From creating new models of education and training, to developing accurate tests to objectively measure pain, scientists are working to provide health care workers—and institutions—with the tools to diminish bias and provide equitable care. LongReads
compared with men patients, opting to treat women with psychotherapy and men with painkillers.
Many other inequities, such as poverty and redlining, prevent certain groups from accessing good health care, Smith says. “If you include the biases of your health care professionals, then that creates a perfect storm for health care disparities to continue.”long studied several kinds of interventions that attempt to “erase” implicit bias, but few of them have shown lasting effects. “There is a robust science around implicit bias,” Hardeman says.
Brian Wood, an infectious disease clinician with UW and Harborview Medical Center, is one such physician volunteer with UnBIASED. Wood, who primarily sees people with an HIV diagnosis, says his physicians group serves a diverse population who often feel stigmatized by doctors. “I often hear from Black patients how they feel discriminated against,” says Wood, who is white.
“Reflecting on possible negative moments during a visit was not easy, but felt important and valuable,” Wood says.The team is now working on translating the experiment’s results into feedback like “digital nudges”—such as an icon that pops onto the computer screen, a wearable device, or other mechanism telling physicians to interrupt patients less or look them in the eye more often. But the UnBIASED team still has challenges interpreting the data in the recordings.
Smith recalls that the social worker was normally a fierce advocate for patients, but says that comment was steeped in bias because it suggested the gunshot victim had done something wrong and deserved his fate—an attitude that could affect care. But a gunshot victims’ actions should not affect their care, Smith stresses. “Patients who get shot are victims first, and deserve to be treated with respect and sensitivity.
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