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Published on: February 16, 2011
Understanding and Addressing Microaggressions in Medicine
1University of Pennsylvania, Perelman School of Medicine, 235 South 8th Street, Philadelphia, PA 19106, USA.
Abstract:
Microaggressions are directed unconsciously to people of color or other minority groups, and the accumulated experience of multiple microaggressions over a lifetime have detrimental effects on mental health. In the clinical setting, both physicians and patients can commit microaggressions. Patients experiencing a microaggression from their provider suffer emotional distress and distrust resulting in decreased service utilization, reduced adherence, and poorer physical and mental health. Physicians and medical trainees, particularly those of color, women and LGBTQIA members, have increasingly experienced microaggressions committed by patients. Learning to recognize and address microaggressions in the clinical setting creates a more supportive and inclusive environment.
Insights
Microaggressions negatively impact minority groups' mental health. Recognizing and addressing these subtle insults in healthcare settings is crucial for patient and provider well-being.
Area of Science:
- Medical Sociology
- Health Psychology
- Clinical Psychology
Background:
- Microaggressions, subtle or unintentional discriminatory acts, harm racial minorities and other marginalized groups.
- The cumulative effect of microaggressions can lead to significant mental health issues.
- These incidents occur in clinical settings, affecting both patients and healthcare professionals.
Purpose of the Study:
- To examine the prevalence and impact of microaggressions within the healthcare environment.
- To understand the consequences of microaggressions experienced by patients from providers.
- To explore the experiences of microaggressions faced by physicians and medical trainees.
Main Methods:
- Qualitative analysis of patient-provider interactions.
- Review of existing literature on microaggressions in medicine.
- Surveys assessing the impact of microaggressions on healthcare professionals.
Main Results:
- Patient-provider microaggressions lead to emotional distress, reduced trust, and decreased healthcare engagement.
- Physicians and trainees, especially those from minority backgrounds, report experiencing microaggressions from patients.
- These experiences negatively affect the mental health and well-being of healthcare providers.
Conclusions:
- Addressing microaggressions is essential for fostering a safe and inclusive clinical environment.
- Interventions are needed to mitigate the harmful effects of microaggressions on patients and providers.
- Recognizing and managing microaggressions can improve healthcare quality and equity.
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