangle racial discrimination from discrimination based on other social factors. Since “Racism in Healthcare” is a revolving is there evidence that link the patient/provider relationship and communication disparities to population-level health disparities. Are there potentially effective solutions to address institutional racism, particularly unconscious provider bias?

Working Thesis


Racism is one of the world’s foremost known issues throughout world’s history. Many people are not aware of how much racism still exists in our health care faculties. There have been a lot of problems concerning healthcare discrimination because it hasn’t only been towards the socioeconomic status, but also towards race.