Culture Clash: The Medical Encounter as a Source of Health Disparities
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Start Date
25-6-2008 2:30 PM
End Date
25-6-2008 3:30 PM
Keywords:
Health Disparate, Minority and Vulnerable Populations, Healthcare Disparities, Social Determinants of Health, Health Communication, Culturally Competent Care, Bias, Implicit
Description
In 2002, the Institute of Medicine (IOM) issued its landmark report entitled "Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care." The report identified three potential sources of healthcare disparities for minority and other underserved communities - patient-level factors, healthcare system-level factors, and care process-level factors. Care process-level factors included issues such as bias, stereotyping, prejudice and clinical uncertainty on the part of healthcare providers. Recommendations to address these factors included a call for additional research, interventions to enhance patient-provider communication, and integration of cross-cultural education into the training of all current and future health professionals. In this presentation, I will briefly review models of health disparities and the role of provider beliefs in these disparities. I will describe various forms of bias (e.g., stereotypes, prejudice,implicit, explicit) and patient-level outcomes of experiencing bias. I will discuss the current research into provider bias and its limitations. Finally, I will discuss the relationship of cultural competence to bias. Specifically, I will propose a model for Culturally Competent Communication and how the use of the model for assessing and training provider behavior could serve as a framework for addressing provider bias as a cause of health disparities.
Recommended Citation
Teal, Cayla R. Ph.D., "Culture Clash: The Medical Encounter as a Source of Health Disparities" (2008). Disparities in Health in America Workshop: Celebrating Scholar Entrepreneurs Working Towards Social Justice. 6.
https://openworks.mdanderson.org/dhaw/2008/kelloggscholars/6
Short Bio, Abstract, and Presentation Slide Deck
Culture Clash: The Medical Encounter as a Source of Health Disparities
In 2002, the Institute of Medicine (IOM) issued its landmark report entitled "Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care." The report identified three potential sources of healthcare disparities for minority and other underserved communities - patient-level factors, healthcare system-level factors, and care process-level factors. Care process-level factors included issues such as bias, stereotyping, prejudice and clinical uncertainty on the part of healthcare providers. Recommendations to address these factors included a call for additional research, interventions to enhance patient-provider communication, and integration of cross-cultural education into the training of all current and future health professionals. In this presentation, I will briefly review models of health disparities and the role of provider beliefs in these disparities. I will describe various forms of bias (e.g., stereotypes, prejudice,implicit, explicit) and patient-level outcomes of experiencing bias. I will discuss the current research into provider bias and its limitations. Finally, I will discuss the relationship of cultural competence to bias. Specifically, I will propose a model for Culturally Competent Communication and how the use of the model for assessing and training provider behavior could serve as a framework for addressing provider bias as a cause of health disparities.
