Slatton Brittany C, Spates Kamesha, Faniel Maco L
Department of Sociology, Texas Southern University, Houston, TX 77004, USA.
Department of Africana Studies, University of Pittsburgh, Pittsburgh, PA 15260, USA.
Healthcare (Basel). 2025 May 23;13(11):1230. doi: 10.3390/healthcare13111230.
: The persistent health disparities affecting Black men in the US healthcare system reflect systemic inequities that impact their health outcomes. This qualitative study employs thematic analysis to examine how Black men's interactions with medical providers shape their healthcare experiences and to identify key factors influencing their quality of care. : Through in-depth interviews with 25 Black men throughout the United States, our thematic analysis identified patterns in their reported healthcare experiences. : Our analysis revealed four main themes: (1) inadequate clinician communication and information, (2) clinician dismissiveness and failure to listen, (3) experiences of interpersonal racial bias in healthcare interactions, and (4) facilitators of positive, patient-centered healthcare encounters. Black men's narratives illuminate how communication barriers, dismissive treatment, and racial bias manifest in healthcare settings, while also highlighting elements that facilitate successful patient-clinician relationships. : The findings suggest specific approaches for improving these interactions, including clinician active listening and bias training, anti-racism medical education, accountability policies, increased clinician diversity, and patient self-advocacy strategies to address systemic factors affecting Black men's healthcare experiences and outcomes.
美国医疗体系中影响黑人男性的持续健康差异反映了影响其健康结果的系统性不平等。这项定性研究采用主题分析方法，以考察黑人男性与医疗服务提供者的互动如何塑造他们的就医体验，并确定影响其医疗质量的关键因素。通过对美国各地25名黑人男性进行深入访谈，我们的主题分析确定了他们报告的就医体验中的模式。我们的分析揭示了四个主要主题：（1）临床医生沟通和信息不足；（2）临床医生的轻视和不听；（3）医疗互动中人际种族偏见的经历；（4）积极的、以患者为中心的医疗遭遇的促进因素。黑人男性的叙述阐明了沟通障碍、轻视性治疗和种族偏见在医疗环境中的表现方式，同时也突出了促进医患成功关系的因素。研究结果提出了改善这些互动的具体方法，包括临床医生积极倾听和偏见培训、反种族主义医学教育、问责政策、增加临床医生多样性，以及患者自我倡导策略，以解决影响黑人男性就医体验和结果的系统性因素。
