{"id":16545,"date":"2022-09-27T20:22:55","date_gmt":"2022-09-28T00:22:55","guid":{"rendered":"https:\/\/www.med.unc.edu\/fammed\/?page_id=16545"},"modified":"2022-09-27T20:22:55","modified_gmt":"2022-09-28T00:22:55","slug":"physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/","title":{"rendered":"Physicians&#8217; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis"},"content":{"rendered":"<p><span style=\"font-size: 18pt;color: #333399\">Authors<\/span><\/p>\n<p><strong>Ebiere Okah MD<\/strong>, L\u00e1Shaunt\u00e1 Glover MSc, <strong>Katrina E. Donahue MD, MPH<\/strong>, Giselle Corbie-Smith MD, MSc &amp; Gaurav Dave MD, DrPH, MPH<\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Abstract<\/span><\/p>\n<p>Background:\u00a0Using race-a socially assigned identity that does not adequately capture human genetic variation-to guide clinical care can result in poor outcomes for racially minoritized patients. This study assessed (1) how physicians conceptualize and use race in their clinical care (race-based care) and (2) physician characteristics associated with race-based care. Methods:\u00a0PubMed, CINAHL, EMBASE, and Scopus databases were searched. Qualitative, quantitative, and mixed-methods studies written in peer-reviewed, English-language journal articles evaluating US physicians&#8217; perceptions of race and physician factors associated with race-based care were included. Risk of bias was assessed using the Mixed Methods Appraisal Tool. Qualitative studies were evaluated using thematic analysis, and quantitative findings were summarized and combined with qualitative findings in a narrative synthesis. Results:\u00a0A total of 1149 articles were identified; 9 (4 qualitative, 5 quantitative) studies met inclusion criteria. Five themes emerged: (1) the belief in race as biological; (2) the use of race to contextualize patients&#8217; health; (3) the use of race to counsel patients and determine care; (4) justifications for race-based practice (evidence-based, personal experience, addresses disparities, provides personalized care, increases compliance); and (5) concerns with race-based practice (poorly characterizes patients, normalizes disparities, patient distrust, clinician discomfort, legitimized biological race). In quantitative studies, older age was positively associated with race-based care. Discussion:\u00a0Physicians had varied perceptions of race, but many believed race was biological. Concern and support for race-based practice were related to beliefs regarding the evidence for using race in care and the appropriateness of race as a variable in medical research. Older physicians were more likely to use race, which could be due to increased exposure to race-based medical literature, in addition to generational differences in conceptualizations of race. Additional research on the evolution of physicians&#8217; perceptions of race, and the role of medical literature in shaping these perceptions, is needed.<\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Citation<\/span><\/p>\n<p>Okah E, Glover L, Donahue KE, Corbie-Smith G, Dave G. Physicians&#8217; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis. J Gen Intern Med. 2022 Jul 22. doi: 10.1007\/s11606-022-07737-5. Epub ahead of print. PMID: 35867305.<\/p>\n<p><span style=\"font-size: 18pt;color: #333399\">Publication Link<\/span><\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11606-022-07737-5\"><span style=\"font-size: 14pt\">Full Text<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Authors Ebiere Okah MD, L\u00e1Shaunt\u00e1 Glover MSc, Katrina E. Donahue MD, MPH, Giselle Corbie-Smith MD, MSc &amp; Gaurav Dave MD, DrPH, MPH Abstract Background:\u00a0Using race-a socially assigned identity that does not adequately capture human genetic variation-to guide clinical care can result in poor outcomes for racially minoritized patients. This study assessed (1) how physicians conceptualize &hellip; <a href=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\" aria-label=\"Read more about Physicians&#8217; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis\">Read more<\/a><\/p>\n","protected":false},"author":63861,"featured_media":0,"parent":413,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"class_list":["post-16545","page","type-page","status-publish","hentry","category-news","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Physicians&#039; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Physicians&#039; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine\" \/>\n<meta property=\"og:description\" content=\"Authors Ebiere Okah MD, L\u00e1Shaunt\u00e1 Glover MSc, Katrina E. Donahue MD, MPH, Giselle Corbie-Smith MD, MSc &amp; Gaurav Dave MD, DrPH, MPH Abstract Background:\u00a0Using race-a socially assigned identity that does not adequately capture human genetic variation-to guide clinical care can result in poor outcomes for racially minoritized patients. This study assessed (1) how physicians conceptualize &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Family