Rachel L. Johnson|Somnath Saha|José J. Arbelaez|Mary Catherine Beach|Lisa A. Cooper
Racial and ethnic differences in patient perceptions of bias and cultural competence in health care
Johns Hopkins University|Portland VA Medical Center|Oregon Health & Science University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
determine 1 whether racial ethnic differences exist patients perceptions primary care provider pcp general health care systemrelated bias cultural competence 2 whether differences explained patient demographics source care patientprovider communication variablescrosssectional telephone surveythe commonwealth fund 2001 health care quality surveya total 6299 white africanamerican hispanic asian adultsinterviews conducted using randomdigit dialing oversampling respondents communities high racialethnic minority concentrations yielding 543 response rate main outcomes address respondents perceptions pcps health care systemrelated bias cultural competence adjusted probabilities pr reported ethnic group racialethnic differences perceptions pcp bias cultural competence explained demographics source care patientphysician communication variables contrast racialethnic differences patient perceptions health care systemwide bias cultural competence persisted even controlling confounders african americans hispanics asians remained likely whites p 001 perceive 1 would received better medical care belonged different raceethnic group pr 013 pr 008 pr 008 pr 001 respectively 2 medical staff judged unfairly treated disrespect based raceethnicity pr 006 pr 004 pr 006 pr 001 respectively well speak english pr 009 pr 006 pr 006 pr 003 respectivelywhile demographics source care patientphysician communication explain racial ethnic differences patient perceptions pcp cultural competence differences perceptions health care systemwide bias cultural competence fully explained factors future research include closer examination sources cultural bias us medical system