Segregation, Civil Rights, and Health Disparities: The Legacy of African American Physicians and Organized Medicine, 1910-1968

Washington, Harriet A.; Baker, Robert; Olakanmi, Ololade; Savitt, Todd L.; Jacobs, Elizabeth A.; Hoover, Eddie L.; Wynia, Matthew K.

doi:10.1016/s0027-9684(15)30936-6

Cited by 33 publications

(38 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…U.S. health disparities for African American men are rooted in the history of slavery. Although those days are over, the legacy of segregation, the relatively resent Civil Rights Movement, and their interconnectedness with Health Disparities lives on today [11]. Increased physician diversity is often associated with greater access to care for patients with low incomes, racial and ethnic minorities, non-English speaking patients, and individuals with Medicaid [1, 2].…”

Section: The Impact Of Diversity In Medicine: Disparities and The Qualimentioning

confidence: 99%

An American Crisis: the Lack of Black Men in Medicine

Laurencin

Murray

2017

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

The current state of diversity within the United States medical workforce does not reflect representative numbers of the Black male population. Research data continues to reveal continuing trends in the areas of discrimination, incarceration, health disparities and mortality with respect to Black males. The lack of increase in Black male medical school applications and matriculation contrasted by the continuing trends mentioned above illustrates that there is in fact an American crisis. We present here a call to arms, to address the need of African American men in medicine. The absence of Black males in medical school represents an American crisis that threatens efforts to effectively address health disparities and excellence in clinical care. This disturbing trend is in need of more empirical examination of medical school data specifically in the areas of: qualification barriers, race/ethnic classification and the impact of diversity on quality of healthcare in the U.S.

show abstract

Section: The Impact Of Diversity In Medicine: Disparities and The Qualimentioning

confidence: 99%

An American Crisis: the Lack of Black Men in Medicine

Laurencin

Murray

2017

J. Racial and Ethnic Health Disparities

View full text Add to dashboard Cite

show abstract

“…One study found that African-Americans were 37% less likely to report trusting their physicians than non-Hispanic Whites (Boulware et al, 2003). Mistrust of physicians and health care institutions among African-Americans has been previously explored; many of the underlying reasons are related to the historical legacy of unethical experimentation within the United States, a segregated and underresourced health care system, and prior experiences of overt racism by health care providers (Baker et al, 2008; Washington et al, 2009). …”

mentioning

confidence: 99%

Patient Trust in Physicians and Shared Decision-Making Among African-Americans With Diabetes

Peek

Gorawara-Bhat

Quinn

et al. 2013

Health Communication

103

View full text Add to dashboard Cite

This study explores patient trust in physicians and its relationship to shared decision-making (SDM) among African-Americans with diabetes (types 1 and 2). We conducted a series of focus groups (n = 27) and in-depth interviews (n = 24). Topic guides were developed utilizing theoretical constructs. Each interview was audiotaped and transcribed verbatim. Each transcript was independently coded by two randomly assigned members of the research team; codes and themes were identified in an iterative fashion utilizing Atlas.ti software. The mean age of study participants was 62 years and 85% were female. We found that (1) race as a social construct has the potential to influence key domains of patient trust (interpersonal/relationship aspects and medical skills/technical competence), (2) the relationship between patient trust and shared decision-making is bidirectional in nature, and (3) enhancing patient trust may potentially increase or decrease SDM among African-Americans with diabetes. Mistrust of physicians among African-Americans with diabetes may partially be addressed through (1) patient education efforts, (2) physician training in interpersonal skills and cultural competence, and (3) physician efforts to engage patients in SDM. To help enhance patient outcomes among African-Americans with diabetes, physicians might consider incorporating strategies to simultaneously engender their patients' trust and encourage shared decision-making.

show abstract

“…Nonetheless the AMA tolerated institutional racism in its affiliated societies. On more than a dozen separate occasions, starting in 1939 and repeated in 1944, 1948, 1949, 1950, 1951,1952, 1963, 1964, 1965, 1966, and 1968, the AMA reiterated its condemnation of racial discrimination and yet, in very same year, invoked Davis's "local autonomy" principle to vote against motions prohibiting racial discrimination by member medical societies [25].…”

mentioning

confidence: 99%

The American Medical Association and Race

2014

AMA Journal of Ethics

View full text Add to dashboard Cite

Segregation, Civil Rights, and Health Disparities: The Legacy of African American Physicians and Organized Medicine, 1910-1968

Cited by 33 publications

References 17 publications

An American Crisis: the Lack of Black Men in Medicine

An American Crisis: the Lack of Black Men in Medicine

Patient Trust in Physicians and Shared Decision-Making Among African-Americans With Diabetes

The American Medical Association and Race

Contact Info

Product

Resources

About