Health care discrimination, processes of care, and diabetes patients’ health status
Patient Education and CounselingPublished 25 January 2005
John D. Piette, Kirsten Bibbins‐Domingo, Dean Schillinger
Citations114
SJR quartileQ1
SJR score1.24
SNIP1.37
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TL;DR
Diabetes patients' reports of health care discrimination are strongly linked to the quality of their interactions with providers as well as multiple health outcomes and physicians should endeavor to reduce patients' perceptions of discrimination during outpatient visits.
Abstract
Physicians exert control over the clinical encounter and should endeavor to reduce patients' perceptions of discrimination during outpatient visits. Such efforts may result in more satisfied patients as well as improved health outcomes.
Keywords
Social SciencesHealth Professions
Medical CareA 12-Item Short-Form Health Survey
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Maternal and Child Health JournalHealthy People 2010
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JAMAWhat's the Relative Risk?
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This work proposes a simple method to approximate a risk ratio from the adjusted odds ratio and derive an estimate of an association or treatment effect that better represents the true relative risk.
American Journal of Public HealthRacial/Ethnic Discrimination and Health: Findings From Community Studies
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The authors review the available empirical evidence and indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status, but the extant research does not adequately address whether and how exposure to discrimination leads to increased risk of disease.
Journal of Health and Social BehaviorThe Prevalence, Distribution, and Mental Health Correlates of Perceived Discrimination in the United States
2,196 Citations1999Ronald C. Kessler, Kristin D. Mickelson +1 more
Results show that perceived discrimination is common in the total population, and given its high prevalence, wide distribution, and strong associations with mental health, perceived discrimination needs to be treated much more seriously than in the past in future studies of stress and mental health.
JAMARace, Gender, and Partnership in the Patient-Physician Relationship
2,143 Citations1999Lisa Cooper-Patrick
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.
Social Science & MedicineThe effect of patient race and socio-economic status on physicians' perceptions of patients
1,504 Citations2000Michelle van Ryn, Jane K. Burke-Miller
The hypothesis that physicians' perceptions of patients were influenced by patients' socio-demographic characteristics was supported, with results supported by survey data.
Annals of Internal MedicinePatient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
1,377 Citations2003Lisa A. Cooper, Debra Roter +4 more
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.
JAMAPhysician Gender Effects in Medical Communication
1,356 Citations2002Debra Roter, Judith A. Hall +1 more
Female primary care physicians engage in more communication that can be considered patient centered and have longer visits than their male colleagues, and gender-related practice patterns in some subspecialties may differ from those evident in primary care.
Archives of Internal MedicineDistrust, Race, and Research
1,055 Citations2002Giselle Corbie‐Smith, Stephen B. Thomas +1 more
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 of Personality and Social PsychologyStereotypes as energy-saving devices: A peek inside the cognitive toolbox.
1,034 Citations1994C. Neil Macrae, Alan B. Milne +1 more
JAMACommunication Patterns of Primary Care Physicians
926 Citations1997Debra L. Roter
Primary care communication patterns range from narrowly biomedical to consumerist patterns and parallel the ideal forms of patient-physician relationships described in the literature.
Medical Care Research and ReviewAttitudes about Racism, Medical Mistrust, and Satisfaction with Care among African American and White Cardiac Patients
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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.
American Journal of Public HealthPerceived Discrimination and Depression: Moderating Effects of Coping, Acculturation, and Ethnic Support
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It is suggested that, when empowered with sufficient social resources, racial minority individuals of diverse cultural heritages are more likely to confront than to accept racial bias.
Public Health ReportsRace and Trust in the Health Care System
898 Citations2003L. Ebony Boulware
Responses to a cross-sectional telephone survey were analyzed to assess the independent relationship of self-reported race (non-Hispanic black or non-Hispanic white) with trust in physicians, hospitals, and health insurance plans.
Public Health ReportsRace and trust in the health care system
837 Citations2003L. Ebony Boulware, Lisa A. Cooper +3 more
Journal of Health and Social BehaviorPerceived Discrimination and Depression among Mexican-Origin Adults in California
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Investigating the direct and moderating connections between perceived discrimination, acculturative stress, and mental health (CES-D) in adults of Mexican origin found discrimination was directly related to depression, but this effect was moderated through nativity/country of residence, English-language acculturation, sex, and country of education variables.
American Journal of Public HealthRacial/ethnic bias and health. Racial/ethnic discrimination and health: findings from community studies.
795 Citations2003Williams, Neighbors Hw +1 more
American Journal of Public HealthPaved With Good Intentions: Do Public Health and Human Service Providers Contribute to Racial/Ethnic Disparities in Health?
614 Citations2003Michelle van Ryn, Steven S. Fu
The authors build on existing evidence to provide an integrated, coherent, and sound approach to research on providers' contributions to racial/ethnic disparities and describe a causal model representing an integrated set of hypothesized mechanisms through which health care providers' behaviors may contribute to these disparities.
