Physicians’ Perceptions of Patients’ Social and Behavioral Characteristics and Race Disparities in Treatment Recommendations for Men With Coronary Artery Disease

Dados Bibliográficos

ID11031363
AutoresMichelle Van Ryn (0000-0002-4258-7319, Michelle van Ryn is with the Department of Family Practice and Community Health, University of Minnesota Medical School; the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis; and the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center. Diana Burgess and Joan Griffin are with the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, and the Department of Medicine, University of Minnesota Medical School. Jennifer Malat is...), Diana Jill Burge (0000-0003-1139-7739, University of Minnesota Medical Center), Diana Burgess (Michelle van Ryn is with the Department of Family Practice and Community Health, University of Minnesota Medical School; the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis; and the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center. Diana Burgess and Joan Griffin are with the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, and the Department of Medicine, University of Minnesota Medical School. Jennifer Malat is...), Jennifer Malat (0000-0003-3593-7277, Michelle van Ryn is with the Department of Family Practice and Community Health, University of Minnesota Medical School; the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis; and the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center. Diana Burgess and Joan Griffin are with the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, and the Department of Medicine, University of Minnesota Medical School. Jennifer Malat is...), Joan M Griffin (0000-0001-8120-3229, University of Minnesota Medical Center), Joan Griffin (Michelle van Ryn is with the Department of Family Practice and Community Health, University of Minnesota Medical School; the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis; and the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center. Diana Burgess and Joan Griffin are with the Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, and the Department of Medicine, University of Minnesota Medical School. Jennifer Malat is...)
Ano2006
Volume96
Fascículo2
Páginas351-357
Data de publicação2006-02-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.041806
PMID16380577
PMCIDPMC1470483
OpenAlexW2046286954
IdiomaEN
Citações recebidas64
Referências citadas62

Objectives. A growing body of evidence suggests that provider decisionmaking contributes to racial/ethnic disparities in care. We examined the factors mediating the relationship between patient race/ethnicity and provider recommendations for coronary artery bypass graft surgery. Methods. Analyses were conducted with a data set that included medical record, angiogram, and provider survey data on postangiogram encounters with patients who were categorized as appropriate candidates for coronary artery bypass graft surgery. Results. Race significantly influenced physician recommendations among male, but not female, patients. Physicians’ perceptions of patients’ education and physical activity preferences were significant predictors of their recommendations, independent of clinical factors, appropriateness, payer, and physician characteristics. Furthermore, these variables mediated the effects of patient race on provider recommendations. Conclusions. Our findings point to the importance of research and intervention strategies addressing the ways in which providers’ beliefs about patients mediate disparities in treatment. In addition, they highlight the need for discourse and consensus development on the role of social factors in clinical decisionmaking

Coronary artery disease · Disease · Ethnic group · Family medicine · Intervention (counseling) · MEDLINE · Perception · Race (biology) · Cultural Competency in Health Care · Internal Medicine · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology · Racial and Ethnic Identity Research · Gerontology