Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities

Diana J Burgess, Barbara G. Bokhour, Brooke A Cunningham, Tam Do, Howard S. Gordon, Dina M. Jones, Charlene Pope, Somnath Saha, Sarah E Gollust

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We used qualitative methods (semi-structured interviews with healthcare providers) to explore: 1) the role of narratives as a vehicle for raising awareness and engaging providers about the issue of healthcare disparities and 2) the extent to which different ways of framing issues of race within narratives might lead to message acceptance for providers’ whose preexisting beliefs about causal attributions might predispose them to resist communication about racial healthcare disparities. Individual interviews were conducted with 53 providers who had completed a prior survey assessing beliefs about disparities. Participants were stratified by the degree to which they believed providers contributed to healthcare inequality: low provider attribution (LPA) versus high provider attribution (HPA). Each participant read and discussed two differently framed narratives about race in healthcare. All participants accepted the “Provider Success” narratives, in which interpersonal barriers involving a patient of color were successfully resolved by the provider narrator, through patient-centered communication. By contrast, “Persistent Racism” narratives, in which problems faced by the patient of color were more explicitly linked to racism and remained unresolved, were very polarizing, eliciting acceptance from HPA participants and resistance from LPA participants. This study provides a foundation for and raises questions about how to develop effective narrative communication strategies to engage providers in efforts to reduce healthcare disparities.

Original languageEnglish (US)
Pages (from-to)149-161
Number of pages13
JournalHealth Communication
Volume34
Issue number2
DOIs
StatePublished - Jan 28 2019

Fingerprint

Healthcare Disparities
Health Personnel
attribution
Communication
narrative
Racism
communication
Color
Interviews
racism
acceptance
interview
Delivery of Health Care
qualitative method

PubMed: MeSH publication types

  • Journal Article

Cite this

Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities. / Burgess, Diana J; Bokhour, Barbara G.; Cunningham, Brooke A; Do, Tam; Gordon, Howard S.; Jones, Dina M.; Pope, Charlene; Saha, Somnath; Gollust, Sarah E.

In: Health Communication, Vol. 34, No. 2, 28.01.2019, p. 149-161.

Research output: Contribution to journalArticle

Burgess, Diana J ; Bokhour, Barbara G. ; Cunningham, Brooke A ; Do, Tam ; Gordon, Howard S. ; Jones, Dina M. ; Pope, Charlene ; Saha, Somnath ; Gollust, Sarah E. / Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities. In: Health Communication. 2019 ; Vol. 34, No. 2. pp. 149-161.
@article{b5180a00bed840d48393b0278c672a92,
title = "Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities",
abstract = "We used qualitative methods (semi-structured interviews with healthcare providers) to explore: 1) the role of narratives as a vehicle for raising awareness and engaging providers about the issue of healthcare disparities and 2) the extent to which different ways of framing issues of race within narratives might lead to message acceptance for providers’ whose preexisting beliefs about causal attributions might predispose them to resist communication about racial healthcare disparities. Individual interviews were conducted with 53 providers who had completed a prior survey assessing beliefs about disparities. Participants were stratified by the degree to which they believed providers contributed to healthcare inequality: low provider attribution (LPA) versus high provider attribution (HPA). Each participant read and discussed two differently framed narratives about race in healthcare. All participants accepted the “Provider Success” narratives, in which interpersonal barriers involving a patient of color were successfully resolved by the provider narrator, through patient-centered communication. By contrast, “Persistent Racism” narratives, in which problems faced by the patient of color were more explicitly linked to racism and remained unresolved, were very polarizing, eliciting acceptance from HPA participants and resistance from LPA participants. This study provides a foundation for and raises questions about how to develop effective narrative communication strategies to engage providers in efforts to reduce healthcare disparities.",
author = "Burgess, {Diana J} and Bokhour, {Barbara G.} and Cunningham, {Brooke A} and Tam Do and Gordon, {Howard S.} and Jones, {Dina M.} and Charlene Pope and Somnath Saha and Gollust, {Sarah E}",
year = "2019",
month = "1",
day = "28",
doi = "10.1080/10410236.2017.1389049",
language = "English (US)",
volume = "34",
pages = "149--161",
journal = "Health Communication",
issn = "1041-0236",
publisher = "Routledge",
number = "2",

}

TY - JOUR

T1 - Healthcare Providers’ Responses to Narrative Communication About Racial Healthcare Disparities

AU - Burgess, Diana J

AU - Bokhour, Barbara G.

AU - Cunningham, Brooke A

AU - Do, Tam

AU - Gordon, Howard S.

AU - Jones, Dina M.

AU - Pope, Charlene

AU - Saha, Somnath

AU - Gollust, Sarah E

PY - 2019/1/28

Y1 - 2019/1/28

N2 - We used qualitative methods (semi-structured interviews with healthcare providers) to explore: 1) the role of narratives as a vehicle for raising awareness and engaging providers about the issue of healthcare disparities and 2) the extent to which different ways of framing issues of race within narratives might lead to message acceptance for providers’ whose preexisting beliefs about causal attributions might predispose them to resist communication about racial healthcare disparities. Individual interviews were conducted with 53 providers who had completed a prior survey assessing beliefs about disparities. Participants were stratified by the degree to which they believed providers contributed to healthcare inequality: low provider attribution (LPA) versus high provider attribution (HPA). Each participant read and discussed two differently framed narratives about race in healthcare. All participants accepted the “Provider Success” narratives, in which interpersonal barriers involving a patient of color were successfully resolved by the provider narrator, through patient-centered communication. By contrast, “Persistent Racism” narratives, in which problems faced by the patient of color were more explicitly linked to racism and remained unresolved, were very polarizing, eliciting acceptance from HPA participants and resistance from LPA participants. This study provides a foundation for and raises questions about how to develop effective narrative communication strategies to engage providers in efforts to reduce healthcare disparities.

AB - We used qualitative methods (semi-structured interviews with healthcare providers) to explore: 1) the role of narratives as a vehicle for raising awareness and engaging providers about the issue of healthcare disparities and 2) the extent to which different ways of framing issues of race within narratives might lead to message acceptance for providers’ whose preexisting beliefs about causal attributions might predispose them to resist communication about racial healthcare disparities. Individual interviews were conducted with 53 providers who had completed a prior survey assessing beliefs about disparities. Participants were stratified by the degree to which they believed providers contributed to healthcare inequality: low provider attribution (LPA) versus high provider attribution (HPA). Each participant read and discussed two differently framed narratives about race in healthcare. All participants accepted the “Provider Success” narratives, in which interpersonal barriers involving a patient of color were successfully resolved by the provider narrator, through patient-centered communication. By contrast, “Persistent Racism” narratives, in which problems faced by the patient of color were more explicitly linked to racism and remained unresolved, were very polarizing, eliciting acceptance from HPA participants and resistance from LPA participants. This study provides a foundation for and raises questions about how to develop effective narrative communication strategies to engage providers in efforts to reduce healthcare disparities.

UR - http://www.scopus.com/inward/record.url?scp=85032207247&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85032207247&partnerID=8YFLogxK

U2 - 10.1080/10410236.2017.1389049

DO - 10.1080/10410236.2017.1389049

M3 - Article

C2 - 29068701

AN - SCOPUS:85032207247

VL - 34

SP - 149

EP - 161

JO - Health Communication

JF - Health Communication

SN - 1041-0236

IS - 2

ER -