Skip to main content
×
Home
    • Aa
    • Aa

THE IMPACT OF RACISM ON CLINICIAN COGNITION, BEHAVIOR, AND CLINICAL DECISION MAKING

  • Michelle van Ryn (a1), Diana J. Burgess (a2), John F. Dovidio (a3), Sean M. Phelan (a1), Somnath Saha (a4), Jennifer Malat (a5), Joan M. Griffin (a6), Steven S. Fu (a6) and Sylvia Perry (a3)...
Abstract
Abstract

Over the past two decades, thousands of studies have demonstrated that Blacks receive lower quality medical care than Whites, independent of disease status, setting, insurance, and other clinically relevant factors. Despite this, there has been little progress towards eradicating these inequities. Almost a decade ago we proposed a conceptual model identifying mechanisms through which clinicians' behavior, cognition, and decision making might be influenced by implicit racial biases and explicit racial stereotypes, and thereby contribute to racial inequities in care. Empirical evidence has supported many of these hypothesized mechanisms, demonstrating that White medical care clinicians: (1) hold negative implicit racial biases and explicit racial stereotypes, (2) have implicit racial biases that persist independently of and in contrast to their explicit (conscious) racial attitudes, and (3) can be influenced by racial bias in their clinical decision making and behavior during encounters with Black patients. This paper applies evidence from several disciplines to further specify our original model and elaborate on the ways racism can interact with cognitive biases to affect clinicians' behavior and decisions and in turn, patient behavior and decisions. We then highlight avenues for intervention and make specific recommendations to medical care and grant-making organizations.

Copyright
Corresponding author
Michelle van Ryn, Department of Family Medicine and Community Health, University of Minnesota Medical School, Room 221, 925 Delaware Street SE, Minneapolis, MN 55414. E-mail: vanry001@umn.edu
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

P. G. Devine and M. J. Monteith (1993). The Role of Discrepancy-Associated Affect in Prejudice Reduction. In D. M. Mackie and D. L. Hamilton (Eds.), Affect, Cognition, and Steroetyping: Interactive Processes in Group Perception, pp. 317344. New York: Academic Press.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Du Bois Review: Social Science Research on Race
  • ISSN: 1742-058X
  • EISSN: 1742-0598
  • URL: /core/journals/du-bois-review-social-science-research-on-race
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 20
Total number of PDF views: 153 *
Loading metrics...

Abstract views

Total abstract views: 610 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 29th May 2017. This data will be updated every 24 hours.