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首页> 外文期刊>Patient education and counseling >Detecting implicit racial bias in provider communication behaviors to reduce disparities in healthcare: Challenges, solutions, and future directions for provider communication training
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Detecting implicit racial bias in provider communication behaviors to reduce disparities in healthcare: Challenges, solutions, and future directions for provider communication training

机译：检测提供商通信行为中的隐式种族偏见，以减少医疗保健的差异：提供商通信培训的挑战，解决方案和未来方向

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摘要

Since publication of Unequal Treatment by the Institute of Medicine in 2003, there has been a growing recognition of the role of provider implicit racial bias in patient care. Provider implicit racial bias has been consistently negatively associated with both care satisfaction and provider trust among racial/ethnic minority patients. This suggests provider implicit racial bias likely manifests through their communication behaviors, which in turn may offer a means of addressing racial disparities in healthcare and ultimately in health. However, identifying provider communication behaviors that mediate the links between provider implicit racial bias and patient outcomes is challenging. In this paper, we argue that identifying these provider communication behaviors requires (1) taking into account findings from social psychology research of implicit racial bias and (2) incorporating the perspectives of racial/ethnic minority patients into patient-provider communication research. We discuss the utility of mixed methods research designs as a framework for resolving this complex scientific question. Research that draws on social psychology research of implicit racial bias and incorporates the racial/ethnic minority patient perspectives can inform the development of communication skills training programs for students and residents in various healthcare fields. Such programs are one element of a broader effort to reduce racial/ethnic disparities in healthcare. (C) 2019 Elsevier B.V. All rights reserved.
机译：自2003年医学院出版出版以来，越来越多地表彰提供者隐含种族偏见在患者护理中的作用。提供商隐含的种族偏见一直与种族/少数民族患者之间的护理满足和提供者信任一致。这表明提供商可能通过其沟通行为表现出来的隐含种族偏见，这反过来可能提供一种解决医疗保健和最终健康的种族差异的手段。然而，识别介入提供者隐含种族偏见和患者结果之间的链接的提供商沟通行为是具有挑战性的。在本文中，我们认为识别这些提供商沟通行为需要（1）考虑到隐性种族偏见的社会心理学研究和（2）将种族/少数民族患者的角度纳入患者提供者的通信研究。我们讨论了混合方法研究设计作为解决这一复杂科学问题的框架。借鉴了隐含种族偏见的社会心理学研究并纳入种族/少数民族患者观点的研究可以为各种医疗领域的学生和居民提供通信技能培训计划的发展。这些计划是更广泛努力减少医疗保健中的种族/民族差异的一个要素。 （c）2019年Elsevier B.V.保留所有权利。

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