Department of Medicine, The University of Melbourne, Melbourne, Victoria, Australia.
Emergency Department, St Vincent's Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2021 Feb;33(1):9-18. doi: 10.1111/1742-6723.13691. Epub 2020 Nov 28.
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.
原住民和托雷斯海峡岛民在医疗保健方面仍然面临不良体验，在紧急情况下，不平等的护理普遍存在。个人、机构和系统因素在这些持续存在的医疗保健差距中起着重要作用，医疗保健机构中仍然存在偏见。这包括隐含的种族偏见，可能导致对少数族裔的刻板印象和过早的诊断结束。此外，它可能导致对医疗专业人员的不信任，导致更高的离职率，并阻碍少数族裔寻求护理或遵循治疗建议。本综述的目的是分析国际文献中隐含偏见对急诊患者结局的影响，并探讨这些研究与澳大利亚背景的相关性。
