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Do they speak like me? Exploring how perceptions of linguistic difference may influence patient perceptions of healthcare providers

Lee, Donghee N
Hutchens, Myiah J
George, Thomas J
Wilson-Howard, Danyell
Cooks, Eric J
Krieger, Janice L
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Abstract

The increased utilization of telehealth has provided patients with the opportunity to interact with racially diverse healthcare providers (HCPs). While evidence of racial stereotypes in healthcare is well documented, less is known about whether linguistic cues increase or decrease racial bias in healthcare interactions. The purpose of this pilot study was to use virtual clinicians (VCs) to examine how varying linguistic features affect patient perceptions of Black-identifying HCPs. Participants (N = 282) were recruited to participate in an online pilot study using a two-arm posttest-only experimental design. Participants were randomly assigned to interact with a Black VC that used vocal cues associated with either Standard American English (SAE) or African American English (AAE) on the topic of colorectal cancer. After the interaction, participants completed a posttest questionnaire. Resulting data were analyzed using mediation.

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Lee DN, Hutchens MJ, George TJ, Wilson-Howard D, Cooks EJ, Krieger JL. Do they speak like me? Exploring how perceptions of linguistic difference may influence patient perceptions of healthcare providers. Med Educ Online. 2022 Dec;27(1):2107470. doi: 10.1080/10872981.2022.2107470. PMID: 35912473; PMCID: PMC9347466.

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10.1080/10872981.2022.2107470
PubMed ID
35912473
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© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Attribution 4.0 International