Just Medicine: A Cure for Racial Inequality in American Health Care by Matthew Dayna Bowen

Author:Matthew, Dayna Bowen [Matthew, Dayna Bowen]
Language: eng
Format: epub
Tags: POL000000 Political Science / General
ISBN: 9781479899630
Publisher: NYU Press
Published: 2015-12-10T21:00:00+00:00

Mechanism #6: Implicit Biases Influence Patients’ Satisfaction, Adherence, Compliance, and Follow-Up

The final mechanism linking implicit bias to disparate health outcomes focuses on patients’ health care decisions after the clinical encounter. A patient’s post-clinical decisions are related to the bias he or she perceived in their providers. The evidence shows that minority patients reduce their adherence, compliance, and future care-seeking after experiencing racial or ethnic bias. Racial and ethnic minority patients report that they have well-developed methods of coping with the stress of health care discrimination. Unfortunately, all too often these coping methods have a deleterious effect on their health.22 For example, patients with limited English proficiency may choose to delay or avoid seeking health care altogether in order to avoid the hassle or humiliation of finding translators or being misunderstood. Patients who anticipate their medical interactions may expose them to prejudicial attitudes from their physicians or health care institutions are likely to avoid these encounters. For example, some patients suffer from measureable psychological and physiological stress responses even before they reach their doctor’s office23 just because of what they anticipate from a clinical encounter. These are the types of patients who may avoid the clinical encounter altogether.

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