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A Prospective Examination of Racial Microaggressions in the Medical Encounter
Leslie Riggle Miller1, B Mitchell Peck2
1Department of Sociology, University of Oklahoma, 780 Van Vleet Oval, Kaufman Hall, 3rd Floor, Main Office: Room 331, Norman, OK, 73019-2033, USA. lamiller@ou.edu.
Journal of Racial and Ethnic Health Disparities
|December 18, 2019
Summary
Patients of color are more likely to experience physician microaggressions during primary care visits when race differences exist between patient and doctor. This contributes to ongoing health disparities.
Area of Science:
- Health Services Research
- Medical Sociology
- Health Disparities Research
Background:
- Persistent healthcare disparities exist between white and non-white populations in the US.
- People of color encounter numerous barriers within the healthcare system.
- Physician microaggressions during medical visits represent a potential barrier.
Purpose of the Study:
- To investigate whether patients of color experience microaggressions from physicians during primary care visits.
- To employ a prospective, quantitative approach to measure microaggressions, expanding on existing qualitative and retrospective methods.
- To understand differential treatment within healthcare based on race.
Main Methods:
- Utilized data from audio recordings of 224 medical visits.
- Employed a quantitative measure to assess microaggressions within the medical encounter.
- Analyzed the relationship between race status differences and the occurrence of microaggressions.
Main Results:
- Patients of color were more likely to experience microaggressions from physicians when a race status difference was present.
- Medical encounters are influenced by the racial characteristics of both patients and physicians.
- These race-based differences in encounters may perpetuate unequal treatment.
Conclusions:
- Racial dynamics between patients and physicians impact the medical encounter.
- Microaggressions experienced by patients of color contribute to differential treatment.
- These findings highlight a mechanism contributing to health disparities for people of color.
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