• Am J Public Health · May 2012

    Under the radar: how unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities.

    • John F Dovidio and Susan T Fiske.
    • Department of Psychology, Yale University, New Haven, CT, USA. john.dovidio@yale.edu
    • Am J Public Health. 2012 May 1; 102 (5): 945-52.

    AbstractSeveral 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.

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