Patients' racial attitudes and perceptions of clinicians

产品说明：（申请人提供）有充分证据证明的非裔美国人与白人在医疗服务分配方面存在差异的原因仍然难以捉摸。人际种族动力学似乎在医疗接触中起作用，但机制尚不清楚。其中一种机制可以在患者身上找到。患者的种族态度可能最终影响患者对临床医生的看法和评价。我的长期目标是为消除医疗方面的种族差异做出贡献。本申请的目的是确定种族态度如何影响患者对临床医生的看法和评价。将追求两个具体目标：1.确定负面的种族态度如何适用于对临床医生的态度。工作假设是，消极的种族态度适用于与不同种族和国籍的临床医生工作的态度。2.确定患者的种族态度如何影响对同种族和不同种族临床医生的评价。工作假设是，消极的种族态度部分占不同种族的临床医生的负面评价。为了检验这些工作假设，将收集和分析调查数据。 现有的有限数量的研究表明，医生的种族态度会影响医疗接触。这项拟议中的工作是创新的，因为它询问了患者的种族态度如何影响医疗互动。阐明临床医生的种族态度和认知之间的关系很重要，因为它将提供有关患者对临床医生的种族信念在医疗保健系统之外形成的程度的信息。这项拟议中的研究意义重大，因为它将提供迄今为止缺失的关于患者种族思维如何影响临床医生的感知和评估的信息。这可能是解决医疗保健中种族差异的关键一步，因为对临床医生的评价与护理的连续性、寻求护理的延迟和其他重要的健康行为有关。由于非洲裔美国人的临床医生较少，这种影响对非洲裔美国人的不利影响比白人更大。这项研究的结果，预计将有助于发展的战略，减少种族态度的可能性，阻碍病人与临床医生的沟通。这种人际关系的变化有望提高护理质量，减少医疗方面的不平等。

DESCRIPTION: (Provided by the Applicant) The cause of the well-documented African American-white disparity in the distribution of healthcare services continues to be elusive. Interpersonal racial dynamics seem to operate in medical encounters, but the mechanisms are unclear. One mechanism may be found with patients. Patients' racial attitudes may ultimately affect patients' perception and evaluation of clinicians. My long-term goal is to contribute to the elimination of racial disparities in medical treatment. The goal of this application is to determine how racial attitudes affect patients' perception and evaluation of clinicians. Two specific aims will be pursued: 1. Determine how negative racial attitudes are applied to attitudes about clinicians. The working hypothesis is that negative racial attitudes are applied to attitudes about working with different-race and nationality clinicians. 2. Determine how patients' racial attitudes affect evaluation of encounters with same- and different-race clinicians. The working hypothesis is that negative racial attitudes partially account for negative evaluation of different-race clinicians. In order to test these working hypotheses, survey data will be collected and analyzed. The limited number of existing studies suggest that doctors' racial attitudes can affect the medical encounter. The proposed work is innovative because it asks how patients' racial attitudes affect medical interactions. Explication of the relationship between racial attitudes and perception of clinicians is important because it will provide information about the extent to which patients' racial beliefs about clinicians are formed outside the healthcare system. The proposed research is significant because it will provide heretofore missing information about how the racial thinking of patients affects perceptions and evaluations of clinicians. This may be a critical step in addressing racial disparities in healthcare because evaluation of the clinician is associated with continuity of care, delays in seeking care and other important health behaviors. Because there are fewer African American clinicians, this effect would be more detrimental to African Americans than whites. The results of this study are expected to aid in the development of strategies that reduce the likelihood of racial attitudes impeding patient-clinician communication. Such interpersonal changes would be expected to improve the quality of care and reduce inequity in medical treatment.