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A Day in the Life of a PT Student

Trusting the Health Care System

Published March 13, 2009 9:13 AM by Veronica Haywood
I've previously spoke on the importance of patients having health care providers they feel they can relate to. Whether it be having a provider of a certain sex, race or religion. Surprisingly, those that predominately seek urgent care are lacking in the healthcare workforce.  There is an uneven distribution with representation lacking in male presence, the presence of ethnic/minority groups, as well as the presence of non-Christian practices.

Mind you, this is not everywhere-I'm speaking in reference to the United States.  This is partially why some people are hesitant to seek out health care. Unfortunately, they experience a trust issue with their doctors. They might feel as though the doctor will not understand them or have their best interest in mind-with respect to caring for them as a whole person versus the illness they suffer from.

History plays a large role in why so many patients feel this way. The "doctor knows best" mentality was well accepted by some and almost detrimental to others, as with the Tuskegee Experiment.  For those who are unfamiliar, the Tuskegee Experiment was an experiment consisting of 400 African American men who had syphilis but were not told that they had syphilis or treated for it. As a result, a lot of people died and the trust of a lot of African American men in the health care system died with it. More information on this can be found at: http://www.tuskegee.edu/Global/Story.asp?s=1207586 

2 comments

That is very true. This is a very important factor when it comes to provider-patient relations and ineractions, yet I sometimes feel as though health professionals do not take this into consideration when treating patients and often times take some patients reactions offensively.

Veronica Haywood March 25, 2009 8:20 PM

Trust is complicated.  Imagine if every person who has been lied to refused to believe ever again.  

I go back to Santa Clause.  We are often told he exists by our parents (who we are expected to trust) and when we find out Santa is a fraud should we believe our parents again?

In the Native American culture we were often lied to multiple times.  Should this mean I would distrust others that are not of my heritage?  In the Tuskegee experiment it took place at a predominately black college with black nurses and doctors involved in the care (as well as white doctors). Does that mean I should distrust black doctors and nurses too?

The implication is that people did die and did not recieve proper medical care.  This happens daily in the ER of every major city.  The bigger picture whould be, what are we (as health professionals) going to do so it will not happen again?

Karen March 15, 2009 2:18 PM

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