Preferring patient–physician concordance: the ambiguity of implicit ethnic bias

Popper‐Giveon, Ariela

doi:10.1080/13557858.2019.1620180

Cited by 13 publications

(9 citation statements)

References 32 publications

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“…Second, the data enable us to have a glimpse into respondents' inner thoughts with regard to diverse nursing treatments, and we have come to learn that respondents have preferences with regard to the nationality of the nurse; hence, the health‐care arena is not, in fact, a neutral zone. Although Arabs and Jews work as health‐care providers in all Israeli hospitals and clinics, and Arabs and Jews conflict with one another in the political arena but take care of each other in health institutions, their professional competence is not equally appreciated by members of either the Arab or the Jewish sectors (Keshet & Popper‐Giveon, 2021). It is crucial to establish acts and legislations that delegitimize racist occurrences in the globalized context of health‐care and to preserve nurses' and patients' well‐being and dignity.…”

Section: Discussionmentioning

confidence: 99%

Does racism toward nurses increase as treatment invasiveness rises?

Bokek‐Cohen

2023

Nursing Inquiry

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One of the unspoken issues in public discourse in most countries is the racism of patients toward nurses who originate from a different ethnic group than theirs. The aim of the present study is to examine whether patients' racism toward nurses increases as the invasiveness of treatment rises. This study was conducted in Israel, a highly conflictual society where Jews and Arabs live together and meet in the same health facilities. Despite the tension and sometimes animosity caused by the political situation, members of each group regularly encounter members of the other group during the provision of health‐care, both as patients and as medical and nursing staff. A study questionnaire which presented nine nursing treatments of diverse levels of invasiveness was filled out by Arab and Jewish participants. They were asked to convey their preference for an Arab or a Jewish nurse for each treatment. Results of Logistic Regression Analyses reveal that in both sectors, racism toward nurses increases as the treatment invasiveness rises. These findings are discussed in light of the concept of social distance, and serve as an empirical basis for several proposed practical recommendations for eradicating racism against nurses.

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Section: Discussionmentioning

confidence: 99%

Does racism toward nurses increase as treatment invasiveness rises?

Bokek‐Cohen

2023

Nursing Inquiry

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“…Daily intergroup contact – such as Israeli-Jewish patients treated by Israeli-Arab physicians and vice-versa – may influence patients’ perceptions of the specific medical processes, as well as general attitudes toward the provider and their group. Indeed, several qualitative studies conducted within the Israeli health system have reported on the way conflicted relations between Arabs and Jews in Israel affect attitudes toward outgroup caregivers, such as the preference for physician–patient concordance (or ingroup matchup; Popper-Giveon and Keshet, 2018 ; Popper-Giveon, 2019 ). In fact, an example of the conflicted relations within a medical setting could be observed when a member of the Israeli parliament was reported to have backed Jewish women who requested to be separated from Arab women while staying in maternity wards, a request that some hospitals were reported to have agreed to Siegel-Itzkovich and Solomon (2016) .…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, the influence of the complicated relations between Jews and Arabs in Israel on the Israeli medical healthcare system has been observed in a studies that explored both physician–patient and physician–nurse interactions ( Popper-Giveon et al, 2014 ; Keshet and Popper-Giveon, 2017 ; Popper-Giveon and Keshet, 2018 ). For example, Popper-Giveon et al (2014) found that while Israeli-Arab physicians supportive of integration did not necessarily display a preference for patient concordance, both Israeli-Arab and Jewish patients would often rather be treated by physicians from their own ethnic group (see also Popper-Giveon, 2019 ). Further studies conducted in medical clinics in Israel found that positive intergroup contact could help reduce intergroup prejudice and improve attitudes both in a natural setting and in those based on positive information ( Weiss, 2020 , 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Ingroup Bias in Healthcare Contexts: Israeli-Jewish Perceptions of Arab and Jewish Doctors

2021

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The influence of group membership on perceptions of outgroup members has been extensively studied in various contexts. This research has indicated a strong tendency for ingroup bias – preferring the ingroup over the outgroup. We seek to further expand on the growing literature regarding the effects of group membership within healthcare contexts. Focusing on the Arab-Jewish context in Israel, the present study explored the influence of group membership on Israeli-Jewish participants’ evaluations when exposed to potential malpractice. Specifically, participants (n = 165) read a description of an Israeli-Jewish or Israeli-Arab physician who was either culpable or non-culpable of malpractice. Consistent with our predictions, findings generally indicated more negative evaluations of the Israeli-Arab physician, regardless of objective culpability. We conclude by discussing the study’s limitations and implications.

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“…However, the association between ethno-cultural background and various aspects of informal care may differ in the hospital setting. First, hospitalization balances two cultural contexts of care, the personal and the organizational context, and this balance may be di cult to achieve for patients and caregivers from minority groups [21,22]. Second, the stressful aspects of hospitalization might impose different coping strategies on different ethno-cultural groups.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Informal Family Care During Acute Hospitalization of Older Adults from Different Ethno-Cultural Groups in Israel.

Shulyaev

Gur‐Yaish

Shadmi

et al. 2020

Preprint

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Introduction Informal caregiving during hospitalization of older adults is significantly related to hospital processes and patient outcomes. Studies in the home settings demonstrate that ethno-cultural background is related to various aspects of informal caregiving; however, this association in the hospital setting was insufficiently researched.Objectives Our study looked for differences between ethno-cultural groups in the amount and kind of informal support they provided for older adults during hospitalization.Methods This study is a secondary data analysis of two cohort studies conducted in Israeli hospitals. Hospitalized older adults were divided into three groups: Israeli-born and veteran immigrant Jews, Arabs, and Jewish immigrants from the Former Soviet Union (FSU).Results Informal caregivers of “FSU immigrants” stayed less hours during the day in both cohorts, were less present during the night in study 1, and provided less supervision of medical care in study 2, in comparison to the two other groups. Findings from study 1 also suggested that informal caregivers of “Arab” older adults were more likely to stay during the night in comparison to the two other groups.Conclusion Ethno cultural groups differ in terms of the patterns of caregiving older adults during hospitalization. Health care professionals should be aware of these patterns and the cultural norms that are related to caregiving practices for better cooperation between informal and formal caregivers of older adults.

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Preferring patient–physician concordance: the ambiguity of implicit ethnic bias

Cited by 13 publications

References 32 publications

Does racism toward nurses increase as treatment invasiveness rises?

Does racism toward nurses increase as treatment invasiveness rises?

Ingroup Bias in Healthcare Contexts: Israeli-Jewish Perceptions of Arab and Jewish Doctors

Patterns of Informal Family Care During Acute Hospitalization of Older Adults from Different Ethno-Cultural Groups in Israel.

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