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Building trust, increasing awareness among minorities
Date:2/5/2009

agreed that "health care organizations have sometimes done harmful experiments without our knowledge." Among the women who had not received a clinical breast exam in the past 12 months, 64 percent said they doubted the ability of their health care provider.

Williams said that the findings in Arab and Latina women point out the flaw in blaming all mistrust on the infamous Tuskegee Study of Untreated Syphilis in the Negro Male.

"Intellectuals in medicine like to link all issues of mistrust to that study because it lets us off the hook for anything that might be happening today," said Williams. "This study shows that even groups without that history are showing a level of mistrust, so the problems must be more systemic than that."

#PR-6. Recruiting diverse patients to therapeutic trials: a comparison of three clinical settings

At the University of California San Francisco, Daniel Dohan, Ph.D., associate professor of Health Policy and Social Medicine, is trying to determine the most effective way to recruit minority patients into clinical trials.

The NIH Revitalization Act of 1993 mandates inclusion of minorities in clinical research, but actual recruitment has been problematic.

"Previous research has established that minorities often feel discriminated against, but we wanted to look at this issue from the clinicians' perspective," said Dohan. "What we found is that the incentives that are in place for clinicians are not effective."

Dohan and colleagues studied 10 oncology clinics in three different health care delivery settings: academic medical centers, community-based private practices and public safety-net clinics.

Minority recruitment was not well supported in any setting. In the academic and private practice setting, the culture supported minority recruitment, but there was no real incentive to recruit minorities. In the public setting, providers were motivated by a sense of justice to enroll,
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Contact: Jeremy Moore
Jeremy.moore@aacr.org
267-646-0557
American Association for Cancer Research
Source:Eurekalert

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