National Healthcare Quality and Disparities Report
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Topics
- Access to Care (1)
- Caregiving (2)
- Children/Adolescents (2)
- Depression (1)
- Disabilities (1)
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- (-) Racial and Ethnic Minorities (5)
- (-) Shared Decision Making (5)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 5 of 5 Research Studies DisplayedBreathett K, Jones J, Lum HD
Factors related to physician clinical decision-making for African-American and Hispanic patients: a qualitative meta-synthesis.
The purpose of this study was to synthesize qualitative studies that explore various aspects of how patients’ African-American race or Hispanic ethnicity may factor into physician clinical decision-making. Researchers derived six fundamental themes that detail the role of patient race and ethnicity on physician decision-making. They found that a non-hierarchical system of intertwining themes influenced clinical decision-making among racial and ethnic minority patients and recommended paths for future study.
AHRQ-funded; HS024569.
Citation: Breathett K, Jones J, Lum HD .
Factors related to physician clinical decision-making for African-American and Hispanic patients: a qualitative meta-synthesis.
J Racial Ethn Health Disparities 2018 Dec;5(6):1215-29. doi: 10.1007/s40615-018-0468-z..
Keywords: Racial and Ethnic Minorities, Shared Decision Making, Disparities
Harris VC, Links AR, Walsh J
A systematic review of race/ethnicity and parental treatment decision-making.
Researchers examined patient race/ethnicity as it affects health care utilization, provider trust, and treatment choice in pediatric care. Pooled results from their systematic review showed (1) racial/ethnic minorities tended to prefer more aggressive end-of-life care; (2) familial tradition of neonatal circumcision influenced the decision to circumcise; and (3) non-Hispanic Whites were less likely to pursue human papillomavirus vaccination but more likely to complete the vaccine series if initiated. They recommended further investigation.
AHRQ-funded; HS022932.
Citation: Harris VC, Links AR, Walsh J .
A systematic review of race/ethnicity and parental treatment decision-making.
Clin Pediatr 2018 Oct;57(12):1453-64. doi: 10.1177/0009922818788307..
Keywords: Children/Adolescents, Shared Decision Making, Caregiving, Racial and Ethnic Minorities, Healthcare Utilization
Jolles MP, Lee PJ, Javier JR
Shared decision-making and parental experiences with health services to meet their child's special health care needs: racial and ethnic disparities.
This study investigated the relationship between shared decision-making (SDM) and parents’ frustrations in getting health needs met for their special needs child. Secondary analysis was done on data from the 2009-2010 National Survey of Children with Special Health Care Needs. More Whites than Blacks engaged in SDM, and when Blacks did engage they had a higher odds of negative experiences than Whites. Researchers weren’t sure what the cause was of that, but speculated it was due to increased awareness of service challenges.
AHRQ-funded; HS000032.
Citation: Jolles MP, Lee PJ, Javier JR .
Shared decision-making and parental experiences with health services to meet their child's special health care needs: racial and ethnic disparities.
Patient Educ Couns 2018 Oct;101(10):1753-60. doi: 10.1016/j.pec.2018.05.022..
Keywords: Access to Care, Caregiving, Children/Adolescents, Shared Decision Making, Disabilities, Disparities, Racial and Ethnic Minorities
Calabrese SK, Earnshaw VA, Krakower DS
A closer look at racism and heterosexism in medical students' clinical decision-making related to HIV pre-exposure prophylaxis (PrEP): implications for PrEP education.
In this survey study of 115 US medical students, researchers examined associations between biases (racism and heterosexism) and PrEP clinical decision-making and explored prior PrEP education as a potential buffer. They concluded that prior PrEP education did not buffer any indirect effects. Also, heterosexism may compromise PrEP provision to MSM and should be addressed in PrEP-related medical education.
AHRQ-funded; HS022986.
Citation: Calabrese SK, Earnshaw VA, Krakower DS .
A closer look at racism and heterosexism in medical students' clinical decision-making related to HIV pre-exposure prophylaxis (PrEP): implications for PrEP education.
AIDS Behav 2018 Apr;22(4):1122-38. doi: 10.1007/s10461-017-1979-z.
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Keywords: Shared Decision Making, Education: Academic, Human Immunodeficiency Virus (HIV), Prevention, Racial and Ethnic Minorities
Hines AL, Roter D, Ghods Dinoso BK
Informed and patient-centered decision-making in the primary care visits of African Americans with depression.
This study examined the prevalence and extent of informed decision-making (IDM) and patient-centered decision-making (PCDM) in primary care visits of African Americans with depression. It concluded that the associations between IDM and PCDM with interpersonal ratings were moderated by overall patient-centeredness of the visit, which may be indicative of broader cross-cultural communication issues. Strengthening partnerships between depressed African Americans and their clinicians may improve patient-engaged decision-making.
AHRQ-funded; HS013645.
Citation: Hines AL, Roter D, Ghods Dinoso BK .
Informed and patient-centered decision-making in the primary care visits of African Americans with depression.
Patient Educ Couns 2018 Feb;101(2):233-40. doi: 10.1016/j.pec.2017.07.027.
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Keywords: Shared Decision Making, Depression, Patient-Centered Healthcare, Primary Care, Racial and Ethnic Minorities