Americans do not select their doctors based on race

Reilly Olinger, Benjamin Matejka, Rohan Chakravarty, Margaret Johnston, Eliana Ornelas, Julia Draves, Nishi Jain, Jane Hentschel, William Owen, Yuchuan Ma, William W. Marx, Joshua Freitag, Nicholas Zhang, Cameron Guage, Charles Crabtree
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引用次数: 0

Abstract

To what extent do Americans racially discriminate against doctors? While a large literature shows that racial biases pervade the American healthcare system, there has been no systematic examination of these biases in terms of who patients select for medical treatment. We examine this question in the context of the ongoing global COVID-19 pandemic, where a wealth of qualitative evidence suggests that discrimination against some historically marginalized communities, particularly Asians, has increased throughout the United States. Conducting a well-powered conjoint experiment with a national sample of 1,498 Americans, we find that respondents do not, on average, discriminate against Asian or doctors from other systematically minoritized groups. We also find no consistent evidence of treatment effect heterogeneity; Americans of all types appear not to care about the racial identity of their doctor, at least in our study. This finding has important implications for the potential limits of American prejudice.
美国人不根据种族选择医生
美国人对医生有多大程度的种族歧视?虽然大量文献表明美国医疗系统中普遍存在种族偏见,但还没有系统地研究过这些偏见对患者选择谁进行治疗的影响。我们在 COVID-19 全球大流行的背景下研究了这一问题,大量定性证据表明,在美国,对一些历史上被边缘化的群体(尤其是亚裔)的歧视有所增加。在对 1498 名美国人进行全国性抽样调查后,我们发现平均而言,受访者并不歧视亚裔或来自其他系统性少数群体的医生。我们也没有发现治疗效果异质性的一致证据;至少在我们的研究中,各种类型的美国人似乎都不在乎医生的种族身份。这一发现对美国偏见的潜在局限性具有重要意义。
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