Authors
Adil H Haider, Eric B Schneider, N Sriram, Deborah S Dossick, Valerie K Scott, Sandra M Swoboda, Lia Losonczy, Elliott R Haut, David T Efron, Peter J Pronovost, Pamela A Lipsett, Edward E Cornwell, Ellen J MacKenzie, Lisa A Cooper, Julie A Freischlag
Publication date
2015/5/1
Journal
JAMA surgery
Volume
150
Issue
5
Pages
457-464
Publisher
American Medical Association
Description
Importance
Significant health inequities persist among minority and socially disadvantaged patients. Better understanding of how unconscious biases affect clinical decision making may help to illuminate clinicians’ roles in propagating disparities.
Objective
To determine whether clinicians’ unconscious race and/or social class biases correlate with patient management decisions.
Design, Setting, and Participants
We conducted a web-based survey among 230 physicians from surgery and related specialties at an academic, level I trauma center from December 1, 2011, through January 31, 2012.
Interventions
We administered clinical vignettes, each with 3 management questions. Eight vignettes assessed the relationship between unconscious bias and clinical decision making. We performed ordered logistic regression analysis on the Implicit Association Test (IAT) scores and used multivariable analysis to determine …
Scholar articles
AH Haider, EB Schneider, N Sriram, DS Dossick… - JAMA surgery, 2015