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Implicit Bias among Physicians and its Prediction of Thrombolysis Decisions for Black and White Patients

Journal of General Internal Medicine · 2007 · Vol. 22(9) · pp. 1231–1238
Alexander R. GreenDana R. CarneyDaniel J. PallinLong NgoKristal L. RaymondLisa I. IezzoniMahzarin R. Banaji

Abstract

This study represents the first evidence of unconscious (implicit) race bias among physicians, its dissociation from conscious (explicit) bias, and its predictive validity. Results suggest that physicians' unconscious biases may contribute to racial/ethnic disparities in use of medical procedures such as thrombolysis for myocardial infarction.

Racial and Ethnic Identity ResearchSocial and Intergroup PsychologyDiversity and Career in MedicineVignetteMedicineImplicit-association testAcute coronary syndromeTest (biology)Clinical psychologyFamily medicinePsychiatrySocial psychologyPsychology

MeSH terms

AdultBlack or African AmericanCardiovascular DiseasesFemaleHumansMalePhysiciansPredictive Value of TestsPrejudiceSurveys and QuestionnairesThrombolytic TherapyBlack PeopleWhite People

Funding

  • Brigham and Women's Hospital
  • Massachusetts General Hospital
  • Emory University
  • Harvard University
  • Mind Science Foundation
  • National Institute of Mental Health
Citations
1,447
FWCI
114.58
field-weighted impact
References
32
Percentile
100%
vs. same field & year
Citations per year
Cited by
Systemic racism and U.S. health care
Social Science & Medicine · 2014 · 810 citations
Physicians and Implicit Bias: How Doctors May Unwittingly Perpetuate Health Care Disparities
Journal of General Internal Medicine · 2013 · 1,287 citations
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Journal of Personality and Social Psychology · 2003 · 5,755 citations
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Journal of Personality and Social Psychology · 2009 · 3,238 citations
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Measuring individual differences in implicit cognition: The implicit association test.
Journal of Personality and Social Psychology · 1998 · 8,370 citations
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