Racial and Ethnic Health Care Disparities Among Women in the Veterans Affairs Healthcare System: A Systematic Review

2016 ◽  
Vol 26 (4) ◽  
pp. 401-409 ◽  
Author(s):  
Andrea Carter ◽  
Sonya Borrero ◽  
Charles Wessel ◽  
Donna L. Washington ◽  
Bevanne Bean-Mayberry ◽  
...  
Author(s):  
Milad Shafiei ◽  
Najmeh Baghian ◽  
Amin Salehi ◽  
Mohammad Ranjbar ◽  
Maryam Hajipour

Background: Perceived organizational justice is a concept used to describe job-related justice. Considering the role of perceived organizational justice in the healthcare system to increase the satisfaction, motivation, and efficiency in providing quality services, this study was conducted to investigate the situation of perceived organizational justice in the Iranian healthcare system through systematic review. Methods: In the present study, an electronic search was conducted on the Persian websites SID, Iranmedex,  Medlib, civilica, Irandoc and English Web of science, Pubmed, Scopus, and Google scholar using the Persian and English keywords of ‘Justice, Equality, Equality, Organizational Justice, Perceived Justice, Health System, University of Medical Sciences, Health Centers, Hospitals. As a result, 520 articles were studied and evaluated step by step and 469 papers were removed after reading the title and abstract. Finally, the full text of 51 articles was reviewed. Finally, 30 articles that measured the average level of perceived organizational justice were selected and other articles were excluded due to lack of necessary criteria and irrelevance. To analyze the heterogeneity between the studies, the meta-analysis method was used using Stata 14 software and Q test and I2 index. Results:  To study the status of perceived organizational justice in the health care system in a systematic and meta-analysis, all 30 studies were illegible. With regard to the dimensions of distributive, procedural, and interactive justice, 23 studies of 30 studies had the required conditions to enter the research.  The total mean score of perceived organizational justice was obtained as 60.71 and the mean scores of 54.74, 58.52, and 62.41were calculated for dimensions of distributive, procedural, and interactive justice, respectively. Conclusion: The findings showed that the situation of perceived organizational justice in the Iranian health care system was favorable. The dimension of interactive justice, related to managers' behaviors and relationships with employees, was relatively more favorable than other dimensions of organizational justice. Moreover, the situation of perceived organizational justice and its dimensions in private hospitals was more favorable than other research environments, including public hospitals, staff units, and hospitals selected using the mixed method.


Author(s):  
Michael Au ◽  
Athire Debbie Anandakumar ◽  
Robyn Preston ◽  
Robin A. Ray ◽  
Meg Davis

2019 ◽  
Vol 13 (1) ◽  
pp. 005
Author(s):  
Oluwabunmi Ogungbe ◽  
Amal K Mitra ◽  
Joni K Roberts

Background and objectives: Health disparities are a growing concern in health care. Research provides ample evidence of bias in patient care and mistrust between patient and providers in ways that could perpetuate health care disparities. This study aimed to review existing literature on implicit bias (or unconscious bias) in healthcare settings and determine studies that have considered adverse effects of bias of more than one domain of social identity (e.g., race and gender bias) in health care. Methods: This is a systematic review of articles using databases such as EBSCO, Embase, CINAHL, COCHRANE, Google Scholar, PsychINFO, Pub Med, and Web of Science. Search terms included implicit bias, unconscious bias, healthcare, and public health. The inclusion criteria included studies that assessed implicit bias in a healthcare setting, written in English, and published from 1997-2018. Results: Thirty-five articles met the selection criteria – 15 of which examined race implicit bias, ten examined weight bias, four assessed race and social class, two examined sexual orientation, two focused on mental illness, one measured race and sexual orientation, and another investigated age bias. Conclusions: Studies that measured more than one domain of social identity of an individual did so separately without investigating how the domains overlapped. Implicit Association Test (IAT) is a widely used psychological test which is used to determine existence of an implicit bias in an individual. However, this study did not find any use of an instrument that could assess implicit bias toward multiple domains of social identities. Because of possible multiplicative effects of several biases affecting a single entity, this study suggests the importance of developing a tool in measuring intersectionality of biases. IMC J Med Sci 2019; 13(1): 005


Health Equity ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. 436-448 ◽  
Author(s):  
Johanne Eliacin ◽  
Brooke Cunningham ◽  
Melissa R. Partin ◽  
Amy Gravely ◽  
Brent C. Taylor ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e020355 ◽  
Author(s):  
Morteza Arab-Zozani ◽  
Mohammad Zakaria Pezeshki ◽  
Rahim Khodayari-Zarnaq ◽  
Ali Janati

2008 ◽  
Vol 23 (5) ◽  
pp. 654-671 ◽  
Author(s):  
Somnath Saha ◽  
Michele Freeman ◽  
Joahd Toure ◽  
Kimberly M. Tippens ◽  
Christine Weeks ◽  
...  

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