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Cited by 386Racial and Ethnic Identity ResearchCultural Competency in Health CareHealth disparities and outcomes

The State of Research on Racial/Ethnic Discrimination in The Receipt of Health Care

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Shavers, Vickie L., Fagan, Pebbles, Jones, Dionne, Klein, William M. P., Boyington, Josephine, Moten, Carmen, Rorie, Edward·2012·American Journal of Public Health
DOI 10.2105/ajph.2012.300773PMC PMC3347711
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Abstract

Objectives. We conducted a review to examine current literature on the effects of interpersonal and institutional racism and discrimination occurring within health care settings on the health care received by racial/ethnic minority patients. Methods. We searched the PsychNet, PubMed, and Scopus databases for articles on US populations published between January 1, 2008 and November 1, 2011. We used various combinations of the following search terms: discrimination, perceived discrimination, race, ethnicity, racism, institutional racism, stereotype, prejudice or bias, and health or health care. Fifty-eight articles were reviewed. Results. Patient perception of discriminatory treatment and implicit provider biases were the most frequently examined topics in health care settings. Few studies examined the overall prevalence of racial/ethnic discrimination and none examined temporal trends. In general, measures used were insufficient for examining the impact of interpersonal discrimination or institutional racism within health care settings on racial/ethnic disparities in health care. Conclusions. Better instrumentation, innovative methodology, and strategies are needed for identifying and tracking racial/ethnic discrimination in health care settings.

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  • The presence of implicit biases among healthcare professionals and the effect on quality of clinical care is a cause for concern.

    “The presence of implicit biases among healthcare professionals and the effect on quality of clinical care is a cause for concern [13–15].”

    From Implicit bias in healthcare professionals: a systematic review (2017) · cites this paper as [15]

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Authors
Shavers, V. L., Fagan, P., Jones, D., Klein, W. M. P., Boyington, J., Moten, C., & Rorie, E.
Affiliations
National Institute on Drug Abuse (US)
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2012-05
Volume
102
Issue
5
Pages
953-966
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2012.300773
PMC
PMC3347711
OpenAlex
W1998281082
Cited by
386
References
10
Citations by year
2026: 10 · 2025: 25 · 2024: 20 · 2023: 33 · 2022: 45 · 2021: 29 · 2020: 35 · 2019: 32 · 2018: 23 · 2017: 30 · 2016: 27 · 2015: 30 · 2014: 21 · 2013: 21 · 2012: 4
FWCI
80.17
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • University Libraries (University of Maryland) (submittedVersion)
  • Digital Repository at the University of Maryland (University of Maryland College Park)
Funders
  • Commonwealth Fund
  • National Institutes of Health (Z99 CA999999)
  • National Heart, Lung, and Blood Institute
  • National Cancer Institute
  • Office of Behavioral and Social Sciences Research
Topics
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Social Sciences › Health › Health disparities and outcomes
Keywords
racial and ethnic discrimination, health care access, institutional racism, interpersonal discrimination, perceived discrimination, implicit bias, health care disparities, discrimination measurement, quality of care
MeSH terms
Ethnicity, Health Services Accessibility, Health Services Research, Humans, Perception, Prejudice, Research Design, Stereotyping, Racial Groups, Healthcare Disparities

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