Journal
JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
Volume 8, Issue 5, Pages 1112-1118Publisher
SPRINGER INT PUBL AG
DOI: 10.1007/s40615-020-00867-8
Keywords
Asian Americans; Health disparities; Social cognition; Medical decision making
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Asian Americans in the USA face significant health disparities, with provider perceptions potentially influencing medical decision making. This paper addresses the lack of literature on this issue and outlines the mechanisms through which provider perception of Asian American patients can impact diagnostic and treatment decisions using social cognitive theory. Recommendations for future research and policy development are also provided.
Asian Americans, the fastest growing racial group in the USA, face a host of major health disparities. There are several reasons for these disparities, and one possible contributor is provider perceptions of Asian Americans, which in turn can affect their medical decision making when treating Asian American patients. There is evidence for the influence of provider perceptions on medical decision making among patients of other racial minority groups; however, literature on Asian American patients is lacking. The present paper addresses this gap in the literature by using social cognitive theory to outline the mechanisms through which provider perception of Asian American patients can affect diagnostic and treatment decisions. These mechanisms include stereotypes and implicit biases, illusory correlations, and cognitive load. Recommendations for future research and policy development are provided.
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