The Associations of Clinicians' Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care.
Objectives. We examined the associations of clinicians' implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians' implicit general...
| Publicado en: | American Journal of Public Health Vol. 102; no. 5; pp. 979 - 988 |
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| Autores principales: | , , , , , , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
May2012
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=104465234&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 104465234 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: May2012 vid: 102 iid: 5 pid: 44 pub: American Public Health Association artinfo: ui: 104465234 10.2105/AJPH.2011.300558 ppf: 979 ppct: 9 formats: tig: atl: The Associations of Clinicians' Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care. aug: au: Cooper, Lisa A. Roter, Debra L. Carson, Kathryn A. Beach, Mary Catherine Sabin, Janice A. Greenwald, Anthony G. Inui, Thomas S. su: Black people Clinical trials Patient compliance Patient satisfaction Physician-patient relations Race Sound recordings Stereotypes White people Cross-sectional method Patient-centered care Cluster analysis (Statistics) Confidence intervals Statistical correlation Group medical practice Regression analysis Research funding Scales (Weighing instruments) Physiological aspects of speech Time Verbal behavior Logistic regression analysis Secondary analysis Predictive validity Physicians' attitudes Descriptive statistics sug: subj: Black people Clinical trials Patient compliance Patient satisfaction Physician-patient relations Race Sound recordings Stereotypes White people Cross-sectional method Patient-centered care Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) Offices of physicians Offices of Physicians (except Mental Health Specialists) All Other Outpatient Care Centers All other general-purpose machinery manufacturing Scale and Balance Manufacturing Sound recording merchant wholesalers Record Production Integrated Record Production/Distribution Cluster analysis (Statistics) Confidence intervals Statistical correlation Group medical practice Regression analysis Research funding Scales (Weighing instruments) Physiological aspects of speech Time Verbal behavior Logistic regression analysis Secondary analysis Predictive validity Physicians' attitudes Descriptive statistics ab: Objectives. We examined the associations of clinicians' implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians' implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and patient ratings. Results. Among Black patients, general race bias was associated with more clinician verbal dominance, lower patient positive affect, and poorer ratings of interpersonal care; race and compliance stereotyping was associated with longer visits, slower speech, less patient centeredness, and poorer ratings of interpersonal care. Among White patients, bias was associated with more verbal dominance and better ratings of interpersonal care; race and compliance stereotyping was associated with less verbal dominance, shorter visits, faster speech, more patient centeredness, higher clinician positive affect, and lower ratings of some aspects of interpersonal care. Conclusions. Clinician implicit race bias and race and compliance stereotyping are associated with markers of poor visit communication and poor ratings of care, particularly among Black patients. pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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