Minority Health and Health Equity Archive
Permanent URI for this communityhttp://hdl.handle.net/1903/22236
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Item Racial and Ethnic Disparities in the VA Healthcare System: A Systematic Review(2007) Saha, Somnath; Freeman, Michele; Toure, Joahd; Tippens, Kimberly M.; Weeks, Christine; Ibrahim, SaidItem Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology(2007) Burgess, Diana; Ryn, Michelle; Dovidio, John; Saha, SomnathAbstract available at publisher's website.Item Transforming Clinical Practice to Eliminate Racial–Ethnic Disparities in Healthcare(2008) Washington, Donna L.; Bowles, Jacqueline; Saha, Somnath; Horowitz, Carol R.; Moody-Ayers, Sandra; Brown, Arleen F.; Stone, Valerie E.; Cooper, Lisa A.Abstract available at publisher's website.Item Racial and Ethnic Differences in Patient Perceptions of Bias and Cultural Competence in Health Care(2004) Johnson, Rachel L.; Saha, Somnath; Arbelaez, Jose J.; Beach, Mary Catherine; Cooper, Lisa A.Abstract available at publisher's web site.Item Rectifying Institutional Bias in Medical Research(2009) Saha, SomnathIncreasing the representation of women and racial and ethnic minorities in human research has become a national priority. Federal agencies have made inclusion of women and minorities an explicit criterion on which applications for clinical research funding are judged.1 The need for this affirmative action stems from a historical bias favoring white men. As with most other institutions in the United States, medical research no longer actively excludes women and minorities. But the history of these institutions, the way they were designed and built—predominantly by and for white men—slants them in a way that continues to limit access for other groups. Federal efforts to remedy this institutional bias have not been very successful. Data from cancer clinical trials suggest that minority representation in research has not only failed to increase but has actually declined over time.Item Patient–Physician Relationships and Racial Disparities in the Quality of Health Care(2003) Saha, Somnath; Arbelaez, Jose J; Cooper, Lisa AObjectives. This study explored whether racial differences in patient–physician relationships contribute to disparities in the quality of health care. Methods. We analyzed data from The Commonwealth Fund’s 2001 Health Care Quality Survey to determine whether racial differences in patients’ satisfaction with health care and use of basic health services were explained by differences in quality of patient–physician interactions, physicians’ cultural sensitivity, or patient–physician racial concordance. Results. Both satisfaction with and use of health services were lower for Hispanics and Asians than for Blacks and Whites. Racial differences in the quality of patient–physician interactions helped explain the observed disparities in satisfaction, but not in the use of health services. Conclusions. Barriers in the patient–physician relationship contribute to racial disparities in the experience of health care.