Table 1.

Summary of Core Hypotheses in the Previously Published Model, Presented in the Center of Figure 1 (adapted from van Ryn and Fu, 2003)

Arrow Label	Hypothesis
H1	Societal racism interacts with clinicians’ perception of patient race and common social-cognitive processes to influence clinicians’ implicit and explicit beliefs about, feelings towards, and expectations of patients independent of other patient and clinician characteristics.
H2	Clinicians’ implicit and explicit beliefs about, feelings towards, and expectations of patients create a framework through which clinicians interpret signs and symptoms.
H3	Clinicians’ implicit and explicit beliefs about, feelings towards, and expectations of patients and their interpretation of signs and symptoms then influences the diagnostic steps they take including questions asked and tests ordered.
H4	Clinicians’ beliefs about and expectations of patients, interpretation of signs and symptoms, diagnostic steps and interpretation of findings influences their referral and treatment recommendations.
H5	Clinicians’ interpersonal behaviors in clinical encounters are influenced by their beliefs about, feelings towards, and expectations of the patient.
H6	Clinicians’ interpersonal behavior in clinical encounters will influence patient cognitions associated with acceptance of medical advice, trust, and self-efficacy as well as patient satisfaction.
H7	Patient cognitions will influence patient behavior in the encounter.
H8	Patient behavior in the encounter will influence clinicians’ implicit and explicit beliefs about, feelings towards, and expectations of patients independently of other patient and clinician characteristics.