Andreae Doerthe A, Massand Sameer, Dellasega Cheryl
Section of Allergy and Immunology, Department of Dermatology, University of Utah, Salt Lake City, UT, United States.
Division of Plastic Surgery, Department of Surgery, Penn State Health, Hershey, PA, United States.
Front Public Health. 2024 Feb 26;12:1304107. doi: 10.3389/fpubh.2024.1304107. eCollection 2024.
Patients can demonstrate prejudice and bias toward minoritized physicians in a destructive dynamic identified as PPtP (Patient Prejudice toward Providers). These interactions have a negative impact on the physical and mental well-being of both those who are targeted and those who witness such behaviors.
The purpose of this study was to explore the PPtP experiences of attending physicians who identify as a minority based on race, ethnicity, citizenship status, or faith preference.
Qualitative methodology was used to collect data using in-depth interviews. 15 attending physicians (8 male, 7 female, aged 33-55 years) who identified as minorities based on ethnicity, citizenship status, or faith practices were interviewed individually. Interviews were conducted using a guide validated in previous studies and content analysis was performed by two trained researchers to identify themes.
Five themes were identified: , , and . Findings suggest that although attending physicians learned to cope with PPtP, the experience of being treated with bias negatively impacted their well-being and work performance. Attending physicians also felt that white majority medical students sometimes treated them with prejudice but expressed a commitment to protecting vulnerable trainees from PPtP.
The experience of PPtP occurs consistently throughout a career in medicine, often beginning in the years of training and persisting into the phase of attending status. This makes it imperative to include strategies that address PPtP in order to successfully recruit and retain minoritized physicians.
患者可能会对少数族裔医生表现出偏见和歧视，这种具有破坏性的动态关系被称为“患者对医疗服务提供者的偏见”（PPtP）。这些互动对被针对者以及目睹此类行为者的身心健康都有负面影响。
本研究的目的是探讨那些基于种族、族裔、公民身份或宗教信仰偏好而被认定为少数族裔的主治医生的PPtP经历。
采用定性方法，通过深入访谈收集数据。对15名基于族裔、公民身份或宗教信仰实践被认定为少数族裔的主治医生（8名男性，7名女性，年龄33 - 55岁）进行了单独访谈。访谈使用先前研究中验证过的指南进行，由两名经过培训的研究人员进行内容分析以确定主题。
确定了五个主题： ， ，以及 。研究结果表明，尽管主治医生学会了应对PPtP，但受到偏见对待的经历对他们的幸福感和工作表现产生了负面影响。主治医生还感到白人占多数的医学生有时会对他们抱有偏见，但表示致力于保护易受影响的实习生免受PPtP的影响。
PPtP的经历在整个医学职业生涯中持续存在，通常始于培训阶段，并持续到主治医生阶段。因此，必须纳入应对PPtP的策略，以便成功招募和留住少数族裔医生。
