Health Care Practitioner Bias and Access to Inpatient Rehabilitation Services Among Survivors of Violence
In this mixed-methods qualitative study of hospital patients discharged to rehabilitation centers, significant disparities in denials for admission were observed among survivors of violence, who were disproportionally Black or Hispanic. Stigmatizing language found in medical records suggested that bias within the referral process may have contributed to these disparities. These findings underscore the need for reformed clinical documentation practices and enhanced oversight of rehabilitation referral processes to promote equitable access to care.
Authors
- Elizabeth Dugan
- Alice Hibara
- Jonathan Jay (ORCID: https://orcid.org/0000-0002-7543-4247)
- Elizabeth C. Pino (ORCID: https://orcid.org/0000-0003-0626-5221)
- Rebecca K. Rudel (ORCID: https://orcid.org/0009-0006-8186-248X)
- Marjolaine Georges (ORCID: https://orcid.org/0000-0002-4659-5076)
- David C. Wiley (ORCID: https://orcid.org/0000-0002-3681-1740)
- Tanesha Beckford
- Alexa Courtepatte (ORCID: https://orcid.org/0000-0003-2402-240X)
- Jennifer Harris (ORCID: https://orcid.org/0000-0003-4708-0936)
- Emma Weinberger
Institutions
- Boston University (US)
- Brigham and Women's Hospital (US)
- Boston Medical Center (US)
- Boston Public Health Commission (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-04-08
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.4074
- Citations
- 2
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 4.51