TY - JOUR
T1 - Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients
AU - LaVeist, Thomas A.
AU - Nickerson, Kim J.
AU - Bowie, Janice V.
PY - 2000
Y1 - 2000
N2 - The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.
AB - The authors examine determinants of satisfaction with medical care among 1,784 (781 African American and 1,003 white) cardiac patients. Patient satisfaction was modeled as a function of predisposing factors (gender, age, medical mistrust, and perception of racism) and enabling factors (medical insurance). African Americans reported less satisfaction with care. Although both black and white patients tended not to endorse the existence of racism in the medical care system, African American patients were more likely to perceive racism. African American patients were significantly more likely to report mistrust. Multivariate analysis found that the perception of racism and mistrust of the medical care system led to less satisfaction with care. When perceived racism and medical mistrust were controlled, race was no longer a significant predictor of satisfaction.
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U2 - 10.1177/1077558700057001s07
DO - 10.1177/1077558700057001s07
M3 - Article
C2 - 11092161
AN - SCOPUS:0033784543
SN - 1077-5587
VL - 57
SP - 146
EP - 161
JO - Medical Care Research and Review
JF - Medical Care Research and Review
IS - SUPPL. 1
ER -