Robert Wood Johnson Clinical Scholars Program, Yale School of Medicine, New Haven, CT, USA.
J Gen Intern Med. 2009 Nov;24(11):1198-204. doi: 10.1007/s11606-009-1103-9. Epub 2009 Sep 1.
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.
在医生队伍中促进种族/族裔多样性是国家的优先事项。然而，目前尚不清楚来自不同背景的医生在当今医疗保健工作场所报告的种族/族裔歧视的程度。
确定医生在工作中经历的感知种族/族裔歧视的普遍性，并探讨医生对种族的看法以及关于工作场所种族/族裔的讨论。
2006-2007 年进行的横断面、全国性调查。
来自美国不同种族/族裔背景的执业医生（共 529 人）。
我们检查了医生在整个职业生涯中经历的种族/族裔歧视、他们在当前工作环境中经历的歧视以及他们对种族/族裔和工作中的歧视的看法。在非多数族裔医生中，报告在医疗生涯中“有时、经常或非常经常”经历过种族/族裔歧视的医生比例相当高（71%的黑人医生、45%的亚裔医生、63%的“其他”种族医生和 27%的西班牙裔/拉丁裔医生，而白人医生为 7%，均 p < 0.05）。同样，报告在当前工作环境中经历歧视的非多数族裔医生比例也相当高（59%的黑人、39%的亚裔、35%的“其他”种族、24%的西班牙裔/拉丁裔和 21%的白人医生）。医生对工作中种族/族裔作用的看法因受访者的种族/族裔而异。
许多非多数族裔医生报告在工作场所经历过种族/族裔歧视。医疗保健组织和多元化医生有机会共同努力，改善他们工作场所感知歧视的氛围。
