Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities

Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities

2013 | Elizabeth N. Chapman, MD1,5, Anna Kaatz, MA, MPH, PhD4, and Molly Carnes, MD, MS1,2,3,4,5
The article "Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities" by Chapman, Kaatz, and Carnes explores the impact of implicit bias on healthcare disparities. Despite the medical profession's commitment to equal treatment, cultural stereotypes influence how information about individuals is processed, leading to unintended biases in decision-making, known as implicit bias. This bias is present in all society, including physicians, and can shape their behavior and medical treatment, particularly along lines of race, ethnicity, and gender. The authors review the origins of implicit bias, citing research that documents its existence among physicians and its impact on clinical decision-making. They propose strategies to reduce implicit bias, such as taking patients' perspectives and focusing on individual patient information rather than social group characteristics. Increasing the number of African American/Black physicians is also suggested as a way to mitigate the impact of implicit bias, as they exhibit significantly less implicit race bias. The article concludes that acknowledging and addressing implicit bias can help reduce healthcare disparities and align medical practice with its guiding principles.The article "Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities" by Chapman, Kaatz, and Carnes explores the impact of implicit bias on healthcare disparities. Despite the medical profession's commitment to equal treatment, cultural stereotypes influence how information about individuals is processed, leading to unintended biases in decision-making, known as implicit bias. This bias is present in all society, including physicians, and can shape their behavior and medical treatment, particularly along lines of race, ethnicity, and gender. The authors review the origins of implicit bias, citing research that documents its existence among physicians and its impact on clinical decision-making. They propose strategies to reduce implicit bias, such as taking patients' perspectives and focusing on individual patient information rather than social group characteristics. Increasing the number of African American/Black physicians is also suggested as a way to mitigate the impact of implicit bias, as they exhibit significantly less implicit race bias. The article concludes that acknowledging and addressing implicit bias can help reduce healthcare disparities and align medical practice with its guiding principles.
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