Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jul;19(4):528-542.
doi: 10.1177/1368430216642029. Epub 2016 May 8.

Examining the Presence, Consequences, and Reduction of Implicit Bias in Health Care: A Narrative Review

Affiliations

Examining the Presence, Consequences, and Reduction of Implicit Bias in Health Care: A Narrative Review

Colin A Zestcott et al. Group Process Intergroup Relat. 2016 Jul.

Abstract

Recent evidence suggests that one possible cause of disparities in health outcomes for stigmatized groups is the implicit biases held by health care providers. In response, several health care organizations have called for, and developed, new training in implicit bias for their providers. This review examines current evidence on the role that provider implicit bias may play in health disparities, and whether training in implicit bias can effectively reduce the biases that providers exhibit. Directions for future research on the presence and consequences of provider implicit bias, and best practices for training to reduce such bias, will be discussed.

Keywords: bias reduction; health care; health disparities; implicit bias.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Model of paths through which provider implicit bias may contribute to health disparities.

References

    1. Adler NE, Rehkopf DH. U.S. disparities in health: Descriptions, causes, and mechanisms. Annual Review of Public Health. 2006;29:235–252. doi: 10.1146/annurev.publhealth.29.020907.090852. - DOI - PubMed
    1. Bean MG, Focella ES, Covarrubias R, Stone J, Moskowitz GB, Badger TA. Documenting nursing and medical students’ stereotypes about Hispanic and American Indian patients. Journal of Health Disparities Research and Practice. 2014;7:14–22. - PMC - PubMed
    1. Bean MG, Stone J, Badger TA, Focella ES, Moskowitz GB. Evidence of nonconscious stereotyping of Hispanic patients by nursing and medical students. Nursing Research. 2013;62:362–367. doi: 10.1097/NNR.ob013e31829e02ec. - DOI - PMC - PubMed
    1. Blair IV, Havaranek EP, Price DW, Hanratty R, Fairclough DL, Farley T, Hirsh HK, Steiner JF. Assessment of biases against Latinos and African Americans among primary care providers and community members. American Journal of Public Health. 2013a;103:92–98. doi: 10.2105/AJPH.2012.300812. - DOI - PMC - PubMed
    1. Blair IV, Steiner JF, Hanratty R, Price DW, Fairclough DL, Daugherty SL, Bronsert M, … Havranek EP. An investigation of associations between clinicians’ ethnic and racial bias and hypertension treatment, medical adherence and blood pressure control. Journal of General Internal Medicine. 2014;29:987–995. doi: 10.1007/s11606-014-2795-z. - DOI - PMC - PubMed

LinkOut - more resources