African%20American%20Clients

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African American Clients Perceptions of Bias In
Louisiana Healthcare

• School of Allied Health Professions
• Robin Steed, PhD, LOTR

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Background

• How did I come up with this topic?

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Attitudes towards African Americans
sample
population
positive
negative
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Current Study

• What I did during summer vacation

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Demographics

• n 9
• 5 female 4 male
• 9th grade college
• varied occupations
• addictive disorder

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Guiding Questions
What have you experienced in terms of racial
bias in healthcare? What contexts or
situations have typically influenced or affected
your experiences of racial bias in healthcare?
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Analysis of Transcripts

• Basis of Discrimination
• Consequences (or Results) of Discrimination
• Possible Solutions

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Basis of Discrimination

• Insurance
• SES
• Ethnicity
• Perceived Lifestyle

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Insurance and Trauma Outcomes
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Basis of Discrimination

• Insurance
• SES
• Ethnicity
• Perceived Lifestyle

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Behavioral Risk Factor Surveillance System Survey
2008, Louisiana
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Basis of Discrimination

• Insurance
• SES
• Ethnicity
• Perceived Lifestyle

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Days to Dg by Insurance Ethnicity
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Basis of Discrimination

• Insurance
• SES
• Ethnicity
• Perceived Lifestyle

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(No Transcript)
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Results of Bias

• Poor Communication
• Deferred Treatment
• Superficial Triage
• Poor Client-practitioner Relationship

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What does subtle bias look like?

• Lack of eye contact
• Hesitant to touch/no touching
• Washing hands after every touch
• Talking around
• Disrespectful language Atta boy!
• In a hurry
• Not explaining/ not asking / ignoring

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Implications for Future Research

• ROI investigations
• Efficacy of community awareness campaigns
• Examination of instructional interventions for
  practitioners
• Design of client education

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Questions?

• robinsteed.pbworks.com
• researchday.pbworks.com