Identifying the Key Elements of Racially Concordant Care in a Freestanding Birth Center

Journal of Midwifery & Women's Health
J'Mag KarbeahKaty B Kozhimannil

Abstract

There is empirical evidence that the quality of interpersonal care patients receive varies dramatically along racial and ethnic lines, with African American people often reporting much lower quality of care than their white counterparts. Improving the interpersonal relationship between clinicians and patients has been identified as one way to improve quality of care. Specifically, research has identified that patients feel more satisfied with the care that they receive from clinicians with whom they share a racial identity. However, little is known about how clinicians provide racially concordant care. The goal of this analysis was to identify the key components of high-quality care that were most salient for African American birthworkers providing perinatal care to African American patients. We conducted semistructured interviews (30 to 90 minutes) with clinicians (N = 10; midwives, student midwives, and doulas) who either worked at or worked closely with an African American-owned birth center in North Minneapolis, Minnesota. We used inductive coding methods to analyze data and to identify key themes. Providing racially concordant perinatal care to African American birthing individuals required clinicians to acknowledge and ce...Continue Reading

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Citations

Jun 2, 2021·Journal of Midwifery & Women's Health·Shaughanassee Vines

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