Format

Send to

Choose Destination
See comment in PubMed Commons below
Patient Educ Couns. 2006 Jan;60(1):41-8. Epub 2005 Jan 21.

Health care discrimination, processes of care, and diabetes patients' health status.

Author information

1
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, P.O. Box 130170, Ann Arbor, MI 48113-0170, USA. jpiette@umich.edu

Abstract

OBJECTIVE:

We examined whether diabetes patients report discrimination when seeking health care, whether problems with interpersonal processes of care (IPC) were associated with discrimination reports, and the linkage between discrimination and patients' health.

METHODS:

810 diabetes patients were surveyed. Surveys were linked to hemoglobin A1c (A1C) and total cholesterol test results.

RESULTS:

14% of participants reported experiencing discrimination in health care during the prior year, including discrimination due to their race (8%), education or income (9%), age (7%), and gender (10% of women). Patients with poorer than average ratings of their IPC had 2-8 times greater risk of reporting health care discrimination. Patients reporting health care discrimination had A1C levels that were higher than other patients (P = 0.002), more symptoms (P < 0.01), and poorer physical functioning (P = 0.007).

CONCLUSIONS:

Diabetes patients' reports of health care discrimination are strongly linked to the quality of their interactions with providers as well as multiple health outcomes.

PRACTICE IMPLICATIONS:

Physicians exert control over the clinical encounter and should endeavor to reduce patients' perceptions of discrimination during outpatient visits. Such efforts may result in more satisfied patients as well as improved health outcomes.

PMID:
16332469
DOI:
10.1016/j.pec.2004.12.001
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center