 |
|
Racial Disparity in Cardiac Decision Making
Results From Patient Focus Groups
Jeffrey A. Ferguson, MD, MPH;
Morris Weinberger, PhD;
Glenda R. Westmoreland, MD, MPH;
Lorrie A. Mamlin, MPH;
Douglas S. Segar, MD;
James Y. Greene, PhD;
Douglas K. Martin, MD;
William M. Tierney, MD
Arch Intern Med. 1998;158:1450-1453.
Background While numerous studies suggest that African Americans receive fewer invasive cardiac procedures than whites, the basis for these treatment differences is not understood.
Methods We conducted focus group sessions with patients who had received treatment in the hospital or the emergency department within the preceding 3 months for ischemic heart disease at 2 urban, university-affiliated hospitals.
Results Discussions with patients identified the following factors that influenced their decision making: clarity, simplicity, and consistency of treatment recommendations; advice from friends and family about whether to accept recommendations; availability to speak with others who accepted similar recommendations; and having honest and caring physicians. African American patients identified the following additional factors that influenced their decision making: perceptions of health care discrimination; perceptions of undesirable physician behavior; faith in God to control one's destiny; and patient-physician camaraderie.
Conclusions Participants identified common issues influencing health care decision making, regardless of race. However, additional factors were expressed only by African American participants. These factors conveyed racial differences in perceptions of the health care system that may, in part, contribute to differences in health care decision making and treatment.
From the Center for Health Services Research, Roudebush Veterans Affairs Medical Center (Drs Ferguson, Weinberger, Martin, and Tierney and Ms Mamlin), the Divisions of General Internal Medicine (Drs Ferguson, Weinberger, Westmoreland, Martin, and Tierney and Ms Mamlin) and Cardiology (Dr Segar), and the Department of Medicine (Dr Greene), Indiana University School of Medicine, and Regenstrief Institute for Health Care (Drs Weinberger, Westmoreland, and Tierney), Indianapolis, Ind.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Qualitative and Mixed Methods Provide Unique Contributions to Outcomes Research
Curry et al.
Circulation 2009;119:1442-1452.
FULL TEXT
Physicians' Perceptions of Patients' Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease
van Ryn et al.
Am. J. Public Health 2006;96:351-357.
ABSTRACT
| FULL TEXT
Care disparities: Moving from gray to black and white
Rumsfeld and Peterson
J Am Coll Cardiol 2005;45:79-81.
FULL TEXT
African American Patients' Perspectives on Medical Decision Making
Torke et al.
Arch Intern Med 2004;164:525-530.
ABSTRACT
| FULL TEXT
Racial, Ethnic, and Geographic Disparities in Rates of Knee Arthroplasty among Medicare Patients
Skinner et al.
NEJM 2003;349:1350-1359.
ABSTRACT
| FULL TEXT
Racial Differences in the Use of Invasive Cardiovascular Procedures: Review of the Literature and Prescription for Future Research
Kressin and Petersen
ANN INTERN MED 2001;135:352-366.
ABSTRACT
| FULL TEXT
Utilization of Intravenous Tissue-Type Plasminogen Activator for Ischemic Stroke at Academic Medical Centers : The Influence of Ethnicity Editorial Comment : It Is Time to Implement Stroke Practice Improvement Programs and Prevent the Racial Disparity in Stroke Care
Johnston et al.
Stroke 2001;32:1061-1068.
ABSTRACT
| FULL TEXT
The Effect of Race on the Referral Process for Invasive Cardiac Procedures
Einbinder and Schulman
Med Care Res Rev 2000;57:162-180.
ABSTRACT
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? a Review and Conceptual Model
Brach and Fraserirector
Med Care Res Rev 2000;57:181-217.
ABSTRACT
|