Medicine\" \/>\n<meta property=\"article:publisher\" content=\"http:\/\/facebook.com\/uncfammed\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@uncfammed\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\",\"name\":\"Physicians' Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#website\"},\"datePublished\":\"2022-09-28T00:22:55+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Research\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/research\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Research Articles &amp; Papers\",\"item\":\"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Physicians&#8217; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#website\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/\",\"name\":\"Department of Family Medicine\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.med.unc.edu\/fammed\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#organization\",\"name\":\"UNC Family Medicine\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png\",\"contentUrl\":\"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png\",\"width\":488,\"height\":329,\"caption\":\"UNC Family Medicine\"},\"image\":{\"@id\":\"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"http:\/\/facebook.com\/uncfammed\",\"https:\/\/x.com\/uncfammed\",\"http:\/\/instagram.com\/uncfammed\",\"https:\/\/www.linkedin.com\/company\/unc-family-medicine\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Physicians' Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/","og_locale":"en_US","og_type":"article","og_title":"Physicians' Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine","og_description":"Authors Ebiere Okah MD, L\u00e1Shaunt\u00e1 Glover MSc, Katrina E. Donahue MD, MPH, Giselle Corbie-Smith MD, MSc &amp; Gaurav Dave MD, DrPH, MPH Abstract Background:\u00a0Using race-a socially assigned identity that does not adequately capture human genetic variation-to guide clinical care can result in poor outcomes for racially minoritized patients. This study assessed (1) how physicians conceptualize &hellip; Read more","og_url":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/","og_site_name":"Department of Family Medicine","article_publisher":"http:\/\/facebook.com\/uncfammed","twitter_card":"summary_large_image","twitter_site":"@uncfammed","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/","url":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/","name":"Physicians' Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis - Department of Family Medicine","isPartOf":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#website"},"datePublished":"2022-09-28T00:22:55+00:00","breadcrumb":{"@id":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/physicians-perceptions-of-race-and-engagement-in-race-based-clinical-practice-a-mixed-methods-systematic-review-and-narrative-synthesis\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.med.unc.edu\/fammed\/"},{"@type":"ListItem","position":2,"name":"Research","item":"https:\/\/www.med.unc.edu\/fammed\/research\/"},{"@type":"ListItem","position":3,"name":"Research Articles &amp; Papers","item":"https:\/\/www.med.unc.edu\/fammed\/research\/publications-2\/"},{"@type":"ListItem","position":4,"name":"Physicians&#8217; Perceptions of Race and Engagement in Race-Based Clinical Practice: a Mixed-Methods Systematic Review and Narrative Synthesis"}]},{"@type":"WebSite","@id":"https:\/\/www.med.unc.edu\/fammed\/#website","url":"https:\/\/www.med.unc.edu\/fammed\/","name":"Department of Family Medicine","description":"","publisher":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.med.unc.edu\/fammed\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.med.unc.edu\/fammed\/#organization","name":"UNC Family Medicine","url":"https:\/\/www.med.unc.edu\/fammed\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/","url":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png","contentUrl":"https:\/\/www.med.unc.edu\/fammed\/wp-content\/uploads\/sites\/454\/2017\/11\/FamilyMedicine_logo_rgb_v.png","width":488,"height":329,"caption":"UNC Family Medicine"},"image":{"@id":"https:\/\/www.med.unc.edu\/fammed\/#\/schema\/logo\/image\/"},"sameAs":["http:\/\/facebook.com\/uncfammed","https:\/\/x.com\/uncfammed","http:\/\/instagram.com\/uncfammed","https:\/\/www.linkedin.com\/company\/unc-family-medicine\/"]}]}},"_links_to":[],"_links_to_target":[],"_links":{"self":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/pages\/16545","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/users\/63861"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/comments?post=16545"}],"version-history":[{"count":0,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/pages\/16545\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/pages\/413"}],"wp:attachment":[{"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/media?parent=16545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.med.unc.edu\/fammed\/wp-json\/wp\/v2\/categories?post=16545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}