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Medical Mistrust Linked to Race, Discrimination

Author(s): Rob Senior

Researchers uncover links between levels of mistrust and ethnic backgrounds

A new study finds that levels of medical mistrust of clinicians and healthcare systems closely correlate with race/ethnicity and perceived discrimination.

The study follows residents of California and appears within Annals of Family Medicine. Researchers argue that the key to addressing these issues will be directly addressing bias and systemic racism within healthcare.

It’s well known that such mistrust in the healthcare system tends to result in lowered outcomes for patients. Those who distrust the system are less likely to seek medical care, resulting in lessened relationships with healthcare providers and increasingly the likelihood that the patient will keep pivotal medical information private.

A recent analysis of almost four dozen studies linked stronger trust in the healthcare system to improved health behaviors, fewer symptoms, and higher quality of life.

Racial disparities in access to healthcare in the United States have been widely documented. These inequities affect many aspects of care, treatment, and health outcomes, including:

• Cancer screening or treatment
• Parkinson’s disease
• Dementia and other neurological issues
• End-of-life care
• Cardiovascular disease treatment
• Pain management
• Care for people with HIV
• Neonatal care

“These structural and systematic racial disparities in the United States have led to poor health outcomes, worse health status, and low quality of care for minority groups, especially non-Hispanic Black and Hispanic populations,” wrote study co-author Professor Mohsen Bazargan, director of research at the Department of Family Medicine at the Charles R. Drew University of Medicine & Science in Los Angeles, CA.

This survey ran for two months in the summer of 2019 and studied more than 2,500 Californians. It drew upon data from the Survey of California Adults on Serious Illness and End-of-Life. Researchers asked a variety of demographic information as well as whether or not they typically saw one medical professional.

SOURCE: Medical News Today

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