Trust, Mistrust, Racial Identity and Patient Satisfaction in Urban African American Primary Care Patients of Nurse Practitioners

Benkert, Ramona; Hollie, Barbara; Nordstrom, Cheryl K.; Wickson, Bethany; Bins-Emerick, Lisa

doi:10.1111/j.1547-5069.2009.01273.x

Cited by 71 publications

(97 citation statements)

References 29 publications

(40 reference statements)

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“…Some researchers have examined how such feelings affect Black patients perceptions of medical interactions with non-Black physicians (e.g., Benkert, Hollie, Nordstrom, Wickson, & Bins-Emerick, 2009; Penner et al, 2009). However, research on how Black patients’ perceived discrimination actually affects their behaviors is relatively limited.…”

Section: Patient Perceived Discrimination During Racially Discordant mentioning

confidence: 99%

The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients

Hagiwara

Dovidio

Eggly

et al. 2016

Group Processes & Intergroup Relations

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The association between physicians’ and patients’ racial attitudes and poorer patient–physician communication in racially discordant medical interactions is well-documented. However, it is unclear how physicians’ and patients’ racial attitudes independently and jointly affect their behaviors during these interactions. In a secondary analysis of video-recorded medical interactions between non-Black physicians and Black patients, we examined how physicians’ explicit and implicit racial bias and patients’ perceived past discrimination influenced their own as well as one another’s affect and level of engagement. Affect and engagement were assessed with a “thin slice” method. For physicians, the major findings were significant three-way interactions: physicians’ affect and engagement were influenced by their implicit and explicit racial bias (i.e., aversive racism), but only when they interacted with patients who reported any incidence of prior discrimination. In contrast, patients’ affect was influenced only by perceived discrimination. Theoretical and clinical implications of current findings are discussed.

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Section: Patient Perceived Discrimination During Racially Discordant mentioning

confidence: 99%

The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients

Hagiwara

Dovidio

Eggly

et al. 2016

Group Processes & Intergroup Relations

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“…Individuals were more likely to choose a provider of the same race (LaVeist & Nuru-Jeter, 2002) and those who were of the same race as their physician reported higher satisfaction with their doctors (Benkert, Hollie, Nordstrom, Wickson, & Bins-Emerick, 2009; LaVeist & Nuru-Jeter). Others have found that African Americans who had same race providers were more likely to rate their doctor as excellent (Chen, Fryer, Phillips, Wilson, & Pathman, 2005; Cooper-Patrick et al, 1999; Saha & Komaromy, 1999), more likely to report receiving all needed medical care (Saha & Komaromy), and had more participation in a “partnership” with their physician (Cooper-Patrick et al).…”

Section: Review Of Literaturementioning

confidence: 99%

What Young African American Women Want in a Health Care Provider

et al. 2010

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The Institute of Medicine’s report on racial and ethnic disparities in health care encourages enhancing patient provider relationships by building trust. We explored factors important to 19–24 year old African American women (N=40) in choosing a health care provider. Eight focus groups were held in seven Ohio counties. Discussion was aided by photographs of client-provider interactions: two African American and two White providers (man or woman in each); in similar settings, attire, and pose; with a young African American woman client. Participants commented on what was happening in the photographs, how the woman felt, and their perceptions of each provider. Fongwa’s Quality of Care model guided analysis. Women providers were favored; race was not of primary concern. Provider proximity, perceived interest, and understandability were persistent preferences. Trust, awareness of body language, interest in client, and clearly conveying information clearly are critical for providers caring for young African American women.

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“…The need for the Afrocentric sociological method for the study of birth options selected by Black women is important because of the subjugation of African Americans by western society (Benkert et al, 2009). This suppression facilitated a lack of trust of European physicians (Washington, 2008).…”

Section: An Afrocentric/africentric Sociological Approachmentioning

confidence: 99%

A Qualitative Examination of Factors that Influence Birthing Options for African American Women

Farrish

Robertson

2012

Critical Sociology

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This article examines the factors that influenced the birthing decisions of a group of African American women from regions throughout the United States who selected to give birth at home. Using the Afrocentric and Africentric social science models developed by Asante and Akbar, respectively, 25 African American women were interviewed to discern why they chose to give birth at home and eschew traditional Western medical birthing practices. The women asserted that (1) a desire for control, (2) avoiding pharmacological pain relief, and (3) dissatisfaction with the medical aspects of intrapartum care were all central in their decision-making process. Finally, the participants also alluded to a desire to utilize indigenous African birthing methods and to reconnect with more indigenous African cultural practices.

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Trust, Mistrust, Racial Identity and Patient Satisfaction in Urban African American Primary Care Patients of Nurse Practitioners

Abstract: An African American patient's own attitudes about racial identity and the client-professional relationship have a significant effect on satisfaction with primary care.

Cited by 71 publications

References 29 publications

The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients

The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients

What Young African American Women Want in a Health Care Provider

A Qualitative Examination of Factors that Influence Birthing Options for African American Women

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