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Measuring racial microaggression in medical practice.

Amanda Lee Almond1

  • 1a Social Sciences Department , New York City College of Technology , Brooklyn , NY , USA.

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Summary
This summary is machine-generated.

This study validated the Racial Microaggression in Medical Practice Scale (RMMPS) for assessing subtle race-based discrimination in healthcare settings. Findings support its use for understanding minority patient experiences and improving health outcomes.

Keywords:
Racemicroaggressionspatient-provider interactionsracialization

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Area of Science:

  • Medical Sociology
  • Health Disparities Research
  • Psychometrics

Background:

  • Racial microaggressions, subtle everyday discrimination, reinforce inferior social status.
  • Medical settings involve complex social dynamics (e.g., physician-patient, race) contributing to microaggressions.
  • Existing scales like the Racial Microaggression in Counseling Scale (RMCS) need adaptation for medical contexts.

Purpose of the Study:

  • To validate a modified scale, the Racial Microaggression in Medical Practice Scale (RMMPS), by replacing 'therapist' with 'physician' in the RMCS.
  • To assess the psychometric properties of the RMMPS for use in medical practice.
  • To explore the relationship between racial microaggressions and racial incongruence in the physician-patient dynamic.

Main Methods:

  • Quantitative and qualitative investigation of a sample of racial minorities (n=91) in the Northeast.
  • Validation of the modified 10-item RMMPS scale.
  • Analysis of the scale's relationship with racial incongruence between patients and providers.

Main Results:

  • Qualitative findings confirmed the original concepts and themes of the RMCS in a medical context.
  • Psychometric analysis supported the factorial structure of the RMMPS using generalizability theory.
  • The scale's validity was supported for measuring racial microaggressions in medical practice.

Conclusions:

  • The RMMPS is a validated tool for assessing racial microaggressions in healthcare.
  • Findings have implications for understanding minority patient health behaviors, trustworthiness, and outcomes.
  • The RMMPS can be utilized by practitioners, educators, and researchers to address health disparities.