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Healthcare providers’ psychological investment in clinical recommendations: investigating the role of implicit racial attitudes

2024Artigo científico Acesso restrito
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dc.contributor.authorDuffy, Conor M.C.
dc.contributor.authorDo Bú, Emerson Araújo
dc.contributor.authorPereira, Cicero Roberto
dc.contributor.authorMadeira, Filipa
dc.contributor.authorHagiwara, Nao
dc.date.accessioned2025-01-03T12:32:59Z
dc.date.available2025-01-03T12:32:59Z
dc.date.issued2024
dc.description.abstractRacial disparities in clinical recommendations can result in racial disparities in health. While healthcare providers’ implicit racial attitudes (affective component of bias) are theorized to be one major factor contributing to racial disparities in clinical recommendations, empirical evidence to support the link is lacking. This study aimed to bridge this gap by moving beyond the standard approach of operationalizing the quality of clinical recommendations as a guideline-consistent vs. -inconsistent dichotomy. The present secondary study examined the role of provider implicit racial attitudes in the quality of clinical recommendations, operationalized as behaviors reflecting providers’ psychological investment in patient care (i.e., number of words used to describe clinical recommendations, and number of treatment options recommended). Two-hundred-and-ten White medical trainees reviewed a clinical vignette of either a White or Black male patient and provided clinical recommendations. Their implicit racial attitudes were evaluated using the Implicit Association Test. Participants with more biased implicit racial attitudes (i.e., stronger implicit preference for White vs. Black individuals) used fewer words to describe their clinical recommendations and provided fewer clinical recommendations for the Black (vs. White) patient, while there were no significant differences between Black and White patients among participants with less biased implicit racial attitudes. These results illustrate the insidious impact of implicit racial attitudes in healthcare provision and underscore the need for researchers to consider the complex, nuanced ways in which provider implicit racial attitudes might manifest in clinical decision-making.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDuffy, C. M. C., Bú, E. do, Pereira, C. R., Madeira, F. & Hagiwara, N. (2024). Healthcare providers’ psychological investment in clinical recommendations: investigating the role of implicit racial attitudes. Social Science & Medicine, Vol. 362, pp. 1-10. DOI: 10.1016/j.socscimed.2024.117435pt_PT
dc.identifier.doi10.1016/j.socscimed.2024.117435pt_PT
dc.identifier.issn0277-9536
dc.identifier.urihttp://hdl.handle.net/10400.5/96802
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationR01 CA263501pt_PT
dc.relationThe Intergroup Time Bias and Its Psychological Mechanisms in the Medical Context
dc.subjectimplicit racial attitudespt_PT
dc.subjectclinical recommendationspt_PT
dc.subjectmedical trainingpt_PT
dc.titleHealthcare providers’ psychological investment in clinical recommendations: investigating the role of implicit racial attitudespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleThe Intergroup Time Bias and Its Psychological Mechanisms in the Medical Context
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//2020.05290.BD/PT
oaire.citation.endPage10pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleSocial Science & Medicinept_PT
oaire.citation.volume362pt_PT
person.familyNameDo Bú
person.familyNamePereira
person.familyNameMadeira
person.givenNameEmerson
person.givenNameCicero Roberto
person.givenNameFilipa
person.identifier.ciencia-id7E11-41C5-AF56
person.identifier.ciencia-idD918-494B-6DAF
person.identifier.ciencia-id7C17-5134-30A1
person.identifier.orcid0000-0003-3864-3872
person.identifier.orcid0000-0003-3406-3985
person.identifier.orcid0000-0003-4959-7947
person.identifier.ridM-6011-2013
person.identifier.scopus-author-id36958271200
person.identifier.scopus-author-id57201006452
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication6764f529-c44d-4cc8-8598-abc7419332a2
relation.isAuthorOfPublication51ef31ea-bb2f-4d01-ba20-c72a8e7b7d5a
relation.isAuthorOfPublicationfae41ae7-355d-4449-8d65-c5485e36eac9
relation.isAuthorOfPublication.latestForDiscoveryfae41ae7-355d-4449-8d65-c5485e36eac9
relation.isProjectOfPublication4ff24bf2-480e-4255-9f6c-372fe80127d3
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