The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients

Group Processes and Intergroup Relations - Tập 19 Số 4 - Trang 509-527 - 2016
Nao Hagiwara1, John F. Dovidio2, Susan Eggly3, Louis A. Penner3
1Virginia Commonwealth University, USA
2Yale University USA
3Wayne State University/Karmanos Cancer Institute, USA

Tóm tắt

The association between physicians’ and patients’ racial attitudes and poorer patient–physician communication in racially discordant medical interactions is well-documented. However, it is unclear how physicians’ and patients’ racial attitudes independently and jointly affect their behaviors during these interactions. In a secondary analysis of video-recorded medical interactions between non-Black physicians and Black patients, we examined how physicians’ explicit and implicit racial bias and patients’ perceived past discrimination influenced their own as well as one another’s affect and level of engagement. Affect and engagement were assessed with a “thin slice” method. For physicians, the major findings were significant three-way interactions: physicians’ affect and engagement were influenced by their implicit and explicit racial bias (i.e., aversive racism), but only when they interacted with patients who reported any incidence of prior discrimination. In contrast, patients’ affect was influenced only by perceived discrimination. Theoretical and clinical implications of current findings are discussed.

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Group Processes and Intergroup Relations

Tập 19 Số 4

509-527

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