ArticleJournal of primary care & community health
Community Perceptions of Health Equity: A Qualitative Study.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Practical methods to embed culture in dental education.British dental journal · 2026Article
- The impact of socio-economic disparities on kidney transplant outcomes: insights from a monocentric Italian study.Updates in surgery · 2026Article
- ASO Education and Training: Taking the Next Step in Surgical Oncology Health Disparities Research: Identifying Root Causes and Targets for Actionable Change.Annals of surgical oncology · 2026Review
- Perspectives on Lyme disease among persons of color in the United States: Qualitative research findings.Qualitative research in medicine & healthcare · 2026Article
- Community design of the Brooklyn Health Equity Index.Health affairs scholar · 2024Article
- Defining the Dimensions of Diversity to Promote Inclusion in the Digital Era of Health Care: A Lexicon.JMIR public health and surveillance · 2024Article
- We care about Brooklyn: A remote precision support intervention designed to improve maternal health and well-being.Women's health (London, England)Article
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Authors and funding
10 authors.
Funding
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Abstract
introductionNotable inequities in patient experiences exist in the healthcare system. Communities with a large concentration of blacks and immigrants are often marginalized rather than centralized in the healthcare system. These inequities may fuel distrust and exacerbate adverse outcomes, thereby widening the health gap. Addressing differences in patients' experiences of care is paramount for reducing health inequities.
methodsIn this qualitative study, we used a purposive sampling method to recruit 62 participants to conduct 10 FGs (44 participants total) and 18 key informant interviews with stakeholders across Central Brooklyn.
resultsThe data revealed three primary themes: Trust, Discrimination, and Social Determinants of Health (SDOHs). Each theme comprised subthemes as follows: For Trust, the subthemes included (1) confidence in the healthcare professional, (2) provider empathy, and (3) active participation in healthcare decisions. Regarding Discrimination, the subthemes involved (1) racism and identity, as well as (2) stigma related to diagnosis, disease state, and pain management. Lastly, for Social Determinants of Health, the key subtheme was the acknowledgment by providers that patients encounter competing priorities acting as barriers to care, such as housing instability and food insecurity. For the first theme, participants' interactions with the healthcare system were prompted by a necessity for medical attention, and not by trust. The participants reported that experiences of discrimination resulting from identity and stigma associated with diagnosis, disease state, and pain management amplified the disconnect between the community, the patients, and the healthcare system. This also exacerbated the poor healthcare experiences suffered by many people of color. For SDOHs, the participants identified housing, food security, and other various social factors that may undermine the effectiveness of the healthcare that patients receive.
conclusionsImprovements in the health system, based on feedback from patients of color regarding their unique care experiences, are important initiatives in combating inequities in healthcare.
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