Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development
Patient perspectives on racial and ethnic implicit bias in clinical encounters: Implications for curriculum development
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DOI：
10.1016/j.pec.2018.05.016
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发表时间：
2018-09-01
影响因子：
3.5
通讯作者：
McKee, M. Diane
中科院分区：
文献类型：
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作者：
Gonzalez, Cristina M.;Deno, Maria L.;McKee, M. Diane
目标：患者描述的偏见和偏见的感觉，在临床遭遇，然而，他们的观点恢复遭遇一旦偏见被认为是未知的。内隐偏见已成为课程干预的目标。为了通知设计新颖的以患者为中心的课程干预，本研究探讨了患者的偏见的看法，并建议恢复关系，如果偏见是perceived.Methods：作者进行了双语焦点小组与有目的的抽样自我认定的黑人和拉丁裔社区成员在美国。数据进行了分析，使用扎根theory.Results：10焦点小组（英语（6）和西班牙语（4））与N = 74参与者发生。数据分析显示，多种因素影响患者对医生遭遇的偏见的看法。分析中出现的理论表明，如果感知到偏见，遭遇的结果仍然可能是积极的。一个积极或消极的结果取决于医生是否承认这种感知的偏见与否，以及他或她随后的actions.Conclusions：参与者的生活经验和医生的行为影响偏见的看法，但临床关系可以恢复以下感知的偏见。提供者可能会受益于技能的发展，在认识和承认感知的偏见，以恢复病人-供应商关系。(C)2018 Elsevier B. V.版权所有。
Objective: Patients describe feelings of bias and prejudice in clinical encounters; however, their perspectives on restoring the encounter once bias is perceived are not known. Implicit bias has emerged as a target for curricular interventions. In order to inform the design of novel patient-centered curricular interventions, this study explores patients' perceptions of bias, and suggestions for restoring relationships if bias is perceived.Methods: The authors conducted bilingual focus groups with purposive sampling of self-identified Black and Latino community members in the US. Data were analyzed using grounded theory.Results: Ten focus groups (in English (6) and Spanish (4)) with N = 74 participants occurred. Data analysis revealed multiple influences patients' perception of bias in their physician encounters. The theory emerging from the analysis suggests if bias is perceived, the outcome of the encounter can still be positive. A positive or negative outcome depends on whether the physician acknowledges this perceived bias or not, and his or her subsequent actions.Conclusions: Participant lived experience and physician behaviors influence perceptions of bias, however clinical relationships can be restored following perceived bias.Practice implications: Providers might benefit from skill development in the recognition and acknowledgement of perceived bias in order to restore patient-provider relationships. (C) 2018 Elsevier B.V. All rights reserved.