Prejudice, clinical uncertainty and stereotyping as sources of health disparities
Prejudice, clinical uncertainty and stereotyping as sources of health disparities
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DOI：
10.1016/s0167-6296(02)00098-x
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发表时间：
2003-01-01
影响因子：
3.5
通讯作者：
McGuire, TG
中科院分区：
文献类型：
--
作者：
Balsa, AI;McGuire, TG
健康方面的差异可能源于医生和病人之间的临床接触。本文研究了三种可能的机制：医生不愿意与少数群体成员互动的偏见，医生对少数群体患者症状的差异解释或医生不同种族的不同经验所带来的临床不确定性，以及医生对少数群体患者健康相关行为的刻板印象。在统一的概念框架内，我们展示了这三者如何导致卫生和卫生服务使用方面的差异。我们还表明，社会政策的效果在很大程度上取决于造成差距的根本原因。(C) 2002 Elsevier Science B.V.版权所有
Disparities in health can result from the clinical encounter between a doctor and a patient. This paper studies three possible mechanisms: prejudice of doctors in the form of being less willing to interact with members of minority groups, clinical uncertainty associated with doctors' differential interpretation of symptoms from minority patients or from doctor's distinct priors across races, and stereotypes doctors hold about health-related behavior of minority patients. Within a unified conceptual framework, we show how all three can lead to disparities in health and health services use. We also show that the effect of social policy depends critically on the underlying cause of disparities. (C) 2002 Elsevier Science B.V. All rights reserved.