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- Title
Factors Related to Physician Clinical Decision-Making for African-American and Hispanic Patients: a Qualitative Meta-Synthesis.
- Authors
Breathett, Khadijah; Jones, Jacqueline; Lum, Hillary D.; Koonkongsatian, Dawn; Jones, Christine D.; Sanghvi, Urvi; Hoffecker, Lilian; McEwen, Marylyn; Daugherty, Stacie L.; Blair, Irene V.; Calhoun, Elizabeth; de Groot, Esther; Sweitzer, Nancy K.; Peterson, Pamela N.
- Abstract
Clinical decision-making may have a role in racial and ethnic disparities in healthcare but has not been evaluated systematically. The purpose of this study was to synthesize qualitative studies that explore various aspects of how a patient’s African-American race or Hispanic ethnicity may factor into physician clinical decision-making. Using Ovid MEDLINE, Embase, and Cochrane Library, we identified 13 manuscripts that met inclusion criteria of usage of qualitative methods; addressed US physician clinical decision-making factors when caring for African-American, Hispanic, or Caucasian patients; and published between 2000 and 2017. We derived six fundamental themes that detail the role of patient race and ethnicity on physician decision-making, including importance of race, patient-level issues, system-level issues, bias and racism, patient values, and communication. In conclusion, a non-hierarchical system of intertwining themes influenced clinical decision-making among racial and ethnic minority patients. Future study should systematically intervene upon each theme in order to promote equitable clinical decision-making among diverse racial/ethnic patients.
- Publication
Journal of Racial & Ethnic Health Disparities, 2018, Vol 5, Issue 6, p1215
- ISSN
2197-3792
- Publication type
Article
- DOI
10.1007/s40615-018-0468-z