Evidence map›Paper›PMID 29553296›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

What Causes Racial Health Care Disparities? A Mixed-Methods Study Reveals Variability in How Health Care Providers Perceive Causal Attributions.

Sarah E Gollust, Brooke A Cunningham, Barbara G Bokhour, Howard S Gordon, Charlene Pope, Somnath S Saha, Dina M Jones, Tam Do, Diana J Burgess

Abstract read
In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Observational
  5. Article
  6. Vascular surgeons are positioned to fight healthcare disparities.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
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  9. Editorial: The Impact of the COVID-19 Pandemic on Racial Disparities in Pediatric Mental Health.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sarah E Gollust1 University of Minnesota, Minneapolis, USA.ORCID 0000-0001-6109-5953
Brooke A Cunningham1 University of Minnesota, Minneapolis, USA.
Barbara G Bokhour2 Center for Healthcare Organization and Implementation Research, ENRM Veterans Affairs Medical Center, Bedford, MA, USA.
Howard S Gordon4 Jesse Brown Veterans Affairs Medical Center and Center of Innovation for Complex Chronic Healthcare, Chicago, IL, USA.
Charlene Pope6 Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, USA.
Somnath S Saha8 VA Portland Health Care System, OR, USA.
Dina M Jones10 Georgia State University, Atlanta, USA.ORCID 0000-0002-7002-0547
Tam Do11 Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, MN, USA.
Diana J Burgess1 University of Minnesota, Minneapolis, USA.ORCID 0000-0003-1139-7739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progress to address health care equity requires health care providers' commitment, but their engagement may depend on their perceptions of the factors contributing to inequity. To understand providers' perceptions of causes of racial health care disparities, a short survey was delivered to health care providers who work at 3 Veterans Health Administration sites, followed by qualitative interviews (N = 53). Survey data indicated that providers attributed the causes of disparities to social and economic conditions more than to patients' or providers' behaviors. Qualitative analysis revealed differences in the meaning that participants ascribed to these causal factors. Participants who believed providers contribute to disparities discussed race and racism more readily, identified the mechanisms through which disparities emerge, and contextualized patient-level factors more than those who believed providers contributed less to disparities. Differences in provider understanding of the underlying causal factors suggest a multidimensional approach to engage providers in health equity efforts.

Indexed as

Attitude of Health PersonnelProfessional-Patient RelationsAdultAgedFemaleHealthcare DisparitiesHealth PersonnelHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRacismSocioeconomic FactorsUnited StatesUnited States Department of Veterans Affairshealth care disparitieshealth equityhealth personnelqualitative interviewssurveys and questionnairesVeterans health

Identifiers

PMID29553296
PMCPMC5862368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.