Implicit Bias

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

In today’s society, announcing one’s aversion towards people different from them is the fastest way receive ridicule. In general, society has progressed to a point where being xenophobic, racist, and sexist is socially unacceptable. Despite this progress, society still suffers from the effects of racism, xenophobia, and sexism. Why is that? The answer has to do with the fact that while explicit expressions of these behaviors are seen as unacceptable, implicit associations still permeate our society. These associations lead to implicit bias. Implicit bias is readily becoming the most pervasive form of bias in our society. It contributes to both micro and macro-level inequalities, and raising awareness of implicit bias is crucial in order to suppress its effects on society. This paper will start with a discussion of what implicit bias is. This will be followed by a discussion of the effects of implicit bias. It will conclude with a discussion of how implicit bias can be combatted.

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

Implicit bias plays a significant role in today’s society, whether the members realize it or not. The online Stanford Encyclopedia of Philosophy says,” ‘Implicit bias’ is a term of art referring to a relatively unconscious and relatively automatic features of prejudiced judgement and social behavior” (Brownstein 2015). Implicit biases are often based on stereotypes. Stereotypes, as defined by OpenStax, are “oversimplified ideas about groups of people” (OpenStax College 2015:248). Implicit biases can be problematic for many reasons. One way implicit biases are troublesome is due to the fact that it is unconscious, so it is usually out of a person’s control. People are often unaware of their own and how they use it. A very common way implicit biases are seen in society is through discrimination. Discrimination is defined as “prejudiced action against a group of people” (OpenStax College 2015:248). If a man and a woman are considered as potentials for being hired, the employer may have an implicit bias either towards or against men or women influencing them to hire one over the other based on their gender. This exemplifies a modern concern of gender discrimination as well. Implicit biases can come in many forms from gender, race, weight, sexuality, and many more. These factors can influence an individual’s treatment of others if they have significant bias. In society, these implicit biases can negatively influence minority and other groups and lead to inequality.

The answer is no simple or a single solution. Rather, the answers must address the range of causes of disparities (inequalities in education, housing, and health insurance) and empower multiple levels of change ( patients, providers, health systems, policymakers, communities). These levels of change are most commonly found in the fundamental public health Socio-Ecological model. In this model, there are 5 levels, intrapersonal, interpersonal, community, institutions and policy, that could be focused on when implementing solutions to public health concerns, which health disparities would be considered. One method that should be looked at very closely in the institutional level of the model is reorganizing the curriculum of physician education in order to incorporate cultural competency. Such training can improve provider knowledge, attitudes and skills, which may be an important precursor to addressing unconscious provider bias. Drawing upon evidence in social cognitive psychology, Van Rhys Burgess have outlined strategies and skills for healthcare providers to prevent unconscious racial biases from influencing the clinical encounter. Their framework includes: 1) Enhancing internal motivation and avoiding external pressure to reduce bias, 2) Enhancing understanding of the psychosocial basis of bias, 3) Enhancing providers’ confidence in their

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.

When it comes to healthcare racial disparities continue to be an ongoing issue. In fact racial disparities have been a topic of discussion since desegregation. The US Department of Health and Human Services, in 1984 published a report that called attention to the healthcare disparities. The report was called Heath, United States 1983(Dougher, 2015). Within the context of the report there lies a passage that describes the major disparities that are within the burden of illness and death that is experienced by African Americans and other minorities, “despite significant progress in the overall health of the nation” (Dougher, 2015). It was evident that there was a serious lack of health care minorities.

Implicit bias is not quite obvious to the individual who perpetuates this notion because it is a product of their subconscious. Without any type of recognition of implicit bias, issues can arise when interacting with people who are facing the consequences of this action. Physicians may have developed biases towards the Asian American community throughout their childhood and adolescent years; these beliefs can stick with the individual for a life-time without expression of biases in an explicit

One hundred and sixty-six exonerations took place in 2016, according to the National Registry of Exonerations, setting a new record (“Exonerations 2016” 3). Indeed, misconvictions are now seen as part of the normal judicial process(“Exonerations 2016” 17). However, why are there so many mistakes in convicting individuals? One of the largest causes may be biases within the courts. Implicit bias in the American judicial system may seriously impact the underprivileged in receiving impartial verdicts in the legal system and access to quality lawyers.

