Reducing Racial Health Care Disparities
Top Cited Papers
Open Access
- 1 October 2014
- journal article
- Published by SAGE Publications in Policy Insights from the Behavioral and Brain Sciences
- Vol. 1 (1), 204-212
- https://doi.org/10.1177/2372732214548430
Abstract
Large health disparities persist between Black and White Americans. The social psychology of intergroup relations suggests some solutions to health care disparities due to racial bias. Three paths can lead from racial bias to poorer health among Black Americans. First is the already well-documented physical and psychological toll of being a target of persistent discrimination. Second, implicit bias can affect physicians’ perceptions and decisions, creating racial disparities in medical treatments, although evidence is mixed. The third path describes a less direct route: Physicians’ implicit racial bias negatively affects communication and the patient–provider relationship, resulting in racial disparities in the outcomes of medical interactions. Strong evidence shows that physician implicit bias negatively affects Black patients’ reactions to medical interactions, and there is good circumstantial evidence that these reactions affect health outcomes of the interactions. Solutions focused on the physician, the patient, and the health care delivery system; all agree that trying to ignore patients’ race or to change physicians’ implicit racial attitudes will not be effective and may actually be counterproductive. Instead, solutions can minimize the impact of racial bias on medical decisions and on patient–provider relationships.Keywords
This publication has 35 references indexed in Scilit:
- Re: Big Med: Restaurant Chains Have Managed to Combine Quality Control, Cost Control, and Innovation. Can Health Care?European Urology, 2013
- The Influence of Implicit Bias on Treatment Recommendations for 4 Common Pediatric Conditions: Pain, Urinary Tract Infection, Attention Deficit Hyperactivity Disorder, and AsthmaAmerican Journal of Public Health, 2012
- The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal CareAmerican Journal of Public Health, 2012
- Patterns of Surgical Care and Health Disparities of Treating Pediatric Finger Amputation Injuries in the United StatesJournal of the American College of Surgeons, 2011
- Aversive racism and medical interactions with Black patients: A field studyJournal of Experimental Social Psychology, 2010
- Race, socioeconomic status, and health: Complexities, ongoing challenges, and research opportunitiesAnnals of the New York Academy of Sciences, 2010
- Physicians’ Implicit and Explicit Attitudes About Race by MD Race, Ethnicity, and GenderJournal of Health Care for the Poor and Underserved, 2009
- Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health careSocial Science & Medicine (1982), 2008
- Physician Implicit Attitudes and Stereotypes About Race and Quality of Medical CareMedical Care, 2008
- Implicit Bias among Physicians and its Prediction of Thrombolysis Decisions for Black and White PatientsJournal of General Internal Medicine, 2007