title: Racial and ethnic disparities in health: a view from the South Bronx.
abstract: This study seeks to understand the perspective of Black and Hispanic/Latino residents of the South Bronx, New York, on the causes of persistent racial and ethnic disparities in health outcomes. In particular, it focuses on how people who live in this community perceive and interact with the health care system. Findings from 9 focus groups with 110 participants revealed a deep and pervasive distrust of the health care system and a sense of being disrespected, exacerbated by difficulties that patients experience in communicating with their providers. The paper suggests how health care institutions might respond to these perceptions.
authors.affiliation: The Robert F. Wagner Graduate School of Public Service, New York University, USA. sue.kaplan@nyu.edu
authors.forename: Sue A
authors.initials: SA
authors.lastname: Kaplan
authors.forename: Neil S
authors.initials: NS
authors.lastname: Calman
authors.forename: Maxine
authors.initials: M
authors.lastname: Golub
authors.forename: Joyce H
authors.initials: JH
authors.lastname: Davis
authors.forename: Charmaine
authors.initials: C
authors.lastname: Ruddock
authors.forename: John
authors.initials: J
authors.lastname: Billings
mesh_terms: D001741:Black or African American / Q000523:psychology*; D001294:Attitude to Health / Q000208:ethnology*; D003142:Communication; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility; D006304:Health Status; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D009519:New York City; D028701:Patient Rights; D011369:Professional-Patient Relations; D012959:Socioeconomic Factors; D035502:Trust