The state of research on racial/ethnic discrimination in the receipt of health care.
The state of research on racial/ethnic discrimination in the receipt of health care.
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DOI：
10.2105/ajph.2012.300773
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发表时间：
2012-05
影响因子：
12.7
通讯作者：
Rorie E
中科院分区：
文献类型：
--
作者：
Shavers VL;Fagan P;Jones D;Klein WM;Boyington J;Moten C;Rorie E
我们进行了一项综述，以审查目前关于卫生保健环境中发生的人际和制度种族主义和歧视对种族/少数民族患者所接受的卫生保健的影响的文献。我们在心理网、PubMed和Scope us数据库中搜索了2008年1月1日至2011年11月1日期间发表的关于美国人口的文章。我们使用了以下搜索词的各种组合：歧视、感知到的歧视、种族、族裔、种族主义、制度性种族主义、刻板印象、偏见或偏见，以及健康或医疗保健。共对58篇文献进行了综述。患者对歧视性治疗的认知和隐含的提供者偏见是卫生保健环境中最常见的检查主题。很少有研究考察种族/族裔歧视的总体流行率，也没有研究考察时间趋势。总体而言，所使用的措施不足以审查保健环境中的人际歧视或制度性种族主义对保健方面的种族/族裔差距的影响。需要更好的工具、创新的方法和战略来查明和跟踪保健环境中的种族/族裔歧视。
We conducted a review to examine current literature on the effects of interpersonal and institutional racism and discrimination occurring within health care settings on the health care received by racial/ethnic minority patients. We searched the PsychNet, PubMed, and Scopus databases for articles on US populations published between January 1, 2008 and November 1, 2011. We used various combinations of the following search terms: discrimination, perceived discrimination, race, ethnicity, racism, institutional racism, stereotype, prejudice or bias, and health or health care. Fifty-eight articles were reviewed. Patient perception of discriminatory treatment and implicit provider biases were the most frequently examined topics in health care settings. Few studies examined the overall prevalence of racial/ethnic discrimination and none examined temporal trends. In general, measures used were insufficient for examining the impact of interpersonal discrimination or institutional racism within health care settings on racial/ethnic disparities in health care. Better instrumentation, innovative methodology, and strategies are needed for identifying and tracking racial/ethnic discrimination in health care settings.