Mónica Vela|Amarachi Erondu|Nichole A. Smith|Monica E. Peek|James N. Woodruff|Marshall H. Chin
Eliminating Explicit and Implicit Biases in Health Care: Evidence and Research Needs
University of Illinois at Chicago|Illinois College|Los Angeles Medical Center|University of California, Los Angeles|Hospital of the University of Pennsylvania|University of Chicago|University of Chicago|University of Chicago
health care providers hold negative explicit implicit biases marginalized groups people racial ethnic minoritized populations biases permeate health care system affect patients via patientclinician communication clinical decision making institutionalized practices addressing bias remains fundamental professional responsibility accountable health wellness populations current interventions include instruction existence harmful role bias perpetuating health disparities well skills training management bias interventions raise awareness provider bias engage health care providers establishing egalitarian goals care delivery changes sustained interventions demonstrated change behavior clinical learning environment unfortunately efficacy interventions may hampered health care providers work learning environments rife discriminatory practices sustain biases us health care professions seeking diminish offer conceptual model demonstrating providerlevel implicit bias interventions accompanied interventions systemically change structures inside outside health care system country succeed influencing biases reducing health inequities