Implicit Bias Against BIPOC Patients in Clinical Settings: A Qualitative Review

Kabir, Raisa; Zaidi, Sayeda Tazim

doi:10.9741/2766-7227.1014

Cited by 5 publications

(4 citation statements)

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“…Not everybody is able to take up responsibility for their health, especially when considering the many barriers to healthcare experienced by people in socioeconomically disadvantaged, BIPOC 36 (Ford & Airhihenbuwa, 2010;Kabir & Zaidi, 2022) and LGBTQIA+ 37 communities (Quinn et al, 2015;Scheim et al, 2022) in the USA and elsewhere. Within the critique of responsibilisation, therefore, it becomes apparent that the people who have fewer resources, such as a functional doctor-patient relationship, health-literacy, fluency in the local language, and knowledge about technology, cannot assume responsibility to the same degree and may be blamed disproportionately (J. M. Anderson, 1996).…”

Section: Responsibilisationmentioning

confidence: 99%

Towards feminist health empowerment for self-testing apps : testing for dementia

Kapeller

2023

Linköping Studies in Arts and Sciences

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Section: Responsibilisationmentioning

confidence: 99%

Towards feminist health empowerment for self-testing apps : testing for dementia

Kapeller

2023

Linköping Studies in Arts and Sciences

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“… 30–36 Studies have examined the sources of differential and/or undertreatment for pain by race/ethnicity and found that non-Hispanic Black patients received fewer medications because of lower income and insurance coverage 37 as well as the racial biases and stereotypes held by providers, which can influence patient-provider communication. 38 , 39 …”

Section: Introductionmentioning

confidence: 99%

“…[30][31][32][33][34][35][36] Studies have examined the sources of differential and/or undertreatment for pain by race/ethnicity and found that non-Hispanic Black patients received fewer medications because of lower income and insurance coverage 37 as well as the racial biases and stereotypes held by providers, which can influence patient-provider communication. 38,39 Chronic pain management can take many forms, including over-the-counter medication, prescription medication, surgical procedures, and complementary alternative medicine therapies. 25,40,41 The effectiveness of chronic pain management is largely based on the ability to match the pain management strategy with the type of chronic pain being experienced (eg, location, severity, duration, symptomatology).…”

Section: Introductionmentioning

confidence: 99%

Pharmacological Prescribing and Satisfaction with Pain Treatment Among Non-Hispanic Black Men with Chronic Pain

Oloruntoba,

Bergeron,

Zhong

et al. 2024

PPA

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Introduction Pharmacological strategies are often central to chronic pain management; however, pain treatment among non-Hispanic Black men may differ because of their disease profiles and healthcare interactions. However, less is known about pain medication prescribing and patients’ satisfaction with pain treatment and management among non-Hispanic Black men with self-reported chronic pain. Purpose This study assessed factors associated with non-Hispanic Black men being prescribed/recommended narcotics/opioids for chronic pain and their satisfaction with pain treatment/management. Methods Data were analyzed from 286 non-Hispanic Black men with chronic pain who completed an internet-delivered questionnaire. Participants were recruited nationwide using a Qualtrics web-based panel. Logistic regression was used to identify factors associated with being prescribed/recommended narcotics/opioids for pain management treatment. Then, ordinary least squares regression was used to identify factors associated with their satisfaction level with the pain treatment/management received. Results On average, participants were 56.2 years old and 48.3% were prescribed/recommended narcotics/opioids for chronic pain. Men with more chronic conditions (Odds Ratio [OR] = 0.57, P = 0.043) and depression/anxiety disorders (OR = 0.53, P = 0.029) were less likely to be prescribed/recommended narcotics/opioids. Men who were more educated (OR = 2.09, P = 0.044), reported more frequent chronic pain (OR = 1.28, P = 0.007), and were allowed to participate more in decisions about their pain treatment/management (OR = 1.11, P = 0.029) were more likely to be prescribed/recommended narcotics/opioids. On average, men with more frequent chronic pain (B = −0.25, P = 0.015) and pain problems (B = −0.16, P = 0.009) were less satisfied with their pain treatment/management. Men who were allowed to participate more in decisions about their pain treatment/management reported higher satisfaction with their pain treatment/management (B = 0.55, P < 0.001). Conclusion Playing an active role in pain management can improve non-Hispanic Black men’s satisfaction with pain treatment/management. This study illustrates the importance of patient-centered approaches and inclusive patient-provider interactions to improve chronic pain management.

