Examining African Americans' mistrust of the health care system: expanding the research question

Objective: Black/African American people have long reported high, albeit warranted, distrust of the US health care system (HCS); however, Blacks/African Americans are not a homogenous racial/ethnic group. Little information is available on how the subgroup of Black Americans whose families suffered under US chattel slavery, here called Descendants of Africans Enslaved in the United States (DAEUS), view health care institutions. We compared knowledge of unethical treatment and HCS distrust among DAEUS and non-DAEUS.Design and Setting: A cross-sectional random-digit dialing survey was administered in 2005 to Blacks/African Americans, aged 21-75 years, from the University of Pennsylvania Clinical Practices in Philadelphia, Penn.Participants: Blacks/African Americans self-reported a family history of persons enslaved in the US (DAEUS) or no family history of persons enslaved in the US (non- DAEUS).Main Outcome Measures: HCS distrust was measured by a validated scale assessing perceptions of unethical experimentation and active or passive discrimination.Methods: We compared responses to the HCS distrust scale using Fisher’s exact and t-tests.Results: Of 89 respondents, 57% self-reported being DAEUS. A greater percentage of DAEUS reported knowledge of unethical treatment than non-DAEUS (56% vs 21%; P<.001), were significantly more likely to express distrust, and to endorse the presence of covert (eg, insurance-based) than overt forms (eg, race-based) of discrimination by the HCS.Conclusions: DAEUS express greater HCS distrust than non-DAEUS, patterned by awareness of unethical treatment and passive discrimination. Understanding how long-term exposure to US institutions influences health is critical to resolving disparities for all Black/African American groups. Rectifying past injustices through reparative institutional measures may improve DAEUS’ trust and engagement with the US HCS.Ethn Dis. 2021:31(3):417-424; doi:10.18865/ed.31.3.417

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Physician Beliefs Concerning Structural and Institutional Racism in Health Care

Osteopathic Family Physician ◽

10.33181/13032 ◽

2021 ◽

pp. 13-18

Author(s):

William Ciurylo ◽

Carol Brenner ◽

Victoria Stacey Thieme

Keyword(s):

Health Care ◽

African Americans ◽

New England ◽

Health Care System ◽

Perceived Discrimination ◽

Perceived Quality Of Care ◽

College Of Osteopathic Medicine ◽

Systemic Health ◽

The University ◽

Care System

Perceived discrimination in medical settings remains prevalent within the U.S. health care system. However, the details of these experiences and their associations with perceived quality of care are not well understood. This study evaluates any potential difference in African Americans' systemic health care discrimination and Latinx perceived by African American and Latinx patients and physicians. The New England physician alumni from the University of New England College of Osteopathic Medicine were sent surveys. Two hundred fifty-one practicing physicians' responses to the 2018 study address their beliefs toward African Americans and Latinx' racism within the health care system. High scores indicate more significant perceived discrimination among these groups. Physicians have lower discriminatory belief scores across gender, patient racial distribution and specialty.

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Students’ Perceptions about the Profession of Nursing

ATHENS JOURNAL OF HEALTH & MEDICAL SCIENCES ◽

10.30958/ajhms.8-2-4 ◽

2021 ◽

Vol 8 (2) ◽

pp. 135-148

Author(s):

Zamira Shabani ◽

Fatbardha Osmanaga

Keyword(s):

Health Care ◽

Nursing Students ◽

Health Care System ◽

Significant Relationship ◽

Research Question ◽

School Curriculum ◽

Cross Sectional Study ◽

Nursing Profession ◽

Cross Sectional ◽

Care System

Nurses represent the largest category of professional workforce in the health care system. The role and contribution of them have a vital importance in the provision of health care system, especially in nowadays. The aim of this study is to evidence the students’ perceptions about the profession of nursing. This is a cross-sectional study. The study was realized during the period of January–February 2020. The study was conducted with nursing students in first, second and third year of study, in bachelor degree. The research question is: "What are the nursing students’ perceptions about the profession of nursing?" In this study we conduct a standardized questionnaire about the perception of nursing profession. The survey performed in classroom was anonymous. All data collected were elaborated with SPSS version 19. There are given the conclusions and recommendations.Nursing students have good perception about the nursing profession. It exist an non-significant and negative correlation between the age and students’ perception. There is no significant relationship between students’course of study and their perception about nursing profession. There is a significant relationship between having family members in health care and students’ perception about nursing profession. The inclusion of the subject "Introduction to nursing" in the high school curriculum should be considered. Keywords: nurse, perception, student

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Mapping the journey of cancer patients through the health care system. Part 1: Developing the research question

Canadian Oncology Nursing Journal ◽

10.5737/1181912x143183186 ◽

2004 ◽

Vol 14 (3) ◽

pp. 183-186 ◽

Cited By ~ 1

Author(s):

Jeff A. Sloan ◽

Shannon Scott-Findlay ◽

Anne Nemecek ◽

Paul Blood ◽

Cheryl Trylinski ◽

...

Keyword(s):

Health Care ◽

Cancer Patients ◽

Health Care System ◽

Research Question ◽

System Part ◽

Care System

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Mo1310 Inflammatory Bowel Disease Characteristics Are Similar Between African Americans and Caucasians in an Equal Access Health Care System

Gastroenterology ◽

10.1016/s0016-5085(13)62343-4 ◽

2013 ◽

Vol 144 (5) ◽

pp. S-633

Author(s):

Steven Armbruster ◽

Lilibeth Bardon ◽

Corinne L. Maydonovitch ◽

Mazer R. Ally ◽

Ganesh R. Veerappan

Keyword(s):

Health Care ◽

Inflammatory Bowel Disease ◽

African Americans ◽

Health Care System ◽

Bowel Disease ◽

Equal Access ◽

Disease Characteristics ◽

Inflammatory Bowel ◽

Care System

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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