Factors Related to Physician Clinical Decision-Making for African-American and Hispanic Patients

a Qualitative Meta-Synthesis

Khadijah Breathett, Jacqueline Jones, Hillary D. Lum, Dawn Koonkongsatian, Christine D. Jones, Urvi Sanghvi, Lilian Hoffecker, Marylyn M Mcewen, Stacie L. Daugherty, Irene V. Blair, Elizabeth Calhoun, Esther de Groot, Nancy K Sweitzer, Pamela N. Peterson

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Clinical decision-making may have a role in racial and ethnic disparities in healthcare but has not been evaluated systematically. The purpose of this study was to synthesize qualitative studies that explore various aspects of how a patient’s African-American race or Hispanic ethnicity may factor into physician clinical decision-making. Using Ovid MEDLINE, Embase, and Cochrane Library, we identified 13 manuscripts that met inclusion criteria of usage of qualitative methods; addressed US physician clinical decision-making factors when caring for African-American, Hispanic, or Caucasian patients; and published between 2000 and 2017. We derived six fundamental themes that detail the role of patient race and ethnicity on physician decision-making, including importance of race, patient-level issues, system-level issues, bias and racism, patient values, and communication. In conclusion, a non-hierarchical system of intertwining themes influenced clinical decision-making among racial and ethnic minority patients. Future study should systematically intervene upon each theme in order to promote equitable clinical decision-making among diverse racial/ethnic patients.

Original languageEnglish (US)
Pages (from-to)1-15
Number of pages15
JournalJournal of racial and ethnic health disparities
DOIs
StateAccepted/In press - Mar 5 2018

Fingerprint

Hispanic Americans
African Americans
physician
Physicians
decision making
ethnicity
Healthcare Disparities
Racism
Caucasian
Manuscripts
qualitative method
national minority
racism
Clinical Decision-Making
American
MEDLINE
Libraries
inclusion
Decision Making
Communication

Keywords

  • Bias
  • Clinical decision-making
  • Healthcare disparities
  • Minority health

ASJC Scopus subject areas

  • Health(social science)
  • Anthropology
  • Sociology and Political Science
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Factors Related to Physician Clinical Decision-Making for African-American and Hispanic Patients : a Qualitative Meta-Synthesis. / Breathett, Khadijah; Jones, Jacqueline; Lum, Hillary D.; Koonkongsatian, Dawn; Jones, Christine D.; Sanghvi, Urvi; Hoffecker, Lilian; Mcewen, Marylyn M; Daugherty, Stacie L.; Blair, Irene V.; Calhoun, Elizabeth; de Groot, Esther; Sweitzer, Nancy K; Peterson, Pamela N.

In: Journal of racial and ethnic health disparities, 05.03.2018, p. 1-15.

Research output: Contribution to journalArticle

Breathett, Khadijah ; Jones, Jacqueline ; Lum, Hillary D. ; Koonkongsatian, Dawn ; Jones, Christine D. ; Sanghvi, Urvi ; Hoffecker, Lilian ; Mcewen, Marylyn M ; Daugherty, Stacie L. ; Blair, Irene V. ; Calhoun, Elizabeth ; de Groot, Esther ; Sweitzer, Nancy K ; Peterson, Pamela N. / Factors Related to Physician Clinical Decision-Making for African-American and Hispanic Patients : a Qualitative Meta-Synthesis. In: Journal of racial and ethnic health disparities. 2018 ; pp. 1-15.
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