J Health Care Poor Underserved. 2022;33(2):714-725. doi: 10.1353/hpu.2022.0058.
This study contributes to research and policy aimed at reducing population-level health disparities by applying a Feminist Standpoint approach to the examination of rates and correlates of health care discrimination among patients at the Veterans Affairs Health Administration (VHA). Drawing on quality improvement survey data (N = 806) collected within the VHA in 2018, we document and describe rates of both direct and vicarious past-year exposure to health care discrimination disaggregated by race/ethnicity, sexual orientation, and gender. The analysis of within- and between-group rates and correlates of health care discrimination exposure reveals important subgroup-specific patterns that prior studies using aggregate or non-stratified data have masked. The findings have important research, theory, and policy implications and support advocacy for an intersectional approach to documenting and addressing health care discrimination.
本研究通过应用女性主义观点方法，考察退伍军人事务部医疗保健管理局（VHA）患者的医疗保健歧视率及其相关因素，为旨在减少人群健康差异的研究和政策做出贡献。本研究利用 2018 年在 VHA 内收集的质量改进调查数据（N=806），记录并描述了按种族/族裔、性取向和性别划分的直接和间接过去一年接触医疗保健歧视的比率。对医疗保健歧视暴露的组内和组间比率和相关因素的分析揭示了先前使用汇总或非分层数据的研究所掩盖的重要亚组特定模式。这些发现具有重要的研究、理论和政策意义，并支持倡导采用交叉方法来记录和解决医疗保健歧视问题。
