Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans

Abstract Despite decades of targeted effort, the disparity in access to and utilization of health care remains high in minority populations. Not excluded is the field of chiropractic, where there is an ongoing effort to increase both non-Hispanic black (NHB) practitioners and patients in the United...

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Autores principales:	Rebecca J. Wates, Jon Wilson, Mark T. Pfefer
Formato:	article
Lenguaje:	EN
Publicado:	Springer Nature 2021
Materias:	History of scholarship and learning. The humanities AZ20-999 Social Sciences H
Acceso en línea:	https://doaj.org/article/aeddf5ffe5774be2bb61478f85382d67
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spelling	oai:doaj.org-article:aeddf5ffe5774be2bb61478f85382d672021-11-08T10:58:51ZDoctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans10.1057/s41599-021-00936-12662-9992https://doaj.org/article/aeddf5ffe5774be2bb61478f85382d672021-11-01T00:00:00Zhttps://doi.org/10.1057/s41599-021-00936-1https://doaj.org/toc/2662-9992Abstract Despite decades of targeted effort, the disparity in access to and utilization of health care remains high in minority populations. Not excluded is the field of chiropractic, where there is an ongoing effort to increase both non-Hispanic black (NHB) practitioners and patients in the United States. In this study, we sought to identify which barriers prevent NHB access to chiropractic care. We utilized Qualtrics© (Qualtrics, Provo, UT) and MTurk© (Amazon Mechanical Turk, Inc.) to administer an online survey to 3814 U.S. respondents. Among non-Hispanic blacks, and compared with whites, participants were more likely to consider chiropractic care if the doctor shares their racial identity (37.6% vs. 17.1%) or if referred by a family member or friend (83.1% vs. 72.2%). NHB respondents were more likely to report barriers such as communication, transportation, or not being understood by their care provider compared with their white counterparts. Interestingly, there were no significant differences between NHB and white respondents on cost-related barriers (e.g., too expensive, insurance does not cover chiropractic). These findings highlight a need for increasing the number of practicing NHB chiropractors, through improved minority recruitment to chiropractic colleges. Further, chiropractor-driven community outreach may also begin to address the disparities in access to care for the non-Hispanic black population.Rebecca J. WatesJon WilsonMark T. PfeferSpringer NaturearticleHistory of scholarship and learning. The humanitiesAZ20-999Social SciencesHENHumanities & Social Sciences Communications, Vol 8, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	History of scholarship and learning. The humanities AZ20-999 Social Sciences H
spellingShingle	History of scholarship and learning. The humanities AZ20-999 Social Sciences H Rebecca J. Wates Jon Wilson Mark T. Pfefer Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
description	Abstract Despite decades of targeted effort, the disparity in access to and utilization of health care remains high in minority populations. Not excluded is the field of chiropractic, where there is an ongoing effort to increase both non-Hispanic black (NHB) practitioners and patients in the United States. In this study, we sought to identify which barriers prevent NHB access to chiropractic care. We utilized Qualtrics© (Qualtrics, Provo, UT) and MTurk© (Amazon Mechanical Turk, Inc.) to administer an online survey to 3814 U.S. respondents. Among non-Hispanic blacks, and compared with whites, participants were more likely to consider chiropractic care if the doctor shares their racial identity (37.6% vs. 17.1%) or if referred by a family member or friend (83.1% vs. 72.2%). NHB respondents were more likely to report barriers such as communication, transportation, or not being understood by their care provider compared with their white counterparts. Interestingly, there were no significant differences between NHB and white respondents on cost-related barriers (e.g., too expensive, insurance does not cover chiropractic). These findings highlight a need for increasing the number of practicing NHB chiropractors, through improved minority recruitment to chiropractic colleges. Further, chiropractor-driven community outreach may also begin to address the disparities in access to care for the non-Hispanic black population.
format	article
author	Rebecca J. Wates Jon Wilson Mark T. Pfefer
author_facet	Rebecca J. Wates Jon Wilson Mark T. Pfefer
author_sort	Rebecca J. Wates
title	Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
title_short	Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
title_full	Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
title_fullStr	Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
title_full_unstemmed	Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans
title_sort	doctor–patient relationships are a perceived barrier to chiropractic use by non-hispanic black americans
publisher	Springer Nature
publishDate	2021
url	https://doaj.org/article/aeddf5ffe5774be2bb61478f85382d67
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Doctor–patient relationships are a perceived barrier to chiropractic use by non-Hispanic Black Americans

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