Abstract：
There is a lack of understanding of how perceived racism in Veterans Healthcare Administration (VHA) healthcare providers affects the delivery of healthcare services to African American (AA) Veterans thus leading to health disparities in this population. Specifically, there is a lack of understanding of this phenomenon from the view of AA female Veterans who sought mental health care from providers within the VHA. The aim of this study was to determine if AA female Veterans have experiences of racism in their interactions with VHA mental health providers contributing to disparities. Using a phenomenological qualitative analysis approach with five AA female Veterans, the researcher was able to identify four qualitative themes: mental health service delivery, provider belief system about AA female Veterans, and the impact of microaggressions on AA female Veterans. Based on the results of this study, the following were determined: (1) there is an existence of perceived racism from VHA mental health providers to AA female Veterans, (2) we better understand AA female Veterans\' perceptions of their VHA mental health providers based on their interactions, (3) there is a shared lived experience of the phenomenon racism from VHA mental health providers, and (4) there is a failure of VHA to address the needs of AA female Veterans despite VHA policies for support.
摘要：
缺乏对退伍军人医疗保健管理局（VHA）医疗保健提供者中的种族主义感知如何影响向非裔美国人（AA）退伍军人提供医疗保健服务的理解，从而导致该人群的健康差异。具体来说,从AA女性退伍军人的角度来看，缺乏对这一现象的理解，她们向VHA内的提供者寻求精神保健。这项研究的目的是确定AA女性退伍军人在与VHA心理健康提供者的互动中是否有种族主义的经历，从而造成了差距。使用现象学定性分析方法，对五名AA女退伍军人进行分析，研究人员能够确定四个定性主题：心理健康服务的提供，关于AA女性退伍军人的提供者信仰体系，以及微攻击对AA女性退伍军人的影响。根据这项研究的结果，确定以下内容：（1）存在从VHA心理健康提供者到AA女性退伍军人的种族主义，（2）我们更好地了解AA女性退伍军人对他们的VHA心理健康提供者的看法，基于他们的互动，（3）有来自VHA精神卫生提供者的种族主义现象的共同生活经验，（4）尽管有VHA政策支持，但VHA未能满足AA女性退伍军人的需求。
