Journal ArticleDOI
Attitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients
TLDR
Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care and when perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.Abstract:
The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.read more
Citations
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Journal ArticleDOI
A systematic review of empirical research on self-reported racism and health
TL;DR: These studies show an association between self-reported racism and ill health for oppressed racial groups after adjustment for a range of confounders, with strongest associations existing for negative mental health outcomes and health-related behaviours.
Journal ArticleDOI
Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
Lisa A. Cooper,Debra L. Roter,Rachel L. Johnson,Daniel E. Ford,Donald M. Steinwachs,Neil R. Powe +5 more
TL;DR: It is hypothesized that race concordance is associated with higher levels of communication behaviors that are considered patient centered, higher patient ratings of physicians' participatory decision making, and higher ratings of patient satisfaction.
Journal ArticleDOI
Trust in physicians and medical institutions: what is it, can it be measured, and does it matter?
TL;DR: A formal definition and conceptual model of trust is presented, with a review of the extent to which this model has been confirmed by empirical studies.
Journal ArticleDOI
Distrust, Race, and Research
TL;DR: Race remained strongly associated with a higher distrust score and even after controlling for markers of social class, African Americans were less trusting than white Americans.
Journal ArticleDOI
Social Determinants of Risk and Outcomes for Cardiovascular Disease A Scientific Statement From the American Heart Association
Edward P. Havranek,Mahasin S. Mujahid,Donald A. Barr,Irene V. Blair,Meryl S. Cohen,Salvador Cruz-Flores,George Davey-Smith,Cheryl Dennison-Himmelfarb,Michael S. Lauer,Debra W. Lockwood,Milagros C. Rosal,Clyde W. Yancy +11 more
TL;DR: An Institute of Medicine report documents the decline in the health status of Americans relative to people in other high-income countries, concluding that “Americans are dying and suffering from illness and injury at rates that are demonstrably unnecessary.
References
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Journal ArticleDOI
Race, gender, and partnership in the patient-physician relationship.
Lisa Cooper-Patrick,Joseph J. Gallo,Junius J. Gonzales,Hong Thi Vu,Neil R. Powe,Christine Nelson,Daniel E. Ford +6 more
TL;DR: The data suggest that African American patients rate their visits with physicians as less participatory than whites, however, patients seeing physicians of their own race rate their physicians' decision-making styles as more participatory.
Journal ArticleDOI
The Effect of Race and Sex on Physicians' Recommendations for Cardiac Catheterization
Kevin A. Schulman,Jesse A. Berlin,William Harless,Jon Kerner,Shyrl Sistrunk,Bernard J. Gersh,Ross Dube,Christopher K. Taleghani,Jennifer E. Burke,Sankey V. Williams,John M. Eisenberg,José J. Escarce +11 more
TL;DR: It is suggested that the race and sex of a patient independently influence how physicians manage chest pain.
Journal ArticleDOI
Under the shadow of Tuskegee: African Americans and health care.
TL;DR: This paper places the syphilis study within a broader historical and social context to demonstrate that several factors have influenced--and continue to influence--African American's attitudes toward the biomedical community.
Journal ArticleDOI
Attitudes and Beliefs of African Americans Toward Participation in Medical Research
TL;DR: African-American participants in this study described distrust of the medical community as a prominent barrier to participation in clinical research.
Journal ArticleDOI
Patient-physician racial concordance and the perceived quality and use of health care.
TL;DR: Findings confirm the importance of racial and cultural factors in the patient-physician relationship and reaffirm the role of black and Hispanic physicians in caring for black andHispanic patients.