The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review.
<h4>Objective</h4>To understand racial bias in clinical settings from the perspectives of minority patients and healthcare providers to inspire changes in the way healthcare providers interact with their patients.<h4>Methods</h4>Articles on racial bias were searched on Medlin...
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2021
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oai:doaj.org-article:1f8252e21a024811b6c7296e69274bde2021-12-02T20:17:29ZThe perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review.1932-620310.1371/journal.pone.0255936https://doaj.org/article/1f8252e21a024811b6c7296e69274bde2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255936https://doaj.org/toc/1932-6203<h4>Objective</h4>To understand racial bias in clinical settings from the perspectives of minority patients and healthcare providers to inspire changes in the way healthcare providers interact with their patients.<h4>Methods</h4>Articles on racial bias were searched on Medline, CINAHL, PsycINFO, Web of Science. Full text review and quality appraisal was conducted, before data was synthesized and analytically themed using the Thomas and Harden methodology.<h4>Results</h4>23 articles were included, involving 1,006 participants. From minority patients' perspectives, two themes were generated: 1) alienation of minorities due to racial supremacism and lack of empathy, resulting in inadequate medical treatment; 2) labelling of minority patients who were stereotyped as belonging to a lower socio-economic class and having negative behaviors. From providers' perspectives, one theme recurred: the perpetuation of racial fault lines by providers. However, some patients and providers denied racism in the healthcare setting.<h4>Conclusion</h4>Implicit racial bias is pervasive and manifests in patient-provider interactions, exacerbating health disparities in minorities. Beyond targeted anti-racism measures in healthcare settings, wider national measures to reduce housing, education and income inequality may mitigate racism in healthcare and improve minority patient care.Wilson SimWen Hui LimCheng Han NgYip Han ChinClyve Yu Leon YaowClare Wei Zhen CheongChin Meng KhooDujeepa D SamarasekeraM Kamala DeviChoon Seng ChongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255936 (2021) |
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Medicine R Science Q Wilson Sim Wen Hui Lim Cheng Han Ng Yip Han Chin Clyve Yu Leon Yaow Clare Wei Zhen Cheong Chin Meng Khoo Dujeepa D Samarasekera M Kamala Devi Choon Seng Chong The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| description |
<h4>Objective</h4>To understand racial bias in clinical settings from the perspectives of minority patients and healthcare providers to inspire changes in the way healthcare providers interact with their patients.<h4>Methods</h4>Articles on racial bias were searched on Medline, CINAHL, PsycINFO, Web of Science. Full text review and quality appraisal was conducted, before data was synthesized and analytically themed using the Thomas and Harden methodology.<h4>Results</h4>23 articles were included, involving 1,006 participants. From minority patients' perspectives, two themes were generated: 1) alienation of minorities due to racial supremacism and lack of empathy, resulting in inadequate medical treatment; 2) labelling of minority patients who were stereotyped as belonging to a lower socio-economic class and having negative behaviors. From providers' perspectives, one theme recurred: the perpetuation of racial fault lines by providers. However, some patients and providers denied racism in the healthcare setting.<h4>Conclusion</h4>Implicit racial bias is pervasive and manifests in patient-provider interactions, exacerbating health disparities in minorities. Beyond targeted anti-racism measures in healthcare settings, wider national measures to reduce housing, education and income inequality may mitigate racism in healthcare and improve minority patient care. |
| format |
article |
| author |
Wilson Sim Wen Hui Lim Cheng Han Ng Yip Han Chin Clyve Yu Leon Yaow Clare Wei Zhen Cheong Chin Meng Khoo Dujeepa D Samarasekera M Kamala Devi Choon Seng Chong |
| author_facet |
Wilson Sim Wen Hui Lim Cheng Han Ng Yip Han Chin Clyve Yu Leon Yaow Clare Wei Zhen Cheong Chin Meng Khoo Dujeepa D Samarasekera M Kamala Devi Choon Seng Chong |
| author_sort |
Wilson Sim |
| title |
The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| title_short |
The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| title_full |
The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| title_fullStr |
The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| title_full_unstemmed |
The perspectives of health professionals and patients on racism in healthcare: A qualitative systematic review. |
| title_sort |
perspectives of health professionals and patients on racism in healthcare: a qualitative systematic review. |
| publisher |
Public Library of Science (PLoS) |
| publishDate |
2021 |
| url |
https://doaj.org/article/1f8252e21a024811b6c7296e69274bde |
| work_keys_str_mv |
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