Why did white physicians neglect black patients in the late 19th century?
Best insight from top research papers
White physicians neglected black patients in the late 19th century due to deeply ingrained racial beliefs and systemic racism prevalent during that time. This neglect was further exacerbated by ineffective communication and lack of rapport-building behaviors in racially discordant patient-physician interactions, leading to shorter visit times and lower quality care for black patients. Studies have shown that even when white patients had positive attitudes towards black and women providers, they were less physiologically responsive to treatments administered by them, highlighting the underlying influence of race and gender biases on patient outcomes. To address these disparities, there is a growing recognition of the need to diversify the physician workforce to better reflect and serve the diverse patient populations they care for.
Answers from top 5 papers
More filters
| Papers (5) | Insight |
|---|---|
5 Citations | White physicians neglected black patients due to racial beliefs, financial constraints, and lack of connections to wealthier individuals, leading to delayed or refused care, derogatory treatment, and racial differentials in medical treatment. |
3 Citations | Not addressed in the paper. |
Open access•Book 01 Oct 2006 30 Citations | White physicians neglected black patients due to racist beliefs and faulty medical theories, viewing African Americans as inferior and even suitable for slavery based on perceived physiological differences. |
3 Citations | Not addressed in the paper. |
| Not addressed in the paper. |
Related Questions
Why is there a shortage of black donors for blood donation?4 answersThere is a shortage of Black donors for blood donation due to multifactorial reasons. African Americans have lower eligibility rates and higher deferral rates compared to whites, impacting their participation in blood donation efforts. Additionally, cultural barriers, such as fear of catching diseases, feeling faint, and distrust in the healthcare system, contribute to the underrepresentation of African Americans as blood donors. Specific to the South African population, historical policies and misconceptions have alienated Black donors, affecting donation rates. Efforts to increase African American blood donation involve targeted educational approaches, incorporating theories of behavior change, to motivate non-donors to participate in blood donation activities. By understanding these barriers and motivators, culturally tailored recruitment programs can be developed to address the shortage of Black blood donors.
How did the creation of black medical colleges in the 19th century useful?5 answersThe creation of black medical colleges in the 19th century was crucial in addressing the underrepresentation of African Americans in the medical field. These institutions, such as historically Black medical schools, played a significant role in training Black physicians, contributing to the diversity of the physician workforce. Despite facing challenges and closures, these schools, like Flint Medical College, Knoxville Medical College, Leonard Medical School, Louisville National Medical College, and the University of West Tennessee, could have collectively graduated thousands more African American doctors if they had remained open. The presence of such institutions not only provided educational opportunities but also helped in increasing the number of African American medical school graduates, highlighting the importance of creating medical education programs at historically Black colleges and universities for enhancing diversity in the medical profession.
How does patient race influence mistrust of physicians?5 answersPatient race can influence mistrust of physicians. Black patients and patients of color often face barriers to participating in clinical trials, including aggressive biology, younger age, socioeconomic challenges, and lack of trust in physicians and clinical trials. These barriers are often associated with Black race and can impact decision-making for participation in optimization clinical trials. Additionally, Black cancer patients' existing race-related beliefs and attitudes, such as perceived past discrimination, general mistrust of physicians, and suspicion of healthcare systems, can predict their responses in clinical interactions, including less positive affect, negative evaluations of physicians, and negative evaluations of recommended treatments. Racial/ethnic differences in physician distrust are complex and vary geographically and individually, with lower socioeconomic status generally associated with higher levels of distrust, but modified by race/ethnicity. Patient-physician race concordance has been found to decrease mistrust and improve patient outcomes, particularly for patients with less serious illnesses and nonspecific symptoms.
Doctoring the South: Southern Physicians and Everyday Medicine in the Mid-Nineteenth Century3 answersSouthern physicians in the mid-nineteenth century played moral and practical roles in their communities through their medical practice. They followed a "country orthodoxy" that valued the art of medicine and provided caregiving rooted in individual experience, moral values, and a consciousness of place and time. Historians have emphasized the importance of studying the everyday practice of medicine through personal records and archives, rather than relying solely on published accounts of the medical elite. This approach has shed light on the close relationship between medicine and regional culture in the South, where factors such as climate, race, and assumptions about "southernness" influenced illness and healing. Additionally, studies have shown that medical history offers insights into understanding slavery and race in the South, as well as the interconnections between health and power in southern society. African American patients and their families actively participated in medical practice, calling upon local physicians and engaging in cross-racial encounters that involved negotiated authority and personal care.
Do black people have less acess to healthcare?3 answersBlack people may face barriers in accessing healthcare services, which can impact their health outcomes. Studies have shown that the black population experiences difficulty in accessing health services, which can compromise preventive services, particularly for women's health. Institutional and structural factors contribute to the limited access to healthcare for the black population. Patients from marginalized communities, including black individuals, are less likely to use healthcare services compared to those from more affluent areas. This disparity in healthcare usage has been attributed to various barriers, such as internalized, physical, administrative, communication, and attitudinal barriers. To address this issue, a low-threshold high-fidelity family practice model has been proposed, aiming to eliminate all barriers to access healthcare services. The prevalence of personality disorders (PDs) in black people has been reported as significantly lower than in white individuals. This under-representation raises questions about potential inequalities in healthcare and the causes for the difference. While empirical studies have shown that African-Americans receive less and lower-quality treatment than Caucasians, the disparities disappear for African-American visitors, indicating that residence plays a substantial role in healthcare provision. Contrary to previous speculation, there is no evidence that African Americans are less likely to seek treatment or expect less from treatment. In fact, African Americans report greater willingness to seek treatment for some symptoms and greater optimism regarding treatment outcomes.
How are patient populations becoming more diverse in the united states?4 answersPatient populations in the United States are becoming more diverse. Minority populations, including African American, Hispanic, Asian, and Native American, have been rapidly increasing and are projected to account for one out of every two Americans by 2050. The health care industry has recognized the failure to adequately provide culturally appropriate medical services to ethnic and racial minority groups, leading to efforts to incorporate culturally appropriate criteria into health care programs and services. The demographic changes in the United States indicate that non-European racial/ethnic groups will represent approximately 47% of the population by 2050. Health care providers must navigate this new cultural terrain and develop new skills to provide appropriate care for patients from increasingly diverse backgrounds. Disparities in access to liver transplantation and outcomes have been observed among racial and ethnic groups, highlighting the need for ongoing efforts to eliminate inequities in transplant access. In terms of adult immunization utilization, there are variations among different Hispanic patient groups, with Spanish-preferring Hispanic patients more likely to receive influenza and pneumococcal vaccinations compared to English-preferring Hispanic patients.