Journal article
Healthcare Providers' Formative Experiences with Race and Black Male Patients in Urban Hospital Environments
Journal of racial and ethnic health disparities, v 4(6), pp 1120-1127
Dec 2017
PMID: 27928771
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We explored health providers' formative personal and professional experiences with race and Black men as a way to assess their potential influence on interactions with Black male patients.
Utilizing convenience sampling with snowballing techniques, we identified healthcare providers in two urban university hospitals. We compared Black and White providers' experiences based on race and level of training. We used the Gardener's Tale to conceptualize how racism may lead to racial health disparities. A semi-structured interview guide was used to conduct in-person interviews (n = 16). Using the grounded theory approach, we conducted three types of coding to examine data patterns.
We found two themes reflective of personally mediated racism: (1) perception of Black males accompanied by two subthemes (a) biased care and (b) fear and discomfort and (2) cognitive dissonance. While this latter theme is more reflective of Jones's internalized racism level, we present its results because its novelty is compelling.
Perception of Black males and cognitive dissonance appear to influence providers' approaches with Black male patients. This study suggests the need to develop initiatives and curricula in health professional schools that address provider racial bias. Understanding the dynamics operating in the patient-provider encounter enhances the ability to address and reduce health disparities.
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Details
- Title
- Healthcare Providers' Formative Experiences with Race and Black Male Patients in Urban Hospital Environments
- Creators
- Marie V Plaisime - Department of Sociology and Criminology, Howard University, 2400 Sixth Street, NW, Washington, DC, 20059, USADavid J Malebranche - WellStar Health System, 805 Sandy Plains Road, Marietta, GA, 30066, USAAndrea L Davis - Department of Environmental and Occupational Health, Drexel University Dornsife School of Public Health, Nesbitt Hall, 6th Fl., Rm. 656, 3215 Market Street, Philadelphia, PA, 19104, USAJennifer A Taylor - Department of Environmental & Occupational Health, Drexel University Dornsife School of Public Health, Nesbitt Hall, Room 655, 3215 Market Street, Philadelphia, PA, 19104, USA. Jat65@drexel.edu
- Publication Details
- Journal of racial and ethnic health disparities, v 4(6), pp 1120-1127
- Publisher
- Springer Nature; Switzerland
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Environmental and Occupational Health
- Web of Science ID
- WOS:000429446300011
- Scopus ID
- 2-s2.0-85013652157
- Other Identifier
- 991014877875104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health