The physician experience of patient to provider prejudice (PPtP).

Journal: Frontiers in public health

Volume: 12

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Section of Allergy and Immunology, Department of Dermatology, University of Utah, Salt Lake City, UT, United States. Division of Plastic Surgery, Department of Surgery, Penn State Health, Hershey, PA, United States. Department of Nursing, College of Medicine, Pennsylvania State University, Penn State Health, Hershey, PA, United States.

Abstract summary 

Patients can demonstrate prejudice and bias toward minoritized physicians in a destructive dynamic identified as PPtP (Patient Prejudice toward Providers). These interactions have a negative impact on the physical and mental well-being of both those who are targeted and those who witness such behaviors.The purpose of this study was to explore the PPtP experiences of attending physicians who identify as a minority based on race, ethnicity, citizenship status, or faith preference.Qualitative methodology was used to collect data using in-depth interviews. 15 attending physicians (8 male, 7 female, aged 33-55 years) who identified as minorities based on ethnicity, citizenship status, or faith practices were interviewed individually. Interviews were conducted using a guide validated in previous studies and content analysis was performed by two trained researchers to identify themes.Five themes were identified: , , and . Findings suggest that although attending physicians learned to cope with PPtP, the experience of being treated with bias negatively impacted their well-being and work performance. Attending physicians also felt that white majority medical students sometimes treated them with prejudice but expressed a commitment to protecting vulnerable trainees from PPtP.The experience of PPtP occurs consistently throughout a career in medicine, often beginning in the years of training and persisting into the phase of attending status. This makes it imperative to include strategies that address PPtP in order to successfully recruit and retain minoritized physicians.

Authors & Co-authors:  Andreae Massand Dellasega

Study Outcome 

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Statistics
Citations :  Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. (2017) 389:1453–63. doi: 10.1016/S0140-6736(17)30569-X
Authors :  3
Identifiers
Doi : 1304107
SSN : 2296-2565
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
bias;patient outcomes;prejudice and discrimination;retention;workforce
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
Switzerland