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Mental Healthcare Provider Perceptions of Race and Racial Disparity in the Care of Black and White Clients.
McMaster, Kaja J; Peeples, Amanda D; Schaffner, Rebecca M; Hack, Samantha M.
Afiliación
  • McMaster KJ; University of California, Berkeley, CA, USA.
  • Peeples AD; U.S. Department of Veterans Affairs, Baltimore, MD, USA.
  • Schaffner RM; University of Maryland School of Medicine, Baltimore, MD, USA.
  • Hack SM; U.S. Department of Veterans Affairs, Baltimore, MD, USA.
J Behav Health Serv Res ; 48(4): 501-516, 2021 10.
Article en En | MEDLINE | ID: mdl-33751397
ABSTRACT
Black-white disparities in mental healthcare persist, despite efforts to eliminate them via culturally competent care. To gain insight into how providers implement culturally competent care practices, interviews were conducted with mental healthcare providers' about their self-reported behaviors with black and white clients and their perceptions of how race affects the treatment they provide. Thematic analysis was used to analyze 12 semi-structured interviews with providers from a Veterans Affairs healthcare system. Three sets of themes emerged providers' general beliefs and behaviors (discomfort discussing race; belief that socioeconomic differences explained disparities; and use of coded language for race groups), providers' clinical beliefs and behaviors (race-matching enhances care and recognition of intersecting cultural identities), and providers' professional beliefs and behaviors (participation in passive racism facilitated by provider-provider alliance). Mental healthcare providers showed good awareness of intersectionality and subtle racism but held limiting beliefs that led to avoidance of discussions of race.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Disparidades en Atención de Salud / Racismo Tipo de estudio: Qualitative_research Límite: Humans Idioma: En Revista: J Behav Health Serv Res Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Disparidades en Atención de Salud / Racismo Tipo de estudio: Qualitative_research Límite: Humans Idioma: En Revista: J Behav Health Serv Res Asunto de la revista: CIENCIAS DO COMPORTAMENTO / PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos