How Race and Ethnicity Influence Relationships in Health Care

How Race and Ethnicity Influence Relationships in Health Care

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
Delving Below the Surface Understanding How Race and Ethnicity Influence Relationships in Health Care Lisa A. Cooper, MD, MPH, 1,2,3,4 Mary Catherine Beach, MD, MPH, 1,2,3 Rachel L. Johnson, MD, PhD, 5 Thomas S. Inui, MD, ScM 6 1 Welch Center for Prevention, Epidemiology, & Clinical Research, Johns Hopkins University, Baltimore, MD, USA; 2 Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 3 Bloomberg School of Public Health, Baltimore, MD, USA; 4 Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA; 5 Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA; 6 Regenstrief Institute, Indiana University Medical Center, Indianapolis, IN, USA. There is increasing evidence that racial and ethnic mi- nority patients receive lower quality interpersonal care than white patients. Therapeutic relationships consti- tute the interpersonal milieu in which patients are di- agnosed, given treatment recommendations, and referred for tests, procedures, or care by consultants in the health care system. This paper provides a review and perspective on the literature that explores the role of relationships and social interactions across racial and ethnic differences in health care. First, we examine the social and historical context for examining differ- ences in interpersonal treatment in health care along racial and ethnic lines. Second, we discuss selected studies that examine how race and ethnicity influence clinician-patient relationships. While less is known about how race and ethnicity influence clinician-com- munity, clinician-clinician, and clinician-self relation- ships, we briefly examine the potential roles of these relationships in overcoming disparities in health care. Finally, we suggest directions for future research on racial and ethnic health care disparities that uses a re- lationship-centered paradigm. KEYWORDS: race; ethnicity; relationships; patient- physician communication; disparities. DOI: 10.1111/j.1525-1497.2006.00305.x J GEN INTERN MED 2006; 21:S21–27. W ebster’s Dictionary defines ‘‘relationship’’ as ‘‘the state of being . . . connected through mutual interests or in- volvement.’’ 1 Therapeutic relationships are the central inter- personal milieu in which patients are diagnosed, given treatment recommendations, and referred for appropriate tests, procedures, or care by consultants in the health care system. Yet, in health services research, relatively few studies focus on the role of interpersonal relations and social interac- tions in explaining racial and ethnic disparities in health. 2
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 7

How Race and Ethnicity Influence Relationships in Health Care

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online