A systematic review of the extent and measurement of healthcare provider racism

Paradies, Yin, Truong, Mandy and Priest, Naomi 2013, A systematic review of the extent and measurement of healthcare provider racism, Journal of general internal medicine, vol. 29, no. 2, pp. 364-387.

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Title A systematic review of the extent and measurement of healthcare provider racism
Author(s) Paradies, Yin
Truong, Mandy
Priest, Naomi
Journal name Journal of general internal medicine
Volume number 29
Issue number 2
Start page 364
End page 387
Total pages 24
Publisher Springer
Place of publication New York, NY
Publication date 2013
ISSN 1525-1497
0884-8734
Keyword(s) healthcare
racism
bias
measurement
systematic review
Summary Background
Although considered a key driver of racial disparities in healthcare, relatively little is known about the extent of interpersonal racism perpetrated by healthcare providers, nor is there a good understanding of how best to measure such racism.

Objectives
This paper reviews worldwide evidence (from 1995 onwards) for racism among healthcare providers; as well as comparing existing measurement approaches to emerging best practice, it focuses on the assessment of interpersonal racism, rather than internalized or systemic/institutional racism.

Methods
The following databases and electronic journal collections were searched for articles published between 1995 and 2012: Medline, CINAHL, PsycInfo, Sociological Abstracts. Included studies were published empirical studies of any design measuring and/or reporting on healthcare provider racism in the English language. Data on study design and objectives; method of measurement, constructs measured, type of tool; study population and healthcare setting; country and language of study; and study outcomes were extracted from each study.

Results
The 37 studies included in this review were almost solely conducted in the U.S. and with physicians. Statistically significant evidence of racist beliefs, emotions or practices among healthcare providers in relation to minority groups was evident in 26 of these studies. Although a number of measurement approaches were utilized, a limited range of constructs was assessed.

Conclusion
Despite burgeoning interest in racism as a contributor to racial disparities in healthcare, we still know little about the extent of healthcare provider racism or how best to measure it. Studies using more sophisticated approaches to assess healthcare provider racism are required to inform interventions aimed at reducing racial disparities in health.
Language eng
Field of Research 160803 Race and Ethnic Relations
111709 Health Care Administration
Socio Economic Objective 920206 Health Inequalities
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2013
Copyright notice ©2013, Springer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30058724

Document type: Journal Article
Collection: Centre for Citizenship and Globalisation
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Created: Tue, 03 Dec 2013, 09:45:03 EST by Yin Paradies

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