Recognizing Privilege and Bias: An Interactive Exercise to Expand Health Care Providers’ Personal Awareness

Holm, Amanda; Gorosh, M; Brady, Megan; Perkins, Denise White

doi:10.1097/acm.0000000000001290

Cited by 39 publications

(25 citation statements)

References 8 publications

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“…Other articles focused on counsellors and psychologists (11%), social workers (3%) or pharmacists (3%), while 32% of articles did not specify a healthcare provider group. The anti-racism interventions were implemented across a range of settings, including hospitals (outpatients) (21%); network or regional level with direct patient reach (19%), such as the Henry Ford Health System in Michigan [33]; primary care (14%) and community-based settings providing outpatient care (11%), such as the NSW Health Education Centre Against Violence [54].…”

Section: Overview Of the Literaturementioning

confidence: 99%

Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Hassen

Lofters

Michael

et al. 2021

IJERPH

179

125

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Racism towards Black, Indigenous and people of colour continues to exist in the healthcare system. This leads to profound harm for people who use and work within these settings. This is a scoping review to identify anti-racism interventions in outpatient healthcare settings. Searching the peer-reviewed and grey literature, articles were screened for inclusion by at least two independent reviewers. Synthesizing the socio-ecological levels of interventions with inductively identifying themes, a conceptual model for implementing anti-racism interventions in healthcare settings is presented. In total, 37 peer-reviewed articles were included in the review, with 12 empirical studies and 25 theoretical or conceptual papers. Six grey literature documents were also included. Healthcare institutions need to incorporate an explicit, shared language of anti-racism. Anti-racism action should incorporate leadership buy-in and commitment with dedicated resources, support and funding; a multi-level approach beginning with policy and organizational interventions; transparent accountability mechanisms for sustainable change; long-term meaningful partnerships with Black, Indigenous, and people of colour (i.e., racialized communities); and ongoing, mandatory, tailored staff education and training. Decision-makers and staff in healthcare settings have a responsibility to take anti-racism action and may improve the success and sustainability of their efforts by incorporating the foundational principles and strategies identified in this paper.

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Section: Overview Of the Literaturementioning

confidence: 99%

Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Hassen

Lofters

Michael

et al. 2021

IJERPH

179

125

View full text Add to dashboard Cite

show abstract

“…Gender differences in health service access have received relatively little attention in the UK. When studies evaluate gender, they focus typically on women's issues, particularly male privilege [6,32]. The present article highlighted the fact that men also possess important healthcare needs.…”

Section: Gp Visitsmentioning

confidence: 97%

“…Importantly this process of categorization links to existing social relations, [22,23,36], including relationships with medical service providers [4,6]. The norms of stoicism and control associated with masculinity often prevent men from seeking healthcare where they believe they risk lapsing into a passive and/or 'feminine' sick role that is associated with weakness [32]. The argument presented in this paper, driven by the finding that men are less likely to be engaged with their GP, is that medical practitioners need to engage with men, recognize and harness these male identities/stereotypes and norms by working with, rather than across them [4,22,33].…”

Section: Gp Visitsmentioning

confidence: 99%

Predicting GP visits: A multinomial logistic regression investigating GP visits amongst a cohort of UK patients living with Myalgic encephalomyelitis

et al. 2020

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Background: Myalgic Encephalomyelitis (ME) is a chronic condition whose status within medicine is the subject of ongoing debate. Some medical professionals regard it as a contentious illness. Others report a lack of confidence with diagnosis and management of the condition. The genesis of this paper was a complaint, made by an ME patient, about their treatment by a general practitioner. In response to the complaint, Healthwatch Trafford ran a patient experience-gathering project. Method: Data was collected from 476 participants (411 women and 65 men), living with ME from across the UK. Multinomial logistic regression investigated the predictive utility of length of time with ME; geographic location (i.e. Manchester vs. rest of UK); trust in GP; whether the patient had received a formal diagnosis; time taken to diagnosis; and gender. The outcome variable was number of GP visits per year. Results: All variables, with the exception of whether the patient had received a formal diagnosis, were significant predictors. Conclusions: Relationships between ME patients and their GPs are discussed and argued to be key to the effective delivery of care to this patient cohort. Identifying potential barriers to doctor patient interactions in the context of ME is crucial.

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“…Across each of the six core domains, competent PA graduates must demonstrate the ability to exercise humility, "a state of openness toward understanding and respecting important aspects of other people's cultural identities." 14 This requires an awareness of one's personal and professional beliefs, biases, attitudes, and actions that affect patient care and a commitment to ongoing professional development. To demonstrate cultural humility, according to Tervalon and Murray-Garcia, "health care providers should consider a person's culture from the individual's specific view and to be aware and humble enough to 'say that they do not know when they do not know' and know when to ask for help."…”

Section: Cultural Humilitymentioning

confidence: 99%

Curriculum essentials of an entry-level PA doctoral degree

Kayingo¹,

Gordes²,

Jun³

et al. 2021

Jaapa

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Objectives: With increasing discussion of physician assistant (PA) doctoral education, investigation of curriculum essentials and competencies has become relevant. Methods: We conducted a national mixed-methods study comprising a survey and semistructured interviews to capture stakeholders' views on essential curricular elements for PA doctoral education. Results: If the PA profession decides to transition to a terminal doctoral degree, 75% of respondents indicated this would require new content, with half indicating it would require significant change to the curriculum, enhance PA educational rigor, and change the competencies of the new graduate. The majority of respondents favored a bridge program model and the Doctor of Medical Science (DMSc) as the degree title. Conclusions: Overall, respondents agreed that transition to an entry-level PA doctoral degree would affect various aspects of the curriculum. As the prospect of an entry-level PA doctoral degree gains further attention, additional debate on curriculum essentials and competencies is warranted.

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Recognizing Privilege and Bias: An Interactive Exercise to Expand Health Care Providers’ Personal Awareness

Abstract: The PRCE is worthy of additional study and could prove valuable to other organizations.

Cited by 39 publications

References 8 publications

Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Predicting GP visits: A multinomial logistic regression investigating GP visits amongst a cohort of UK patients living with Myalgic encephalomyelitis

Curriculum essentials of an entry-level PA doctoral degree

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