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Racial bias is the number 1 leading cause of disparities in minority communities. The importance of this topic is often overlooked. That is why I chose this topic as my point of reference of a issue within our healthcare system. Its imperative to know that when bias is shown from a physician to patient of a minority group it causes the patient more harm than good . The health outcomes of patients are the hands of healthcare professionals . This could mean life or death of that patient.

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Implicit bias is the behavior to have attitudes , and  to attach stereotypes to a specific social group unconsciously.

Bias in healthcare affects a patients health by directly limiting the accessibility to quality care. Intentionally affecting a persons health causing high level of chronic stress in socially disadvantaged groups

Implicit bias is said to be caused by poor interactions with physicians. It was examined that African Americans are less likely to engage in a interpersonal relationship with a physician. When this occurs the physician is  less likely to give that patient quality care.

94.4 percent of the world’s population across 100 different countries have shown that in physical illness members of socially disadvantaged groups receive poorer healthcare than socially advantaged populations.

Studies done in the United States showed that in over 1 million clinical studies African American children with respiratory infections were less likely to get any form of antibiotics.

http://www.tpmap.org/wp-content/uploads/2016/12/23.4.5.pdf

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Facts of Implicit bias towards minorities. 

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Facts of Implicit bias towards minorities. 

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- Black and Hispanic patients are less likely than whites to receive pain medications even for acute injuries. Being as though they have a higher score for pain they will receive the lowest dosage than white patients.

- Physicians are less likely to treat  black patients with suicidal thoughts.

- African Americans are less likely than non Hispanic patients to receive evidence based care for stroke myocardial infarction ,and heart failure.

-The reason that physicians are less likely to treat minority patients in healthcare is because they associate them with being uncooperative , unintelligent, and non compliant which will limit the type of care they receive.

https://www.acc.org/latest-in-cardiology/articles/2020/01/01/24/42/cover-story-implicit-bias-recognizing-the-unconscious-barriers-to-quality-care-and-diversity-in-medicine

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Cognitive bias in medicine is a thinking pattern that makes a person make decisions from prior experiences . In which it  makes a person irrational in their own judgments.  Cognitive bias is important  in emergency medicine  , because it can impact decision making as a result cause medical errors for patients.

https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.13622

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Healthcare organizations for many years have used the Implicit Association test, This online system is equipped with social questions to analyze the unconscious bias of healthcare professionals. This test will make them more aware of bias behaviors in which it will motivate ,and impact better patient outcomes.

https://www.aha.org/guidesreports/2019-04-18-4-ways-health-care-organizations-can-utilize-implicit-association-test-iat

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This is just one of the many stories dealing with a fatal experience of racism in our healthcare system. Dr. Susan Moore was diagnosed with Covid- 19 and admitted to the ER. She experienced racism from other physicians while she battled with Covid-19. Listen to her story below.

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“This Is How Black People Get Killed”: Dr. Susan Moore Dies of COVID After Decrying Racist Care

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Disparities Caused by Racial Bias in healthcare 

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Disparities Caused by Racial Bias in healthcare 

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https://www.vianolavie.org/2021/05/20/implicit-bias-in-healthcare-an-american-legacy/

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Ways to Reduce Implicit Bias  through Curricular Interventions

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Ways to Reduce Implicit Bias  through Curricular Interventions

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Increase Self Awareness
- Studies show that cognitive overwork of the brain , stressful environments, and time pressure can activate implicit bias. If implicit bias test are given through medical school through continuing education will increase self awareness, as well as monitoring negative biases.

Create an inclusive learning enviornment
- Healthcare professionals should create an inclusive learning environment that promotes inclusion of all cultures. This will create a sense of socialization in the workforce.

Increased opportunities for Positive Interaction
-  By promoting positive interactions with minorities in the healthcare workforce  will reduce negative stereotypes. The key way to develop these interactions is to hold discussions with all faculty , as it relates to bias, diversity, and social issues.

Empathy Skills Development
- Psychological research suggests that empathy shown to minorities can change the mindset from a trait to a skill set. By adopting this skill set it will create developmental skills and better patient care. One must be willing to confront bias attitudes in a safe enviornment.

https://link.springer.com/article/10.1007/s11606-015-3496-y#author-information