Psychology Commons^™

Study Protocol For Investigating Physician Communication Behaviours That Link Physician Implicit Racial Bias And Patient Outcomes In Black Patients With Type 2 Diabetes Using An Exploratory Sequential Mixed Methods Design, Nao Hagiwara, Briana Mezuk, Jennifer Elston Lafata, Scott R. Vrana, Michael D. Fetters

Psychology Publications

Introduction Patient-physician racial discordance is associated with Black patient reports of dissatisfaction and mistrust, which in turn are associated with poor adherence to treatment recommendations and underutilisation of healthcare. Research further has shown that patient dissatisfaction and mistrust are magnified particularly when physicians hold high levels of implicit racial bias. This suggests that physician implicit racial bias manifests in their communication behaviours during medical interactions. The overall goal of this research is to identify physician communication behaviours that link physician implicit racial bias and Black patient immediate (patient-reported satisfaction and trust) and long-term outcomes (eg, medication adherence, self-management and healthcare …