Social and Behavioral Sciences Commons^™

“Are You Accepting New Patients?” A Pilot Field Experiment On Telephone-Based Gatekeeping And Black Patients’ Access To Pediatric Care, Tamara Leech, Amy Irby-Shasanmi, Anne L. Mitchell

Department of Public Health Scholarship and Creative Works

Study Objectives

To determine whether the name and accent cues that the caller is Black shape physician offices’ responses to telephone‐based requests for well‐child visits.

Method and Data

In this pilot study, we employed a quasi‐experimental audit design and examined a stratified national sample of pediatric and family practice offices. Our final data include information from 205 audits (410 completed phone calls). Qualitative data were blind‐coded into binary variables. Our case‐control comparisons using McNemar's tests focused on acceptance of patients, withholding information, shaping conversations, and misattributions.

Findings

Compared to the control group, “Black” auditors were less likely to be told …

Exploring The Relationship Between Ego Development And Mental Health, Heather R. Bonnett

ETD Archive

The goal of this study was to examine the relationship between ego identity in adults (ego development), symptoms of psychological distress, and self-esteem. Ego identity was operationalized using Loevinger’s (1976) stage theory of ego development, further modified by Cook-Greuter (1994; 2010). The test used to measure ego development was the Sentence Completion Test Integral (SCTi). Symptoms of mental disorders or psychological distress were measured using Derogatis’ (1994) Symptom Checklist 90 Revised (SCL-90-Revised). Self-esteem was measured using the Rosenberg Self Esteem Scale (RSES). It has been thought there would be noticeable differences in the relationship between ego development and the types …