Evidence map›Paper›PMID 39192536›Full record

ArticleHealth services research2025

Eliciting patient past experiences of healthcare discrimination as a potential pathway to reduce health disparities: A qualitative study of primary care staff.

Dharma E Cortés, Ana M Progovac, Frederick Lu, Esther Lee, Nathaniel M Tran, Margo A Moyer, Varshini Odayar, Caryn R R Rodgers, Leslie Adams, Valeria Chambers and 22 more

Abstract read
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

32 authors.

Dharma E CortésHarvard Medical School, Boston, Massachusetts and Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.ORCID 0000-0002-2400-348X
Ana M ProgovacHarvard Medical School, Boston, Massachusetts and Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.ORCID 0000-0002-8011-9305
Frederick LuWarren Alpert Medical School of Brown University, Brown University Health, Providence, Rhode Island, USA.ORCID 0000-0002-9884-8231
Esther LeeUniversity of Michigan, School of Public Health, Ann Arbor, Michigan, USA.
Nathaniel M TranUniversity of Illinois Chicago, Chicago, Illinois, USA.ORCID 0000-0002-6222-032X
Margo A MoyerJohn Snow Institute, Boston, Massachusetts, USA.
Varshini OdayarHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.
Caryn R R RodgersDepartment of Pediatrics and Department of Psychiatry & Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York, USA.
Leslie AdamsJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Valeria ChambersHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.
Jonathan DelmanUMass Chan Medical School, Worcester, Massachusetts, USA.
Deborah DelmanOperation ABLE, Boston, Massachusetts, USA.
Selma de CastroJust A Start, Cambridge, Massachusetts, USA.
María José Sánchez RománCollege of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Natasha A KaushalECOG-ACRIN Cancer Research Group, Philadelphia, Pennsylvania, USA.
Timothy B CreedonU.S. Department of Health and Human Services, Washington, DC, USA.ORCID 0000-0002-0183-3296
Rajan A SonikBrandeis University, Waltham, Massachusetts, USA.
Catherine Rodriguez QuinerlyMassachusetts Department of Mental Health, Boston, Massachusetts, USA.
Ora NakashSmith College School for Social Work, Northampton, Massachusetts, USA.
Afsaneh MoradiBlair Athol Medical Clinic, Adelaide, South Australia, Australia.
Heba AbolabanCambridge Health Alliance, Cambridge, Massachusetts, USA.
Tali FlomenhoftEquip, Carlsbad, California, USA.
Ruth NabisereCambridge Health Alliance, Cambridge, Massachusetts, USA.
Ziva MannAscent Leadership Networks, New York, New York, USA.
Sherry Shu-Yeu HouPublic Policy and Population Health Observatory, McGill University, Montreal, Quebec, Canada.
Farah N ShaikhCambridge Health Alliance, Cambridge, Massachusetts, USA.
Michael W FloresHarvard Medical School, Boston, Massachusetts and Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.ORCID 0000-0002-8019-2836
Dierdre JordanCambridge Health Alliance, Cambridge, Massachusetts, USA.
Nicholas CarsonHarvard Medical School, Boston, Massachusetts and Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.
Adam C CarleJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, University of Cincinnati College of Arts and Sciences, Cincinnati, Ohio, USA.
Benjamin Lé CookHarvard Medical School, Boston, Massachusetts and Health Equity Research Lab, Cambridge Health Alliance, Cambridge, Massachusetts, USA.
Danny McCormickCambridge Health Alliance, Cambridge, Massachusetts, USA.

Funding

Understanding the Role of Trauma Over the Lifecourse in Order to Improve Trauma-informed TreatmentP50MH126283 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE, WANG, PHILIP S · 2021 to 2024
$6.6M
NIMH NIH HHS P50 MH126283Patient Centered Outcomes Research Institute (PCORI) ME-1507-31469
6 · The paper itself

Abstract

objectiveTo understand whether and how primary care providers and staff elicit patients' past experiences of healthcare discrimination when providing care. DATA SOURCES/STUDY

settingTwenty qualitative semi-structured interviews were conducted with healthcare staff in primary care roles to inform future interventions to integrate data about past experiences of healthcare discrimination into clinical care. STUDY

designQualitative study. DATA COLLECTION/EXTRACTION

methodsData were collected via semi-structured qualitative interviews between December 2018 and January 2019, with health care staff in primary care roles at a hospital-based clinic within an urban safety-net health system that serves a patient population with significant racial, ethnic, and linguistic diversity. PRINCIPAL

findingsProviders did not routinely, or in a structured way, elicit information about past experiences of healthcare discrimination. Some providers believed that information about healthcare discrimination experiences could allow them to be more aware of and responsive to their patients' needs and to establish more trusting relationships. Others did not deem it appropriate or useful to elicit such information and were concerned about challenges in collecting and effectively using such data.

conclusionsWhile providers see value in eliciting past experiences of discrimination, directly and systematically discussing such experiences with patients during a primary care encounter is challenging for them. Collecting this information in primary care settings will likely require implementation of multilevel systematic data collection strategies. Findings presented here can help identify clinic-level opportunities to do so.

Indexed as

Healthcare DisparitiesHealth PersonnelPrimary Health CareAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRacismSafety-net Providershealthcare disparitieshealth equityprimary carequalitative researchracial/ethnic differences in health and health care

Identifiers

PMID39192536
PMCPMC11911217

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.