African American experiences in healthcare: “I always feel like I’m getting skipped over”.

Cuevas, Adolfo G.; OʼBrien, Kerth; Saha, Somnath

doi:10.1037/hea0000368

Cited by 164 publications

(138 citation statements)

References 48 publications

Supporting

Mentioning

129

Contrasting

Order By: Relevance

“…Evidence in the literature that clinicians’ explicit and implicit biases negatively affect patient-provider interactions (Penner et al, 2013) coupled with the finding in the current study that African American patients perceived discrimination and bias from clinicians and medical staff indicates that targeting clinical and non-clinical staff attitudes and behaviors is an important aspect of training to reduce disparities in healthcare delivery (Cuevas, O’Brien, & Saha, 2016). Emphasizing aspects such as cultural sensitivity and awareness may help reduce both conscious and unconscious biases toward members of ethnic minority groups.…”

Section: Discussionmentioning

confidence: 63%

What is the key to culturally competent care: Reducing bias or cultural tailoring?

Cuevas

OʼBrien

Saha

2017

Psychology & Health

Self Cite

View full text Add to dashboard Cite

Objective To gain a better understanding as to whether disparities in patient-provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patients are treated the same as European American patients while they would prefer to be treated differently. Method African American, Latina/Latino, and European American community members were recruited to participate in one of 27 focus group discussions. Topics included what made a good or bad relationship with a doctor and what led one to trust a doctor. A thematic analysis was conducted using NVivo 10. Results Patients of all groups described experiences that reflected the concepts of patient-centered care, such as wanting a clinician who is attentive to patients’ needs. African American patients reported experiences they viewed as discriminatory. Some African American patients felt it was appropriate to racially/ethnically contextualize their care, and most Latina/Latino patients preferred language/culturally concordant clinicians. Conclusion Healthcare disparities might be reduced through a patient-centered approach to cultural competency training, general knowledge of the cultural context of clinicians’ patient population, and attention to the effects of racial bias and discrimination among both clinicians and non-clinical staff.

show abstract

Section: Discussionmentioning

confidence: 63%

What is the key to culturally competent care: Reducing bias or cultural tailoring?

Cuevas

OʼBrien

Saha

2017

Psychology & Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…[10][11][12] In the context of pregnancy and birth, women of color have repeatedly shared that they are not listened to and/or that their concerns are ignored. [13][14][15][16][17] Although women seek trustworthy and respectful care, not receiving such care can compound stress and discourage access to necessary services. 13,18,19 Women of color have rarely been directly asked about their preferences and ideas for patient-provider and health care system improvement.…”

Section: Introductionmentioning

confidence: 99%

Listening to Women: Recommendations from Women of Color to Improve Experiences in Pregnancy and Birth Care

Altman

McLemore

Oseguera

et al. 2020

J Midwife Womens Health

108

View full text Add to dashboard Cite

Introduction Women of color are at increased risk for poor birth outcomes, often driven by upstream social determinants and socially structured systems. Given the increasing rate of maternal mortality in the United States, particularly for women of color, there is a pressing need to find solutions to improving care quality and access for racially marginalized communities. This study aims to describe and thematically analyze the recommendations to improve pregnancy and birth care made by women of color with lived experience of perinatal health care. Methods Twenty‐two women of color living in the San Francisco Bay Area and receiving support services from a community‐based nonprofit organization participated in semistructured interviews about their experiences receiving health care during pregnancy and birth. Interviews were audio‐recorded and transcribed, and transcripts were analyzed using thematic analysis to highlight recommendations for improving perinatal care experiences. Results Participants shared experiences and provided recommendations for improving care at the individual health care provider level, including spending quality time, relationship building and making meaningful connections, individualized person‐centered care, and partnership in decision making. At the health systems level, recommendations included continuity of care, racial concordance with providers, supportive health care system structures to meet the needs of women of color, and implicit bias trainings and education to reduce judgment, stereotyping, and discrimination. Discussion Participants in this study shared practical ways that health care providers and systems can improve pregnancy and birth care experiences for women of color. In addition to the actions needed to address the recommendations, health care providers and systems need to listen more closely to women of color as experts on their experiences in order to create effective change. Community‐centered research, driven by and for women of color, is essential to improve health disparities during pregnancy and birth.

show abstract

“…AA patients were half as likely to submit a 24-hour urine collection than Caucasian patients. It has been shown that AA patients experience higher levels of medical mistrust and experience poorer communication with healthcare providers than other racial groups, 6 and these facts may explain our findings and must be considered and addressed when counseling patients. Patients with a positive family history of stones were more than twice as likely to submit a 24-hour urine collection than patients with no family history.…”

Section: Discussionmentioning

confidence: 79%

Factors Associated with Compliance in Submitting 24-Hour Urine Collections in an Underserved Community

Ghiraldi

Reddy

et al. 2017

Journal of Endourology

View full text Add to dashboard Cite

show abstract

African American experiences in healthcare: “I always feel like I’m getting skipped over”.

Cited by 164 publications

References 48 publications

What is the key to culturally competent care: Reducing bias or cultural tailoring?

What is the key to culturally competent care: Reducing bias or cultural tailoring?

Listening to Women: Recommendations from Women of Color to Improve Experiences in Pregnancy and Birth Care

Factors Associated with Compliance in Submitting 24-Hour Urine Collections in an Underserved Community

Contact Info

Product

Resources

About