Dying at higher rates during COVID, while fearing doctors won't listen.
. It included one-on-one interviews with Black residents about their health care experiences and thoughts, along with 18 focus groups that included both potential health system users and key stakeholders. The statewide survey of 3,325 people represents, the foundation says, one of the largest of its kind with respect to Black Californians and their use of health systems. The survey was conducted by EVITARUS, a Black-owned public opinion research firm based in Los Angeles.
A couple of themes are evident, said Haynes, who directed the project. On one hand, Black Californians are keenly interested in their health outcomes, with 92 percent having seen a doctor or other health provider in the last year. Those interviewed also expressed an understanding and appreciation for the pressures that health care providers have been under since COVID's arrival in the state.
On the other hand, the trust factor is low, and born from past personal experience: 38% of Black Californians overall, and 47% of Black women, said there has been a time when a health care provider did not treat their pain adequately. Some 47 percent of those with mental health conditions and 43 percent of those who identify as LGBTQIA+ said they've been treated unfairly because of their race or ethnicity.
Haynes said that older Black residents"seem to be much more satisfied with their care than younger people," perhaps because many of them use Medicare and visit their doctors more often, and have developed relationships with their providers. Younger Black Californians, she said, are more likely to use urgent care or an emergency department, avoiding care until something is really wrong.
"At that point, you're most likely to see a stranger or to be a stranger" to the system, Haynes said."You have no relationship with your provider. And yet many people with whom we spoke articulated what they yearned for, which was relationship-based care—to know their providers."
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