Date of Award

8-9-2024

Document Type

Open Access Thesis

Degree Name

MS in Physician Assistant Studies (PA)

Department

Physician Assistant Studies

First Advisor

Vanessa Bester

Abstract

This paper delves into the pervasive disparities within the healthcare system, rooted in historical injustices that are perpetuated by systemic biases, particularly affecting Black, Indigenous, and People of Color (BIPOC) communities, as well as the LGBTQIA2S+ community. Through a comprehensive literature review and autoethnographic study, the paper examines the deep-seated issues faced by these marginalized groups, including access barriers, discrimination, mistrust of healthcare providers, and the enduring impact these have on health outcomes. Historical traumas such as the Tuskegee Syphilis Study and the use of HeLa cells underscore the enduring impact of past injustices on present-day healthcare experiences. Moreover, the paper explores the intersecting factors of race, ethnicity, gender identity, and sexual orientation that contribute to healthcare disparities. The autoethnographic study will expand upon the experiences of a plus-sized, Black, queer woman when navigating the healthcare system. The research and study emphasize the importance of creating safe spaces within healthcare settings and fostering cultural competence amongst all clinicians to address the unique needs of marginalized communities. This paper emphasizes the need for healthcare providers to be educated on the historical context of discrimination and for systemic reforms to foster empathy, respect, equity, and inclusivity. By acknowledging past wrongs and working towards equity through culturally competent care, the healthcare system can begin to rebuild trust and improve patient outcomes for marginalized groups.

Identifier

SC 11.PAS.2024.Humphrey.H

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