ArticleJAMA health forum2024
Perspectives of Black Patients on Racism Within Emergency Care.
Article in JAMA health forum, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The qualitative accounts of black informal carers of people with psychosis and their experiences accessing mental health services: a systematic review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Location of Crisis Service Delivery for Medicaid-Enrolled Youths With Behavioral Health Conditions.Psychiatric services (Washington, D.C.) · 2026Article
- Healthcare Staff Perspectives and Experiences of Racism's Impact on Care for Hospitalized Black Adults: A Qualitative Study.Journal of general internal medicine · 2026Article
- Assessing the effect of race on machine learning models predicting hospital admissions from emergency department.JAMIA open · 2026Article
- Identifying Contextual Barriers and Potential Solutions to Improving Hypertension Management in Rural Communities in the United States: Qualitative Study From 2 North Carolina Counties.Journal of the American Heart Association · 2026Article
- Disparities associated with race and ethnicity in pain management: a scoping review.International journal of clinical pharmacy · 2026Article
- Negative Descriptors of Patients With Sickle Cell Disease in the Electronic Health Record.JAMA network open · 2026Article
- Factors Associated with Emergency Department Utilization among Older Black Adults with Chronic Illness in the United States.Journal of racial and ethnic health disparities · 2026Article
- Using Black patients' experiences to develop coding frameworks for racialized communication in healthcare.Patient education and counseling · 2026Article
- Orthopaedic emergencies - associations between race, gender, insurance type, and hospital admission.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Racial Disparities in Door-to-Clinician Time for Cardiac Chest Pain in the Emergency Department.The western journal of emergency medicine · 2026Article
- Demographic and socioeconomic factors influencing the adoption of telehealth services for substance use treatment.BMC public health · 2025Article
- Study Designs and Methods for Health Policy and Health Services Research: A Look Back, A Look Ahead.JAMA health forum · 2025Article
- A Qualitative Exploration of Primary Care Clinicians' Perceptions of Hypertensive Black Patients.Journal of racial and ethnic health disparities · 2025Article
- Article
- Patient-Reported Barriers to Foregut Cancer Care in the Deep South.Annals of surgical oncology · 2025Article
- "He was not listening to hear me": Parent experiences with communication, inclusion, and marginalization in the pediatric emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Words matter: Destigmatizing the language of medicine through research, training, and future directions for emergency medicine.AEM education and training · 2025Review
- Reduced left-without-being-seen rates and impact on disparities after guest services ambassadors implementation.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Observational
- Racial Discrimination as a Traumatic Bedrock of Healthcare Avoidance: A Pathway Through Healthcare Institutional Betrayal and Mistrust.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: Numerous Black individuals experience racism persistently throughout their lives, with repercussions extending into health care settings. The perspectives of Black individuals regarding emergency department (ED) care, racism, and patient-centered approaches for dismantling structural racism remain less explored. Objective: To qualitatively explore the perspectives and experiences of Black patients related to race, racism, and health care following a recent ED visit. Design, Setting, and Participants: In this qualitative study, the audio from semistructured interviews of Black patients discharged from an academic urban ED between August 2021 to April 2022 were recorded, transcribed, and analyzed using thematic analysis. Main Outcomes and Measures: The main outcomes encompassed the main themes from the analysis of the interviews with Black patients regarding their perspectives on race, racism, and clinical care. Results: A total of 25 Black patients (20 [80%] female; mean [SD] age, 44.6 [12.9] years) discharged from the ED were interviewed. Three broad domains were identified: (1) racism in health care; (2) ED clinical care; and (3) recommendations for improvement. Within these domains, the first 2 were grouped into specific themes. Within the first domain, racism in health care, 7 themes were identified using thematic analysis: (1) a history of medical racism; (2) dismissiveness; (3) patient expectations on encountering racism; (4) medical mistrust; (5) health literacy; (6) postencounter outcomes, and (7) discrimination beyond but associated with race. Within the second theme, ED clinical care, 5 themes were identified using the same thematic analysis method: (1) discharge plan; (2) patient experience; (3) waiting room perceptions; (4) medication treatment; and (5) pain management. The third domain, recommendations for improvement, incorporated patient-generated suggestions for enhancing the Black patient experience. Conclusions and Relevance: In this qualitative study, the fabric of clinical care delivery in the ED was intricately woven with Black patients' experiences of racism. Patients expressed a pervasive sense of mistrust, skepticism, and dismissiveness at the system level. Instances of racism were consistently highlighted by patients from their entry to the ED to discharge. These perspectives illuminate the pervasive nature of racism in clinical care, providing valuable insights for exploring patient-centered approaches to foster antiracist cultures in the ED and throughout the broader medical landscape.
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