Baruch College, Marxe School of Public and International Affairs, 135 East 22nd Street, Room 816, New York, NY 10010, USA.
Health Policy Research Group, University of Oregon, USA.
J Natl Med Assoc. 2018 Jun;110(3):206-211. doi: 10.1016/j.jnma.2017.05.010. Epub 2017 Jun 27.
This study's objective was to examine the extent to which individuals exhibit a preference for physicians based upon the race/ethnicity and gender of a physician's name. We conducted an online survey of 915 adults, who viewed a comparative display of four physicians' quality performance. We randomized the name of one physician, whose quality performance was equal to that of one physician and better than two other physicians, to be either typically African American male, African American female, white male, white female, or Middle Eastern (gender ambiguous). In regression models, participants more frequently selected the physician with the randomized name when displayed with a white male name, compared to when presented with an African American male, African American female, or Middle Eastern name (ORs ranging from .59 to .64). White and male study participants exhibited this pattern, while racial/ethnic minority participants did not. If the hypothetical choice bias observed here translates to people's actual selection of physicians, it could be a contributing factor for why women and racial/ethnic minority physicians have lower incomes than white male physicians.
本研究旨在考察个体基于医生姓名的种族/民族和性别对医生的偏好程度。我们对 915 名成年人进行了一项在线调查，他们查看了四名医生的质量表现的比较展示。我们随机选择了一名医生的姓名，其质量表现与一名医生相同，优于另外两名医生，其姓名分别为典型的非裔美国男性、非裔美国女性、白人男性或白人女性或中东（性别模糊）。在回归模型中，与呈现非裔美国男性、非裔美国女性或中东姓名相比，参与者更频繁地选择了随机姓名的医生（比值比范围从.59 到.64）。白人和男性研究参与者表现出这种模式，而少数族裔参与者则没有。如果这里观察到的假设选择偏见转化为人们实际选择医生的情况，那么这可能是导致女性和少数族裔医生的收入低于白人男性医生的一个因素。
