Inequitable care delivery toward COVID-19 positive people of color and people with disabilities

This study aimed to explore provider observations of inequitable care delivery towards COVID-19 positive patients who are Black, Indigenous, and Other People of Color (BIPOC) and/or have disabilities and to identify ways the health workforce may be contributing to and compounding inequitable care. W...

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Main Authors: Danbi Lee, Paula M. Kett, Selina A. Mohammed, Bianca K. Frogner, Janice Sabin
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115306/?tool=EBI
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author Danbi Lee
Paula M. Kett
Selina A. Mohammed
Bianca K. Frogner
Janice Sabin
author_facet Danbi Lee
Paula M. Kett
Selina A. Mohammed
Bianca K. Frogner
Janice Sabin
author_sort Danbi Lee
collection DOAJ
description This study aimed to explore provider observations of inequitable care delivery towards COVID-19 positive patients who are Black, Indigenous, and Other People of Color (BIPOC) and/or have disabilities and to identify ways the health workforce may be contributing to and compounding inequitable care. We conducted semi-structured interviews between April and November 2021 with frontline healthcare providers from Washington, Florida, Illinois, and New York. Using thematic analysis, major themes related to discriminatory treatment included decreased care, delayed care, and fewer options for care. Healthcare providers’ bias and stigma, organizational bias, lack of resources, fear of transmission, and burnout were mentioned as drivers for discriminatory treatment. COVID-19 related health system policies such as visitor restrictions and telehealth follow-ups inadvertently resulted in discriminatory practices towards BIPOC patients and patients with disabilities. As patients experience lower quality healthcare during the pandemic, COVID-19-related restrictions and policies compounded existing inequitable care for these populations.
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spelling doaj.art-5b6958d57529496a8280c2d52b143a432023-09-03T09:51:46ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0134Inequitable care delivery toward COVID-19 positive people of color and people with disabilitiesDanbi LeePaula M. KettSelina A. MohammedBianca K. FrognerJanice SabinThis study aimed to explore provider observations of inequitable care delivery towards COVID-19 positive patients who are Black, Indigenous, and Other People of Color (BIPOC) and/or have disabilities and to identify ways the health workforce may be contributing to and compounding inequitable care. We conducted semi-structured interviews between April and November 2021 with frontline healthcare providers from Washington, Florida, Illinois, and New York. Using thematic analysis, major themes related to discriminatory treatment included decreased care, delayed care, and fewer options for care. Healthcare providers’ bias and stigma, organizational bias, lack of resources, fear of transmission, and burnout were mentioned as drivers for discriminatory treatment. COVID-19 related health system policies such as visitor restrictions and telehealth follow-ups inadvertently resulted in discriminatory practices towards BIPOC patients and patients with disabilities. As patients experience lower quality healthcare during the pandemic, COVID-19-related restrictions and policies compounded existing inequitable care for these populations.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115306/?tool=EBI
spellingShingle Danbi Lee
Paula M. Kett
Selina A. Mohammed
Bianca K. Frogner
Janice Sabin
Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
PLOS Global Public Health
title Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
title_full Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
title_fullStr Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
title_full_unstemmed Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
title_short Inequitable care delivery toward COVID-19 positive people of color and people with disabilities
title_sort inequitable care delivery toward covid 19 positive people of color and people with disabilities
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10115306/?tool=EBI
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AT biancakfrogner inequitablecaredeliverytowardcovid19positivepeopleofcolorandpeoplewithdisabilities
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