Race/Ethnicity and Workplace Discrimination: Results of a National Survey of Physicians

被引:100
作者
Nunez-Smith, Marcella [1 ,2 ]
Pilgrim, Nanlesta [3 ]
Wynia, Matthew [4 ,5 ]
Desai, Mayur M. [6 ]
Jones, Beth A. [6 ]
Bright, Cedric [7 ,8 ,9 ]
Krumholz, Harlan M. [1 ,2 ]
Bradley, Elizabeth H. [10 ]
机构
[1] Yale Univ, Sch Med, Robert Wood Johnson Clin Scholars Program, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06510 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Populat Family & Int Hlth, Baltimore, MD USA
[4] Amer Med Assoc Inst Eth, Chicago, IL USA
[5] Univ Chicago, Sch Med, Dept Internal Med, Chicago, IL 60637 USA
[6] Yale Univ, Sch Publ Hlth, Div Chron Dis Epidemiol, New Haven, CT USA
[7] Natl Med Assoc, Washington, DC USA
[8] Duke Univ, Sch Med, Dept Internal Med, Durham, NC USA
[9] Durham VA Med Ctr, Durham, NC USA
[10] Yale Univ, Sch Publ Hlth, Div Hlth Policy & Adm, New Haven, CT USA
关键词
discrimination; race and ethnicity; workforce; health-care workers; MINORITY FACULTY; US PHYSICIANS; DIVERSITY; PROMOTION; RACE;
D O I
10.1007/s11606-009-1103-9
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Promoting racial/ethnic diversity within the physician workforce is a national priority. However, the extent of racial/ethnic discrimination reported by physicians from diverse backgrounds in today's health-care workplace is unknown. To determine the prevalence of physician experiences of perceived racial/ethnic discrimination at work and to explore physician views about race and discussions regarding race/ethnicity in the workplace. Cross-sectional, national survey conducted in 2006-2007. Practicing physicians (total n = 529) from diverse racial/ethnic backgrounds in the United States. We examined physicians' experience of racial/ethnic discrimination over their career course, their experience of discrimination in their current work setting, and their views about race/ethnicity and discrimination at work. The proportion of physicians who reported that they had experienced racial/ethnic discrimination "sometimes, often, or very often" during their medical career was substantial among non-majority physicians (71% of black physicians, 45% of Asian physicians, 63% of "other" race physicians, and 27% of Hispanic/Latino(a) physicians, compared with 7% of white physicians, all p < 0.05). Similarly, the proportion of non-majority physicians who reported that they experienced discrimination in their current work setting was substantial (59% of black, 39% of Asian, 35% of "other" race, 24% of Hispanic/Latino(a) physicians, and 21% of white physicians). Physician views about the role of race/ethnicity at work varied significantly by respondent race/ethnicity. Many non-majority physicians report experiencing racial/ethnic discrimination in the workplace. Opportunities exist for health-care organizations and diverse physicians to work together to improve the climate of perceived discrimination where they work.
引用
收藏
页码:1198 / 1204
页数:7
相关论文
共 39 条
[1]  
Akinola M.N., 2008, Defining the Attributes and Processes that Enhance the Effectiveness of Workforce Diversity Initiatives in Knowledge Intensive Firms
[2]  
Alderfer C.P., 1987, HDB ORG BEHAV
[3]  
[Anonymous], 2004, Applied logistic regression
[4]  
[Anonymous], 2008, PHYS CHAR DISTR US, V2008
[5]  
[Anonymous], 2004, MISS PERS MIN HLTH P
[6]  
[Anonymous], AMA physician masterfile
[7]   Response rates to mail surveys published in medical journals [J].
Asch, DA ;
Jedrziewski, MK ;
Christakis, NA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1997, 50 (10) :1129-1136
[8]   Testing multiple statistical hypotheses resulted in spurious associations: A study of astrological signs and health [J].
Austin, Peter C. ;
Mamdani, Muhammad M. ;
Juurlink, David N. ;
Hux, Janet E. .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2006, 59 (09) :964-969
[9]  
Bobo L., 2000, Prismatic Metropolis: Inequality in Los Angeles
[10]   Workplace discrimination, prejudice, and diversity measurement: A review of instrumentation [J].
Burkard, AW ;
Boticki, MA ;
Madson, MB .
JOURNAL OF CAREER ASSESSMENT, 2002, 10 (03) :343-361