In this thesis, it is my aim to expand the cultural competency literature by applying the sociological theory of everyday racism to an analysis of perceptions of physicians' cultural competence in the healthcare system. To this end, I examine two separate literatures, research on race, racism and health and research on the cultural competency approach organized to improve healthcare. The research on cultural competency narrowly focuses on defining characteristics, guidelines, and teaching techniques. I expand this research by applying Philomena Essed's interdisciplinary theory of everyday racism to an analysis of perceptions of cultural competence. Within this theory, everyday racism is defined as the integration of racism into everyday situations through practices that activate underlying power relations.
In this thesis, I specifically examine African Americans' and whites' perceptions of physicians' cultural competence using a nationally representative dataset. In so doing, I assess the extent to which experiences of everyday racism impact these perceptions. Results suggest that race does impact perceptions of cultural competence. Furthermore, experiences of everyday racism do mediate the effect of race on some perceptions of cultural competence. Based on the findings of this thesis, I propose that future research on cultural competency address the importance of race as a principal component of social organization.
|School:||University of Cincinnati|
|School Location:||United States -- Ohio|
|Source:||MAI 57/06M(E), Masters Abstracts International|
|Keywords:||Cultural competence, Discrimination, Healthcare, Physicians, Racism|
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