When it comes to trust in their physicians, minority groups in the United States are less likely than white people to believe their doctors care about them.

‘African-Americans and Latinos are less likely than white people to believe their doctors care about them. The study reflects the relationship between immigrants and the health-care system.’

As a sociologist with a background in racial identities and racism, Sewell was interested in what role a person's race plays in his or her experience visiting a doctor. She turned to the General Social Surveys conducted by the National Opinion Research Center in 2002 and 2006, the most recent data available. 




The survey cohort consists of 2,800 people 18 and older in the contiguous United States who do not live in institutional settings like jails or mental asylums. In cities across the country, interviewers went door to door asking for volunteers. About seven out of every 10 people agreed to the hour-and-a-half interview.
Sewell then weighted those data to make the sample even more representative. For example, if when the questioners went around, more women were home than the actual percentage of females in this country, she reapportioned the responses. Finally, she analyzed the findings.
Sewell said, "What we have are perceptual data: what patients feel when they go to a doctor. Minorities in general don't have a lot of faith that they're receiving the best care they could. Number two, and I think more important, the fact that they think their doctors don't care means they feel their doctors aren't taking into consideration their personal lives."
Sewell further added, "She gives the example of an older woman whose doctor tells her she can't lift more than five pounds for the next two weeks. This woman happens to care daily for her 18-month-old grandchild, who weighs 20 pounds. Doctors are trained to see symptoms, they're trained to follow a set of recommended behavior. But to patients of a particular background, this can come across as a physician ignoring anything else."
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Sewell said, "Physicians paying attention to structural competency, a movement that's gaining some traction, goes beyond looking at people's culture, to their neighborhoods, to the institutions they care about, to the policies that affect them. The very likelihood of being sick is actually shaped by the world that we live in, not just the biological processes. Structural competency aims to develop a language at a level above the patient."
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Source-Eurekalert