Racial and ethnic disparities in the use of health services: Bias, preferences, or poor communication?

Research output: Contribution to journalReview article

Carol M. Ashton, Paul Haidet, Debora A. Paterniti, Tracie C. Collins, Howard S. Gordon, Kimberly O'Malley, Laura A. Petersen, Barbara F. Sharf, Maria E. Suarez-Almazor, Nelda Wray, Richard L. Street

African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.

Original languageEnglish (US)
Pages (from-to)146-152
Number of pages7
JournalJournal of General Internal Medicine
Volume18
Issue number2
DOIs
StatePublished - Feb 1 2003

PMID: 12542590

PMCID: PMC1494820

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Racial and ethnic disparities in the use of health services : Bias, preferences, or poor communication? / Ashton, Carol M.; Haidet, Paul; Paterniti, Debora A.; Collins, Tracie C.; Gordon, Howard S.; O'Malley, Kimberly; Petersen, Laura A.; Sharf, Barbara F.; Suarez-Almazor, Maria E.; Wray, Nelda; Street, Richard L.

In: Journal of General Internal Medicine, Vol. 18, No. 2, 01.02.2003, p. 146-152.

Research output: Contribution to journalReview article

Harvard

Ashton, CM, Haidet, P, Paterniti, DA, Collins, TC, Gordon, HS, O'Malley, K, Petersen, LA, Sharf, BF, Suarez-Almazor, ME, Wray, N & Street, RL 2003, 'Racial and ethnic disparities in the use of health services: Bias, preferences, or poor communication?' Journal of General Internal Medicine, vol. 18, no. 2, pp. 146-152. https://doi.org/10.1046/j.1525-1497.2003.20532.x

APA

Ashton, C. M., Haidet, P., Paterniti, D. A., Collins, T. C., Gordon, H. S., O'Malley, K., ... Street, R. L. (2003). Racial and ethnic disparities in the use of health services: Bias, preferences, or poor communication? Journal of General Internal Medicine, 18(2), 146-152. https://doi.org/10.1046/j.1525-1497.2003.20532.x

Vancouver

Ashton CM, Haidet P, Paterniti DA, Collins TC, Gordon HS, O'Malley K et al. Racial and ethnic disparities in the use of health services: Bias, preferences, or poor communication? Journal of General Internal Medicine. 2003 Feb 1;18(2):146-152. https://doi.org/10.1046/j.1525-1497.2003.20532.x

Author

Ashton, Carol M. ; Haidet, Paul ; Paterniti, Debora A. ; Collins, Tracie C. ; Gordon, Howard S. ; O'Malley, Kimberly ; Petersen, Laura A. ; Sharf, Barbara F. ; Suarez-Almazor, Maria E. ; Wray, Nelda ; Street, Richard L. / Racial and ethnic disparities in the use of health services : Bias, preferences, or poor communication?. In: Journal of General Internal Medicine. 2003 ; Vol. 18, No. 2. pp. 146-152.

BibTeX

@article{5fdccf28ac4841f8bbe337d008021387,
title = "Racial and ethnic disparities in the use of health services: Bias, preferences, or poor communication?",
abstract = "African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.",
keywords = "Communication, Health care utilization, Race, Racial disparities",
author = "Ashton, {Carol M.} and Paul Haidet and Paterniti, {Debora A.} and Collins, {Tracie C.} and Gordon, {Howard S.} and Kimberly O'Malley and Petersen, {Laura A.} and Sharf, {Barbara F.} and Suarez-Almazor, {Maria E.} and Nelda Wray and Street, {Richard L.}",
year = "2003",
month = "2",
day = "1",
doi = "10.1046/j.1525-1497.2003.20532.x",
language = "English (US)",
volume = "18",
pages = "146--152",
journal = "Journal of General Internal Medicine",
issn = "0884-8734",
publisher = "Springer New York",
number = "2",

}

RIS

TY - JOUR

T1 - Racial and ethnic disparities in the use of health services

T2 - Journal of General Internal Medicine

AU - Ashton, Carol M.

AU - Haidet, Paul

AU - Paterniti, Debora A.

AU - Collins, Tracie C.

AU - Gordon, Howard S.

AU - O'Malley, Kimberly

AU - Petersen, Laura A.

AU - Sharf, Barbara F.

AU - Suarez-Almazor, Maria E.

AU - Wray, Nelda

AU - Street, Richard L.

PY - 2003/2/1

Y1 - 2003/2/1

N2 - African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.

AB - African Americans and Latinos use services that require a doctor's order at lower rates than do whites. Racial bias and patient preferences contribute to disparities, but their effects appear small. Communication during the medical interaction plays a central role in decision making about subsequent interventions and health behaviors. Research has shown that doctors have poorer communication with minority patients than with others, but problems in doctor-patient communication have received little attention as a potential cause, a remediable one, of health disparities. We evaluate the evidence that poor communication is a cause of disparities and propose some remedies drawn from the communication sciences.

KW - Communication

KW - Health care utilization

KW - Race

KW - Racial disparities

UR - http://www.scopus.com/inward/record.url?scp=0037325832&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037325832&partnerID=8YFLogxK

U2 - 10.1046/j.1525-1497.2003.20532.x

DO - 10.1046/j.1525-1497.2003.20532.x

M3 - Review article

VL - 18

SP - 146

EP - 152

JO - Journal of General Internal Medicine

JF - Journal of General Internal Medicine

SN - 0884-8734

IS - 2

ER -

ID: 2397133