Archives of Family MedicineRacial and Ethnic Disparities in Perceptions of Physician Style and Trust
592 Citations2000Mark P. Doescher
Patients from racial and ethnic minority groups have less positive perceptions of their physicians on at least 2 important dimensions, and the reasons for these differences should be explored and addressed.
Medical CarePatient and Visit Characteristics Related to Physicians??? Participatory Decision-Making Style
587 Citations1995Sherrie H. Kaplan, Barbara Gandek +3 more
The elderly and young adult patients, patients with high school education or less, minority patients, and male patients had the least participatory visits with their physicians, according to the baseline cross-sectional survey of the Medical Outcomes Study.
Social Science & MedicineCumulative biological risk and socio-economic differences in mortality: MacArthur Studies of Successful Aging
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Logistic regression analyses revealed that a cumulative index of biological risk explained 35.4% of the difference in mortality risk between those with higher versus lower SES, suggesting the potential value of a multi-systems view of biological pathways through which SES ultimately affects morbidity and mortality.
American Journal of Public HealthPhysiological Responses to Racism and Discrimination: An Assessment of the Evidence
521 Citations2003Jules P. Harrell, Sadiki Hall +1 more
Evidence from survey and laboratory studies suggests that personality variables and cultural orientation moderate the impact of racial discrimination and the notion that direct encounters with discriminatory events contribute to negative health outcomes.
Patient Education and CounselingFunctional health literacy and the quality of physician–patient communication among diabetes patients
480 Citations2003Dean Schillinger, Andrew B. Bindman +3 more
Poor FHL appears to be a marker for oral communication problems, particularly in the technical, explanatory domains of clinician-patient dialogue, in patients with poor functional health literacy.
American Journal of Public HealthDoes Racism Harm Health? Did Child Abuse Exist Before 1962? On Explicit Questions, Critical Science, and Current Controversies: An Ecosocial Perspective
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The author addresses 3 interrelated issues: links between racism, biology, and health; methodological controversies over how to study the impact of racism on health; and debates over whether racism or class underlies racial/ethnic disparities in health.
Medical Care Research and ReviewRace, Ethnicity, and the Health Care System: Public Perceptions and Experiences
319 Citations2000Marsha Lillie-Blanton, Mollyann Brodie +3 more
The survey found that the majority of Americans are uninformed about health care disparities—many were unaware that blacks fare worse than whites on measures susch as infant mortality and life expectancy, and that Latinos are less likely than whites to have health insurance.
The American Journal of the Medical SciencesRacism and Cardiovascular Disease in African Americans
310 Citations2003Rosie Lee Calvin, Karen Winters +4 more
The evidence on the ways racism can affect the disproportionate rates of cardiovascular disease in African Americans is provided and it is suggested that racial disparities should be understood within the context of persistent inequities in societal institutions and relations.
Journal of Health and Social BehaviorPerceived Discrimination, Traditional Practices, and Depressive Symptoms among American Indians in the Upper Midwest
298 Citations2002Les B. Whitbeck, Barbara J. McMorris +3 more
Examination of cultural effects takes into account perceived discrimination, as one indicator of culture conflict, and traditional practices, as a measure of cultural identification to indicate that discrimination is strongly associated with depressive symptoms among American Indian adults and that engaging in traditional practices is negatively related to depressive symptoms.
Medical CareHealth Insurance Status, Cost-Related Medication Underuse, and Outcomes Among Diabetes Patients in Three Systems of Care
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Many patients with diabetes use less of their medication than prescribed because of the cost, and those reporting cost-related adherence problems have poorer health, although the VA’s drug coverage may protect patients from this increased risk.
PubMedPerceived race-based and socioeconomic status(SES)-based discrimination in interactions with health care providers.
254 Citations2001Sheryl Thorburn Bird, Laura M. Bogart
Education and stigma consciousness were positively correlated with perceptions of both race-based and SES-based discrimination, suggesting that expectations that one will be stereotyped by doctors do not account for the relationship between education and reports of perceived discrimination in interactions with health care providers.
Digital Repository at the University of Maryland (University of Maryland College Park)Racism, discrimination and hypertension: evidence and needed research.
251 Citations2001David R. Williams, Harold W. Neighbors
The existing literature identifies important new directions for the comprehensive measurement of discrimination and the design of rigorous empirical studies that can evaluate theoretically derived ideas about the association between discrimination and hypertension.
PubMedRacial/ethnic disparities in health: the interplay between discrimination and socioeconomic status.
250 Citations1999Xinhua S. Ren, Benjamin C. Amick +1 more
The study found that racial and class discrimination were rather pervasive in the United States and Experiences of discrimination tended to have a strong negative association with health and accounted for some racial/ethnic differences in health status.
Journal of General Internal MedicineDimensions of patient-provider communication and diabetes self-care in an ethnically diverse population
235 Citations2003John D. Piette, Dean Schillinger +2 more
General and diabetes-specific communication are related but unique facets of patient-provider interactions, and improving either one may improve self-management, and reinforce the potential importance of continuity and differences among VA, county, and university health care systems as determinants of patients’ communication.
