Multiple studies over an extended period of time confirm what most clinicians already knew, African Americans are generally not as trusting of medical providers as other racial groups. What many of us did not know was why. This second chapter revisits the fundamentals of the patient encounter, but spends a significant amount of time on “trust.” Almost half of all African Americans (44%) distrust healthcare providers and the American healthcare system regardless of the provider’s ethnicity. This is in sharp contrast to most other Americans. Some of the reasons for distrust are reviewed and strategies to build trust are outlined. Showing competence in clinical care is a simple yet undeniable aspect of assuming the care of African American patients.
- 4.U.S. Public Health Service Syphilis Study at Tuskegee. Centers for Disease Control and Prevention. https://www.cdc.gov/tuskegee/index.html.
- 10.Washington H. Medical apartheid: the dark history of medical experimentation on black Americans from colonial times to the present. 1st ed. Harlem Moon: Doubleday; 2006.Google Scholar
- 16.Kirwan Institute for the Study of Race and Ethnicity. http://kirwaninstitute.osu.edu/.
- 17.Peckham C. Medscape lifestyle report 2017. Race and ethnicity, bias and burnout. https://www.medscape.com/features/slideshow/lifestyle/2017/overview.
- 21.Boulware L, Cooper L, Ratner L, LaVeist T, Powe N. Race and trust in the health care system. Public Health Rep. 2003;118(4):358–65. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497554/pdf/12815085.pdf.CrossRefGoogle Scholar
- 27.World Health Organization. Glove use information leaflet. http://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf.