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Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities

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  • Dovidio, J.F.
  • Fiske, S.T.

Abstract

Several aspects of social psychological science shed light on how unexamined racial/ethnic biases contribute tohealthcare disparities. Biases are complex but systematic, differing by racial/ ethnic group and not limited to love-hate polarities. Group imagesontheuniversalsocial cognitive dimensions of competence and warmth determine the content of each group's overall stereotype, distinct emotional prejudices (pity, envy, disgust, pride), and discriminatory tendencies. These biases are often unconscious and occur despite the best intentions. Such ambivalent and automatic biases can influence medical decisions and interactions, systematically producing discrimination in health care andultimatelydisparitiesinhealth. Understanding howthese processes may contribute to bias in health care can help guide interventions to address racial and ethnic disparities in health.

Suggested Citation

  • Dovidio, J.F. & Fiske, S.T., 2012. "Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities," American Journal of Public Health, American Public Health Association, vol. 102(5), pages 945-952.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300601_3
    DOI: 10.2105/AJPH.2011.300601
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    Cited by:

    1. Gordon B Moskowitz & Irmak Olcaysoy Okten & Cynthia M Gooch, 2017. "Distortion in time perception as a result of concern about appearing biased," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-18, August.
    2. Stijn Schelfhout & Robin Vandecasteele & Stéphanie De Maesschalck & Fanny D’hondt & Sara Willems & Eva Derous, 2022. "Intercultural Competence Predicts Intercultural Effectiveness: Test of an Integrative Framework," IJERPH, MDPI, vol. 19(8), pages 1-21, April.
    3. Harnois, Catherine E. & Bastos, João L. & Campbell, Mary E. & Keith, Verna M., 2019. "Measuring perceived mistreatment across diverse social groups: An evaluation of the Everyday Discrimination Scale," Social Science & Medicine, Elsevier, vol. 232(C), pages 298-306.
    4. Erin A. Cech & William R. Rothwell, 2020. "LGBT Workplace Inequality in the Federal Workforce: Intersectional Processes, Organizational Contexts, and Turnover Considerations," ILR Review, Cornell University, ILR School, vol. 73(1), pages 25-60, January.

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