The Role of Social Cognition in Medical Decision Making with Asian American Patients
The Role of Social Cognition in Medical Decision Making with Asian American Patients
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DOI：
10.1007/s40615-020-00867-8
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发表时间：
2020-09-14
影响因子：
3.9
通讯作者：
Lawrence, Jason S.
中科院分区：
文献类型：
--
作者：
Ho, Ivy K.;Lawrence, Jason S.
亚裔美国人是美国增长最快的种族群体，面临着一系列重大的健康差距。造成这些差异的原因有几个，其中一个可能的原因是医生对亚裔美国人的看法，这反过来又会影响他们在治疗亚裔美国病人时的医疗决策。有证据表明，提供者的观念对其他种族少数群体患者的医疗决策有影响；然而，关于亚裔美国患者的文献缺乏。本论文通过使用社会认知理论来解决文献中的这一空白，概述了提供者对亚裔美国患者的感知可以影响诊断和治疗决策的机制。这些机制包括刻板印象和内隐偏见、虚幻关联和认知负荷。为今后的研究和政策制定提供了建议。
Asian Americans, the fastest growing racial group in the USA, face a host of major health disparities. There are several reasons for these disparities, and one possible contributor is provider perceptions of Asian Americans, which in turn can affect their medical decision making when treating Asian American patients. There is evidence for the influence of provider perceptions on medical decision making among patients of other racial minority groups; however, literature on Asian American patients is lacking. The present paper addresses this gap in the literature by using social cognitive theory to outline the mechanisms through which provider perception of Asian American patients can affect diagnostic and treatment decisions. These mechanisms include stereotypes and implicit biases, illusory correlations, and cognitive load. Recommendations for future research and policy development are provided.