Health care discrimination is a barrier to patient-provider communication and effective self-management for patients with type 2 diabetes, a condition that disproportionately affects people of color. This article provides an analysis of in-depth interviews with patients with type 2 diabetes about their experiences of health care discrimination. Participants reported that their experiences of health care discrimination were rooted in their social identities. They often reported believing that discrimination led to assumptions and biases that negatively affected their health care experience. They also reported varying responses to perceived discrimination, ranging from hesitation to advocacy. This study highlights the need for health care systems to prioritize identifying and reducing specific health care provider behaviors that patients with diabetes perceive as discrimination.
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May 20 2025
Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes Available to Purchase
Miguel Cid;
Miguel Cid
1Columbia University Irving Medical Center, New York, NY
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Benjamin L. Cook;
Benjamin L. Cook
2Cambridge Health Alliance, Cambridge, MA
3Harvard Medical School, Cambridge, MA
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Leslie B. Adams;
Leslie B. Adams
4Stanford University School of Medicine, Stanford, CA
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Dharma E. Cortés;
Dharma E. Cortés
2Cambridge Health Alliance, Cambridge, MA
3Harvard Medical School, Cambridge, MA
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Caryn R.R. Rodgers;
Caryn R.R. Rodgers
5Albert Einstein College of Medicine, Bronx, NY
6Montefiore Medical Center, Bronx, NY
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Nathaniel M. Tran;
Nathaniel M. Tran
8University of Illinois Chicago, Chicago, IL
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Selma de Castro;
Selma de Castro
9Just A Start, Cambridge, MA
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Esther Lee;
Esther Lee
10University of Michigan School of Public Health, Ann Arbor, MI
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María José Sánchez Román;
María José Sánchez Román
11College of Public Health, University of Nebraska Medical Center, Omaha, NE
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Natasha A. Kaushal;
Natasha A. Kaushal
12ECOG-ACRIN Cancer Research Group, Boston, MA
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Danny McCormick;
Danny McCormick
2Cambridge Health Alliance, Cambridge, MA
3Harvard Medical School, Cambridge, MA
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Ana M. Progovac
13Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, NY
Corresponding author: Ana M. Progovac, [email protected]
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Corresponding author: Ana M. Progovac, [email protected]
Clin Diabetes cd240093
Article history
Received:
September 26 2024
Accepted:
March 09 2025
Citation
Miguel Cid, Benjamin L. Cook, Leslie B. Adams, Dharma E. Cortés, Caryn R.R. Rodgers, Margo Moyer, Nathaniel M. Tran, Selma de Castro, Esther Lee, María José Sánchez Román, Natasha A. Kaushal, Danny McCormick, Ana M. Progovac; Perceived Discrimination in Health Care Settings: Analysis of In-Depth Interviews of Patients With Type 2 Diabetes. Clin Diabetes 2025; cd240093. https://doi.org/10.2337/cd24-0093
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