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
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 Archives. 6.
https://openworks.mdanderson.org/dhaw/2008/kelloggscholars/6
Keywords
Health Disparate; Minority and Vulnerable Populations; Healthcare Disparities; Social Determinants of Health; Health Communication; Culturally Competent Care; Bias; Implicit
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.
