Bias Within The Medical Field

The main purpose of this article was to unexamined biases, to see how much they contribute as well as to address ethnic and racial in health care disparities. Biases can be referred to as favoritism, a favor of one and against another, very systematic and differing by racial and ethnic groups. Many psychologist has turned their focus and studies on common biases, which biases influence medical decisions and interaction.

The Institute of Medicine’s Report on Unequal Treatment: Confronting Racial/Ethical Disparities in Health Care states that cultural bias is one contributor to racial and ethnic minorities having higher rates of poor health outcomes than Whites in the case of disease; even when income, employment

A notable discrepancy exists between health care received by the black population in comparison to the white population. However, the foundation of health care inconsistencies has yet to be firmly established. Instead, conflicting views prioritize causes of health care disparities as due to social determinants or due to individual responsibility for health (Woolf & Braveman, 2011). Emerging literature also indicates that health care providers propagate disparities by employing implicit biases (Chapman, Kaatz, & Carnes, 2013; Dovidio, Fiske, 2012). This paper aims to discuss black health care disparities as a function of socially constructed beliefs that both consciously and unconsciously influence health care professionals practice.

Racial classification has a possibility to expose an individual to racism and health disparities by influencing access to care, scope and quality of care, and overall health outcomes. In the United States of America, the secret codes of socioeconomic status are deeply spotted by race, causing the racial differences in socioeconomic status and becomes the main element to racial differences in health and health care (Kennedy, 2013). Many studies have indicated that African-Americans distrust medical practices and medical professionals due to a long history tied to the unethical treatment

Disparities in healthcare are a real and urgent problem in our nation. There is indisputable data supporting the fact that disparities exist not only across different racial groups, but also across the cultural and economic stratification of our society. Moreover, there is even data showing disparities among each of these respective groups along gender lines. So what can be done about these disparities to assure that all patients receive equal and adequate care? Well, there are certainly many political and governmental changes or modifications that would go a long way towards narrowing the gaps in healthcare, but such changes are beyond the scope of this paper. Instead, I will focus on the steps that I,

According to the text, “several studies have shown that black patients were treated and hospitalized at later stages of their illness than white patients. And once hospitalized, they got fewer pain medications, and had higher mortality rates.” (Skloot 64). Even Though it was the time of segregation, the doctors were supposed to treat their patients equally. The author stated that many black patients were just glad to receive treatment at the time of discrimination.

Throughout the 1960’s medical health care was not as advanced and thorough like it is today. During the 1900’s, families were not as informed of their medical records than today due to a breakthrough in medical technology (Skloot, Rebecca. The Immortal Life of Henrietta Lacks). In past years, hospital experience turned out to be quite lengthy stays for some people and had given a redundant insult with no respect to a patient. Some people had not been as beneficial as white people have. These problems should not even exist, it is just physical discrimination against people of different color.

Like previously stated, there has been a vast history of racial issues particularly in the medical field. These issues have led to minorities, especially African Americans, to not trust medical professionals and procedures. A study found in the Archives of Internal Medicine gives shocking results by stating that “African Americans were far less trusting than whites of the medical establishment and medical researchers in particular. African Americans were 79.2 percent more likely to believe that someone like them would be used as a guinea pig without his or her consent” (Clark 118). There are many cases in the past which would make a minority feel neglected and like a “guinea pig”. For instance, Henrietta Lacks, the main character of Rebecca Skloot’s book, was diagnosed with cervical cancer in 1951. Her doctors were shocked at the terrifying rate her tumor was growing (Skloot 117). Her cells were taken from her cervix and they were distributed world wide without her or her family’s consent. The distribution went on for years even after her death

With such glaring evidence on structural racism within the medical field, it is not surprising that people of color face disparities.

In the United States society is well aware that hispanics have been treated with a negative attitude in the health care providing services. Just like anybody else no matter what race they are, they should have the same treatment. This situation needs to be more acknowledged and better controlled. White patients have received better quality of care than any other race including black americans, hispanics, american indians, and asian patients. One might argue that the health care providers are free to express their opinion however they like, but just like any job these health care providers have to treat everyone the same and make them feel comfortable. “ Negative implicit attitudes about people of color may contribute to racial/ethnic disparities in health and health care.” In many cases health care providers have implicit bias in terms of positive attitudes towards whites and negative attitudes towards any other color. “Fifteen relevant studies were identified through searches of bibliographic databases and reference lists of studies that met inclusion criteria.”

One of the points raised in IOM’s article to prove that racism is a prevalent cause of health care disparity is the way the health care system is set-up, meaning at times, some hospitals and clinics can adopt a policy to contain health care cost, but may pose hindrances to minority patients’ capability to access the care.

living in the south weren’t considered equals to whites; this was the Jim Crow. “When black people showed up at white-only hospitals, the staff was likely to send them away, even if it meant they might die in the parking lot.” (Skloot 15) Consequently

Though the civil rights movement made substantial progress yet race remains a controlling factor in dictating who gets access to healthcare, the quality of care, and health insurance coverage. Because this stems from the supremacist belief that one race is superior, I would educate my patients, my colleagues, and my classmates on the importance of equity between all

Gordon Moskowitz and his co-authors’ (2012) expands on this discussion of unconscious bias by associating it with stereotyping certain racial groups. The providers’ unconscious biases are referred to as implicit biases, and demonstrate usefulness if correctly used to identify groups more readily susceptible to a health condition than others (996). When used correctly to identify these individuals, patient outcomes have a positive outcome. However, a hasty assumption that leads to an incorrect stereotype results in severe negative outcomes from a resulting incomplete or inaccurate diagnosis by the physician (1000). These implicit biases also tie back to the previous theme

Oliver et al. (2014), exemplifies how some physicians may not be aware of their implicit bias that could be causing healthcare disparities. This study determines whether physicians’ implicit racial views of African Americans affect their decision making, regarding total knee replacement (TKR) as a treatment option for OA. They also assessed whether not, if the Racial Implicit Association test would impact TKR recommendations. In the study implicit bias was determined by the racial implicit association test (IAT) and explicit bias was tested using a questionnaire that asked physicians which race they preferred (black or white) using a 5-point Likert scale and 10-point thermometer scaled to grade physician’s feelings.