Select Journal or Resource JAMA & Archives Home JAMA Archives of   Dermatology   Facial Plastic Surgery   Family Medicine (1992-2000)   General Psychiatry   Internal Medicine   Neurology   Neurology and Psychiatry (1919-1959)   Ophthalmology   Otolaryngology—Head & Neck Surgery   Pediatrics & Adolescent Medicine   Surgery JAMA-français JAMA & Archives CME Calendar of Events JAMA Career Center For The Media JAMAevidence Peer Review Congress Student JAMA (1998-2004)

	Institution: STANFORD Univ Med Center  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 9 No. 10, November 2000   Archives  •  Online Features Original Contribution  This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (193)  • Contact me when this article is cited  Related Content  • Similar articles in this journal Racial and Ethnic Disparities in Perceptions of Physician Style and Trust Mark P. Doescher, MD, MSPH; Barry G. Saver, MD, MPH; Peter Franks, MD; Kevin Fiscella, MD, MPH Arch Fam Med. 2000;9:1156-1163. Context  While pervasive racial and ethnic inequalities in access to care and health status have been documented, potential underlying causes, such as patients' perceptions of their physicians, have not been explored as thoroughly. Objective  To assess whether a person's race or ethnicity is associated with low trust in the physician. Design, Setting, and Participants  Data were obtained from the 1996 through 1997 Community Tracking Survey, a nationally representative sample. Adults who identified a physician as their regular provider and had at least 1 physician visit in the preceding 12 months were included (N = 32 929). Main Outcome Measure  Patients' ratings of their satisfaction with the style of their physician and their trust in physicians. The Satisfaction With Physician Style Scale measured respondents' perceptions of their physicians' listening skills, explanations, and thoroughness. The Trust in Physician Scale measured respondents' perceptions that their physicians placed the patients' needs above other considerations, referred the patient when needed, performed unnecessary tests or procedures, and were influenced by insurance rules. Results  After adjustment for socioeconomic and other factors, minority group members reported less positive perceptions of physicians than whites on these 2 conceptually distinct scales. Minority group members who lacked physician continuity on repeat clinic visits reported even less positive perceptions of their physicians on these 2 scales than whites. Conclusions  Patients from racial and ethnic minority groups have less positive perceptions of their physicians on at least 2 important dimensions. The reasons for these differences should be explored and addressed. From the Department of Family Medicine, University of Washington School of Medicine, Seattle (Drs Doescher and Saver); and the Departments of Family Medicine (Dr Franks) and Community and Preventive Medicine (Dr Fiscella), University of Rochester School of Medicine, Rochester, NY. THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Enhancing Cultural and Contextual Intervention Strategies to Reduce HIV/AIDS Among African Americans Wyatt AJPH 2009;99:1941-1945. ABSTRACT | FULL TEXT   Understanding Observed and Unobserved Health Care Access and Utilization Disparities Among U.S. Latino Adults Vargas Bustamante et al. Med Care Res Rev 2009;66:561-577. ABSTRACT   A 41-Year-Old African American Man With Poorly Controlled Hypertension: Review of Patient and Physician Factors Related to Hypertension Treatment Adherence Cooper JAMA 2009;301:1260-1272. ABSTRACT | FULL TEXT   Barriers to Care and Primary Care for Vulnerable Children With Asthma Seid Pediatrics 2008;122:994-1002. ABSTRACT | FULL TEXT   Racial/Ethnic Disparities And Consumer Activation In Health Hibbard et al. Health Aff (Millwood) 2008;27:1442-1453. ABSTRACT | FULL TEXT   What Accounts for Differences or Disparities in Pediatric Palliative and End-of-Life Care? A Systematic Review Focusing on Possible Multilevel Mechanisms Linton and Feudtner Pediatrics 2008;122:574-582. ABSTRACT | FULL TEXT   Racial/Ethnic Disparities and Culturally Competent Health Care Among Youth and Young Men Vo and Park Am J Mens Health 2008;2:192-205. ABSTRACT   Can Language-Concordant Prevention Care Managers Improve Cancer Screening Rates? Beach et al. Cancer Epidemiol. Biomarkers Prev. 2007;16:2058-2064. ABSTRACT | FULL TEXT   The Impact of the Adoption of Gag Laws on Trust in the Patient-Physician Relationship Patel and Chernew Journal of Health Politics, Policy and Law 2007;32:819-842. ABSTRACT   Disparities In Health: Perspectives Of A Multi-Ethnic, Multi-Racial America Blendon et al. Health Aff (Millwood) 2007;26:1437-1447. ABSTRACT | FULL TEXT   Disparities in Treatment and Outcome for Renal Cell Cancer Among Older Black and White Patients Berndt et al. JCO 2007;25:3589-3595. ABSTRACT | FULL TEXT   Laboratory Abnormalities at the Onset of Treatment of End-Stage Renal Disease: Are There Racial or Socioeconomic Disparities in Care? Ward Arch Intern Med 2007;167:1083-1091. ABSTRACT | FULL TEXT   Care at the End of Life: Focus on Communication and Race Zapka et al. J Aging Health 2006;18:791-813. ABSTRACT   Development and Validation of a Patient-Reported Measure of Physician Cultural Competency Thom and Tirado Med Care Res Rev 2006;63:636-655. ABSTRACT   The promise and limits of racial/ethnic concordance in physician-patient