Blair Irene V, Steiner John F, Havranek Edward P
Perm J. 2011 Spring;15(2):71-8. doi: 10.7812/TPP/11.979.
Disparities in health care are of great concern, with much attention focused on the potential for unconscious (implicit) bias to play a role in this problem. Some initial studies have been conducted, but the empirical research has lagged. This article provides a research roadmap that spans investigations of the presence of implicit bias in health care settings, identification of mechanisms through which implicit bias operates, and interventions that may prevent or ameliorate its effects. The goal of the roadmap is to expand and revitalize efforts to understand implicit bias and, ultimately, eliminate health disparities. Concrete suggestions are offered for individuals in different roles, including clinicians, researchers, policymakers, patients, and community members.
医疗保健方面的差异备受关注，很多注意力都集中在无意识（隐性）偏见可能在这个问题中发挥作用这一点上。已经开展了一些初步研究，但实证研究仍滞后。本文提供了一个研究路线图，涵盖对医疗保健环境中隐性偏见存在情况的调查、隐性偏见运作机制的识别，以及可能预防或减轻其影响的干预措施。该路线图的目标是扩大并重振对隐性偏见的理解，最终消除健康差异。针对不同角色的个人，包括临床医生、研究人员、政策制定者、患者和社区成员，都提出了具体建议。
