A Systematic Review of the Extent and Measurement of Healthcare Provider Racism

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doi: 10.1007/s11606-013-2583-1. Epub 2013 Sep iv.

A systematic review of the extent and measurement of healthcare provider racism

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• PMID: 24002624
• PMCID: PMC3912280
• DOI: 10.1007/s11606-013-2583-1

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Review

A systematic review of the extent and measurement of healthcare provider racism

Yin Paradies  et al. J Gen Intern Med. 2014 Feb .

Gratis PMC article

Abstract

Background: Although considered a central driver of racial disparities in healthcare, relatively petty is known most the extent of interpersonal racism perpetrated by healthcare providers, nor is there a practiced understanding of how best to measure such racism.

Objectives: This paper reviews worldwide show (from 1995 onwards) for racism amongst healthcare providers; equally well as comparing existing measurement approaches to emerging best do, it focuses on the cess of interpersonal racism, rather than internalized or systemic/institutional racism.

Methods: The following databases and electronic journal collections were searched for articles published betwixt 1995 and 2012: Medline, CINAHL, PsycInfo, Sociological Abstracts. Included studies were published empirical studies of any design measuring and/or reporting on healthcare provider racism in the English language. Information on written report design and objectives; method of measurement, constructs measured, blazon of tool; study population and healthcare setting; country and language of study; and study outcomes were extracted from each study.

Results: The 37 studies included in this review were almost solely conducted in the U.S. and with physicians. Statistically significant evidence of racist beliefs, emotions or practices amid healthcare providers in relation to minority groups was axiomatic in 26 of these studies. Although a number of measurement approaches were utilized, a limited range of constructs was assessed.

Conclusion: Despite burgeoning involvement in racism equally a contributor to racial disparities in healthcare, we still know piffling well-nigh the extent of healthcare provider racism or how best to measure it. Studies using more than sophisticated approaches to assess healthcare provider racism are required to inform interventions aimed at reducing racial disparities in health.

Figures

Figure i.

Systematic review flowchart—initial search conducted December 2010.

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Source: https://pubmed.ncbi.nlm.nih.gov/24002624/

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