interaction. Schnittker and Liang Journal of Health Politics, Policy and Law 2006;31:811-838. ABSTRACT   Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke: A Scientific Statement From the American Heart Association Council on Cardiovascular Nursing and Stroke Council Moser et al. Circulation 2006;114:168-182. ABSTRACT | FULL TEXT   Patient preferences can be misleading as explanations for racial disparities in health care. Armstrong et al. Arch Intern Med 2006;166:950-954. ABSTRACT | FULL TEXT   Racial Differences in Trust in Health Care Providers. Halbert et al. Arch Intern Med 2006;166:896-901. ABSTRACT | FULL TEXT   Racial Differences in Trust and Lung Cancer Patients' Perceptions of Physician Communication Gordon et al. JCO 2006;24:904-909. ABSTRACT | FULL TEXT   Doctor-Patient Communication, Cultural Competence, and Minority Health: Theoretical and Empirical Perspectives Perloff et al. American Behavioral Scientist 2006;49:835-852. ABSTRACT   On Addressing Racial and Ethnic Health Disparities: The Potential Role of Patient Communication Skills Interventions Cegala and Post American Behavioral Scientist 2006;49:853-867. ABSTRACT   Racial/Ethnic Variations in Veterans' Ambulatory Care Use Washington et al. AJPH 2005;95:2231-2237. ABSTRACT | FULL TEXT   Evaluation of the Causes for Racial Disparity in Surgical Treatment of Early Stage Lung Cancer McCann et al. Chest 2005;128:3440-3446. ABSTRACT | FULL TEXT   Access and equity to cancer care in the USA: a review and assessment Siminoff and Ross Postgrad. Med. J. 2005;81:674-679. ABSTRACT | FULL TEXT   Patient Ethnicity and the Identification and Active Management of Depression in Late Life Gallo et al. Arch Intern Med 2005;165:1962-1968. ABSTRACT | FULL TEXT   Trust in One's Physician: The Role of Ethnic Match, Autonomy, Acculturation, and Religiosity Among Japanese and Japanese Americans Tarn et al. Ann Fam Med 2005;3:339-347. ABSTRACT | FULL TEXT   Pediatric Residents' Responses That Discourage Discussion of Psychosocial Problems in Primary Care Wissow et al. Pediatrics 2005;115:1569-1578. ABSTRACT | FULL TEXT   Sufficiently Important Difference: Expanding the Framework of Clinical Significance Barrett et al. Med Decis Making 2005;25:250-261. ABSTRACT   The Effect of Physician Disclosure of Financial Incentives on Trust Levinson et al. Arch Intern Med 2005;165:625-630. ABSTRACT | FULL TEXT   Patients' Beliefs About Racism, Preferences for Physician Race, and Satisfaction With Care Chen et al. Ann Fam Med 2005;3:138-143. ABSTRACT | FULL TEXT   Racial disparities in the use of surgical treatment for intractable temporal lobe epilepsy Burneo et al. Neurology 2005;64:50-54. ABSTRACT | FULL TEXT   Update on the Health Disparities Literature Long et al. ANN INTERN MED 2004;141:805-812. FULL TEXT   Ethnic Minority Older Adults Participating in Clinical Research: Developing Trust Moreno-John et al. J Aging Health 2004;16:93S-123S. ABSTRACT   Barriers to Health Care Access Among the Elderly and Who Perceives Them Fitzpatrick et al. AJPH 2004;94:1788-1794. ABSTRACT | FULL TEXT   Health Care in America -- Still Too Separate, Not Yet Equal Epstein NEJM 2004;351:603-605. FULL TEXT   Measuring Patients' Trust In Physicians When Assessing Quality Of Care Thom et al. Health Aff (Millwood) 2004;23:124-132. ABSTRACT | FULL TEXT   Voting with Their Feet: Patient Exit and Intergroup Differences in Propensity for Switching Usual Source of Care Tai-Seale Journal of Health Politics, Policy and Law 2004;29:491-514. ABSTRACT   Trust: Can We Create the Time? Levine Arch Intern Med 2004;164:930-932. FULL TEXT   Patient Characteristics and Experiences Associated With Trust in Specialist Physicians Keating et al. Arch Intern Med 2004;164:1015-1020. ABSTRACT | FULL TEXT   Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race Cooper et al. ANN INTERN MED 2003;139:907-915. ABSTRACT | FULL TEXT   Patient-Physician Relationships and Racial Disparities in the Quality of Health Care Saha et al. AJPH 2003;93:1713-1719. ABSTRACT | FULL TEXT   On Being New to an Insurance Plan: Health Care Use Associated With the First Years in a Health Insurance Plan Franks et al. Ann Fam Med 2003;1:156-161. ABSTRACT | FULL TEXT   Nature of Conflict in the Care of Pediatric Intensive Care Patients With Prolonged Stay Studdert et al. Pediatrics 2003;112:553-558. ABSTRACT | FULL TEXT   What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics Joffe et al. J. Med. Ethics 2003;29:103-108. ABSTRACT | FULL TEXT   Physician Weight Counseling for Adolescents Saelens et al. CLIN PEDIATR 2002;41:575-585. ABSTRACT   The Association Between Diabetes Metabolic Control and Drug Adherence in an Indigent Population Schectman et al. Diabetes Care 2002;25:1015-1021. ABSTRACT | FULL TEXT   Strategies for Culturally Effective End-of-Life Care Crawley et al. ANN INTERN MED 2002;136:673-679. ABSTRACT | FULL TEXT   Effect of Managed Care on Children's Relationships With Their Primary Care Physicians: Differences by Race Stevens and Shi Arch Pediatr Adolesc Med 2002;156:369-377. ABSTRACT | FULL TEXT   Race and Ethnicity in Biomedical and Health Services Research Laws Arch Pediatr Adolesc Med 2001;155:972-973. FULL TEXT   Racial Differences in the Use of Cardiac Catheterization after Acute Myocardial Infarction Chen et al. NEJM 2001;344:1443-1449. ABSTRACT | FULL TEXT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 2000 American Medical Association. All Rights Reserved.