In the United States today cultural diversity is growing more prevalent every day. The report from the Institute of Medicine (IOM: Unequal treatment, 2002) presented information that racial and ethnic minorities of all ages receive lower quality health care compared to their non-minority counterparts. Every effort should be made to stop the disparities surrounding cultural differences while attempting to understand the cultural health behaviors, increase cultural

Minority health disparities continue to be a pervasive problem within the United States.The Institute of Medicine defines disparity as, “differences in treatment provided to members of different racial or ethnic groups that are not justified by underlying health conditions or preferences” (Snowden 526). Despite adjustments made to access-related factors, insurance and income, minorities still tend receive lower-quality health care than whites (Flores, Olsen and Tomany-Korman 183). According to the Centers for Disease Control, “Relatively little progress has been made toward the goal of eliminating racial/ethnic disparities” (Gronman and Ginsburg 226). In this paper, I will describe the different health disparities that racial, ethnic and sexual minorities experience throughout their lives. I will then discuss the policies health care providers and government entities have put in place in order to eliminate the disparities between minorities and whites.

Define implicit bias and give an example. The definition of implicit refers to something that is suggested or implied but never clearly said. An example of implicit is when the wife gives her husband a dirty look when she drops the husband's socks on the floor. Implicit Bias is also known as implicit social cognition; implicit bias refers to the attitudes of the people or the stereotypes that tend to affect our understanding, actions, and decisions in an unaware situation (Ohio State University, 2015). An example of implicit bias is when some doctors had become shown a patient history and where asked to decide about heart disease. The doctors were more likely to recommend cardiac cauterization an effective procedure to help the patients to

The United States’ whole social structure and system of relations developed based on race, and this prejudice has stuck around to this day, specifically in the U.S.’s healthcare system. It has been found that minority groups often receive less and lower quality treatments than those who are white. On a national scale, ethnic health disparities have become more of a priority in recent decades. Specifically since The Office of Minority Health was established in 1986, and more recently, since “Healthy People”, a popular magazine, named the elimination of these disparities as one of its national goals to accomplish by 2010 (Yang). This paper will explore some of the possible solutions to this extreme gap in health.

This literature review will describe and discuss the challenges of accessing health care services and how primary care physicians are deeply impacted by the Patient Protection and Affordable Care Act. Access to Quality and Affordable Health Care in America Presently, access to health care services in the United States is labeled substandard. As explained by the Department of Health and Human Services, access to comprehensive, quality health care services is important for the achievement of health equity and for increasing quality of a healthy life for all. In 2008, the Commonwealth Fund released “Racial and Ethnic Disparities in the U.S. Health Care”. In this report, they note, minority Americans are more likely to have problems accessing high-quality health care than whites. Considering the Centers for Disease Control and Prevention state that minorities comprise 36.3 percent of the nation’s population, having this much of the populace unhealthy has major implications. Consequentially, minorities are less likely to experience the health outcomes that lead to a better quality of life. Access to health services is key for prevention of disease and disability, detection and treatment of health disorders, improving the quality of life, and overall physical, social and mental health status. With the PPACA allowing unprecedented access to primary care

Knowing, understanding, and being aware of personal biases is the first step in the development of plans or strategies overcoming biases. As nurses we must recognize and be more sensitive to the care provided to patients and understand that differences do exist in and between the differing races, cultures, and ethnic groups (Giger, 2013, p. 3). The Implicit Association Test (IAT) is used to identify and provide an awareness to biases that are consciously or unconsciously present in an individuals actions and beliefs (Project Implicit, 2011). After completing the Race IAT, Gender-Career IAT and Religion IAT, I will discuss the prejudices, biases, and stereotypical thinking present in my life and share what steps can be taken to reduce or eliminate