The clinical examination and socially at-risk populations
Abstract
Data from the United States show that persons from low socioeconomic backgrounds, those who are socially isolated, belong to racial or ethnic minority groups, or identify as lesbian, gay, bisexual, or transgender experience health disparities at a higher rate. Clinicians must transition from a biomedical to a biopsychosocial framework within the clinical examination to better address social determinants of health that contribute to health disparities. We review the characteristics of successful patient-clinician interactions. We describe strategies for relationship-centered care within routine encounters. Our goal is to train clinicians to mitigate differences and reduce disparities in health care delivery.
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Dialogue plays a key role in how we see each other.
“Dialogue plays a key role in how we see each other.111”
From Health professionals implicit bias of patients with low socioeconomic status (SES) and its effects on clinical decision-making: a scoping review (2024) · cites this paper as [111]
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Self-citationLong-term reduction in implicit race bias: A prejudice habit-breaking intervention
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Meta-analysis of correlates of provider behavior in medical encounters
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Reducing Racial Inequities in Health: Using What We Already Know to Take Action
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“This scoping review has its limitations which must be given consideration.”
BackgroundCOVID-19, racism, and the pursuit of health care and research worthy of trust
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Self-citationCultural Competence and Humility in Infectious Diseases Clinical Practice and Research
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“There is also a wide economic divide with 42% of the wealth controlled by 1% of the population [9].”
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Racial equity in and through medical interaction scholarship: A scoping review.
Venetis, M., Hull, S., Nolan-Cody, H., Austin, J. T., Salas, M. J., Mai, S. J., Shields, L. J., & Alvarez, C. F. (2025) · Patient Education and Counseling · doi:10.1016/j.pec.2025.108648
- Authors
- Murphy, K. A., Ellison-Barnes, A., Johnson, E. N., & Cooper, L. A.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Murphy, Karly A.
- Venue
- Medical Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2018-05
- Volume
- 102
- Issue
- 3
- Pages
- 521-532
- ISSN
- 0025-7125 (ISSN-L)
- OpenAlex
- W2797299765
- Cited by
- 8
- References
- 51
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2020: 3 · 2019: 1
- FWCI
- 0.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Clinics of North America (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- health disparities, social determinants of health, biopsychosocial model, patient-clinician interaction, relationship-centered care, low socioeconomic status, social isolation, racial and ethnic minorities, LGBTQ+ patients, physical examination
- MeSH terms
- Decision Making, Delivery of Health Care, Humans, Minority Groups, Physical Examination, Physician-Patient Relations, Risk Factors, United States, Patient-Centered Care, Cultural Competency, Health Status Disparities, Healthcare Disparities
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