From the University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, IA (RAD, JPV, KKH, JR); Department of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA (RAD, JPV, KKH, JR); Department of Epidemiology, University of Iowa College of Public Health, Iowa City, IA (JPV, KKH).
J Addict Med. 2022;16(5):557-562. doi: 10.1097/ADM.0000000000000970.
Negative bias against people who use illicit drugs adversely affects the care that they receive throughout the hospital. We hypothesized that emergency providers would display stronger negative bias toward these patients due to life-threatening contexts in which they treat this population. We also hypothesized that negative implicit bias would be associated with negative explicit bias.
Faculty, nurses, and trainees at a midwestern tertiary care academic hospital were invited (June 26, 2019-September 5, 2019) to complete an online implicit association test and explicit bias survey.
Mean implicit association test results did not vary across demographics (n = 79). There were significant differences in explicit bias scores between departments regarding whether patients who use drugs deserve quality healthcare access (P = 0.017). We saw no significant associations between implicit and explicit bias scores.
Though limited by sample size, the results indicate that emergency and obstetrics/gynecology providers display more negative explicit bias toward this patient population than other providers.
对使用非法药物的人的负面偏见会对他们在整个医院接受的治疗产生不利影响。我们假设，由于治疗这些人群的危及生命的情况，急救提供者会对这些患者表现出更强的负面偏见。我们还假设，负面的内隐偏见与负面的外显偏见有关。
邀请中西部三级保健学术医院的教职员工、护士和学员（2019 年 6 月 26 日至 2019 年 9 月 5 日）完成在线内隐联想测试和外显偏见调查。
平均内隐联想测试结果在人口统计学方面没有差异（n = 79）。在患者是否应获得高质量医疗保健方面，不同科室的外显偏见评分存在显著差异（P = 0.017）。我们没有发现内隐和外显偏见评分之间的显著关联。
尽管受到样本量的限制，但结果表明，急诊和妇产科/妇科提供者对这一患者群体表现出比其他提供者更负面的外显偏见。
