“They Wanted to Talk to a ‘Real Doctor’”: Predictors, Perpetrators, and Experiences of Racial and Ethnic Discrimination Among Healthcare Workers

Background Racial and ethnic diversity of healthcare workers have benefits on team functioning and patient care. However, a significant barrier to retaining diverse providers is discrimination. Objective To assess the predictors, perpetrators, and narratives of racial discrimination among healthcare...

Full description

Saved in:
Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2022-05, Vol.37 (6), p.1475-1483
Main Authors: Hennein, Rachel, Tineo, Petty, Bonumwezi, Jessica, Gorman, Hannah, Nguemeni Tiako, Max Jordan, Lowe, Sarah R.
Format: Article
Language:English
Subjects:
Aggression
Confidence intervals
Discrimination
Ethnicity
Fear
Female
Females
Health care
Health Personnel
Hispanic people
Hospitals
Humans
Internal Medicine
Male
Males
Medical personnel
Medicine
Medicine & Public Health
Minority Groups
Multiculturalism & pluralism
Original Research: Qualitative Research
Patients
Physicians
Racial Groups
Racism
Supervisors
United States
Violence
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Racial and ethnic diversity of healthcare workers have benefits on team functioning and patient care. However, a significant barrier to retaining diverse providers is discrimination. Objective To assess the predictors, perpetrators, and narratives of racial discrimination among healthcare workers. Design Survey study. Participants Healthcare workers employed at academic hospitals. Main Measures We assessed prevalence and perpetrators of racial and ethnic discrimination using the General Ethnic Discrimination Scale. We included an open-ended question asking respondents to recount experiences of discrimination and analyzed responses using grounded theory. Key Results Of the 997 participants, 12.2% were females from backgrounds underrepresented in medicine (URM), 4.0% URM males, 10.1% Asian females, 4.7% Asian males, 49.1% non-Hispanic White females, and 19.8% non-Hispanic White males. Among healthcare workers of color, 85.2% reported discrimination. Over half of URM females (51.4%), URM males (52.6%), and Asian females (62.5%) reported discrimination by patients. About 20–25% of URM females, URM males, and Asian females reported discrimination by teachers, supervisors, co-workers, and institutions. In adjusted binary logistic models, URM females had 10.14 odds (95% confidence interval [95%CI]: 5.13, 20.02, p
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-021-07143-3