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African American Clients’ Perceptions of Bias In Louisiana Healthcare

African American Clients’ Perceptions of Bias In Louisiana Healthcare. Research Day 2012 School of Allied Health Professions Robin Steed, PhD, LOTR. Background. How did I come up with this topic?. Attitudes towards African Americans. sample. positive. population. negative.

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African American Clients’ Perceptions of Bias In Louisiana Healthcare

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  1. African American Clients’ Perceptions of Bias In Louisiana Healthcare Research Day 2012 School of Allied Health Professions Robin Steed, PhD, LOTR

  2. Background How did I come up with this topic?

  3. Attitudes towards African Americans sample positive population negative

  4. Current Study What I did during summer vacation

  5. Demographics • n = 9 • 5 female 4 male • 9th grade – college • varied occupations • addictive disorder

  6. Guiding Questions “What have you experienced in terms of racial bias in healthcare?” “What contexts or situations have typically influenced or affected your experiences of racial bias in healthcare?”

  7. Analysis of Transcripts • Basis of Discrimination • Consequences (or Results) of Discrimination • Possible Solutions

  8. Basis of Discrimination • Ethnicity • Insurance • SES • Ethnicity • Perceived Lifestyle

  9. Insurance and Trauma Outcomes

  10. Basis of Discrimination • Ethnicity • Insurance • SES • Ethnicity • Perceived Lifestyle

  11. Behavioral Risk Factor Surveillance System Survey 2008, Louisiana

  12. Basis of Discrimination • Ethnicity • Insurance • SES • Ethnicity • Perceived Lifestyle

  13. Days to Dg by Insurance & Ethnicity (Hoffman, 2011)

  14. Basis of Discrimination • Ethnicity • Insurance • SES • Ethnicity • Perceived Lifestyle

  15. Results of Bias • Poor Communication • Deferred Treatment • Superficial Triage • Poor Client-practitioner Relationship

  16. Solutions • Adapt to system vs. over adaptation • Take time to provide information • Institutional changes • Try to understand the client’s situation • Spiritual

  17. Discussion So what’s the bottom line?

  18. What does bias look like? • Lack of eye contact • Hesitant to touch/no touching • Washing hands after every touch • Talking “around” • Disrespectful language “Atta boy!” • In a hurry • Not explaining/ not asking / ignoring

  19. Implications for Practice • Medical Model vs. Sociocultural Model • Mindfulness • Advocacy • Effective client education materials

  20. Implications for Future Research • ROI investigations • Efficacy of community awareness campaigns • Examination of instructional interventions for practitioners • Design of client education

  21. Questions? robinsteed.pbworks.com researchday.pbworks.com

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