IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0215976.html
   My bibliography  Save this article

Perceived discrimination in medical settings and perceived quality of care: A population-based study in Chicago

Author

Listed:
  • Maureen R Benjamins
  • Megan Middleton

Abstract

Perceived discrimination in medical settings remains prevalent within the U.S. health care system. However, the details of these experiences and their associations with perceived quality of care are not well understood. Our study assessed multiple measures of perceived racial/ethnic discrimination in medical settings and investigated the locations and purported perpetrators of the discriminatory experiences within a population-based sample of 1,543 Black, White, Mexican, Puerto Rican, and Other adults. We used logistic regression to estimate associations between perceived discrimination in the medical setting and three quality of care indicators. Overall, 40% of the sample reported one or more types of perceived discrimination in a medical setting, with significant differences by race/ethnicity. Discrimination was perceived across health settings and from a variety of providers and staff. In adjusted logistic regression models, individuals reporting discrimination had more than twice the odds of reporting fair or poor quality of care (OR = 2.4 [95% CI: 1.4–4.3]). In addition, perceived discrimination in medical settings was significantly associated with report of not having enough time with the physician and not being as involved in decision-making as desired. These findings expand our understanding of perceived discriminatory experiences in health care and the consequences of it for patients, providers, and health care systems. This information is essential for identifying future provider interventions and improving the training of health care professionals.

