Prejudice, clinical uncertainty and stereotyping as sources of health disparities.
نویسندگان
چکیده
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.
منابع مشابه
Assessing Potential Sources of Racial and Ethnic Disparities in Care: The Clinical Encounter
Previous chapters have assessed the extent of racial and ethnic disparities in healthcare, and have identified potential sources of these disparities. Disparities are found to arise from an historic and social context in which racial and ethnic minorities received inferior healthcare, reflecting broader socioeconomic disadvantage among minorities and societal discrimination. When seen by a heal...
متن کاملCultural competency: dentistry and medicine learning from one another.
The Institute of Medicine (IOM) report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care is serving as a catalyst for the medical profession to re-examine the manner in which its institutions and training programs relate to cultural competence. This report found that racial and ethnic disparities exist in health care and that a lack of access to care does not fully exp...
متن کاملSpecial Section: Bioethics and Health Disparities Debating the Cause of Health Disparities Implications for Bioethics and Racial Equality
In 2002, the health arm of the National Academy of Sciences, the Institute of Medicine (IOM), scientifically documented widespread racial disparities in healthcare and suggested that they stemmed, at least in part, from physician bias. Its 562-page report, Unequal Treatment: Confronting Racial and Ethnic Disparities in Healthcare, noted that, although these disparities are associated with socio...
متن کاملIntergroup relations and health disparities: a social psychological perspective.
OBJECTIVE This article considers how the social psychology of intergroup processes helps to explain the presence and persistence of health disparities between members of socially advantaged and disadvantaged groups. METHOD Social psychological theory and research on intergroup relations, including prejudice, discrimination, stereotyping, stigma, prejudice concerns, social identity threat, and...
متن کاملCardiovascular disease outcomes: priorities today, priorities tomorrow for research and community health.
The disparities and differences in heart disease and stroke among Black, White and Hispanic populations tell a compelling and continuing story that should drive research agendas to improve health outcomes. With Black men and women having the highest prevalence of hypertension, Black females having higher rates of coronary heart disease, stroke and breast cancer than White females, and Blacks, a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of health economics
دوره 22 1 شماره
صفحات -
تاریخ انتشار 2003