|
|
Post by lesserknownpea on Aug 23, 2020 8:57:32 GMT
could it be that prenatal care (or lack of prenatal care) is a factor? The study found the disparity was between a black or white doctor delivering the baby. Unless they were assigning women with more prenatal care to black doctors, who would then go on to have better outcomes, prenatal care would have nothing to do with the disparity found in the study. I would, however, like to know if the percentages were similar if the doctors were women. I know that men have historically treated women worse than men, and would like to think that white women might do a better job than their male counterparts at giving the proper attention to their tiny black patients. ( although, if true, that would skew the numbers to mean white men were doing an even WORSE job). |
|
|
|
Post by smasonnc on Aug 23, 2020 18:57:32 GMT
I’d like to see this delved into more seriously to see if there is bias and to weed it out and to see what other factors could be at work here. The media likes the Spark Notes version of things and the more sensational the better. I want to know more before we indict all white obstetricians for negligence. The doctors I’ve known want a good outcome every time.
|
|
Olan
Pearl Clutcher
Enter your message here...
Posts: 4,046 
|
Post by Olan on Aug 23, 2020 19:22:25 GMT
I’d like to see this delved into more seriously to see if there is bias and to weed it out and to see what other factors could be at work here. The media likes the Spark Notes version of things and the more sensational the better. I want to know more before we indict all white obstetricians for negligence. The doctors I’ve known want a good outcome every time. I read this in 45’s voice complete with hand gestures for some reason. 🥴 |
|
craftykitten
Pearl Clutcher
Posts: 4,304
Jun 26, 2014 7:39:32 GMT
|
Post by craftykitten on Aug 23, 2020 20:18:00 GMT
I’d like to see this delved into more seriously to see if there is bias and to weed it out and to see what other factors could be at work here. The media likes the Spark Notes version of things and the more sensational the better. I want to know more before we indict all white obstetricians for negligence. The doctors I’ve known want a good outcome every time. I don't think it's just obstetricians, and I don't feel we are indicting them all for intentional negligence. The whole meaning of implicit bias is that medical professionals won't even realise they're doing it, but they have internal beliefs that are making them treat black people differently. There is research from 2016 (!) that nearly half of the trainee medics questioned thought that black people had thicker skin, less sensitive nerve endings, and their blood coagulated quicker than white people. This is clearly going to have an impact on how patients are treated - black people, including children, received less pain relief and received it later. Black people have worse life expectancies. When an experiment was run to treat black men with black doctors, they had better outcomes - both because the Dr listened to the patient better, and the patient trusted the Dr so they were more likely to take early action and follow advice. The computer calculations used by hospitals to refer people to appropriate personalised care require black people to be sicker than white people before they get the help they need. www.aamc.org/news-insights/how-we-fail-black-patients-painhbr.org/2018/08/research-having-a-black-doctor-led-black-men-to-receive-more-effective-carewww.nature.com/articles/d41586-019-03228-6I, a white person, have been in terrifying medical situations where I have had to fight to be believed and to receive adequate treatment. I cannot imagine the absolute HORROR of having to convince a doctor of my need because they've prejudged me based on the colour of my skin. |
|
Olan
Pearl Clutcher
Enter your message here...
Posts: 4,046
|
Post by Olan on Aug 29, 2020 15:56:36 GMT
|
|
|
|
Post by red88 on Aug 29, 2020 17:04:46 GMT
My daughter's extremely difficult pregnancy & delivery was overseen by her OBGYN who was a POC. His skin color was never even a thought in my mind. He was a fantastic doctor who put my daughter & grandson first & made sure they came through the delivery safely. In my experience, male white OBGYN's are not as receptive. My first two children were delivered by white male's, both experiences were terrible. My last two children were delivered by a female & I had a completely different experience. I tried to talk my daughter into seeing a female, but she was very comfortable with her doctor, who I met & felt the same. I'm so happy he safely brought my grandson into this world & saved my daughter's life.
I hope this story is investigated fully. I find it reprehensible & horrifying.
|
|
Olan
Pearl Clutcher
Enter your message here...
Posts: 4,046
|
Post by Olan on Aug 29, 2020 17:24:57 GMT
My daughter's extremely difficult pregnancy & delivery was overseen by her OBGYN who was a POC. His skin color was never even a thought in my mind. He was a fantastic doctor who put my daughter & grandson first & made sure they came through the delivery safely. In my experience, male white OBGYN's are not as receptive. My first two children were delivered by white male's, both experiences were terrible. My last two children were delivered by a female & I had a completely different experience. I tried to talk my daughter into seeing a female, but she was very comfortable with her doctor, who I met & felt the same. I'm so happy he safely brought my grandson into this world & saved my daughter's life. I hope this story is investigated fully. I find it reprehensible & horrifying. I think in addition to racism effecting the best medical outcomes, what we will find out about white men is many of them are in positions they aren’t deserving of. It’s not that they aren’t receptive it’s that they aren’t smart enough and the false bravado and shit attitude covers up the lack.The college scandals of 2019 should have shown folks that merit means very little to some people. |
|
|
|
Post by smasonnc on Aug 29, 2020 19:50:46 GMT
I’d like to see this delved into more seriously to see if there is bias and to weed it out and to see what other factors could be at work here. The media likes the Spark Notes version of things and the more sensational the better. I want to know more before we indict all white obstetricians for negligence. The doctors I’ve known want a good outcome every time. I read this in 45’s voice complete with hand gestures for some reason. 🥴 Ouch. Not what I was getting at at all. |
|
Olan
Pearl Clutcher
Enter your message here...
Posts: 4,046
|
Post by Olan on Aug 30, 2020 11:29:55 GMT
I read this in 45’s voice complete with hand gestures for some reason. 🥴 Ouch. Not what I was getting at at all. I know what you were getting at. I’m used to peas questioning the validity of a study. When I say many of you are predictable it’s not a jab it’s in the most literal sense. However your response was as if you didn’t read the study at all but still wanted to speak as if you did. Very reminiscent of 45’s attempts at presidential behavior. |
|
|
|
Post by tkdmom on Aug 30, 2020 15:40:34 GMT
Systemic racism in healthcare exists at all levels, not just maternal mortality, and morbidity. It is not only in the United States. If you look at the COVID statistics in Great Britan they are nearly the same as the US when broken down into race. There are many reasons behind systemic racism that need to be addressed. It began because until recently research studies were based on upper-class caucasian men. The thought process being if it worked for them it would work for everyone. As we have now learned that is the case. There are a lot of good people working to change this. Personally I have been involved in committees looking to decrease maternal mortality and morbidity for 30 years. We have made progress, just not fast enough for my liking.
Overcoming a person's fear or distrust of the healthcare system is difficult to do. It will take time.
If you want to help get involved in public health committees. You don't have to be a health professional. We need help with web design, pamphlet design, fundraising, speakers. You may funny that I say, speakers. Community outreach is needed. If you have a fear of the healthcare system, hearing information from someone who looks like you, speaks your language (Spanish, Haitian, Polish, Arabic for example) may allow you to seek the care you need.
|
|
