• J Gen Intern Med · Nov 2004

    Why do providers contribute to disparities and what can be done about it?

    • Diana J Burgess, Steven S Fu, and Michelle van Ryn.
    • Center for Chronic Disease Outcomes Research, VA Health Services Research Center of Excellence, Minneapolis Veterans Affairs Medical Center, MN 55417, USA. Diana.Burgess@med.va.gov
    • J Gen Intern Med. 2004 Nov 1; 19 (11): 115411591154-9.

    AbstractThis paper applies social cognition research to understanding and ameliorating the provider contribution to racial/ethnic disparities in health care. We discuss how fundamental cognitive mechanisms such as automatic, unconscious processes (e.g., stereotyping) can help explain provider bias. Even well-intentioned providers who are motivated to be nonprejudiced may stereotype racial/ethnic minority members, particularly under conditions of that diminish cognitive capacity. These conditions-time pressure, fatigue, and information overload-are frequently found in health care settings. We conclude with implications of the social-cognitive perspective for developing interventions to reduce provider bias.

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