Evidence map›Paper›PMID 36524295›Full record

ArticleHealth services research2023

Opportunities and challenges in discussing racism during primary care visits.

Hannah M Borowsky, Aubrey Willis, Justin L Bullock, Elena Fuentes-Afflick, Nynikka R A Palmer

Abstract read
In one paragraph

Article in Health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. The Color of Medicine.Annals of family medicine
    Article
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

5 authors.

Hannah M BorowskyDepartment of Medicine, Brigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0001-8779-7873
Aubrey WillisDivision of Pediatric Pulmonary Asthma and Sleep Medicine, Stanford Medicine Children's Health, Lucille Packard Children's Hospital, Palo Alto, California, USA.
Justin L BullockDivision of Nephrology, Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
Elena Fuentes-AfflickDepartment of Pediatrics, Zuckerberg San Francisco General Hospital, University of California San Francisco School of Medicine, San Francisco, California, USA.
Nynikka R A PalmerDivision of General Internal Medicine, Department of Medicine, Zuckerberg San Francisco General Hospital, University of California San Francisco School of Medicine, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand how patients and primary care practitioners (PCPs) discuss racism and their perspectives on having these conversations during primary care visits. DATA SOURCES/STUDY

settingWe conducted semi-structured interviews from September 2020-March 2021 at a Federally Qualified Health Center in the San Francisco Bay Area. STUDY

designWe conducted an inductive qualitative descriptive pilot study using one-on-one, semi-structured interviews with 5 members of a Patient Advisory Council and 10 internal medicine PCPs. DATA COLLECTION/EXTRACTION

methodsInterviews were conducted via video conferencing, recorded, and transcribed. An iterative analytic process was used to thematically assess participants' experiences and perspectives and identify key themes. PRINCIPAL

findingsPatients and PCPs identified benefits from engaging in conversations about racism during primary care visits and noted challenges and concerns. Patients and PCPs highlighted strategies to advance communication about racism in primary care.

conclusionsInitiating conversations about racism with patients in primary care can be meaningful, but also has risks. More research is needed for deeper exploration of patients' perspectives and development of trainings. Improving how PCPs communicate with patients about racism represents an opportunity to advance antiracism in medicine and improve health outcomes for individuals who have historically been poorly served by our health care system.

Indexed as

RacismCommunicationHumansPilot ProjectsPrimary Health CareQualitative Researchanti-racismhealth care disparitieshealth equitypatient-physician communicationprimary care

Identifiers

PMID36524295
PMCPMC10012223

What OpenQuestion holds

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Registered trials

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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.