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Review
. 2021 Feb;33(1):9-18.
doi: 10.1111/1742-6723.13691. Epub 2020 Nov 28.

Review article: Implicit bias towards Aboriginal and Torres Strait Islander patients within Australian emergency departments

Alyssa Quigley  1 , Jennie Hutton  1   2 , Georgina Phillips  2   3 , Darlene Dreise  4 , Toni Mason  5 , Gail Garvey  6   7 , Yin Paradies  8
Affiliations
Review

Review article: Implicit bias towards Aboriginal and Torres Strait Islander patients within Australian emergency departments

Alyssa Quigley et al. Emerg Med Australas. 2021 Feb.

Abstract

Aboriginal and Torres Strait Islander peoples continue to suffer adverse experiences in healthcare, with inequitable care prevalent in emergency settings. Individual, institutional and systemic factors play a significant part in these persisting healthcare disparities, with biases remaining entrenched in healthcare institutions. This includes implicit racial bias which can result in stereotyping of racial minorities and premature diagnostic closure. Furthermore, it may contribute to distrust of medical professionals resulting in higher rates of leave events and hinder racial minorities from seeking care or following treatment recommendations. The aim of this review is to analyse the effect of implicit bias on patient outcomes in the ED in international literature and explore how these studies correlate to an Australian context.

Keywords: Aboriginal and Torres Strait Islander people; emergency; healthcare disparities; implicit bias; racism.

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References

    1. Dehon E, Weiss N, Jones J, Faulconer W, Hinton E, Sterling S. A systematic review of the impact of physician implicit racial bias on clinical decision making. Acad. Emerg. Med. 2017; 24: 895-904.
    1. Varcoe C, Bungay V, Browne AJ et al. EQUIP emergency: study protocol for an organizational intervention to promote equity in health care. BMC Health Serv. Res. 2019; 19: 687.
    1. Australian Bureau of Statistics. Estimates of Aboriginal and Torres Strait Islander Australians. 2018. [Cited 3 Aug 2020.] Available from URL: https://www.abs.gov.au/statistics/people/aboriginal-and-torres-strait-is...
    1. Australian Institute of Health and Welfare. Emergency Department Care 2017-18: Australian Hopsital Statistics. Canberra: Australian Institute of Health and Welfare; 2018; 96. Report no.: Health Services Series 89.
    1. Durey A, Thompson SC. Reducing the health disparities of Indigenous Australians: time to change focus. BMC Health Serv. Res. 2012; 12: 151.

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