2019
DOI: 10.1093/infdis/jiz214
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The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It

Abstract: The increasing diversity in the US population is reflected in the patients who healthcare professionals treat. Unfortunately, this diversity is not always represented by the demographic characteristics of healthcare professionals themselves. Patients from underrepresented groups in the United States can experience the effects of unintentional cognitive (unconscious) biases that derive from cultural stereotypes in ways that perpetuate health inequities. Unconscious bias can also affect healthcare professionals … Show more

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Cited by 320 publications
(258 citation statements)
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“…Medical professionals are not immune to exhibiting racism, discrimination and holding biases. Perhaps most problematic are unconscious biases as these are difficult to detect and have been suggested to play an important role in healthcare disparities (DeAngelis 2019; Marcelin et al 2019). These factors can have a significant impact on patient care, for example, patients from ethnic minorities were less likely to receive analgesia or waited longer for opiate medication than Caucasian patients in the emergency department (Todd et al 2000;Mills et al 2011).…”
Section: Recognise and Mitigate Biasesmentioning
confidence: 99%
“…Medical professionals are not immune to exhibiting racism, discrimination and holding biases. Perhaps most problematic are unconscious biases as these are difficult to detect and have been suggested to play an important role in healthcare disparities (DeAngelis 2019; Marcelin et al 2019). These factors can have a significant impact on patient care, for example, patients from ethnic minorities were less likely to receive analgesia or waited longer for opiate medication than Caucasian patients in the emergency department (Todd et al 2000;Mills et al 2011).…”
Section: Recognise and Mitigate Biasesmentioning
confidence: 99%
“…37 To our knowledge, no studies conducted in low-resource settings have examined family planning providers' implicit bias according to race or ethnicity. However, given the ubiquity of implicit racial and ethnic bias in health care, 14,38 it would be surprising if Guatemalan family planning providers were immune to the cognitive trap that has befallen the thousands of physicians studied to date.…”
Section: Racial and Ethnic Bias In Low-resource Settingsmentioning
confidence: 99%
“…Fewer women are invited to speak at grand rounds and there are 'traditional' differences in the less formal introductions offered to female speakers. 13 In a postal study on their own perceptions of attributes of a good doctor, there were fundamental gender-based differences. Men felt better equipped with attributes of leadership, curiosity, tolerance of uncertainty compared to the women, who felt more confident in demonstrating a caring and compassionate nature, supporting their teams, and in the ability to forge better interpersonal relationships.…”
Section: Gender Sexual Orientation or Disabilitymentioning
confidence: 99%
“…These learning associations are often based on true prevalence rates, but may not apply to individual patients, thus may lead to premature closure of the process of derivation and missed diagnoses. 13 Compared with heterosexual peers, LGBTQ+A populations experience disparities in physical and mental health outcomes. Stigma and bias (both conscious and unconscious) projected by medical professionals toward the LGBTQ+A population play a major role in perpetuating these disparities and are victims of such stereotyping themselves.…”
Section: Gender Sexual Orientation or Disabilitymentioning
confidence: 99%