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Pediatricians' pain-medication judgments affected by unconscious racial bias, says UW study
Date:3/19/2012

automatically operating biases.

Sabin chose four conditions commonly treated by pediatricians asthma, attention deficit hyperactivity disorder, urinary tract infections and pain. Case scenarios were created for each condition for both an African-American and a white patient.

For the asthma, ADHD and urinary tract infection case scenarios, doctors did not show an association between unconscious attitudes about race and treatment decisions for the two patients. However, recommendations for optimal pain treatment decreased for the African American patient as doctors' pro-white bias increased.

"Implicit biases are surprisingly pervasive, and in certain circumstances they can affect how people behave," Sabin said. She said her findings "indicate that more research should be done to see if unconscious biases affect real-world medical care and treatment decisions, especially for pain management."

"This is exactly the type of result that was anticipated by the Institute of Medicine's landmark 2002 Unequal Treatment study," Greenwald said. "That study and other studies found, among other indications of troubling health care disparities, underuse of pain medication for African American patients."

Because physicians are likely unaware of unconscious attitudes and beliefs and the unintended disparities that may result, incorporating awareness of personal bias and methods to avoid the influence of bias on decision-making into medical education, continuing medical education and training of health professionals is necessary for health sciences education, Sabin suggested.


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Contact: Molly McElroy
mollywmc@uw.edu
206-543-2580
University of Washington
Source:Eurekalert

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