Racism in healthcare: Its relationship to shared decision-making and health disparities: a response to Bradby.

نویسندگان

  • Monica E Peek
  • Angela Odoms-Young
  • Michael T Quinn
  • Rita Gorawara-Bhat
  • Shannon C Wilson
  • Marshall H Chin
چکیده

0277-9536/$ e see front matter 2010 Elsevier Ltd. doi:10.1016/j.socscimed.2010.03.018 Bradby’s (2010) critique of our paper ‘Race and Shared Decision-Making: Perspectives of AfricaneAmericans with Diabetes’ (Peek, 2010) highlights important questions about racism, patient/provider communication and U.S. health disparities. We address her concerns through the following questions: 1) How can we best conceptualize racism in healthcare? 2) Is there evidence for racism in the current U.S. healthcare system?, 3) How can we disentangle racial discrimination from discrimination based on other social factors?, 4) Is there evidence and/or theoretical model (s) that link institutional racism to population-level health disparities?, 5) Is there evidence and/or theoretical model(s) that link the patient/provider relationship and communication disparities to population-level health disparities?, and 6) Are there potentially effective solutions to address institutional racism, particularly unconscious provider bias?

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عنوان ژورنال:
  • Social science & medicine

دوره 71 1  شماره 

صفحات  -

تاریخ انتشار 2010