With the presence of the Black Lives Matter movement in recent years, a topic that has become more relevant for public discussion is the disparity present in healthcare based on race/ethnicity. Different academic studies and personal stories shared by individuals demonstrate a notable difference in how patients of different races/ethnicities are treated by their doctors. Doctors state that overt racism is not common among individuals that decide to work in healthcare, but it is clear that implicit biases still make their presence known as they can be seen in the statistics of health outcomes of individuals of different races (Penner et al., 2010). Though largely unintentional, racism and discrimination still hold a place in our healthcare systems. So what can be done about it? How can we help healthcare providers recognize and work against their implicit biases and/or aversive racism?
When looking at the COVID pandemic in the United States, a study estimated that Black individuals were 3.57 times more likely to die from the virus than white individuals whereas Latino/Latinx individuals were 2 times as likely to die from the virus compared to white individuals. In general, black males and females also have shorter life expectancies and display higher rates of blood pressure than their white counterparts (Rees, 2020). It is important to consider the stress that is caused by systematic racism, along with the social class separation that is often seen when discussing ethnic minorities. Lower quality of life in relation to these social factors will certainly have an impact on an individual’s health outcomes, but these factors go beyond the topic of this discussion. While it is important to mention the systematic differences that can contribute to health problems within ethnic minorities, the statistics mentioned above are significant enough that they are due at least in part to inadequate healthcare.
Gruman et al. (2017) describe aversive racism as an indirect form of racism in which an individual does not recognize that they are racist or have a prejudiced attitude towards any particular racial or ethnic group. Most doctors (and people in general) would likely not describe themselves as having racist biases but may fall into the trap of aversive racism in which they are not consciously aware of their racially based attitudes or beliefs. After all, most doctors take the Hippocratic oath when graduating from medical school, swearing to do no harm to their patients and to uphold ethical standards. While it may initially seem that there is little to do about changing implicit biases as they operate on an unconscious level, there are methods that researchers suggest could prove helpful in reducing the disparity seen in the healthcare system. Specifically, there appear to be promising short-term effects in reducing bias by making medical professionals aware of the potential effects of implicit bias on health outcomes and medical encounters, along with discussing how to correct the biases that these physicians may hold. When looking to improve outcomes in the long term, researchers mention self-regulatory processes that physicians can engage in to reduce even minor occurrences of racially biased decision-making (Penner et al., 2010).
In summary, racial biases are present in the United State’s healthcare system and they often have a negative impact on the health outcomes of people of color when compared to white individuals. Implicit biases and aversive racism can play a major role in negatively affecting the quality of care that physicians provide, even though they are not consciously aware of these tendencies. With the awareness of this issue though, physicians can make a conscious effort to implement intervention strategies to ensure better care is provided for all individuals. When we become mindful of our human tendencies regarding racially based biases (and biases in general), we can make a deliberate change to make the world a better place for everyone.
References
Gruman, J. A., Schneider, F. W., & Coutts, L. M. (Eds.). (2017). Applied Social Psychology: Understanding and Addressing Social and Practical Problems (3rd ed.). Sage Publications, Inc.
Penner, L. A., Dovidio, J. F., West, T. V., Gaertner, S. L., Albrecht, T. L., Dailey, R. K., & Markova, T. (2010). Aversive racism and medical interactions with black patients: A field study. Journal of Experimental Social Psychology, 46(2), 436–440. https://doi.org/10.1016/j.jesp.2009.11.004
Rees, M. (2020, September 16). Racism in healthcare: Statistics and examples. Medical News Today. Retrieved September 29, 2022, from https://www.medicalnewstoday.com/articles/racism-in-healthcare