Patients’ attitudes toward health care providers collecting information about their race and ethnicity

Baker, David W.; Cameron, Kenzie A.; Feinglass, Joseph; Georgas, Patricia; Foster, S. Thomas; Pierce, Deborah; Thompson, Jason A.; Hasnain‐Wynia, Romana

doi:10.1111/j.1525-1497.2005.0195.x

Cited by 54 publications

(69 citation statements)

References 8 publications

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“…Support for collection of race and ethnicity data among clinicians in this study complements similar support among patients for such activities 29 and suggests that health care systems should implement programs to collect these data as a part of routine clinical care. 30 Our survey findings are consistent to prior surveys of cardiovascular specialists in some respects but different in others.…”

Section: Discussionmentioning

confidence: 91%

Primary-care Clinician Perceptions of Racial Disparities in Diabetes Care

et al. 2008

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BACKGROUND: Primary-care clinicians can play an important role in reducing racial disparities in diabetes care. OBJECTIVE:The objective of the study is to determine the views of primary-care clinicians regarding racial disparities in diabetes care. DESIGN:The design of the study is through a survey of primary-care clinicians (response rate=86%). PARTICIPANTS:The participants of the study were 115 physicians and 54 nurse practitioners and physician assistants within a multisite group practice in 2007. MEASUREMENTS AND MAIN RESULTS:We identified sociodemographic characteristics of each clinician's diabetic patient panel. We fit multivariable logistic regression models to identify predictors of supporting the collection of data on patients' race and acknowledging the existence of racial disparities among patients personally treated. Among respondents, 79% supported the collection of data on patients' race. Whereas 88% acknowledged the existence of racial disparities in diabetes care within the U.S. health system, only 40% reported their presence among patients personally treated. Clinicians caring for greater than or equal to 50% minority patients were more likely to support collection of patient race data (adjusted odds ratio [OR] 9.0; 95% confidence interval [CI] 1.2-65.0) and report the presence of racial disparities within their patient panel (adjusted OR 12.0; 95% CI 2.5-57.7). Clinicians were more likely to perceive patient factors than physician or health system factors as mediators of racial disparities; however, most supported interventions such as increasing clinician awareness (84%) and cultural competency training (88%). CONCLUSIONS:Most primary-care clinicians support the collection of data on patients' race, but increased awareness about racial disparities at the local level is needed as part of a targeted effort to improve health care for minority patients. INTRODUCTIONRacial disparities in the quality of diabetes care are persistent across all sectors of the U.S. health care system. Black patients with diabetes are less likely than white patients to receive appropriate hemoglobin A1c and lipid testing 1,2 and less likely to achieve treatment goals including glycemic, cholesterol, and blood pressure control. [3][4][5][6][7][8] Blacks also experience worse long-term diabetes-related outcomes than whites, including diabetic retinopathy, 9 lower extremity amputations, 2,10,11 and chronic kidney disease. 12 Hispanics and Native Americans have also been found to receive lower-quality diabetes care, with Native Americans experiencing disproportionately high rates of lower extremity amputations, chronic kidney disease, and diabetes-related mortality. 2,[13][14][15][16][17] The etiology of these racial disparities is multifactorial involving health system, provider, and patient factors, all within the context of broader social issues. 18 Physicians can play an important role in addressing racial disparities in care through their direct interface with patients and the health care system. For example, clinica...

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Section: Discussionmentioning

confidence: 91%

Primary-care Clinician Perceptions of Racial Disparities in Diabetes Care

et al. 2008

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“…3,5 This has been reported to be due to the different gender roles in the family: men could go home earlier because they were more likely to be looked after by their partner. 19 The situation in Hong Kong is different. Children usually live with or close to their parents for cultural and social reasons.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors for length of hospital stay following primary total knee replacement in a total joint replacement centre in Hong Kong

Lo¹,

Lee²,

Wong³

2017

Hong Kong Med J

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“…However, data from patient surveys indicate that, while minority patients are wary of providing information about their race, they are generally willing to do so if it is clear that the purpose of collecting the data is to improve the quality of care. 80 We recommend that clinical settings first determine how data on race-ethnicity are currently collected, then improve data collection by training staff to sensitively and accurately capture these data (and also data on preferred language). Another potential barrier to monitoring quality of care by race-ethnicity is the availability of data on quality.…”

Section: Recommendationsmentioning

confidence: 99%

Transforming Clinical Practice to Eliminate Racial–Ethnic Disparities in Healthcare

et al. 2008

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Racial-ethnic minorities receive lower quality and intensity of health care compared with whites across a wide range of preventive, diagnostic, and therapeutic services and disease entities. These disparities in health care contribute to continuing racial-ethnic disparities in the burden of illness and death. Several national medical organizations and the Institute of Medicine have issued position papers and recommendations for the elimination of health care disparities. However, physicians in practice are often at a loss for how to translate these principles and recommendations into specific interventions in their own clinical practices. This paper serves as a blueprint for translating principles for the elimination of racial-ethnic disparities in health care into specific actions that are relevant for individual clinical practices. We describe what is known about reducing racial-ethnic disparities in clinical practice and make recommendations for how clinician leaders can apply this evidence to transform their own practices.

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Patients’ attitudes toward health care providers collecting information about their race and ethnicity

Abstract: Most patients think HCPs should collect information about race/ethnicity, but many feel uncomfortable giving this information, especially among minorities. Health care providers can increase patients' comfort levels by telling them this will be used to monitor quality of care.

Cited by 54 publications

References 8 publications

Primary-care Clinician Perceptions of Racial Disparities in Diabetes Care

Primary-care Clinician Perceptions of Racial Disparities in Diabetes Care

Predictive factors for length of hospital stay following primary total knee replacement in a total joint replacement centre in Hong Kong

Transforming Clinical Practice to Eliminate Racial–Ethnic Disparities in Healthcare

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