Oct 16, 2015

Implicit Racial/Ethnic Bias Among Health Care Professionals and Its Influence on Health Care Outcomes: A Systematic Review

American Journal of Public Health
William J HallTamera Coyne-Beasley

Abstract

In the United States, people of color face disparities in access to health care, the quality of care received, and health outcomes. The attitudes and behaviors of health care providers have been identified as one of many factors that contribute to health disparities. Implicit attitudes are thoughts and feelings that often exist outside of conscious awareness, and thus are difficult to consciously acknowledge and control. These attitudes are often automatically activated and can influence human behavior without conscious volition. We investigated the extent to which implicit racial/ethnic bias exists among health care professionals and examined the relationships between health care professionals' implicit attitudes about racial/ethnic groups and health care outcomes. To identify relevant studies, we searched 10 computerized bibliographic databases and used a reference harvesting technique. We assessed eligibility using double independent screening based on a priori inclusion criteria. We included studies if they sampled existing health care providers or those in training to become health care providers, measured and reported results on implicit racial/ethnic bias, and were written in English. We included a total of 15 studies fo...Continue Reading

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Mentioned in this Paper

Study
Hispanics
Awareness
Fieldworkers
Clinical Decision-Making
Health Outcomes
Face
Persons
Participant
Ethnic Group

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