Applied Racial/Ethnic Healthcare Disparities Research Using Implicit Measures.

Applied Racial/Ethnic Healthcare Disparities Research Using Implicit Measures.
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DOI:
10.1521/soco.2020.38.supp.s68
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发表时间:
2020-11
期刊:
影响因子:
1.9
通讯作者:
Penner LA
Penner LA
中科院分区:
心理学4区
文献类型:
--
作者:
Hagiwara N;Dovidio JF;Stone J;Penner LA

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许多医疗差异研究使用内隐关联测试(IAT)来评估偏倚。尽管围绕IAT持续存在争议,但它的使用使研究人员能够可靠地记录提供者隐性偏见与提供者与患者沟通(提供者沟通行为和患者对他们的反应)之间的关联。成功地记录这种关联可能是由于研究的结果,研究设置和数据结构独特的种族/民族医疗保健差异研究。相比之下,很少有证据支持提供者在治疗建议中的隐性偏见。鼓励研究人员使用多种内隐测量来进一步研究提供者的内隐偏见如何、为什么以及在什么情况下预测提供者与患者的沟通和治疗建议。这些努力将有助于基础社会心理学/社会认知研究和应用健康差异研究的进步:更好地理解内隐社会认知和更全面地识别广泛的种族/民族医疗保健差异的来源。
Many healthcare disparities studies use the Implicit Association Test (IAT) to assess bias. Despite ongoing controversy around the IAT, its use has enabled researchers to reliably document an association between provider implicit prejudice and provider-to-patient communication (provider communication behaviors and patient reactions to them). Success in documenting such associations is likely due to the outcomes studied, study settings, and data structure unique to racial/ethnic healthcare disparities research. In contrast, there has been little evidence supporting the role of providers’ implicit bias in treatment recommendations. Researchers are encouraged to use multiple implicit measures to further investigate how, why, and under what circumstances providers’ implicit bias predicts provider-to-patient communication and treatment recommendations. Such efforts will contribute to the advancement of both basic social psychology/social cognition research and applied health disparities research: a better understanding of implicit social cognition and a more comprehensive identification of the sources of widespread racial/ethnic healthcare disparities, respectively.
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