Medical CarePatient Characteristics That Influence Physician Behavior
223 Citations1982Elizabeth M. Hooper, Loretto M. Comstock +2 more
The recognition that patient characteristics influence physician behavior should stimulate physicians to examine their reactions in order to insure that all types of patients receive thorough, courteous and empathic care.
Milbank QuarterlyInterpersonal Processes of Care in Diverse Populations
213 Citations1999Anita L. Stewart, Anna Nápoles‐Springer +1 more
A framework of interpersonal processes of care specifies distinct components and incorporates the perspective of diverse racial and ethnic or socioeconomic groups and should enable researchers to explore how interpersonal processes might account for observed ethnic and social class differences in health care and health.
Health PsychologyRelationship of racial stressors to blood pressure responses and anger expression in Black college students.
201 Citations1989Cheryl A. Armstead, Kathleen A. Lawler +3 more
BMJAgeism in cardiology
198 Citations1999A. Bowling
The argument that ageism exists in health care, particularly on the equity of access to cardiological services, is supported and a wide ranging approach is necessary if equity in the provision of health care services is to be ensured which includes improvement of clinical guidelines and more specific monitoring of health Care.
Preventive MedicineThe Self-Reported Likelihood of Patient Delay in Breast Cancer: New Thoughts for Early Detection
188 Citations2002Noreen C. Facione, Christine Miaskowski +2 more
Self-reported likelihood of patient delay is measurable in advance of symptom occurrence, and this measure is consistent with behavioral and knowledge variables previously linked with advanced breast cancer at diagnosis.
Medical Decision MakingFactors Influencing Physicians’ Judgments of Adherence and Treatment Decisions for Patients with HIV Disease
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Physicians predicted that patients with less severe disease, former injection drug users, and African American men would be less likely to adhere, and perceptions of adherence and disease severity influenced treatment decisions.
Archives of Internal MedicineSex Bias and Underutilization of Lipid-Lowering Therapy in Patients With Coronary Artery Disease at Academic Medical Centers in the United States and Canada
139 Citations2000Michael Miller
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Medical CareAdvancing Health Disparities Research
136 Citations2003Anita L. Stewart, Anna Nápoles‐Springer
An agenda is proposed for accomplishing this challenging measurement research to identify conceptual and psychometric issues that need to be addressed to assure the quality of self-report measures being used in health disparities research.
AIDSThe quality of patient-doctor communication about end-of-life care: a study of patients with advanced AIDS and their primary care clinicians
132 Citations1999J. Randall Curtisa, Donald L. Patrick +3 more
Quality of patient-clinician communication about end-of-life care can be measured in a brief questionnaire and higher quality of this communication is associated with higher satisfaction with care and increased clinician knowledge of patients' advance directives.
Journal of Health and Social BehaviorSocial Distance and Patients' Rating of Healthcare Providers
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Journal of the American Geriatrics SocietyThe Effects of Patient Race on Outcomes in Seriously Ill Patients in SUPPORT: An Overview of Economic Impact, Medical Intervention, and End‐Of‐Life Decisions
117 Citations2000Marie L. Borum, Joanne Lynn +1 more
This data indicates that black Americans have significantly lower life expectancy than white Americans, and racial differences in medical access, management, and DNR orders have been documented.
International Journal of Health ServicesPrevalence and Patterns of Discrimination among U.S. Health Care Consumers
115 Citations2003Thomas A. LaVeist, Nicole C. Rolley +1 more
Age, race, ethnicity, social class, sex, and health status placed respondents at greater risk of perceiving discrimination based on the corresponding source of discrimination.
Health PsychologyThe effects of racial stressors and hostility on cardiovascular reactivity in African American and Caucasian men.
114 Citations2001Carolyn Y. Fang, Héctor F. Myers
PubMedRelationship of internalized racism to abdominal obesity and blood pressure in Afro-Caribbean women.
106 Citations1999Eugene S. Tull, T Wickramasuriya +10 more
The relationship of internalized racism to abdominal obesity and elevated blood pressure in a population of black Caribbean women aged 20-55 years was examined and stress measures including anxiety, depression, andinternalized racism were significantly correlated with waist circumference.
Acta DiabetologicaEvaluation of diagnostic reliability of DCA 2000 for rapid and simple monitoring of HbA1c
71 Citations2000M.P. Arsie, Linda Marchioro +5 more
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38 Citations1995Jacqueline Adams, Morag Jamieson +3 more
Differences in admission rates to the coronary care unit and the rate of thrombolysis between the sexes can be explained by the older age of women sustaining infarction, which places elderly patients at a disadvantage.
Journal of Cardiopulmonary RehabilitationEvaluation of Lipid Profile Measurements Obtained From the Cholestech L??D??X Analyzer
32 Citations1997Robert L. Bard, Leonard A. Kaminsky +2 more
Although the Cholestech L.D.X analyzer did not consistently meet NCEP standards for acceptable total measurement error of TC, HDL, and triglyceride analyses, it seems capable of providing reasonable lipid profile measures in both a screening setting and a clinician office where the goal is correct classification of patients' results.