Suggested Citation

  • Maureen R Benjamins & Megan Middleton, 2019. "Perceived discrimination in medical settings and perceived quality of care: A population-based study in Chicago," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
  • Handle: RePEc:plo:pone00:0215976
    DOI: 10.1371/journal.pone.0215976
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0215976
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0215976&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0215976?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Anna, Petrenko, 2016. "Мaркування готової продукції як складова частина інформаційного забезпечення маркетингової діяльності підприємств овочепродуктового підкомплексу," Agricultural and Resource Economics: International Scientific E-Journal, Agricultural and Resource Economics: International Scientific E-Journal, vol. 2(1), March.
    2. Jehonathan Ben & Donna Cormack & Ricci Harris & Yin Paradies, 2017. "Racism and health service utilisation: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-22, December.
    3. Shariff-Marco, S. & Klassen, A.C. & Bowie, J.V., 2010. "Racial/ethnic differences in self-reported racism and Its association with cancer-related health behaviors," American Journal of Public Health, American Public Health Association, vol. 100(2), pages 364-374.
    4. Gee, G.C., 2002. "A multilevel analysis of the relationship between institutional and individual racial discrimination and health status," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 615-623.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Alejandro Gil-Salmerón & Konstantinos Katsas & Elena Riza & Pania Karnaki & Athena Linos, 2021. "Access to Healthcare for Migrant Patients in Europe: Healthcare Discrimination and Translation Services," IJERPH, MDPI, vol. 18(15), pages 1-14, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Vivian Welch & Christine M. Mathew & Panteha Babelmorad & Yanfei Li & Elizabeth T. Ghogomu & Johan Borg & Monserrat Conde & Elizabeth Kristjansson & Anne Lyddiatt & Sue Marcus & Jason W. Nickerson & K, 2021. "Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(3), September.
    2. Persson, Petra & Qiu, Xinyao & Rossin-Slater, Maya, 2021. "Family Spillover Effects of Marginal Diagnoses: The Case of ADHD," IZA Discussion Papers 14020, Institute of Labor Economics (IZA).
    3. Menkhoff, Lukas & Miethe, Jakob, 2019. "Tax evasion in new disguise? Examining tax havens' international bank deposits," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 176, pages 53-78.
    4. Ran Abramitzky & Roy Mill & Santiago Pérez, 2020. "Linking individuals across historical sources: A fully automated approach," Historical Methods: A Journal of Quantitative and Interdisciplinary History, Taylor & Francis Journals, vol. 53(2), pages 94-111, April.
    5. Werner Eichhorst & Ulf Rinne, 2017. "Digital Challenges for the Welfare State," CESifo Forum, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 18(04), pages 03-08, December.
    6. Sant'Anna, Ana Claudia & Bergtold, Jason & Shanoyan, Aleksan & Caldas, Marcellus & Granco, Gabriel, 2021. "Deal or No Deal? Analysis of Bioenergy Feedstock Contract Choice with Multiple Opt-out Options and Contract Attribute Substitutability," 2021 Conference, August 17-31, 2021, Virtual 315289, International Association of Agricultural Economists.
    7. Tommaso Colussi & Ingo E. Isphording & Nico Pestel, 2021. "Minority Salience and Political Extremism," American Economic Journal: Applied Economics, American Economic Association, vol. 13(3), pages 237-271, July.
    8. Erkmen Giray Aslim, 2019. "The Relationship Between Health Insurance and Early Retirement: Evidence from the Affordable Care Act," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 112-140, January.
    9. Balint, T. & Lamperti, F. & Mandel, A. & Napoletano, M. & Roventini, A. & Sapio, A., 2017. "Complexity and the Economics of Climate Change: A Survey and a Look Forward," Ecological Economics, Elsevier, vol. 138(C), pages 252-265.
    10. Edna P. Conwi & Alexander G. Cortez & Normita Ramos, 2016. "Effects of the Dualized Training Program on the Occupational Interest of the Students Enrolled in Bachelor of Science in Hotel and Restaurant Management," Indian Journal of Commerce and Management Studies, Educational Research Multimedia & Publications,India, vol. 7(1), pages 31-36, January.
    11. Liat Ayalon, 2018. "Perceived Age Discrimination: A Precipitator or a Consequence of Depressive Symptoms?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(5), pages 860-869.
    12. Nihan Akyelken, 2017. "Mobility-Related Economic Exclusion: Accessibility and Commuting Patterns in Industrial Zones in Turkey," Social Inclusion, Cogitatio Press, vol. 5(4), pages 175-182.
    13. Youngna Choi, 2022. "Economic Stimulus and Financial Instability: Recent Case of the U.S. Household," JRFM, MDPI, vol. 15(6), pages 1-25, June.
    14. Camillia Kong & John Coggon & Michael Dunn & Penny Cooper, 2019. "Judging Values and Participation in Mental Capacity Law," Laws, MDPI, vol. 8(1), pages 1-22, February.
    15. Dreher, Axel & Fuchs, Andreas & Langlotz, Sarah, 2019. "The effects of foreign aid on refugee flows," European Economic Review, Elsevier, vol. 112(C), pages 127-147.
    16. Johnston, David W. & Lordan, Grace, 2012. "Discrimination makes me sick! An examination of the discrimination–health relationship," Journal of Health Economics, Elsevier, vol. 31(1), pages 99-111.
    17. Dindo, Pietro & Massari, Filippo, 2020. "The wisdom of the crowd in dynamic economies," Theoretical Economics, Econometric Society, vol. 15(4), November.
    18. Ferrarini, Benno & Maupin, Julie & Hinojales , Marthe, 2017. "Distributed Ledger Technologies for Developing Asia," ADB Economics Working Paper Series 533, Asian Development Bank.
    19. Andrzej Cieślik & Sarhad Hamza, 2022. "Inward FDI, IFRS Adoption and Institutional Quality: Insights from the MENA Countries," IJFS, MDPI, vol. 10(3), pages 1-19, June.
    20. Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Achim Truger & Andrew Wa, 2016. "The Elusive Recovery," SciencePo Working papers Main hal-03459084, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Achim Truger & Andrew Wa, 2016. "The Elusive Recovery," PSE-Ecole d'économie de Paris (Postprint) hal-03459084, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Thomas Theobald & Achim , 2016. "The Elusive Recovery," PSE Working Papers hal-03612850, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Achim Truger & Andrew Wa, 2016. "The Elusive Recovery," Post-Print hal-03459084, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Thomas Theobald & Achim , 2016. "The Elusive Recovery," Working Papers hal-03612850, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Thomas Theobald & Achim , 2016. "The Elusive Recovery," SciencePo Working papers Main hal-03612850, HAL.
      • Georg Feigl & Markus Marterbauer & Miriam Rehm & Matthias Schnetzer & Sepp Zuckerstätter & Lars Nørvang Andersen & Thea Nissen & Signe Dahl & Peter Hohlfeld & Benjamin Lojak & Thomas Theobald & Achim , 2016. "The Elusive Recovery," PSE-Ecole d'économie de Paris (Postprint) hal-03612850, HAL.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0215976. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.