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- Title
Racial and ethnic disparities in the use of health services: bias, preferences, or poor communication?
- Authors
Ashton, Carol M.; Haidet, Paul; Paterniti, Debora A.; Collins, Tracie C.; Gordon, Howard S.; O'Malley, Kimberly; Petersen, Laura A.; Sharf, Barbara F.; Suarez-Almazor, Maria E.; Wray, Nelda P.; Street, Richard L.; Street, Richard L Jr
- Abstract
African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.
- Subjects
MEDICAL care of minorities; MEDICAL care use; MEDICAL care of African Americans; MEDICAL care of Hispanic Americans; BLACK people; COMMUNICATION; COMPARATIVE studies; DECISION making; HISPANIC Americans; MATHEMATICAL models; RESEARCH methodology; MEDICAL care; MEDICAL cooperation; MINORITIES; PHYSICIAN-patient relations; RESEARCH; WHITE people; THEORY; EVALUATION research; PATIENTS' attitudes
- Publication
JGIM: Journal of General Internal Medicine, 2003, Vol 18, Issue 2, p146
- ISSN
0884-8734
- Publication type
journal article
- DOI
10.1046/j.1525-1497.2003.20532.x