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Medical Mistrust: A Concept Analysis.

Meghna Shukla1, Marvin Schilt-Solberg2, Wanda Gibson-Scipio1

  • 1Wayne State University College of Nursing, Detroit, MI 48202, USA.

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Summary
This summary is machine-generated.

Medical mistrust, a social determinant of health, stems from fear and exploitation, impacting health service use and outcomes. Understanding its roots and consequences is crucial for healthcare.

Keywords:
concept analysishealthcaremedical mistrustnursingprovider

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Area of Science:

  • Social Determinants of Health
  • Health Disparities
  • Medical Sociology

Background:

  • The term "medical mistrust" has seen increased usage but lacks a comprehensive conceptualization.
  • This analysis addresses the need for a clear definition of medical mistrust by examining its literature.
  • The study aims to define medical mistrust and illustrate its conceptual framework.

Purpose of the Study:

  • To analyze the usage of "medical mistrust" in existing literature.
  • To articulate the antecedents, attributes, and consequences of medical mistrust.
  • To propose a preliminary conceptual definition and figure for medical mistrust.

Main Methods:

  • Utilized Walker and Avant's conceptual analysis method.
  • Extracted concept attributes, antecedents, consequences, and empirical referents.
  • Conducted a literature search across PubMed, CINAHL, Scopus, PSYCinfo, and Google.

Main Results:

  • Defined medical mistrust as a social determinant of health driven by fear, impacting interpersonal, intergenerational, and institutional levels.
  • Identified antecedents including historical trauma, socioeconomic disparities, medical gaslighting, and systemic inequalities.
  • Consequences encompass underutilization of health services, delayed care, poor adherence, negative health outcomes, and increased misinformation uptake.

Conclusions:

  • Medical mistrust is a significant social determinant of health with profound implications.
  • Findings necessitate attention from healthcare providers, systems, researchers, and policymakers.
  • Addressing medical mistrust is vital for improving health equity and outcomes.