Why do providers contribute to disparities and what can be done about it?

被引:228
作者
Burgess, DJ
Fu, SS
van Ryn, M
机构
[1] Vet Affairs Med Ctr, CCDOR, VA Hlth Serv Res Ctr Excellence, Minneapolis, MN 55417 USA
[2] Vet Affairs Med Ctr, Gen Internal Med Sect, Minneapolis, MN USA
[3] Univ Minnesota, Sch Publ Hlth, Dept Epidemiol, Minneapolis, MN USA
[4] Univ Minnesota, Dept Internal Med, Minneapolis, MN USA
关键词
provider behavior; disparities; race; ethnicity; social cognition;
D O I
10.1111/j.1525-1497.2004.30227.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper applies social cognition research to understanding and ameliorating the provider contribution to racial/ethnic disparities in health care. We discuss how fundamental cognitive mechanisms such as automatic, unconscious processes (e.g., stereotyping) can help explain provider bias. Even well-intentioned providers who are motivated to be nonprejudiced may stereotype racial/ethnic minority members, particularly under conditions of that diminish cognitive capacity. These conditions-time pressure, fatigue, and information overload-are frequently found in health care settings. We conclude with implications of the social-cognitive perspective for developing interventions to reduce provider bias.
引用
收藏
页码:1154 / 1159
页数:6
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