Post on 01-Apr-2015
transcript
AFRICAN AMERICAN
CLIENTS’ PERCEPTIONS OF
BIAS IN LOUISIANA
HEALTHCARE
Research Day 2012School of Allied Health ProfessionsRobin Steed, PhD, LOTR
How did I come up with this topic?
Background
sample
populationpositive negative
Attitudes towards African Americans
Current Study
What I did during summer vacation
Demographics
n = 9 5 female 4
male 9th grade –
college varied
occupations addictive
disorder
“What have you experienced in terms of racial bias in healthcare?”
“What contexts or situations have typically influenced or affected your experiences of racial bias in healthcare?”
Guiding Questions
Analysis of Transcripts
Basis of Discrimination Consequences (or Results) of
Discrimination Possible Solutions
Basis of Discrimination
Insurance SES Ethnicity Perceived Lifestyle
Disparity in Quality
Lifestyle
SES Insurance
Ethnicity
Insurance and Trauma Outcomes
Basis of Discrimination
Insurance SES Ethnicity Perceived Lifestyle
Disparity in Quality
Lifestyle
SES Insurance
Ethnicity
Behavioral Risk Factor Surveillance System Survey 2008, Louisiana
Fair/
Poor
Hea
lth
Heart A
ttack
Coron
ary
Heart D
isea
se
Stro
ke0
10
20
30
40
< $15 K
> $50 K
Basis of Discrimination
Insurance SES Ethnicity Perceived Lifestyle
Disparity in Quality
Lifestyle
SES Insurance
Ethnicity
Days to Dg by Insurance & Ethnicity
Private Government None0
10
20
30
40
50
60
70
80
90
100
WhiteBlackHispanic
(Hoffman, 2011)
Basis of Discrimination
Disparity in Quality
Lifestyle
SES Insurance
Ethnicity
Insurance SES Ethnicity Perceived Lifestyle
Results of Bias
Poor Communication Deferred Treatment Superficial Triage Poor Client-practitioner Relationship
Solutions
Adapt to system vs. over adaptation
Take time to provide information Institutional changes Try to understand the client’s
situation Spiritual
So what’s the bottom line?
Discussion
What does bias look like?
Lack of eye contact Hesitant to touch/no touching Washing hands after every touch Talking “around” Disrespectful language “Atta boy!” In a hurry Not explaining/ not asking /
ignoring
Implications for Practice
Medical Model vs. Sociocultural Model
Mindfulness Advocacy Effective client education materials
Implications for Future Research
ROI investigations Efficacy of community awareness
campaigns Examination of instructional
interventions for practitioners Design of client education
robinsteed.pbworks.comresearchday.pbworks.com
Questions?