Journal Article

Under the Radar: How Unexamined Biases in Decision-Making Processes in Clinical Interactions Can Contribute to Health Care Disparities

Fiske, Susan T., Dovidio, John F.

2012

Overview

Several aspects of social psychological science shed light on how unexamined racial/ethnic biases contribute to health care disparities. Biases are complex but systematic, differing by racial/ethnic group and not limited to love–hate polarities. Group images on the universal social cognitive dimensions of competence and warmth determine the content of each group's overall stereotype, distinct emotional prejudices (pity, envy, disgust, pride), and discriminatory tendencies. These biases are often unconscious and occur despite the best intentions. Such ambivalent and automatic biases can influence medical decisions and interactions, systematically producing discrimination in health care and ultimately disparities in health. Understanding how these processes may contribute to bias in health care can help guide interventions to address racial and ethnic disparities in health.

• Publisher: American Public Health Association
• Subject: Ambivalence / Attitude of Health Personnel / Attitude to Health / Bias / Biological and medical sciences / Cardiovascular disease / Clinical decision making / Decision Making / Discrimination / Disgust / Emotions / Envy / Ethnic differences / Ethnic groups / Ethnicity / General aspects / Health care / Health disparities / Health services / Health Status Disparities / Healthcare Disparities - ethnology / Humans / Medical decision making / Medical sciences / Mental health services / Minority & ethnic groups / Miscellaneous / Mortality / Physician-Patient Relations / Pity / Prejudice / Public health / Public health. Hygiene / Public health. Hygiene-occupational medicine / Racial bias / Racial inequality / Stereotypes / Stereotyping / The Science of Research on Racial/Ethnic Discrimination and Health / Unconsciousness