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Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes.

Publication ,  Journal Article
Lin, OM; Reid, HW; Fabbro, RL; Johnson, KS; Batch, BC; Olsen, MK; Matsouaka, RA; Sanders, LL; Chung, ST; Svetkey, LP
Published in: Health equity
January 2021

Purpose: Research suggests that providers contribute to racial disparities in health outcomes. Identifying modifiable provider perspectives that are associated with decreased racial disparities will help in the design of effective educational interventions for providers. Methods: This cross-sectional study investigated the association between primary care provider (PCP) perspectives on race and racial disparities with patient outcomes. Results: Study participants included 40 PCPs (70% White, 30% racial minority) caring for 55 patients (45% White, 55% Black) with type 2 diabetes mellitus. Associations of provider perspectives on race and racial disparities with patient variables (Interpersonal Processes of Care [IPC] Survey, which measures patient's ratings of their provider's interpersonal skills; medication adherence; glycemic control) were measured using Spearman correlation coefficients. Results suggest that Black patients of providers who reported greater skill in caring for Black patients had more positive perceptions of care in three of four IPC subdomains (Spearman correlation coefficients of -0.43, 0.44, 0.46, all with p<0.05); however, Black patients of providers who believe that racial disparities are highly prevalent had more negative perceptions of care in three of four IPC subdomains (Spearman correlation coefficients of 0.38, -0.53, -0.51, all with p<0.05). These same provider characteristics had no correlation with outcomes of medication adherence and hemoglobin A1c (HbA1c) or among White patients. Conclusion: Findings suggest that Black patients of providers who felt better equipped to take care of Black patients had a better experience. Therefore, educational interventions for providers may be most effective if they focus on skill development rather than increasing awareness about racial disparities alone.

Duke Scholars

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Published In

Health equity

DOI

EISSN

2473-1242

ISSN

2473-1242

Publication Date

January 2021

Volume

5

Issue

1

Start / End Page

466 / 475

Related Subject Headings

  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lin, O. M., Reid, H. W., Fabbro, R. L., Johnson, K. S., Batch, B. C., Olsen, M. K., … Svetkey, L. P. (2021). Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes. Health Equity, 5(1), 466–475. https://doi.org/10.1089/heq.2021.0018
Lin, Olivia M., Hadley W. Reid, Rebecca L. Fabbro, Kimberly S. Johnson, Bryan C. Batch, Maren K. Olsen, Roland A. Matsouaka, Linda L. Sanders, Sangyun Tyler Chung, and Laura P. Svetkey. “Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes.Health Equity 5, no. 1 (January 2021): 466–75. https://doi.org/10.1089/heq.2021.0018.
Lin OM, Reid HW, Fabbro RL, Johnson KS, Batch BC, Olsen MK, et al. Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes. Health equity. 2021 Jan;5(1):466–75.
Lin, Olivia M., et al. “Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes.Health Equity, vol. 5, no. 1, Jan. 2021, pp. 466–75. Epmc, doi:10.1089/heq.2021.0018.
Lin OM, Reid HW, Fabbro RL, Johnson KS, Batch BC, Olsen MK, Matsouaka RA, Sanders LL, Chung ST, Svetkey LP. Association of Provider Perspectives on Race and Racial Health Care Disparities with Patient Perceptions of Care and Health Outcomes. Health equity. 2021 Jan;5(1):466–475.

Published In

Health equity

DOI

EISSN

2473-1242

ISSN

2473-1242

Publication Date

January 2021

Volume

5

Issue

1

Start / End Page

466 / 475

Related Subject Headings

  • 4206 Public health