Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities

作者: Diana J. Burgess , Barbara G. Bokhour , Brooke A. Cunningham , Tam Do , Howard S. Gordon

DOI: 10.1080/10410236.2017.1389049

关键词:

摘要: We used qualitative methods (semi-structured interviews with healthcare providers) to explore: 1) the role of narratives as a vehicle for raising awareness and engaging providers about issue disparities 2) extent which different ways framing issues race within might lead message acceptance providers' whose preexisting beliefs causal attributions predispose them resist communication racial disparities. Individual were conducted 53 who had completed prior survey assessing Participants stratified by degree they believed contributed inequality: low provider attribution (LPA) versus high (HPA). Each participant read discussed two differently framed in healthcare. All participants accepted "Provider Success" narratives, interpersonal barriers involving patient color successfully resolved narrator, through patient-centered communication. By contrast, "Persistent Racism" problems faced more explicitly linked racism remained unresolved, very polarizing, eliciting from HPA resistance LPA participants. This study provides foundation raises questions how develop effective narrative strategies engage efforts reduce

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