Eliciting patient past experiences of healthcare discrimination as a potential pathway to reduce health disparities: A qualitative study of primary care staff
Year: 2024
Type: article
Abstract: OBJECTIVE: To understand whether and how primary care providers and staff elicit patients' past experiences of healthcare discrimination when providing care. DATA SOURCES/STUDY SETTING: Twenty qualitative semi-structured interviews were conducted with healthcare staff in primary care roles to inform future interventions to integrate data about past experiences of healthcare discrimination into clinical care. STUDY DESIGN: Qualitative study. DATA COLLECTION/EXTRACTION METHODS: Data were collected via semi-structured qualitative interviews between December 2018 and January 2019, with health care staff in primary care roles at a hospital-based clinic within an urban safety-net health system that serves a patient population with significant racial, ethnic, and linguistic diversity. PRINCIPAL FINDINGS: Providers did not routinely, or in a structured way, elicit information about past experiences of healthcare discrimination. Some providers believed that information about healthcare discrimination experiences could allow them to be more aware of and responsive to their patients' needs and to establish more trusting relationships. Others did not deem it appropriate or useful to elicit such information and were concerned about challenges in collecting and effectively using such data. CONCLUSIONS: While providers see value in eliciting past experiences of discrimination, directly and systematically discussing such experiences with patients during a primary care encounter is challenging for them. Collecting this information in primary care settings will likely require implementation of multilevel systematic data collection strategies. Findings presented here can help identify clinic-level opportunities to do so.
Source: Health Services Research
Authors: Dharma E. Cortés, Ana M. Progovac, Frederick Lu, Esther Lee, Nathaniel M. Tran, Margo A. Moyer, Varshini Odayar, Caryn R. R. Rodgers, Leslie Adams, Valeria Chambers, Jonathan Delman, Deborah Delman, Selma de Castro, María José Sánchez Román, Natasha A. Kaushal, Timothy B. Creedon, Rajan A. Sonik, Catherine Rodriguez Quinerly, Ora Nakash, Afsaneh Moradi, Heba Abolaban, Tali Flomenhoft, Ruth Nabisere, Ziva Mann, Sherry Shu‐Yeu Hou, Farah N. Shaikh, Michael W. Flores, Dierdre Jordan, Nicholas Carson, Adam C. Carle, Benjamin Lé Cook, Danny McCormick
Institutions: Cambridge Health Alliance, Harvard University, Brown University, University of Michigan, University of Illinois Chicago, John Snow (United States), Albert Einstein College of Medicine, Johns Hopkins University, University of Massachusetts Chan Medical School, University of Nebraska Medical Center, ECOG-ACRIN Cancer Research Group, American College of Radiology Imaging Network, United States Department of Health and Human Services, Brandeis University, Massachusetts Department of Mental Health, Smith College, McGill University, Cincinnati Children's Hospital Medical Center, University of Cincinnati
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W4401967950