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“…This requires PCPs to gain an appreciation for CRC and learn how to facilitate it. However, PCPs may not have the appropriate skills and training to engage in non-judgmental conversations with historically excluded communities about various aspects of care [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Identifying facilitators and barriers to culturally responsive communication for racial, ethnic, sexual, and gender minoritized patients when screened for COVID-19 vaccinations: A scoping review protocol

Kalita,

Corr,

Ward

et al. 2023

PLoS ONE

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Introduction Racial, ethnic, sexual, and gender minoritized groups are considered historically excluded groups and have been disproportionately affected by the coronavirus disease 2019 (COVID-19) pandemic. The influence of social determinants of health (SDOH), including access to screening and treatment, and other systemic and structural factors are largely responsible for these disparities. Primary care practitioner (PCP) competence in culturally responsive screening practices will be critical to reducing the impact of systemic and structural factors serving as barriers to screening and treatment. Correspondingly, improving the capacity of PCPs to communicate with patients in a culturally responsive manner may influence improved screening and treatment outcomes for minoritized groups related to COVID-19. This scoping literature review aims to determine the current breadth of literature on culturally responsive communication (CRC) in regard to COVID-19 vaccination screening for historically excluded, or minoritized groups. Results from this review will inform the development of a training series and social marketing campaign to improve PCPs capacity in CRC. This manuscript provides details on our study protocol. Objectives This scoping literature review aims to analyze existing literature on culturally responsive COVID-19 vaccinations between PCPs and patients in the U.S., specifically for racial, ethnic, sexual, and gender minoritized groups. Results of this scoping review will inform the development of a training series and social marketing campaign to improve capacity of PCPs in this area. Additionally, the review will inform recommendations for future research. Materials and methods This scoping review will be performed following the framework of Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Relevant studies between the years 2019–2022 were identified using a rigorous search strategy across four databases: MEDLINE (via PubMed), Scopus, Cochrane (CENTRAL; via Wiley), and CINAHL (via EBSCO), using Boolean and Medical Subject Headings (MeSH) search terms. Studies will be uploaded to the data extraction tool, Covidence, to remove duplicates and perform a title/abstract screening, followed by a full-text screening. Results The data extraction and analysis phases of the scoping review are in progress. Data will be analyzed for themes related to culturally responsive COVID-19 screening practices in clinical encounters with the identified study populations. Results will be reported by theme and align to PRISMA-ScR guidelines. Discussion To our knowledge, this is the first study to use scoping methods to investigate the barriers and facilitators to CRC of COVID-19 vaccine screening for historically excluded communities in the U.S. The work and results from this research will be directly utilized for the development of nationally-accessible, continuing medical education materials to teach PCPs about CRC, as well as other materials to influence relevant policy changes within the healthcare landscape.

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Implicit Bias Against BIPOC Patients in Clinical Settings: A Qualitative Review

Cited by 5 publications

References 0 publications

Towards feminist health empowerment for self-testing apps : testing for dementia

Towards feminist health empowerment for self-testing apps : testing for dementia

Pharmacological Prescribing and Satisfaction with Pain Treatment Among Non-Hispanic Black Men with Chronic Pain

Identifying facilitators and barriers to culturally responsive communication for racial, ethnic, sexual, and gender minoritized patients when screened for COVID-19 vaccinations: A scoping review protocol

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