Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes

Health care discrimination is a barrier to patient-provider communication and effective self-management for patients with type 2 diabetes, a condition that disproportionately affects people of color. This article provides an analysis of in-depth interviews with patients with type 2 diabetes about their experiences of health care discrimination. Participants reported that their experiences of health care discrimination were rooted in their social identities. They often reported believing that discrimination led to assumptions and biases that negatively affected their health care experience. They also reported varying responses to perceived discrimination, ranging from hesitation to advocacy. This study highlights the need for health care systems to prioritize identifying and reducing specific health care provider behaviors that patients with diabetes perceive as discrimination.

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Publication Details

Journal
Clinical Diabetes
Published
2025-05-20
DOI
https://doi.org/10.2337/cd24-0093
Primary Topic
Obesity and Health Practices
Type
article
Field-Weighted Citation Impact
0.00

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article

Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes

Benjamin Lê Cook, María José Sánchez Román, Dharma E. Cortés, Ana M. Progovac et al.
Clinical Diabetes
Obesity and Health Practices
article

Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes

Benjamin Lê Cook, María José Sánchez Román, Dharma E. Cortés, Ana M. Progovac, Caryn R. R. Rodgers, Leslie B. Adams, Esther Lee, Selma de Castro, Natasha Kaushal, Nathaniel M. Tran, Miguel Cid, Danny McCormick, Margo Moyer
article en

Abstract

Health care discrimination is a barrier to patient-provider communication and effective self-management for patients with type 2 diabetes, a condition that disproportionately affects people of color. This article provides an analysis of in-depth interviews with patients with type 2 diabetes about their experiences of health care discrimination. Participants reported that their experiences of health care discrimination were rooted in their social identities. They often reported believing that discrimination led to assumptions and biases that negatively affected their health care experience. They also reported varying responses to perceived discrimination, ranging from hesitation to advocacy. This study highlights the need for health care systems to prioritize identifying and reducing specific health care provider behaviors that patients with diabetes perceive as discrimination.

Clinical DiabetesVol. 43(4)
Cambridge Health Alliance (US), Albert Einstein College of Medicine (US), Nebraska Medical Center (US), Montefiore Medical Center (US), Harvard University (US), American Association of Variable Star Observers (US), University of Michigan (US), Columbia University Irving Medical Center (US), Cambridge Hospital (US), University of Illinois Chicago (US), University of Chicago (US), ECOG-ACRIN Cancer Research Group (US), Stanford Medicine (US), Healthy Start (US), John Snow (United States) (US), New York University (US), University of Nebraska Medical Center (US), Stanford University (US)
Patient-Centered Outcomes Research Institute
Openalex Percentile: Top 82%
Obesity and Health Practices
DOIOpen Access PDFOpenAlex
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