Table 2.
Study | Medically Underserved Population | Study design | Sample Size | Provider Preference Assessed | Findings |
---|---|---|---|---|---|
Carey Jackson 2000 | Racial/ethnic minorities | Mixed Methods (Survey + Interviews) | 455 (Cambodian-American) | Gender | 77% preferred a female provider, 73% preferred a female interpreter. (n=413, survey only) |
Haworth 2014a | Racial/ethnic minorities | Mixed Methods (Survey + Focus Groups) | 69 (Bhutanese refugeesb) | Gender | Women almost unanimously preferred female doctors. (n = 27, focus groups only) |
Lanier 1999 | Racial/ethnic minorities | Cross-sectional Survey | 481 (AI/ANc) | Gender | 48% preferred a female provider, 2% preferred a male provider, 50% had no preference. 18% would refuse a male provider. |
Ma 2012 | Racial/ethnic minorities | Cross-sectional Survey | 1416 (Vietnamese) | Gender | 60% preferred female provider, 3.5% preferred male provider, 36.5% had no preference. |
Reed 2002a | Racial/ethnic minorities | Qualitative (Focus Groups) | 26 (Somalia: 10, Central America: 6, Vietnam: 10) | Gender | Somali women preferred female providers and interpreters. |
Nguyen 2002 | Racial/ethnic minorities | Cross-sectional Survey | 1566 (Vietnamese, Vietnamese-American, or Vietnamese-Chinesed) | Gender Language |
57.2% preferred a female doctor for a Pap test. 52.9% preferred a female standby if male doctor performs a Pap test. 64.4% preferred a Vietnamese-speaking doctor for a Pap test. |
Kim 2017 | Racial/ethnic minorities | Qualitative (Interviews) | 32 (KIW) | Gender Communication style Language |
Majority preferred a female doctor. Some KIW wanted more dialogue with their doctors about Pap test results, rather than a letter or phone message. Majority preferred a Korean-speaking doctor. |
Torres 2013 | Racial/ethnic minorities | Qualitative (Interviews) | 45 (Hispanic) | Gender Language Examiner type |
Most expressed comfort in speaking to another woman about women’s health issues but preferred a doctor, who was generally perceived to be male, over a nurse, who was perceived as female, for screening. Majority preferred healthcare professional who speaks Spanish. Preferred receiving information from a doctor versus a nurse. |
McAlearney 2012 | Rural residents | Qualitative (Focus Groups) | 36 (Appalachian Ohio) | Gender Communication style |
Majority preferred female providers. Preferred patient-centered communication. |
Alexander 1981e | Racial/ethnic minorities | Cross-sectional Survey | 509 (Mexican-American) | Gender, Examiner type | 44% preferred female physician, 4% male physician, 10% nurse or nurse practitioner, 8% female person, 34% no preference. |
Low-income | Cross-sectional Survey | 1956 | Gender, Examiner type | 33% preferred female physician, 6% male physician, 12% nurse or nurse practitioner, 9% female person, 40% no preference. | |
Agénor 2015 | Racial/ethnic minorities & LGBTQ populations | Qualitative (Focus Groups) | 18 (Black or AA and LBQ) | Gender, Race/Ethnicity Examiner type Communication style |
Majority preferred providers who identified as a woman, person of color, and/or LGBTQ. Many preferred to receive care from a physician’s assistant, registered nurse, or nurse practitioner. Preferred providers who had experience and felt comfortable serving LBQ patients and were willing to explain the Pap test process with a “calm demeanor and gentle touch.” |
Included in more than one results table
Surveys: 42, Focus groups: 27
Members of a federally recognized AI/AN group or tribe
Ethnic Chinese who were born or had lived in Vietnam
Stratified results by racial/ethnic minority and income
Abbreviations: Korean immigrant women (KIW); African-American (AA); Lesbian, bisexual, or queer (LBQ); AI/AN (American Indian/Alaskan Native)