“The doctor will see you now… but not for long”: Linking physicians’ racial attitudes and patients’ discrimination experiences to racial disparities in the duration of medical consultations

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-01-10 DOI:10.1016/j.pec.2025.108653

Emerson Do Bú , Susan Eggly , Louis Penner , Nao Hagiwara

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引用次数: 0

Abstract

Objective

To investigate the relationship between non-Black physicians’ racial attitudes, Black patients’ discrimination experiences, and consultation duration in diverse clinical settings.

Methods

Secondary analyses were conducted on data from three prior studies involving non-Black primary care physicians (Study 1: n = 14, Study 2: n = 5) and their Black patients (Study 1: n = 118, Study 2: n = 31), as well as 15 non-Black oncologists and their 72 Black patients (Study 3). Data included physician and patient surveys, along with video-recorded consultations.

Results

Study 1 revealed that, relative to other physicians, physicians whose racial attitudes fit an aversive racist profile (i.e., low explicit racial bias, high implicit bias) had longer consultations with Black patients who reported more (vs. fewer) discrimination experiences. Study 2 and 3 found that physicians’ implicit racial bias is negatively associated with consultation duration. Finally, a meta-analysis supported the effects of aversive racism and patients’ discrimination experiences on consultation duration.

Discussion

These findings demonstrate how physicians’ racial attitudes and patients’ discrimination experiences can affect medical consultation duration—an important aspect of patient-provider communication quality.

Practical value

These results provide initial evidence for the importance of helping physicians manage the negative consequences of their implicit bias within the current structural constraints of limited medical consultation time and empowering Black patients to advocate for their healthcare needs.

查看原文本刊更多论文

“医生现在会来看你……但不会太久”：将医生的种族态度和患者的歧视经历与医疗咨询期间的种族差异联系起来。

目的：探讨不同临床环境下非黑人医生的种族态度、黑人患者的歧视经历与会诊时间的关系。方法：对先前三项研究的数据进行二次分析，这些研究涉及非黑人初级保健医生（研究1:n = 14，研究2:n = 5）及其黑人患者（研究1:n = 118，研究2:n = 31），以及15名非黑人肿瘤学家及其72名黑人患者（研究3）。数据包括医生和患者调查以及视频记录的咨询。结果：研究1显示，相对于其他医生，那些种族态度符合厌恶种族主义形象（即低显性种族偏见，高隐性偏见）的医生与报告更多（相对较少）歧视经历的黑人患者进行更长时间的咨询。研究2和3发现医生的隐性种族偏见与会诊时间呈负相关。最后，荟萃分析支持厌恶种族主义和患者歧视经历对咨询时间的影响。讨论：这些发现证明了医生的种族态度和患者的歧视经历如何影响医疗咨询的持续时间——这是医患沟通质量的一个重要方面。实用价值：这些结果为帮助医生在有限的医疗咨询时间的当前结构约束下管理其隐性偏见的负面后果的重要性提供了初步证据，并赋予黑人患者倡导其医疗保健需求的权力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.