Gopal Dipesh P, Chetty Ula, O'Donnell Patrick, Gajria Camille, Blackadder-Weinstein Jodie
Barts and The London School of Medicine and Dentistry, London, UK.
University of Glasgow, Glasgow, UK.
Future Healthc J. 2021 Mar;8(1):40-48. doi: 10.7861/fhj.2020-0233.
Bias is the evaluation of something or someone that can be positive or negative, and implicit or unconscious bias is when the person is unaware of their evaluation. This is particularly relevant to policymaking during the coronavirus pandemic and racial inequality highlighted during the support for the Black Lives Matter movement. A literature review was performed to define bias, identify the impact of bias on clinical practice and research as well as clinical decision making (cognitive bias). Bias training could bridge the gap from the lack of awareness of bias to the ability to recognise bias in others and within ourselves. However, there are no effective debiasing strategies. Awareness of implicit bias must not deflect from wider socio-economic, political and structural barriers as well ignore explicit bias such as prejudice.
偏见是对某事或某人的评价，可能是积极的或消极的，而隐性或无意识偏见是指一个人没有意识到自己的评价。这在冠状病毒大流行期间的决策制定以及支持“黑人的命也是命”运动期间凸显的种族不平等问题中尤为相关。进行了一项文献综述，以界定偏见，确定偏见对临床实践、研究以及临床决策（认知偏见）的影响。偏见培训可以弥合从缺乏偏见意识到能够识别他人和自己内心偏见的差距。然而，目前尚无有效的去偏策略。对隐性偏见的认识绝不能偏离更广泛的社会经济、政治和结构性障碍，也不能忽视诸如偏见等显性偏见。
