Maximizing the Benefits of “We” in Race-Discordant Patient–Physician Relationships: Novel Insights Raise Intriguing Questions
Over the last decade, research on racial differences in the quality of the patient–physician relationship has yielded mounting evidence of lower levels of trust,1 satisfaction2 and perceived partnership2 in race-discordant patient–physician relationships. Evidence linking race discordance to technical aspects of care and health outcomes is limited and results are mixed.3 However, continued study of the role of race discordance in perpetuating or mitigating health and health care disparities is important because most relationships between ethnic minority patients and their clinicians are race-discordant.4
More recent work focuses on clarifying mechanisms of poorer patient experiences in racially discordant patient–physician interactions. Key mechanisms include poorer quality communication, especially in affective domains,2 possibly due to implicit bias or stereotyping of patients that occurs during medical interactions.5 Although several intervention strategies have been proposed to redu ...
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- Emanuel EJ, Emanuel LL. Four models of the physician-patient relationship. JAMA. 1992;267(16):2221–2226. CrossRef
- Maximizing the Benefits of “We” in Race-Discordant Patient–Physician Relationships: Novel Insights Raise Intriguing Questions
Journal of General Internal Medicine
Volume 28, Issue 9 , pp 1119-1121
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- Springer US
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- 1. Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- 2. Johns Hopkins Center to Eliminate Cardiovascular Disparities, Johns Hopkins University School of Medicine, 2024 East Monument Street, Suite 2-500, Baltimore, MD, 21287, USA