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Invisible VisitsBlack Middle-Class Women in the American Healthcare System$
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Tina K. Sacks

Print publication date: 2019

Print ISBN-13: 9780190840204

Published to Oxford Scholarship Online: January 2019

DOI: 10.1093/oso/9780190840204.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 21 January 2022

Patient Preferences

Patient Preferences

The Relative (Un)Importance of Race and Gender Concordance

(p.57) 3 Patient Preferences
Invisible Visits

Tina K. Sacks

Oxford University Press

This chapter describes the complex and sometimes contradictory nature of race and gender preferences among middle-class Black women. First, the author presents a case study of Tammy, a focus group respondent whose great-grandfather was involved in the Tuskegee Syphilis Study. Although her case illustrates underlying assumptions of the race concordance hypothesis (that Black patients want Black providers), her story also points to the persistence of structural discrimination and limits of using race concordance as a strategy to overcome it. Second, Tammy’s case is contrasted with women who complicated the underlying assumptions of the race concordance hypothesis by emphasizing the intersection of race, gender, and other identities (e.g., disability, age, sexual orientation) on the formulation of preferences and the futility of race concordance as a strategy to mitigate the effects of a rushed, impersonal, and neo-liberal healthcare environment.

Keywords:   race concordance, gender concordance, Tuskegee Syphilis Study, structural discrimination, neo-liberal, healthcare, medical racism

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