Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians
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DOI：
10.1007/s11606-009-1103-9
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发表时间：
2009-11-01
影响因子：
5.7
通讯作者：
Bradley, Elizabeth H.
中科院分区：
文献类型：
--
作者：
Nunez-Smith, Marcella;Pilgrim, Nanlesta;Bradley, Elizabeth H.
促进医生队伍中的种族/民族多样性是国家的优先事项。然而，在当今的医疗保健工作场所，来自不同背景的医生报告的种族/民族歧视的程度是未知的。为了确定医生在工作中感知种族/民族歧视的普遍性，并探讨医生对种族的看法和工作场所关于种族/民族的讨论。2006- 2007年进行的全国调查。（共n = 529）来自不同种族/民族背景的美国。我们研究了医生在职业生涯中的种族/民族歧视经历，他们在当前工作环境中的歧视经历，以及他们对种族/民族和工作中歧视的看法。在非多数族裔医生中，报告在其医疗生涯中“有时、经常或非常经常”经历种族/族裔歧视的医生比例很大（71%的黑人医生、45%的亚裔医生、63%的“其他”种族医生和27%的西班牙裔/拉丁美洲裔（a）医生，而白色医生为7%，所有p < 0.05）。同样，报告在当前工作环境中遭受歧视的非多数族裔医生的比例也很高（59%的黑人、39%的亚裔、35%的“其他”种族、24%的西班牙裔/拉丁美洲裔医生和21%的白色医生）。医生对种族/民族在工作中的作用的看法因受访者的种族/民族而异。许多非多数派医生报告说，他们在工作场所受到种族/民族歧视。医疗保健组织和不同的医生有机会共同努力，改善他们工作场所的歧视氛围。
Promoting racial/ethnic diversity within the physician workforce is a national priority. However, the extent of racial/ethnic discrimination reported by physicians from diverse backgrounds in today's health-care workplace is unknown.To determine the prevalence of physician experiences of perceived racial/ethnic discrimination at work and to explore physician views about race and discussions regarding race/ethnicity in the workplace.Cross-sectional, national survey conducted in 2006-2007.Practicing physicians (total n = 529) from diverse racial/ethnic backgrounds in the United States.We examined physicians' experience of racial/ethnic discrimination over their career course, their experience of discrimination in their current work setting, and their views about race/ethnicity and discrimination at work. The proportion of physicians who reported that they had experienced racial/ethnic discrimination "sometimes, often, or very often" during their medical career was substantial among non-majority physicians (71% of black physicians, 45% of Asian physicians, 63% of "other" race physicians, and 27% of Hispanic/Latino(a) physicians, compared with 7% of white physicians, all p < 0.05). Similarly, the proportion of non-majority physicians who reported that they experienced discrimination in their current work setting was substantial (59% of black, 39% of Asian, 35% of "other" race, 24% of Hispanic/Latino(a) physicians, and 21% of white physicians). Physician views about the role of race/ethnicity at work varied significantly by respondent race/ethnicity.Many non-majority physicians report experiencing racial/ethnic discrimination in the workplace. Opportunities exist for health-care organizations and diverse physicians to work together to improve the climate of perceived discrimination where they work.