Patients' race, ethnicity, language, and trust in a physician

We examine whether racial/ethnic/language-based variation in measured levels of patients' trust in a physician depends on the survey items used to measure that trust. Survey items include: (1) a direct measure of patients' trust that the doctor will put the patient's medical needs above all other considerations, and (2) three indirect measures of trust asking about expectations for specific physician behaviors, including referring to a specialist, being influenced by insurance rules, and performing unnecessary tests. Using a national survey, we find lower scores on indirect measures of trust in a physician among minority users of health care services than among non-Hispanic white users. In contrast, the direct measure of trust does not differ among non-Hispanic whites and nonwhites once we control for potential confounding factors. The results indicate that racial/ethnic/language-based differences exist primarily in those aspects of patients' trust in a physician that reflect specific physician behaviors.     

Racial-ethnic biases, time pressure, and medical decisions

This study examined two types of potential sources of racial-ethnic disparities in medical care: implicit biases and time pressure. Eighty-one family physicians and general internists responded to a case vignette describing a patient with chest pain. Time pressure was manipulated experimentally. Under high time pressure, but not under low time pressure, implicit biases regarding blacks and Hispanics led to a less serious diagnosis. In addition, implicit biases regarding blacks led to a lower likelihood of a referral to specialist when physicians were under high time pressure. The results suggest that when physicians face stress, their implicit biases may shape medical decisions in ways that disadvantage minority patients.     

Socio-Economic Disparities in the Development of the Romania’s Border Areas

The Romanian border areas include 898 Local Administrative Units 2 (LAU2), of which 88 are urban and 810 rural. Romania has borderline with the following countries: Bulgaria, Republic of Moldova, Serbia, Ukraine, Hungary, of which 63.5 % is Non-European Union boundary. According to the population structure, 51.6 % of the total population is urban and the rest of 48.4 % is rural. In order to assess the socio-economic territorial disparities in the development of the urban space of Romanian border areas, several research stages were carried out: selecting 22 relevant statistical indicators, analyzing territorial disparities, standardizing the absolute values of the indicators, grouping the elementary indicators by 7 multiple indicator clusters (secondary indexes) in order to reflect the main socio-economic development aspects: (1) housing, (2) public utilities infrastructure and green areas, (3) health, (4) labour market, (5) demography, (6) education and (7) local economy. Finally, the authors were able to compute secondary indexes and the Index of Socio-Economic Development as Hull Score with a mean of 50 and a standard deviation of 14, revealing the levels of socio-economic development (high, average and low). Generally, the outcomes of the current study are in line with Romania’s complex socio-economic disparities, rooted in the historic background of the country. Spatially, the economic development follows a West–East direction, the less developed areas being concentrated in the Eastern and Southern part of the country.     

Institutional Structure and Immigrant Integration: A Comparative Study of Immigrants' Labor Market Attainment in Canada and Israel1

The present study focuses on the incorporation of immigrants from the former Soviet Union in two receiving societies, Israel and Canada, during the first half of the 1990s. Both countries conducted national censuses in 1995 (Israel) and 1996 (Canada), making it possible to identify a large enough sample of immigrants and provide information on their demographic characteristics and their labor market activity. While both Canada and Israel are immigrant societies, their institutional contexts of immigrant reception differ considerably. Israel maintains no economic selection of the Jewish immigrants and provides substantial support for newcomers, who are viewed as a returning Diaspora. Canada employs multiple criteria for selecting immigrants, and the immigrants' social and economic incorporation is patterned primarily by market forces. The analysis first examines the characteristics of immigrants who arrived in the two countries and evaluates the extent of selectivity. Consistent with our hypotheses, Russian immigrants to Canada were more immediately suitable for the labor market, but experienced greater difficulty finding and maintaining employment. Nevertheless, immigrants to Canada attained higher‐status occupations and higher earnings than their compatriots in Israel did, although the Israeli labor market was more likely to reward their investments in education.     

Reporting and Validating Research Findings Through Reconstructed Stories

This paper describes the use of and reasons why reconstructed stories were used as a method of presenting and validating the findings from the interview data with visually impaired people obtained from Enfield Vision Research Project, into the needs of visually impaired people resident in the London Borough of Enfield. In order to present and validate the findings of the first 20 interviews the researchers organised a group respondent validation event. The researchers orally presented the findings in the form of reconstructed stories. These stories encompassed a number of themes and sub-themes that had emerged from the analysis. The attendees were separated into two groups to discuss the stories. Thirty-seven of the 90 visually impaired research participants attended the event. The research participants felt that the stories were an effective method in presenting and communicating the research findings. They also confirmed the credibility of the findings, and thereby dependability and confirmability were also achieved. The use of reconstructed stories is a novel, user friendly and effective method of presenting and validating qualitative research data, and is particularly suitable method when the respondents have visual difficulties.     

Implicit racial bias and prosocial behavior

This paper reports results of an experiment on the relationship between whites’ implicit racial bias and prosocial behavior toward blacks. We hypothesized that implicit anti-black bias would lead to less prosocial behavior (generosity with limited monetary resources). Consistent with our hypothesis, the results revealed that implicit anti-black bias, measured by the Implicit Association Test, had a negative effect on generosity toward blacks. This finding extends prior work by showing that implicit racial bias affects non-hypothetical decisions about how to allocate limited monetary resources. We conclude with a discussion of implications and suggestions for future work.     

Ethnic inequalities at the transition from school to work in Belgium and Spain: Discrimination or self-exclusion?

In the labor market, net disadvantages of immigrants, so-called “ethnic penalties”, may stem from rather different sources, among them discrimination by employers or self-exclusion processes. This paper attempts to indirectly disentangle these two mechanisms by studying ethnic penalties from a time-related perspective. Using the EULFS 2000 ad hoc module on school-to-work transitions, a comparative event-history analysis of entry into stable higher status employment is conducted for two European countries, Belgium and Spain. These countries differ considerably in their immigration contexts and patterns of school-to-work transitions, requiring different hypotheses about the relevance of the self-exclusion mechanism. The results show that in Belgium ethnic penalties for non-EU immigrants exist and remain constant irrespective of the length of the job search. In Spain the gap between non-EU immigrants and the native-born is even more pronounced and, importantly, increases significantly over time. This leads to the conclusion that discrimination seems to be relevant in both contexts and that self-exclusion resulting from early abandonment of job search activities is a further important factor in Spain.