Browsing by Subject "healthcare disparities"

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    Bibliometric analysis of publications on healthcare disparities among sexual and gender minorities: an exploratory study
    (2020-10-01) Ramirez, Mirian; Craven, Hannah J.
    Academic and scientific literature related to healthcare disparities among sexual and gender minorities has increased significantly over the past decade. For this study, a bibliometric analysis will be applied to examine the characteristics, as well as the growth and authorship patterns of worldwide research output, addressing issues related to barriers and disparities of the availability or access to medical services for the LGBTQ population. For this exploratory study, we used the Web of Science database, one of the most widely multidisciplinary databases, that provides the analytical tools for bibliometric calculations. For this analysis, we conducted a bibliographic search on the topic of healthcare disparities in order to collect the representative documents about the topic and to identify authors, document types, year of publications, sources, main thematic areas, most productive institutions, languages and most productive countries of research output. We used an open-source Bibliometrix/Biblioshiny R-package to conduct quantitative analysis. This approach aims to inform the development and trends of research outputs to understand what this research is focusing on, identify research productivity and topic trends.
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    Communicating with providers about racial healthcare disparities: The role of providers’ prior beliefs on their receptivity to different narrative frames
    (Elsevier, 2018) Burgess, Diana J.; Bokhour, Barbara G.; Cunningham, Brooke A.; Do, Tam; Eliacin, Johanne; Gordon, Howard S.; Gravely, Amy; Jones, Dina M.; Partin, Melissa R.; Pope, Charlene; Saha, Somnath; Taylor, Brent C.; Gollust, Sarah E.; Psychology, School of Science
    Objective Evaluate narratives aimed at motivating providers with different pre-existing beliefs to address racial healthcare disparities. Methods Survey experiment with 280 providers. Providers were classified as high or low in attributing disparities to providers (HPA versus LPA) and were randomly assigned to a non-narrative control or 1 of 2 narratives: “Provider Success” (provider successfully resolved problem involving Black patient) and “Provider Bias” (Black patient experienced racial bias, which remained unresolved). Participants' reactions to narratives (including identification with narrative) and likelihood of participating in disparities-reduction activities were immediately assessed. Four weeks later, participation in those activities was assessed, including self-reported participation in a disparities-reduction training course (primary outcome). Results Participation in training was higher among providers randomized to the Provider Success narrative compared to Provider Bias or Control. LPA participants had higher identification with Provider Success than Provider Bias narratives, whereas among HPA participants, differences in identification between the narratives were not significant. Conclusions Provider Success narratives led to greater participation in training than Provider Bias narratives, although providers’ pre-existing beliefs influenced the narrative they identified with. Practice implications Provider Success narratives may be more effective at motivating providers to address disparities than Provider Bias narratives, though more research is needed.